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7YA698A CE gA09.1-BI APPLICATIQN FOR BUILDING PERMIT 17
COUNTY OF LOS ANGELES BUILDINGZI
DEPARTMENT OF COUNTY ENGINMR ADDRESS i
BUMDING AND SAFETY DMSION LOCALITY
JOHN.A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUP'T OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN �
DISTR7ICC N G U TYPE PRKESSED BY
coNsr..
BUILDING ``J; y� STATISTICAL CLASSIFICATION SEWER MAP
ADDRESj LVPi4AAP A/Fc� (/,Q. J SK PG
�o
CLASS.NO. DWELL.UNITS
LOT NO. BLOCK WATER NOT REQUIRED ❑ RECEIVED
CERTIFICATE.
TRACT MAP HIGHWAY STATE MAJOR SECOND, AL
NO.OF BLDGS. NO (CIRCLE)
SIZE OF LOT. j( �n I NOW ON LOT- USE ZONE SPECIAL
USE OF Ir j CONDITIONS
EXISTING BLDG. (/
/s TEL. p
OWNER p E7i� Co• NO. �G2Y/�1 BUILDING YARD HWY STREET NAME EXIST.
ADDRESS S"! (- ' [E` Y IWO- SETBACK WIDTH
FRONT
ARCHITECT OR TEL. P.L. 444,
ENGINEER NO. SIDE
P.L. a
ADDRESS TEL INSPECTION,RECORD , 8
,
CONTRACTOR W ,p ACO-^^ NO �6• Ir f 'n,/) ,L� /r✓�/w � �
ADDRESS Xld. AI CITY
DESCRIPTION OF WORK
a
U)
e-NEW ADD ALTER REPAIR DEMOLISH. �+ '' Z
SQ.FT. NO.OF NO.OF r ✓1�+��rl (0� z 1d&w rf.
IZE STORIES FAMILIES
USE OF
STRUCTURE
s
SIGNATURE OF
APPLICANT
VALUATION 5 O G
APPROVALS DATE/ INSPECTOR'S SIGN�ATTVIM
P.C. oeON:LOCATIO
FEE r/ FEE $ FO FORMS!MATER ALS N z�` !A ?. �J�t^'�'LE�Ai .
FRAME:FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING,BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE'LOCATION, 1 _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK _ •�• ••f'1y ,;/
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- /�b y!� � f�. ,f r:�✓,' ,�"�:���6.•IV p�
TION OF THE LABOR CODE OF THE STATE OF AL RNIA RELAT- LATH,INT. //�vIV_ -r:.•
ING TO WORKMEN'S COM ENION 1 SU C � lfx, d )
y?
LATH,EXT. lPT� '•.� i r
SIGNATURE OF HOUSE NUMBER /re��1,•y' / y�
COR-
PERMITTEE- � RECT AND POSTED
ADDRESSFINAL
CLYDE N. DIRLAM, PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION cK M.O. , CASH PERM VALIDATION��. m.o. CASH
Ll" 6 6 1 2 NOV 7 2 3 D 2 6-.75A d
LA00 7. 5 4 8 NOV 2 8 1 D 5-7.00, '
1 •
�WOfikERS;t6MPENSATION DECLARATION
1.herTinsure, or a�certif carte of Worke s'tCompensation Insurance, APPLICATION. F O K BUILDING P E RM I T
or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
BUILDING
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
❑ Certified copy is filed with the county building inspec- ADDRESS Q q,
tion department.
CITY ZIP `f LOCALITY
Date Applicant NO.OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK ,j PAGE 005 PARCEL t�
hundred dollars ($100)or less.) TEL
OWNER NO. USE ZONE MAP NO. /-/a-1,7
,1 J
7
I certify that in the performance of the work for which this per.,
permit is issued, I shall not employ any person in any manner ADDRESS ��^� p���C� _ �„ SPECIAL
so as to become subject to the Workers'Compensation Laws. �� CONDITIONS Q
CITY C CN-1 ZIP C'tC),50 V
Date eIII&II41+"Yipplicant �`"'� "' � ARCHITECT OR TEL W
NOTICE AP LICANT: If, after making this Certificate o moi" ENGINEER NO. dj�[� DISTRICT GROUP TYPE FIRE PROCESSED BY Q
CONST. ZONE
Exemption, you should become subject to the Workers' �� �� x w
Compensation provisions of the Labor Code, you must forth- ADDRESS �� J
with comply with such provisions or this permit shall beTEL. STATISTICAL CLASSIFICATION APT. CONDO. Z
deemed revoked. CONTRACTOR , UCO' ` CLASS NO. DWELL. UNITS
LICENSED CONTRACTORS DECLARATION ADDRESS '� NO. 7
I hereby affirm that I am licensed under provisions of Chapter 9 t SEWER MAP
u•'
(commencing with Section 7000)of Division 3 of the Business _� LIC.
and Professions Code,and my license is in full force and effect. CITY A$_ ll!— CLAS T6 BK.— //�j VALIDATION
SQ. FT NO. OF NO. OF CHECK
License Number 62� 12- Lic. Class SIZE STORIES FAMILIES ONE
[[(( ❑ VALUATION
Contractor�hriIX� pate 9 co q;_;0 DESCRIPTION OF WORK NEWr—
ADD ,
❑I am exempt under Sec. \ty( m
ALTER
B.BP.C. for this reason LNGL fl REPAIR ❑ $
.4USE OF
4171-
f EXISTING BLDG. S(er{7" ' DEMOL ❑ � 7d �d
Signature APPLICANT L. FINAL /L
O ER-BUI E ECLA ON (PRINT) AA
NO. [O
I hereby affirm that I am e m t from the Contractor's License CDATE
Law for the following reason (Section 7031.5, Business and ADDRESS / is FINAL ��
Professions Code): PRESENT By
BUILDING
❑ I, as owner of the property, or my employees with ADDRESS C elf-
wages
wages as their sole compensation,will do the work and /� �G'7r2
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code.) MOVING TEL. Poo
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code.) ,
REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. C®
CONSTRUCTION LENDING AGENCY SET BACK , PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L.
1 (Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name
it W-1.6 LDMA Ref. #
P.C. Fee$ 7 Permit Fee ,
Lender's Address
1 certify that I have read this application and state that the Issuance Fee �� 46! ' LDMA P/C#
above information is correct. I agree to mply with all County Investigation Fee
3 ordinances and S e laws relating uilding construction, Total Fee al?r.. LDMA Perm. #
= and hereby au ize repr senta' es of this County to enter
upon the ab a entio r ty for inspection p rposes.
o Q SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature Ap icant or Agent JDati
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS„ ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA ( BL 0508 9706240016
PHONE: (818) 285-0488 EXT:
LEGAL I • NO. OF CONST BUILDING ADDRESS:
TR: 27309. LT: 9 SQ. FT STORIES TYPE 10224 RANDWICK DR '
STRUCTURE: 0 VN -TEMP CA 917803351
SS S I FORMATION NUMBER: JNEAREST CROSS STREET: BALDWIN
8585-005-035 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG—TS—E.- RESIDUSE ZONE:—R-1 S E -PROCESSED R 0
EXIST OCC GRP: 06/24197 TC 06/24/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATIO FINAL DATE FIN BY CODE:
1022 ARAI HRANDWICK DR ITOSHI .(000) 000-0000— 1 4,500 ( Q�22$Q
TEMP 917803351 E A SCR P o o 0
T/0 A D APPLY 25 YR. ELK COMP. SHINGLE - NO SHEATHING
FEE-DESCRIPTION: QUANTITY: UON: AMOUNT:
APPLICANT: TEL. 0:
TURNER ROOF (909) 596-7455- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 4500.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/0 EN-HC— �� 4500.00 VAL 133.05
A•� '
LrTOQAL FEES 161.30
CONTRACTOR: TEL. NO: ,�'�,�/� `�' APPROVALS DATE INSPECTOR SIGNATURE
TURNER ROOF (818) 281-8573-1 '
1632 KENT ST. LIC. NO , ,� LOCATION SETBACKS
LA VERNE, CA 91750 299207C-39 I ' �C-1
SOILS ENGINEER APPROVAL
CH C OR E E 0: 0��' l rj� r,;~fq }� , ``� �V 0 D 0 T C 0 S
LIC. N0: d�% I 1�II —_�_ 3 �i� SLAB/UNDER FLOOR
NNW
NAP 0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:;
UNDERFLOOR INSULATIO
147H273 3 01 @ ,Cf R S G
. OF FAMILIES: DWELLING 5: 0 D: STAT CLAS
S:
NO 21 /� .! i /��y' J� ROOF SHEATHI G
SCHOOL WITHIN HAZARDOUS �, �,` 11 i �.� ;1,-� �l if jr a4.., SHEAT PANELS
AIR QUALITY: 1000 FEET MATERIALS %;'
NO NO NO �� � FRAME INSPEC ION
REQUIRED TOTAL-SET13ACE FROM • � � KFIRE
SET BACK YARD: HWY: PROP LINE: WIDTH: �� � ��� SP G RS
FSONDE PL- n• �Ia(� 3 INSULATION/WEATHER STRIP
EXTERIOR LAT
RATED fLOOR/CEIL ASSEM.FLOOR/C
RATED WALL SSEMBLIES
RATEDS OP S
T-BAR CEIL NGS
LOT D AG
REPORT ID: DPR261 ROUTE TO: BS0508
(
I
• COUNTY OF LOS ANGELES TEMPLE CITY # 050 , UILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS IERA IION/REPy,JR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 568-97050610021
PHONE: (818) 285-0488 EXT:
LEGAL D: NO. OF CONS G—ABB ESS:
TR: 27309 LT: 9 SQ. FT STORIES TYPE 10224 RANDWICK-DR
STRUCTURE: 1731 V EMP CA 91780335-Y
ASSESSOR FOR 0 UMB : N SSTTRREET:
8585-005-035 i THOMAS PAGE: 597 GRID: 84 LOCALITY: TEMPLE CITY
TENANT: EXIST LDG USE: RESID USE ZONE: R-1 ISSUEDON: PROCESSED BY: E IRES ON:
EXIST OCC GRP: .05/06/97 TC /06/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL CODE:
ARAI HITOSHI (000) 000-0000- j 1 7,000
10224 RANDWICK DR
TEMP 917803351 FEES PAID DESCRIPTION 0 OR
INSTALL FIBER-CEMENT SIDING IN L' OF EXISTING WOOD SIDING
_
APPLI TEL. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: OKAY PER RESEARCH SECTION - 900 S. FREMONT, ALHAMBRA
INTERNATIONAL DESIGN CONSULTANTS (818) 570-4422- AA BLDG PERMIT ISSUANCE 27.75
3120 W. MAIN ST. AC STRONG MOTION RESID 7000.00 VAL 0.70 SPECIAL CONDITIONS:
ALHAMBRA, CA D2 PERMIT W/0 EN-HC" i,� -I;- T 07,000 .00 FEES VAL 1166.95
95.40
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
BROCKWAY DEVELOPMENT (818) 683-9883- ;� �' :•'=�,
1415 EDGEHILL PLACE LIC. NO _ ` �e����= i LOCATION AND 5 BACKS
PASADENA, CA 91103 559342 B
' SOILS ENGINEER APPROVAL
ARCHITECT OR ER: +: FO A 0 RE C OR
LIC. NO: r �' -_ SLAB/UNDER FLOOR
I i AISED FLOOR FRAMING
MAP NO: SEWER MAP BOO PAGE: FIRE ZONE: CMP' I iI ' " - UNDERFLOOR INSULATION
147H273 3
- MOOR SHEATHING
0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: _
NO 21 `. `'� °t� �' ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS - SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
ti•,., - +
REQUIRED TO L S TBA K FROM S ', -_ =-= :%s~ 5' �+ RE PR L R AGE S
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEA HER STRIP
SIDE PL-
TER 0 LA WALL
EXTERIOR LATH
RATED 00 C 1 ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508