HomeMy Public PortalAbout10237 RANDWICK DR_Building__ 76AS38A CE 0,803 3-69 —J—"nv& e��_
APPLICATION FOR BUILDING PERMIT �I
COUNTY OF LOS ANGELES BUILDING -/oZ 3
DEPARTMENT OF COUNTY ENGINEER ADDRESS
- BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUP'T OF BUILDING CROSS ST .
FOR APPLICANT TO FILL IN 11ICT NO. G J� / TYPE CONST. P ED BY
(PRINT OR TYPE ONLY) ��
BUILDING �A_ ,ZCUI C� f� STATISTICAL C SSIFICATION / SEWER MAP
ADDRESS /-f�/ (f� —i(/—
CLASS NO. DWELL.UNITS SK PG
LOT NO. BLOCK USE ZONE MAP O
/) N0. ,O
TRACT a1(`// SPECIAL
N0. OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG. TBACK FROM
p^ TEL FRONT P LINE OF (STREET)
OWNER ��, CYA C NO. �^�
TYPE OF EXISTI TRACK HIGHWAY + YARD = TOTAL
ADDRESS vZ N wi c k— 44 HIGHWAY WIDTH FR L.
CITY Y"L • + -
ENGHIT C O LL ��� NOL �O BLDG.SETBACK FROM
SIDE PROP. LINE OF (STREET)
wl 0&06TYPE OF EXISTING SETBACK HIGHWAY + = TOTAL
ADDRESS /o/o Tv� � / !' HIGHWAY WIDTH FROM C.L.
n TEL. �r
CONTRACTO uc O NO. y-� -�� + - p
ADDRES / LI `L� �'� CORNER CUTOFF YES ❑ NO ❑ l
CITY ✓� 0/I//�� CLASS G°.5, SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDER �+ n
L
NAME AND BRANCH /' G/- �I •�t. ,�, '�j 70 -Lio
ADDRESS �.IO1YD W� f) b { tr./�((/�'OII�I �cJ.G4'A:�=.C� e°��.✓ J t �•3 J� L_
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES NEW
USE OF ADD ❑ /-2'r-76 P"'�` r 121-s.u,T s r: c 1=
STRUCTUR /Y/ yG r OO �- ALTER ❑ r�/LCt.ci`. J_ 7'rLsi.+�/ Y%:+'�_,�)-1
REPAI4RCO]
SIGNATURE OF DEMOAPPLICANT y� EMID s 0 ' `"�" APPROVALS DATE -y INSPECTOR'S SIGNATURE
F E S f .�p FEE $ 2 2T P.C. PMTFO UNDATIORMSO MATERIIALSN X - 3-1r/
FRAME:-FIRE STOPS, '
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING LONSTRUC- GAS VENT DUCTS
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL NOT EMPLOY AN PERSON IN VIOLATION OF THE LABOR CODE LATH, INT.tPoV �G /�L,� -7 C1 , �JyJ J
OF THE STATE OF CA ORNIA IN R L ING TO WORKMEN'S COM- _ ''^•"'�
PENSATION INS
SIGNATURE OF LATH, EXT��pdL ('��( /a - �- o //c �I��•' pn,f
PERMITTEE HOUSE NUMBER CORRECT
,JL AND POSTED
ADDRES 6� FINAL /
JOHN F. LEWIS, PRINCIPAL rClK.GT.URAL ENGINEER
PLAN CHECK VALIDATION C M•O. CASH - PERMIT VALIDATION M.O. CASH
� 043F MY21 23 D 16.6
- `..Ar^5 0 4 4ti X21 - ~ . D a7.75- 4
' TEMPLE MPLE CITY
18ABSBA CE y80&1-81 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING y
DEPARTYlENT OF COUNTY ENGINEER ADDRESS
BU=ING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
DISTICT NO. GROUP TYPE P SEED BY
FOR APPLICANT TO FILL IN 1.CONsr
BUILDING STATISTICAL CLASSIFICATION S ER MAP
ADDRESS laW W� Gk K PG
I� 9 CLASS.NO. DWELL.UNITS
LOT NO. L/ BLOCK WATER NOT REQUIRED ❑ RECEIVED
CERTIFICATE:
TRACT O NOP / (."WA)
NO.OF BLDGS. STATE MAJOR SECOND, OCAL
SIZE OF LOT. _�tj �( �'LS NOW ON LOT USE ZONE SPECIAL
USE OF ^ I
% CONDITIONS
EXISTING-- IBLnnDG. '- r (`/ ? (/
OWNER 48-Vmdige 4E1�• C® NO. • �G1JP BUILDING YARD HWY STREET NAME EXIST.
ADDRESS��T� �B /1� C�"l�/ �(/O. SETBACK WIDTH'
ARCHITECT OR TEL. FRONTP.L.
ENGINEER NO. SIDE
ADDRESS
CL
CONTRACTOR .CDS NO. INSPECTION RECORD p
1 i e
ADDRESS �M _r&J7AE GT-e &MQ
DESCRIPTION OF WORKILI
a
EWD ADD ALTER REPAIR DEMOLISH to
SQ.FT. NO.OF NO.OF ?
IZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE O PIIS fLP�,
APPLICANT
VALUATIONS
�yAPPROVALS DyyATTE/ INSPECTOR'S SI NATURE
FEE S ` FEE S FOFORMS.MATER ALSLOCATION
FRAME:FIRE STOPS. y.'r
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS •f i 9 ! f
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION. �/ �.� . 41
_/�ff',®
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGLFINAL
DUCTS �`
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- �f�I _ !�/1!
TION OF THE LABOR CODE OF THE STATE O CA FORNIA RELAT- �� _„•_„ -
ING TO WORKMEN'S C �Ey�/p ON SU NC S
SIGNATURE OF ` JG.J• MBER COR- /I
PERMITTE POSTED dd� /1 /
ADDRESS— �" d- d
CLYDE N. DIRLAM. PRINCIPAL STR. RAL ENGINEER
PLAN CHECK VALIDATION M:O.. CASH PERMIT VALIDATION cK M.C. CARR
LAAO 6 6 2 4 0 frOV 72 3 D 2 6.75A IV
Lluo7 3 1 4o h011 3 1 D 5'7.00^' c%'
76AG38A CE#803 5-65 APPLICATION FOR SUILDI . PERMI L�
COUNTY OF LOS ANGELES BUILDING -91M 7
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER
NEAREST 1
COLEMAN W. JENKINSAUP'T.OF BUILDING CROSS ST.
DI�TR�ICT NO G TYPE, P E BY
FOR APPLICANT TO FILL IN VCONST.
BUILDING STATISTICALSIF.ICATION SEWER MAP
ADDRESS `
CLASS NO. DWELL UNITS BKSPG
LOT NO. BLOCK USE ZONE MAP
NO.
TRACT -70 SPECIAL
1 NO. OF BLDG- CONDITIONS '
SIZE-OF LOT �Q f NOW ON LOT v2.
USE OF pt
E (STING BLDG. BLDG. SETBACK FROM
T L. FRONT PROP. LINE OF - (STREET)
OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH F.OMC.L.
CITY
ARCHIT CTO TEL' BLDG. SETBACK FROM
ENGINEERleaNO. � 7 o SIDE PROP. LINE OF - (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CONTRA CTO NO + _
ADDRESS-374aNO `� CORNER CUTOFF YES NO OU
LIC
CITY rl ASS SEE REVERSE SIDE FOR SPECIAL APPROVALS O
DESCRIPTION OF WORK L)
Lua
NEW A D ALTER REPAIR DEMOLISH h
Z
SQ.FT. NO. OF NO. OF
SIZE - oZ. STORIES FAMILIES
USE OF
STRUCTURE / I oZ
SIGNATURJE OF
APPLICANT
VALUATION$
'APPROVALS• - DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEE$ FEE$ F-ORMS, MATERIALS
FRAME, FIRE STOPS, /•� !
` I HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS APPLICATION BRACING BOLTfpN
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9U-ILDI NG CONSTRUCTION: I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPA,ISATIO.N NSU IC v
�p LATH. EXT. •. �
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED rl JL /LrM�1Y -
ADDRESS FINAL r
JOHN F. LEWIS, P INCIPAL STRUCTURAL EFIR
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. 14.0L ;l;t?4 6 1 1- SEP 8 1 D 6.Q