HomeMy Public PortalAbout10228 RANDWICK DR_Building__ /6AG38A CE#309 3-33 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS �rOj
BUILDING AND SAFETY DIVISION LOCALITY 7-`
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN,SUP'T OF BUILDING CROSS ST. .yC ♦ _J
DISTRICT NO G OUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN Ur"� CONST.
BUILDING D• p a ` - is {��. ^ STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS Na'V(ifL-,�J ` CLASS.NO.� DWELL.UNITS S1.4
LOT NO. 40BLOCK WATER
NOT REQUIRED
1:1RECEIVED EJ
CERTIFICATE:
TRACT MAP HIGHWAY STATE MAJOR SECOND,LOCAL
NO.OF BLDGS. NO. - d/Q (CIRCLE)
SIZE OF LOT d0 NOW ON LOT USE ZONE SPECIAL
USE OF RAs D /fIC E CONDITIONS
EXISTING BLDG.
'/ TEL.
OWNER _ V,SE/IP NO. BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS 09?_P PG ie-1 v�• f.�. FRONT
ARCHITECT OR TEL P• L.
ENGINEER ,SC�2laC Vis' =NO. 2- SIDE
o 62gs E .SR�.t! P, L.
ADDRESS ,
TEL
�[f�` /' o
CONTRACTOR u ` / C f �hC eP/ .
f1 V
ADDRESS 13pc.Dwe v AvE A O
DESCRIPTION OF WORK W
E ADD ALTER REPAIR DEMOLISH - Lu
/ Vf
SQ.FT. NO.OF NO.OF i I / A t zr�
SIZE STORIES + FAMILIESUSE OF
J
STRUCTURE I // // I G "®j
SIGNATURE OF
APPLICANT
VALUATION $
�7 APPROVALS DATE INSPECTOR'S SIGNATURE
FEE _S CO FEE $ C;2a.SO FOUNDATION: LOCATION
FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS '
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR GOD OF THE',STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMP N ATION SURANCE. LATH.EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS fP FINAL _s
JOHN F. LEWIS. PFANCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I art 9. . S,EON1 28..21 D 6.7 5- c
iY��
TEMPLE CITY
I.A686A CIE#805,I-61 APPLICATION FOR BUILDING - lJ
PERMIT
COUNTY OF LOS ANGELES BUILDING y
DEPARTMENT OF COUNTY ENGINM ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENC41REER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING PCROSSST.
CT NO. GROUP TypE P ESSED BY
FOR MPLICANT.TO FILL IN CoNST.BUILDING TICAL CLASSIFICATION / I ER MAP
ADDRESS• _ BK PG
S.NO.-42—DWELL.UNITS
LOT NO. BLOCK WATER . NOT REQUIRED1:1RECEIVED
CERTIFICATE:
TRAC 2 �O MAP HIGHWAY
NO..OF BLDGS.�.
NO. (CIRCLE) STATE MAJOR SECOND, CAL
SIZE OF LOT. �O X /�O I W ON LOT USE ZONE SPECIAL
USE OF ^ CONDITIONS
EXISTING BLDG. �- J
OWNER�. IS- V)eIJ �. NO.-Ar C9'�J�IY
BUILDING YARD HWY STREET NAME EXIST.
�
•7�1�CE �T�Y ��®� SETBACK WIDTH
qZ�
�T
ADDRESS FRONT
ARCHITECT OR TEL. P.L.
ENGINEERNO. SIDE '
P.L. }
ADDRESS .� NELO 2 �� INSPECTION RECORD p
T
CONTRACTOR
ADDRESS J 7 ag, -mnOGE GYY ap.
I �
DESCRIPTION OF WORE �:� --��.` �'�,•�.-� �
p jp/ l ter. ro v• ,�.�J w
. ,.vj.N�:S.I�L�ij3�' ,fy'�ry �r G. w 1?w...r.`s+:✓.2:!r,� D.
EW ADD ALTER REPAIR DEMOLISH Z
4pFT
IZE . '141-d If STORIES FAMILIES
USE OF 7 'lY'o� /!? svtit.tt- •!
STRUCTURE
-pa). -/AAG
a G�•e�c'� ri.N
SIGNATURE O
APPLICANT
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNOURE
FEE $ �Q FEE $ FOUNDATION:LOCATION
FORMS.MATERIALS /T(�
FRAME:FIRE STOPS, 1
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING,BOLTS �• o,. Ji.. /J _
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION,
_ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. 11,27'6163.
TION OF THE LABOR CODE OF THE STATE CA ORNIA RELAT-
ING TO WORKMEN'S GO SATIOZ17N�� ANLATH,EXT; 'I/I'kVl
SIGNATURE OF HOUSE NUMBER COR- ��ff 2 '�`�F/
PERMITTEE RECTANDPOSTED p';�"
ADDRESS �' P ` FINAL
CLYDE N. DIRLAM, PRINCIPAL STR)—JrTURAL ENGINEER
PLAN CH= VALIDATION M.O. . CASH PERMIT VALIDATIONjhcK M.O. CASH
�o 6 6 1 3 NOV 7 2 3 0 2 8.5 0 o a_ �/
LAC07549 NOV 1 D 57.00