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HomeMy Public PortalAbout9156 WEDGEWOOD ST_Building__ SABSBACE#e08-7-5S APPLICATION FOR BUILDING PERMIT - dY BUILDING AND SAFETY DIVISION BUILDING fls_ A Department Of County Engineer ADDRESS County of Los Angeles LOCALITY (� 7�- JOHN A.LAMBIE. COUNTY ENGINEER NEAREST c CASSATT D.GRIFFIN, SUP'T OR BUILDING CROSS ST. DISTRICT GROUP SEWER MAP FOR APPLICANT TO FILL IN TYPE BK PG, CONST- BU'LDING ONST.BUILDING �_/� 67'COW6 v ADDRESS �{J STATISTICAL CLASSIFICATION LOT NO. BLOCK- CLASS. N6a _ DWELL. UNIT MAP �7 f STATE NO NUMBER �..D �' F' HWY YES TRACT USE ZONE SPECIAL SIZE OF LOT /O Q I NO.OF BLDGS. /J 09�f� CONDITIONS , NOW...ON LOT USE OF nn __ %909 d EXISTING,BLDG. �l.e 4A , ®/JGt? LitiCldlOi BUILDING YARD HWY STREET NAME EXIST. g SETBACK .•� WIDTH OWNER a/lPS a P� g y� V FRONT pC� d L. MAIL S/J�j J W f p ADDRESS•/` lD L..a a'Y Ge��9-�S.Q.�L�'1L7F-/Y�Ni SIDE TEL +. P. L. CITYTgglI _ C®e V CALjP NO.47-66'5L 9Y INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS TEL CONTRACTOR , + NO. �/ ADDRESSC/ % g:wv64LwdtloLd �+se iic DESCRIPTION OF WORK EW. ADD ALTER REPAIR DEMOLISH }�, NO.OF NO.OF dd�� SIZgq,E STORIES FAMILIESY0 USE OF STRUCTURE D APPROVALS SIGNATURE OF r APPLICANT _ _ FDATE INSPECTOR'S SIGNATURE ��jj 'c"?Ty' FOUNDATION:LOCATION ADDRE33',S G+tK/L= G!r.NOL�D •,(!L FORMS. MATERIALS $ P.C. g FRAME: FIRE STOPS, n •-� FEE ' BRACING.BOLTS 'l ( -{--ur(r6 lL•L a_ L FURNACE: LOCATION. VALUATION FEE $ �� GAS VENT. DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.-INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCE AND LATH, EXT. STATE LAWS ATING RE ULBUILDIN• O STRU TION. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED I 1 ADDRESS-- FINAL -f 1 `Q IS7 OHN A.LAMBIE.COUNTY ENGINEER, CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENG ER. PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION CK: M.O. CASH, .��uD 5 7 L PIAR s3 1 2.0 0 . to I WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' i kers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. 230770 Company State Comp F-1Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING 5_6 UO ADDRESS (� Certified copy is filed wVhIthe county building inspec- [ADDR NG u� tion department. SS 9156 Wedgewood Date 111/86 App Fres w Temple C ZIP LOCALITY CERTIFICATE OF EXEMPTION FRO W-4I RS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE F LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE ZO MAP R Kiefer "� o. ,a,00(aI certify that in the performance of the work for which this SPECIAL �permit is issued, I shall not employ any person in any manner d so as to become subject to the Workers'Compensation Laws. SS CONDITIONS O CITY Temple City ZIP 91780 U Date Applicant oC ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PRO ESSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. A-3CONST. ZONE O Exemption, you should become subject to the Workers' 13 Compensation provisions of the Labor Code, you must forth- ADDRESS ✓`�� W with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. J�NDO. H deemed revoked. CONTRACTOR Montebello Rf No. 722-697 -- z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 868 Truck' WayNO. 248852 (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code,and my license is in full force and effect. CITY Montebello CLASS C-39 BK PG VALIDATION SQ.FT. NO.OF NO.OF CHECK C cens umber 248852 Lic.Class C,39 SIZE STORIES FAMILIES ONEVALUATION ont for Pre$�,e 8�31�85 DESCRIPTION OF WORK 2 existing roofNEW ❑ $ 2135.00 ❑ Reroof i,� 20 sq built up ADD ❑ , I am exempf/un a ec. Kuck ahis F ALTER ❑.. B.&P.C. for this reasonUSE OF REPAIR $ Date: EXISTING BLDG. dwelling DEMOL ❑ Signature APPLICANT TEL. FINAL d OWNER-BUILDER DECLARATION PRINT) NO. 722-697 DATE, = �� I hereby affirm that I am exempt from the Contractor's License 868 Truck Way - Low for the following reason (Section 7031.5, Business and i ADDRESS FINAL Professions Code): PRESENT By � � 11 ❑ I, as owner of the property, or my employees with ADDRESS J ,�/ P-2 7 2 8 A wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ® # 0 0 0 0 0 1 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. ( - - 59.25 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). i REQUIRED YARD HWY TOTAL SETBACK FROM T. o ­ 59,2563 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. , 0 8 1 6-8 5 (Sec. 3097, Civ. C.). SIDE 'o P.L. Lender's Name LDMA Ref. # Lender's Address P.C.Fee$ Permit Fee 48.75 r I certify that I have read this application and state that the Issuance Fee l0.50 kLDA P/C# ' above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 59425 LDMA Perm. # J and hereby authorize representatives of this County to enter upon th bove-mentioned property for inspection purposes. Pres. 8/2/85 SEE REVERSE FOR EXPLANATORY LANGUAGE D Signature of lypllc#ht#r Agent Date ©t 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 0208150005 PHONE: (626) 285-0488 EXT: NO. OF CONST lUrLDING ADDRESS: TR: 9751 LT: 89 BL: .001 SQ. FT STORIES TYPE 9156 WEDGEWOOD LN STRUCTURE: VN TEMP CA 917802434 5387-020-007 NEAREST CROSS STREET: ENCINITA THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY TENANT: . RESID USE ZONE: R-1 S . EXIST OCC GRP: 08/15/02 JK 02/11/03 . OWNER: TEL. 3,000 �.� 9156 WEDGEWOOD LN 2 TEMP 917802434 R 0 REROOF HOUSE 8 GARAGE OVER EXISTING PLYWOOD W/30YR SHINGLE APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL ONDITIONS: D2 PERMIT W/O EN-HC 3.000.00 VAL 99.00 TOTAL FEES 127.25 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOEXTION AND SETBACKS SOILS ENGINEE"PPROVAL ARCHITECTOR ENGIN55R: EFOUNDATION/TR5NCH FORMS LIC. NO: SLA$ UNDER FLOOR )A1 MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: P: 147H265 3 01 UNDERFLOOR INSULATION NO. OF FA FLOOR G L 0 D: C NO 21 ROOF SHEA RING Z �� R 0 SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED FIRF SPRINKLER MEW- SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR EXTERIOR LATH I RATED WALL ASSEMB ES MT5D SHAFTS/OPENINGS REPORT ID: DPR261 ROUTE TO: SS0508