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