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Home My Public Portal About10257 RANDWICK DR_Building__ C \ APPLICATION FOR , "'BUILDING PERMIT +FOR APPLICANT TO FILDN ADDRESS vrrr .2. ADDRESS �t `+BUILDING JA /� /C LOCALITY 00- NEAREST CITY '�lnj3Lg di—r$1 ZIPal CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT AeRGeQl_,Aj2 NOW ON LOT MAP BOOK PAGE PARCEL TRACTa'730 BLOCK I LOT NO. DISTRICT GROUP PE FIRE CESSED BY r� !) ONST. ZONE � TEL. � f OWNERs(. `I • �� STATISTICAL CLASSIFICATION SEW MAP ADDRESS ��)) 4R V �� /J . &j10 CLASS NO'. DWELL.UNITS BK PG CITY ALE l' T ZIP /I ZONE. NOP ARCHITECT OR '` / TEL. J SPECIAL ENGINEER �V IV E NO. I CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑� NO❑ TEL. CONTRACTOR G NO. BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF -ISTREET) ADDRESS NO. TOTAL SETBACK'FROM TYPE OF EXISTING LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER NAME AND BRANCH 1Y 0 BLDG.SETBACK FROM ADDRESS CITY SIDE PROP.LINE OF (STREET) ce SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE EXISTING V SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH w + = Z DESCRIPTION OF WORK Cl L'jt/S j f/(7_ NEW ADD CORNER CUTOFF YES ❑ NO ❑ 61,00—A' �AL� ALTER ❑ SIN OPEN SPACE YES ❑ NO ❑ USE OF REPAIR ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ APPIPRNnTI - �. LAW.`�[�OS J • I HEREBY ACKNO`WL�DGE HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS COR D AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PE NSATIONINSURANCE. EOF DATEL �! �� B� lc-ll1��✓ ' 9 a-• M ,Ql�/-, 0/7�Y TEL. P.C.Fee$ PermiT FeeNO.QIssuance FeeN p Total Fee~ J PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK.' M.01 CASH 2 .9,23 APR g 4. D 47-LLI-0 AW DS 76AS38B CE 1803B 8/77 TEMPLE CITY FOAe38A cc#Bo$.1-61 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST /' WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO. TYPE P ESSED BY FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICAL CLASSIFICATION S ER MAP ADDRESS C K PG CLASS.NO. WELL.UNITS LOT NO. 17 BLOCK WATER NOT REQUIRED ❑ RECEIVED CERTIFICATE: TRACT Z O MAP HIGHWAY STATE MAJOR SECOND, CAL NO.OF BLDGS. NO. ICIRCLE) SIZE OF LOT.,S7Z5X!-7,0 NOW ON LOT USE ZONE SPECIAL USE.OF CONDITIONS EXISTING BLDG. /_ g OWNER�a�Q. F� + CA. NO.• . O BUIL INC YARD HWY. STREET NAM EXIST. ADDRESS.? 9J'{'(P(9 CI'rY 809 SETBACK WIDTH FRONT ARCHITECT OR TEL. P.L. ENGINEER NO. SIDE P.L. `r ADDRESS INSPECTION RECORD O CONTRACTOR�•Q•L�(� JR%V• CO., NOL • t ��/) _ _ V ADDRESS 0?:;6 'rempLE Grr Sc�v "VA" '� �° i� l: rlT DESCRIPTION OF WORg � = /' � � • ^ W dMr ADD ALTER REPAIR DEMOLISH /n/ �.t) h t.. �,yq ? FT. NO.OF NO.OF �� r'✓ %I' al t. /.,�) I • I / 31?r STORIES FAMILIES USE OF 2 y,� /� • / ' �I ` _ rte' STRUCTURE ! / 7 SIGNATURE O / APPLICANT VALUATION$ j 3, oQ n DU Zoo U APPROVALS DATEi INSPECTOR'S SIGNA111RE P.C. �fj 62? PMT. FOUNDATION:LOCATION FEE FEES FORMS,MATERIALS FRAME:FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS \ ..�? Jil AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION. (L('*' s WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS I I • •a ,.M BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK Pa r1A,� AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. rl—1�-,�' 7 +i"J• —r� .+•F�' TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ., • i ING TO WORKMEN'S CO SATION INSURA E. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- `_{; PERMITTE L' J RECT AND POSTED C` y / ADDRESS - z' �! /' FINAL I s-S3 CLYDE N. DIRLAM, PRINCIPAL STRVCTtURAL ENGINEER PLAN C = VALIDATION cK. M.O... CASH PERM VALIDATION CASH Ltl O 6 6 2 U! NOV 7 23 D 2 6.7 5 A 4 LA0'7 3 1 0 NOV 2 3 1 0 5 7.0 0, Q ' WORKERS'COMPENSATION DECLARATION f1 rl Ke'rbc, oraffirm that I have certificate of consent to self APPLICATION F®R BUILDING PERMIT '-IILIII t� ensure, or a certificate of Workers'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 APPLICANT TO FILL IN BUILDING /1 ADDRESS o� ❑ Certified copy is filed with the county building inspec- BUILDING s t '�r tion department. ADDRESS ,npCst Date Applicant CITY _ &1'�( 7 ZIP / / d 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 A� BLOCK LOT NO. MAP BOOK PAGE PARCEL C G L No. f-adUSE Z NE d- OWNER P& MAP I certify that in the performance of the work for which this SPE permit is issued, I shall not employ any person in any manner r SPECIAL a, ADDRESS �C h � r C' � CONDITIONS so as to become subject to the WorWCnsatio aws. U 'y CITY 1 t'Ph �e r zip 917 9Q Date - 2-s Applicant NOTICE TO APPLICANT: If, after maki this Certificate of ARCHITECT OR TEL. DISTRICT Gq�UP TYPE FIRE , PRO SSED BY O Exemption, you should become subject to the Workers' ENGINEER NO. ,� ()� CONST. / ZOZIE U Compensation provisions of the Labor Code, you must forth- ADDRESS 6 with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATON I APT. CONDO. deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code,and my license is in full force and effect. CITY S BK 5 PG 1/6 VALIDATION SQ;FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE YOOSf.-TISTORIES FAMILIES ONE Lof If VALUATIOfy DESCRIPTION OF WORK LL✓t+ d NEW Contractor Date _r ADD ❑ $ ❑ I am exempt under Sec. aS ALTER ❑ B.&P.C. for this reason REPAIR ❑ $ Date: USE OFr! r A-� DEMOL ❑ EXISTING BLDG. e,I Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT NO. DAT 9 0 21 A I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FI # 0 0 0 0 0 1 Professions Code): BUILDING 1, as owner of the property, or my employees with ADDRESS o209.25 wages as their sole compensation,will do the work and = the structure is not intended or offered for sale(Section LOCALITY ® A Q, 0 7044, Business and Professions Code). MOVING TEL. U ❑ 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 TOTAL SETBACK FRIVERE CONSTRUCTION LENDING AGENCY SET BACK YARD HWY 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. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. # P.C. Fee$ Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee 3 LDMA o above information is correct. I agree to comply with all County Investigation Fee aq ordinances and State laws relating-to b ' Ing construction, Total Fee IDMA Perm. q R and hereby authorize repres totives his County to enter upon bove- ntione operty r inspection purposes. •� _ �, _„ m ` �� SEE REVERSE FOR EXPLANATORY LANGUAGE a ur of Applicant or Agent Date 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 0510120079 PHONE: (626) 285-0488 ERT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 27309 LT: 17 SQ. FT STORIES TYPE 10257 HARDWICK DR STRUCTURE: 32 VN TEMP CA 917803352 n/J �� ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: l 8585-004-015 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 10/12/05 JK 10/07/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CBONG YAT CHUN;CHEUNG YUK SAU (626) 350-4980- 9,000 4 .- 1- 10257 RANDWICK DR uD - TEMP 917803352 FEES PAID DESCRIPTION OF WORK REROOF ENTIRE HOUSE AND GARAGE WITH COMPOSITION SHINGLES FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: DIMENSIONAL SHINGLES APPLICANT: TEL. -NO: KELLY CONSTRUCTION (626) 939-0133- AA BLDG PERMIT ISSUANCE 27.75 1760 W. CAMERON AVE AC STRONG MOTION REBID 9000.00 VAL 0.90 SPECIAL CONDITIONS: WEST COVINA 91790 D2 PERMIT W/O EN-HC 9000.00 VAL 199.80 TOTAL FEES 228.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE KELLY CONSTRUCTION (626) 939-0133- 1760 W. CAMERON AVE #101 LIC. NO LOCATION AND SETBACKS WEST COVINA, CA 91790 835093E 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 3HEATBING 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 LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508