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Home My Public Portal About10234 RANDWICK DR_Building__ r 76A63'AA CE0803 9-68 � �/4 �• APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST /'' COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. 6VI J u✓17 FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PRo ESSED BY (Print or type only) 7L�9 CONST. 9 BUILDING r. STATISTICAL CLA IFICATION ^ SEWER MAP ADDRESS CLASS NO.ZIDWELL..'UNITS BK PG LOT NO. BLOCK USE ZONE NOP U TRACT 2_ PECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOTSc9 X s NOW ON LOT USE OF EXISTING WG. BLDG.SETBACK FROM OWNER NEL. FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CITY + ARCHITECT OR TEL. SDBLDE M PROP.LINE (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. ' CONTRACT O L' + = C ADDRESS LIC. CORNER CUTOFF YES ❑ NO ❑ C CITY a C�'SS SEE REVERSE SIDE FOR SPECIAL APPROVALS C CONSTRUCTION LENDER � NAME AND BRANCH I=1=N ! o c_ 3, rr +rr"s ADDRESS i SQ. FT. No. OF NO. OF 7 ? �% d.✓f!.� . ..`._.b rrf A , SIZE STORIES FAMILIES NEW �C i / , . ' / r USE OF ADD ❑ i 4 r G �� A l�:r.j f /r /1• ! / /l�(,�l"._ STRUCTUR ALTER ❑ REPAIR❑ a' SIGNATURE OF APPLICANT :20y< e DEMOL 'Efa❑ VALUATIONS APPOROVALS DATE INSPECTOR'S SIGNATURE } FOUNDATION: LOCATION FEE S ,r FEES e / FORMS, MATERIALS FRAME: FISTOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACIRE NG BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. jSt `NF1!/C¢ ,• /_g e LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. a ;f;;'r✓�'` /ter/_/// LATH, EXT. /I SIGNATURE OF HOUSE NUMBER COR- PERMITTEEor RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL S7CK_ RAL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH _ PERMIT VALIDATIONM.O. CASH ' L Qf'_ I 12 JUL 24 2 .y D .75- _ CA►r 1 12 6� JUL24 I D 2 2.50^' . TEMPLE CRTY 168659A C9#803,1-61 APPLICATION FOR UILDING PERMIT COUNTY OF LOS ANGELES BUILDING /5 DEPARTMENT OF COUNTY ENGINEER ADDRESS �y BUILDING AND SAFETY DMSION LOCALITY J JOHN A. LAMBIE, COUNTY ENQINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO. GRO TYPE P ESSED BY FOR APPLICANT TO FILL IN coNsr. BUILDING STATISTICAL CLASSIFICATION S ER MAP ADDRESS QC•q//C AW, BK PG CLASS.NO DWELL.UNITS LOT NO. & BLOCK WATER NOT REQUIREDHWAY ❑ RECEIVED TRACT CERTIFICATE: f NO.OFBLDGS.� NAP / (cGRCL., STATE MAJOR SECOND LO SIZE OF LOT.,�-+ R � NOW ON LOT USE ZONE SPECIAL USE OFCONDITIONS EXISTING BLDG.— EL:qr OWNER �• N.O. �� BUILDING SETBACK YARD HWY STREET NAME Wj ADDRESS .S9J� TEMPLE G'tY 7611p, DTH. FRONT ARCHITECT OR TEL. ENGINEER NO. SIDE P.L. rl ADDRESS OW,•' tt )rI !�1INSPECTION RECORD } O. O CONTRACTOR 16, N q _► 'Tyv� /� �+ p�i� ADDRESS -sl�ro �c�i/rc C �l�l'I� gdgy.• 11 l . :Y.4�{et"� 1 l"ft�� u � DESCRIPTION OF WORK O ! r'`' ` /N�" ra / V / F N ADD ALTER REPAIR DEMOLISH Q.FT. NO.OF NO.OF �% per/ IZE '� STORIES FAMILIES USE OF STRUCTURE or SIGNATURE OF APPLICANT � VALUATIONE 3 �� 1�a J �'d U APPROVALS DATE INSPECTOR'S SIGNATURE FEE $ FPMT. EE $ ✓ FOUNDATION:LOCATION FORMS,MATERIALS FRAME:FIRE STOPS. <' 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING,BOLTS 1..�0: la AND STATE THAT THE ABOVE Ik CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, Tit " ✓ I /0 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS I BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. //J1'J/�QJ j• ,/Z•rM' ) i TION OF THE LABOR CODE OF THE STATE OF CA 1FORNIA RELAT- ION / INC TO WORKMEN'S CO NSAT1 SU N I'72'��•� I'r LATH,EXT. 1 GAJ f S v bf• :!f SIGNATURE OF HOUSE NUMBER COR- J i r PERMITTEE RECT AND POSTED fta. ADDRESS VY,'. �l � FINALl CLYDE N. DIRLAM, PRINCIPAL STRU URAL ENGINEER PLAN CHECK VALIDATION, CK. M.O.. CASH PERMIT VALIDATION cK. M.O. CASH OL0 6 6 1 4" NOV 7 2 3 D 2 6.7 5*b Q � F LA(;0 7 .5 5 0 f40V 2 8 1 D 5 7.00~- 4 76A638A CE b8032-63 APPLICATION FOR BUILDING -'PERMIT','.. COUNTY OF LOS ANGELES- BUILDING DEPARTMENT 'OF COUNTY ENGINEER .ADDRESSL• BUILDING AND SAFETY DIVISION LOCALITY Y JOHN A. LAMBIE, COUNTY'ENGINEER NEAREST WILLIAM A.JENSEN. SUPT OF BUILDING CROSS SS: DIST R T N GROU TYPE P SSED•By FOR.APPLICANT TO FILL, IN CONST. BUILDING STATISTICAL.CLASSIFICATION SE ER MAP` ADDRESS 3La 016, G CLASS. NO. pWELL.UNITS K G LOT NO. BLOCK : WATER NOT REQUIRED, :, 'RECEIVED CERTIFICATE: LLL..LLL33 TRACT O MAP / HIGHWAY NO.OF BLDGS. -7 NO. (CIRCLE) STATE MAJOR SECOND,LC CA SIZE OF LOT sx I1 NOW,ON LOT USE ZONE' SPECIAL USE OF CONDITIONS EXISTING BLDG. G TEL. OWNER ( �s+ NO. -o BUILDING EXIST. ` SETBACK. YARD .HWY STREET NAME WIDTH ADDRESS �Q Z ,( �C I!` FRONT t` ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L. ADDRESS C TEL. LG d O CONTRACTOR /C NO-7 U ADDRESS •� ^� S A-, °Ts DESCRIPTION OF WORK AceO NEW 6DD_l ALTER REPAIR DEMOLISH Z SQ.FT. O.OF O. OF SIZE TORIES ILIES /J USE OF' STRUCTURE l lie SIGNATURE OF APPLICANT VALUATION $ �L J v _ APPROVALS PATX INSPECTOR` SIGN 'LURE P.C. PMT. FOUNDATION:"LOCATION FEE $ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY F.URNACEI LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING E WORK , AUTHORIZED HEREBY I WILL NOT EMPLOY NY PER N vtoLA- LATH. INT. ' TION OF THE LABOR CODE OF THE STAT CA FO ELAT_ IN TO WORKMEN'S CIdSAT10 5 A cE. r. LATH.EXT, SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED / I ADDRESS FINAL JOHN F: LEWIS. R INCIPAL STRUCTURAL ENGIN PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK.. M.O. GASH ' L�Uo 69 6 91,2 JUL . 3- 1 D '4 WORKERS'COMPENSATION DECLARATION 1huIre, yya€iirr tha9 I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT 1� Lnsureci g certificate a Worker;' Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANTTO FILL IN ADDRESS A Certified copy is filed with the county building inspec- BUILDING r tion department. ADDRESS 77 JLJI` f/ DateApplicant ZIP v 'LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.(OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. ! (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. E ZONE [�N AIALP I certify that in the performance of the work for which this OWNER /�5 �/ NO. O. permit is issued, I shall not employ any person in any manner (% j V CND NDITIONS 0 so as to become subject to the Workers'Compensation Laws. .+ CITY ZIP 99 Date Applicant ARCHITECT OR p TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER t./ NO DISTRICT GROUP TYPE FIRE PROCE ED BY CONST. ZONE Exemption, you should become subject to the Workers' . Compensation provisions of the Labor Code, you must forth- ADDRESS "V /• v / y� with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. I CO O. 2E deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS - LICENSED hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE.� STORIES FAMILIES ONE }� ' VALUATION DESCRIPTION OF WORK -b 12 NEW ❑ F1,1 �� dl� ADD $ Contractor Date . , 1g5. M I am exempt under Sec. 6iic fir, ! ALTER ❑. s # o a o 0 0 B.BP.C. for this reason REPAIR El Date: USE OF DEMOL ❑.':; ( ° 1 0 9 8 EXISTING BLDG APPLICANTTEL. FINAL o Signature PRINT - ` NO.Vq3 1 OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS / G FINAL 4 ' h r Law for the following reason (Section 7031.5, Business and Pro essions Code): PRESENT By BUILDING d. I, as owner of the property, or my employees with ADDRESS V wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ^\ ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. \` , with licensed contractors to construct the project (Sec- ADDRESS u �` tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FR=M CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I I hereby affirm that there is a construction lending agency for FRONT J the performance of the work for which this permit is issued P.L. (Sec. 3097,Civ. C.). SIDE I P.L. Lender's Name • !� P.C.Fee$ Permit Fee ,•J ` LDMA Ref. # Lender's Address Jcertifyy at I have read this application and state that the Issuance Fee t/f 6 LDMA P/C# rmation is correct. I agree to comply with all County Investigation Fee and State laws re g tobuilding construction, Total Fee r r/ LDMA Perm. # y a thorize rept enf fives of this County to enter 01 b a-m dod pr erty for i spection urpo s. SEE REVERSE FOR EXPLANATORY LANGUAGE lure of A plicant or Agent D to U 1� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0611300050 PHONE: (626) 285-0488 ERT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 27309 LT: 11 SQ. FT STORIES TYPE 10234 RANDWICK DR [EXIST UCTURE: 2300 VN TEMP CA 917803351 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GLICKMAN 8585-004-038 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C TENANT: IST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: OCC GRP: 11/30/06 JK 11/25/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI AL DATE FINAL BY: CODE: GIBSON, CHRIS - 6,000 10234 RANDWICK DR /L�(�"� A TEMP 917803351 FEES PAID DESCRIPTION OF WORK _ REMOVE COMP ROOF INSTALL 7/16 OSB PLYWOOD AND 30 YEAR CLASS'' FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: A COMPOSITION ROOF APPLICANT: TEL. NO: TEMPLE CITY ROOFING CO. (909) 608-0622- AA BLDG PERMIT ISSUANCE 27.75 1216 BEGONIA COURT AC STRONG MOTION RESID 6000.00 VAL 0.60 SPECIAL CONDITIONS: UPLAND, CA 91784 D2 PERMIT W/O EN-HC 6000.00 VAL 149.40 TOTAL FEES 177.75 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE TEMPLE CITY ROOFING CO. (909) 608-0622- 1216 BEGONIA COURT LIC. NO LOCATION AND SETBACKS UPLAND, CA 91784 RIC SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS LIC. NO: SLAB UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H273 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS • ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508