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Home My Public Portal About9202 WEDGEWOOD ST_Building__ DEPARTMENT OF BUILDING AND SAFETY ArrLdt wL L uuv r va rzaa is i '�_' .COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER 19 U I L ® '- N G .FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING / J,I js D19TR O. PLAN CK.NO. PERMIT_ ADDRESS 'LOCALITY ��-it,��j[� :[�-„y L�� >� RECEIVED BY DATE OF APPL DATE 19E(IIED NEAREST V 7. _SROSS ST. BUILDNG OWNER• .�' ! p1 I��s ADD EIS9MAIL ADDRESS [/ Ilk{.E•z�i:' _ LOCALITY sst�.1`lf`d /' v�t_ NEAREST CITY. %-2-:ao 1�"3�C_/ t�s NOLI� A!�' CROSS BT. �c_l.e_ j_.� FIRE NO.OF �I TYPE GROUP ARCHITECT OR TEL ZONE PLANS • ENGINEER NO. - \ BLDG. ..wwyy � I' /�"/�'�✓'y / ORD.N/O. ADDRESS SETBACK LINE APPROVED f TEL BY DATE CONTRACTOR NO. \ USE APPROVED ADDRESS - ZONEBY u DATELEGAL . DESCRIPTION I/.._LOTNO. �� I BLOCK ^'C I CORRECTIONS TRACT 2F // /h 4" /0 - 2- NO. _ SIZE OF LOT ..r (r1. , I NOW ON LOTS / USE OFFryer' d NO.OF NO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O . B REPAIR MOVING DEMOLISH Sq.FT. �j : NO.OF. f Z SIZE �,7�,r ROOMS.. / STORIES a � ( _ r COV RING��ts'fea Ii `�I';POVERING / YIAr d USE OF NEW BUILDINGi'iL�'i'3 ! +slss.�•I.ti! 1 HEREBY ACKNOWLEDGE THAT I HAVE READ--THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 13 CORRECT FOUNDAT)ON: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITM ALL COUNTY ORDINANCES FORMS, MATERIALS d w 'a AND STATE LAWS REGULATING BUILDINGO CNSTRUCTION. �� FRAME: FIRE STOPS, / g. SIGNATURE OF BRACING.BOLTS OWNER tLATHr INT.: AUTHORIZED AST. t.� ` i .• `�' Z- LATH,EXT.: DBS-3 2SM SETS 1-47 $ P.C.S PLASTER.INT. 1 FEE �^ PLASTERr EXT. VALUATION cl %-� FEE - FINAL WORKERS'COMPENSATION DECLARATION I let <!, 1/2J /t2( �I L f 7/ MIN' / W.eby affirm that I have certificate of consent to self , APPLICATION FOR BUILDING PERMIT insure, 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._&&.fgn Company ;,1,1CA>`¢ BUILDING .�l✓S I Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS a_oQ zb ,Er,Uooa S ❑ Certified copy is filed with the county building inspec- BUILDING a_ tion department. �rp I ADDRESS .20 //T Date �Z Z Z��.7 Applicant �IZLL°K'`h L�fl)�r'TIVt�fl�Lr CITY ZIP / /o D LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLD NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT T / 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 NO. permit is issued,I shall not employ any person in any manneritsSPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS 020 CONDITIONS V 1 CITY ZIP /1780 Date Applicant 4 ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of 1" ENGINEER NO DISTRICT GROUP TYPE FIRE PRO SED BY O Exemption, you should become subject to the Workers' L� :5, ! CONST. Z E U Compensation provisions of the Labor Code, you must forth- `' ADDRESS r � V W with comply with such provisions or this permit shall be / [�� TEL. p,/ STATISTICAL CLASSIPI APT. DO. Z deemed revoked. CONTRACTOR k Wth&7l5 NO. /s� •-01 LICENSED CONTRACTORS DECLARATION .A LIC, CLA55 NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NOSEWER 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 FV11,6, /V%C CLASS 1� BK PG / VALIDATION r SQ.FT. NO.OF s NO.OF CHECK -J-70--k License Number -74 Lic.Class SIZE STORIES / FAMILIES ONE _ 1 ��[�,/,,1,',,� VALUATION Contractor�AA&Jg &d J&-&te -�Z a-V-7 DESCRIPTION OF WORK NEW a $ �j Z6t5 0j ❑I am exempt under Sec. aE ~ ALTER ❑ , B.BP.C. for this r on1\ 1 kgdoer= Mal REPAIR $ USE OF EXISTING BLDG. DEMOL ❑ �8 64.3 A Seg Signature APPLICANT TEL. ��.3 FINAL ram',xe R D ATION J PRINT eV -■�y NO• DATE # 0 0 0 0 oil I hereby affirpt from a Contractor's License Law for the f (Section 7031.5, Business and � ADDRESS a efV/�/fYLff` FI ( o 08']38 Professions C _ ❑ BUILDING !v2z' o 0 0 8 7.3 8 5 I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY ® 222-87 the structure is not intended or offered for sale(Section 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 tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROP. 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 /V/ P.L. Lender's Name _T ('n LDMA Ref. # m P.C.Fee$ Permit Fee Q Lender's Address I certify that I h ve read this application and state that the Issuance Fee . S� LDMA P/C n above informati is correct. I agree to comply with all County Investigation Fee q ordinances an State laws relatin o building construction, $ and hereby a thorize representati es of this County to enter Total Fee LDMA Perm.q upon the _ for inspection purposes. k SEE REVERSE FOR EXPLANATORY LANGUAGE Sign lure of Applica r A nt Date