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HomeMy Public PortalAbout9216 WEDGEWOOD ST_Building__ 76AG38A CE.#-603162 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 WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. 1 DIST CT NO. GROUP TYPE ESSED BY FOR APPLICANT TO FILL IN ONST. BUILDING ST,`TIST-ICAL CLASSIFICATION EWER MAP ADDRESSBK9216 l?- mdgtqwond qt- G CLASS.140._56_DWELL.UNITS LOT NO. 32 BLOCK WATER& NOT REQUIRED RECEIVED I.— CERTIFICATE: TRACT 7,1185 MAPHWAv OC NO.OF BLDGS. NO. D (CIRCLE) STATE MAJOR SECOND, L SIZE OF LOT -NOW ON LOT USE ZONE SPECIAL USE'OF 6� CONDITIONS EXISTING BMG. I family NTe ling TE •� 01 0 �t BUILDING XIST. OWNER N YARD HWY STR NAME SETBACK IDTH ADDRESS F_RONTI ARCH IT,ECT OR TEL.' P• L• ENGINEER NO. SIDE P. L. __ _ a ADDRESS TE r���/ n/ r =`""�✓ 1 CONTRACTO N. 6210 s ADDRESS Ter-race L I ✓ —�'— wr,�. DESCRIPTION OF WORE �' / ^' � u NE\511 AD ALTER ' REPAIR DEMOLISH rJ SQ.tFT.' NO.OF NO. OF SE STORIES FAMILI IZES 1 STRUCTURE , 7, . . ll SIG14ATU.RE OF APPLICANT ,L r //i f VALUATION$ / APPROVALS. ATE P INSPECTOI��S IG 9TURE P.C. } PMT. FOUNDATION:-LOCATION / FEE S 'I r.�� FEES a FORMS, MATERIALS f FF2AME.:. FIRE STOPS, ' 1 HER4Y ACKNOWLEDGE THAT'l HAVE READ THIS APPLICATION ' BRACING. BOLTS AND STATE THAT THE ABOVE 16 CORRECT AND AGREE TO COMPLY FURNACE: LOcAnON, 1 WITH ALLI COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS - ( BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK' AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON (VIOLA- TION OF THE LABOR CODE OF"THE STATE OF CALIFORNIA RELA LATH, INT. - I p,�• •I(j fr. ••�n'f .•� •'a ING TO WORKMEN'S COMPENSA�NlURANCE. j'•-„J ?'6 � LATH,EXT. SIGNATURE OF HOUSE NUMBER COR - PERMITTEMRECT AND POSTED /. 1111111 ADDRESS , 6D Iljl.o Te=ac,- T, 11` L 117 FINAL WN `/r VKV - JOHN F.*L�EWIS, PRI URAL ENGINEER PLAN CHFCS VALIDATION CK. M.O. CASH PERNIIT VA AcK M.O. GASH jjGo 69220' NOV14 --1 p; 11.5QN APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) FADDRESS: INCOUNTY OF LOS ANGELES 9216 E. Nedgewood DEPARTMENT OF COUNTY ENGINEER T1e Cit' -- ZIP BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDINGOF'LOivy O Q NOW ON LOT ADDRESS TRACT_' -�',8S 113LOCK LOT NOLOCALITYLOCALITY NEAREST OWNER Dayiid CeJM NOL• CROSS ST, ADDRESS 9216-z. Wedgewood ASSESSOR MAP BOOK PAGE PARCEL CITY Temple Cit Ce13fg�mie DISTRICT GROUP CONSTYPET. _ FIRE PROCESEDf ARCHITECT OR TEL. S C/ 1y- il�/ uJyij ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ' ADDRESS �f CLASS NO.�DWELL.UNITS 16 BKI3 CONTRACTOR Rigid Mfg. COmpe • 263-51 USE ZONE MAP 337 S. Woods Ave LIC, 15Q� NO. ADDRESS NO. �T �- � CONDITIONS SPECIAL CITY Los Angeles,, Californ�LAssC-39 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH - BLDG.SETBACK FROM p FRONT PROP.LINE OF (STREET), C ADDRESS CITY Re-roof _ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD - FRONT PROP. LINE C SQ, FT. ' NO. OF NO. OF CHECK HIGHWAY WIDTH SIZE STORIES FAMILIES ONE F _ DESCRIPTION OF WORK Re-roof with NEW E] + C G BLD .SETEIXCKRigid prepared Class is C" ADD E] SDE PROP.LINE OFOM (STREET) materiel. ALTER 1:1HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING ' REPAI� SIDE PROP. LINE HIGHWAY WIDTH EXISTING BLDG. Residence DEMOL ❑ + APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) -• NO. BY (SIGNATURE)! IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ 483-007,961 � CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALg�y'pq)Ilt�,j Te WORKMEN'S COMPENSATION INSURANCE. +Y�My��++�� SIGNATURE PERMITTEE OF' r r/r .. GI ��! G/l��_10?s 77:: ADDRESS ,s. W 8-Ave Ll TEL. FINAL -16'BY �� CITY Los Angeles, Calif. NO. 263-5181 DATE,,.-, MAKE_ CHECKS PAYABLE TO. FEE FEE 15.00 HARVEY T. BRAN DT, COUNTY ENGINEER 'PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VAL ATION CK. M.O. CASH 4 2 EZ F i s J. .0 U &zb 76AG38A CE#803 7/73 _ APPLICATION FOR.-BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES 0; ADDRESS _ .� DEPARTMENT OF-COUNTY ENGINEER CITY Q, } ; zIP BUILDING AND SAFETY DIVISION SIZE OF LOT ���S {,/ NOWNO.OON LOTS J ADDRESS BUILDING, pZ/ f� _ A TRACT BLOCK LOT NO. :7 �- LOCALITY - TEL NEAREST OWNER J � NO., CROSS ST. ASSESSOR ADDRESS I MAP BOOK PAGE RCEL DISTRICT GROUP TYPE FIRE PRO ESSED BY CITY ZIP /^� �-• CONST.A ZON t ARCHITECT TEL. , ENGINEER ) NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO.,�W DWELL,UNITS2ID3K J CONTRACTOR NOL ' USE ZONE MAP ��77 LIC. NO. C,-2 CC) ADDRESS NO, I SPECIAL CITY LIC. CONDITIONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES[] NO❑ CONSTRUCT) LENDER NAME AND BRANCH BL .SETBACK FROM FR NT PROP.LINE OF STREET) c ADDRESS CITY HI HWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING C SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH C SIZE STORIES FAMILIES B ONE } - L DESCRIPTION OF WORK NEW ❑ ADD BLDG,SETBACK FROM (STREET) SIDE PROP.LINE OF ALTER ❑ HIGHWAY } YARD = TOTAL SETBACK FROM T OF EXISTING rDEMOL EPAIR❑ SIDE PROP. LINE HIG AY WIDTH USE OF EXISTING BLDG. e� [:] } APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑' (PRINT) NO. IN OPEN SPACE YES ❑ NO BY (SIGNATURE) ❑ `�v' IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ cS 0�/ - CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS,CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED_ IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE THE STATE OF CALIFORNIA RELATING TO ,/_ j�v� �c_,�..y lsT� �D��•/✓ +.- WORKMEN'S COMPE NSAT ON INSURANCE. SIGNATURE OF PERMITTEE ADDRESS FINAL ^� BY CIT OL DATE.. MAKE CITE KS PAYABLE TO: F E P FEE $ HARVEY T. BRAN T, COUNTY ENGINEER G PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M. CASH _ 4::6 7�:ocr as 1 :0 2 8.5;0-,&, 76AB38A CE0803 7/73 A