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Home My Public Portal About9240 WEDGEWOOD ST_Building__ !J_111f•1fi11 mJ+alY 1 Vi' D V iL1Ji1Y V AlYJJ �Ar L'1 t _�r r+rvra r rvr� r...r. r...�..-.. A 1'~COUNTY OF LOS ANGELES BUILDING WM. J. FOX■ CHIEF ENGINEER FOR APPLICANT TO•FILL IN FOR OFFICE USE ONLY ADUILDING DRESS �V.Z .'� DISTRICTNO. PLAN CK.NO. PERMIT NO. LOCALITY !- � "�-�1' / ♦�' /�,� ,I _ r// C (,iC`.f�, C •'`r]j RECEIVED BY DATE OF A4PPL DATE ISSUED CROSS NEARESST. � iln'Yf/ti Z/ ��"tk^a 1A,1•.9 tom. . G^6 /.! �� L1 " BUILDI O 93 OWNER ADDRESMAIL 9 Y L LOCALITY CITY NOLlr'/104'S CROSS BT. �. �� , ■ FIRE NO.OF I TYPE GROUP� ARCHITECTORf TEL. ZONE PLANS ENGINEER NO. B 2 LDG. O � r ORD.NO. ADDRESS 'C SETBACK LINE I, APPROVED CONTRACTOR NO. BY DATE USE R APPROVED ADDRESS ZONE BY DATE LEGAL raj ✓7 CORRECTIONS DESCRIPTION LOpTtNO: rjl / BLOCK �L Q TRACT / 0 V �F�`P S / -/,e--5 d1� NO.or BL /s ' SIZE OF LOT J6 ��' G J NOW ON LOT b 1� ' USE OF NO.OF NO.OF -' EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O B REPAIR MOVING DEMOLISH p ��p NO. ./ Z SIZE ROOMS "7' STORIES D WALL r) I ROOF r COVERING;,.CC::f=+ COVERING A�Z6•'-'i WORKERS'COMPENS,4JUJN-DECLARATION , 77, C e APPLICATION FOR BUILDING PERMIT I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance, or a certified co y thereof Sec. 3800, Lab. C.) .TTti ,2� COUNTY OF LOS ANGELES BUILDING AND SAFETY P❑oIicy NO CompanyC mm1 �ss.gj BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 2� [may Certified copy is filed with the county building inspec- BUILDING u tion department. \\ ADDRESS Z - N LOCALITY DateLk'O1.—R-k Applicant AVS "\_[_� _ CI ` ZIP � Q CROSSAREST. CERTIFICATE OF EXEMPTION FROM WORKERS' ` NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one • USE ZONE MAP M� hundred dollars($100)or less.) TRACT ' BLOCK LOT NO. NO. CSE/ TEL. SPECIAL I certify that in the performance of the work for which this OWNER �, CONDITIONS CL permit is issued,I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY so as to become subject to the Workers'Compensation Laws. ADDRESS i a CONST. ZONE Date Applicant STATISTICAL CLASSIFICATION l`'/ A g NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT O� TEL. _ _� ENGINEER 2 NO•� CLASS NO.— SEWER _DWELL.UNITS Exemption, you should become subject to the Workers' � Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be deemed revoked. CONTRACTOR �,� N L BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRE 11v VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code,and my license is in full force and effect. CITY T— ` `•+v CLASS — SQ. INC.OF I NO.OF CHECK License Numberp�;QC'R& 41 Li..Class SIZE STORIES FAMILIES ` ONE ` I Contractor `;--s ��'�h� Date DESCRIPTION OF WORK NEW ❑ $ ADD I am exempt under Sec. ALTER ❑ FINAL B.&P.C. for this reason , a REPAIR ❑ DATE USE OF D DEMOL ❑ FINAL EXISTING BLDG.�� BY Signature APPLICANT a TEL. OWNER-BUILDER DECLARATION PRINT I hereby affirm that I am exempt from the Contractor's License ADDRESS Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT ❑ BUILDING 1, as owner of the property, or my employees with ADDRESS o c 1 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 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 Cade). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 1 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 o P.L. v Lender's Name a P.C.Fee$ Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee `' 1p above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, i Total Fee and hereby authorize representatives of this County to enter Q upon the above- ntioned roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ®s \ .V. APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING DRESS n� 1i ,O „f BUILDING ADDRESS !, D a•�O �C W v� I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) C ZIP �y17 O LOCALITY Policy No. Company SIZE OF LOT �� NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. 610 X - NEAREST CROSS ST. ❑ Certified copy is filed with the county building Inspection TRACT BLOCK I LOT NO. EOiclr�t-fes department. USE ZONE MAP NO. � 49 - 40 1 Date Applicant ASSESSO P B OK PAGE / SPECIAL CONDITIONS � CERTIFICATE OF EXEMPTION FROM WORKERS' NER /�' � WITHIN 1000 FT OF SCHOOL? YES No COMPENSATION INSURANCE ADDRESS OK)A (This section need not be completed If the permit is for one hundred C� LA-40- DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) ZIP C% y X I certify that In the performance of the work for which this permit e, [� , — Is Issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL No. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFI TION APT CONDO Data Applicant ADDRESS CLASS NO. CA/ DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of , REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become Subject to the Workers' CONTRACTOR TEL NO. S BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION CITY / LIC.CLASS P4AJILE C I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORES NO.OF FAMILIES Professions Code,and my license Is in full force and effect. �r3 L) J NEW ❑ BK PG , o License Number Lie.Class D PTION OF WORK ADD ❑ VALUATION W P e Kr�c-laestl R off . $ .� x-00.e-o Contractor Date G AZX we� ALTER ❑ I am exempt under Sec. REPAIR ❑l B.&P.C.for this reason S%vk DEMOL ❑ LOMAPIC# Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm# y [Q 1, as owner of the property, or my employees with wages as O their sole compensation,will do the work and the structure Is ADDRESS F= ACCT=` not Intended or offered for sate (Section 7044, Business and FINAL DATE r/ 7 G J ( 1:r Professions Code.) WILLTHEAPPUCANTOR FUTUREBUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL C/ �v J OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN 1 E*' '- ❑ I, as owner Of the ro y THE AMOUNTS SPECI IED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY i Ll v p party, am exclusive) contracting with � licensed contractors to construct the project (Section 7044, YES❑ NO� (;� � _1 � Business and Professions Code.) '--F�' WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING --{{j OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHECKr] l.1? CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST /� 7 FORGUIDELINES. 7 I, 1 hereby affirm that there is a construction lending agency for YES ❑ No❑/ CHANGE the performance of the work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES cAZSRRTFSLenders Name HAZARDOUS MATERIALS REPORTING FOR OBTAINING A PERMIT FROM THE CAOMD. � 0�01I-130101 x 13/22 0 Lenders Address �,�,� ,434 AM I tiOWNM l 0 1 certify that I have read this application and state that the above P.C.FEE PERMIT FEE Information is correct. I agree to comply with all county, ordinances and State laws relating to building construction,and he authorize representatives of this County to enter upon ISSUANCE FEE � m _ t ntions{ party for inspection purpos INVESTIGATION FEE TOTAL FEE / SWft ea AypOrantm A0M SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS GALTERALION/REPA-I-R BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 05,08 9910120026 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NG ADDRESS: TR: 7485 LT: 27 SQ. FT STORIES TYPE 9240 WEDGEWOOD •ST STRUCTURE: 0 VN TEMP CA 917802436 ASSESSOR INFOR IO NUMBER: -NEAREST CROSS STREET: 8588-002-026 THOMAS PAGE: 596 GRID: A LOCALITY: TEMPLE CITY TENANT: ST BLDG 5E: RESID USE ZONE: - SS ED PROCESSED BY: -EXPIRES ON: EXIST OCC GRP: 10/12/99 UT 04/09/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: WAGGONER RONALD M;DEBORAH M - 1 3,000 9240 WEDGEWOOD ST TEMP 917802436 FEES-PAID DESCRI TI OF WORK TEAR OFF HOUSE ONLY-INSTALL NEW RO SHEATHING, RECOVER W/ APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TAMCO 25 YR COMP SHINGLE REXWAY ROOFING (626) 333-8615- AA BLDG PERMIT ISSUANCE 27.75 507 N. AZUSA #C AC STRONG MOTION RE�plp 3000.00 VAL 0.50 SPECIAL CONDITIONS: LA PUENTE, CA D2 PERMIT W/0 N�f��30Q0.00 VAL 109.60 �NGELESTOTQ®FEE 137.85 CONTRACTOR: TEL. 0: �O� LL �/1VA� APPROVALS DATE I SPECTOR SIGNATURE REXWAY ROOFING, INC. (626) 333-5615- 507 N. AZUSA AVE #C LIC. NO LOCATIOVAND-9ETBACKS LA PUENTE CA 91744 655986C-39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUDTO / R C ORS LIC. NO i liilll; SLAB/UNDER FLOOR L RAISED FLOOR FRAMING i- 147H265 SEWER MAP BOOK: PAGE: FIRE ZONE: C P0 ,(� n D ��C n ��\/J O�n�� UNDERFLOOR INSULATION lJ J U \��/\�I/ FLOOR R S HI G 0. OF FAMILIES: LLI ITS: A COND: STAT CLASS'. NO 21 �(1, ROOF SHEATHING M ? SCHOOL T I1 HAZARDOUS \� 0 ❑ SHEAR PME_[§ AIR QUALITY: 1000 FEET MATERIALS El FRAM NSPECTION NO NO NO r I 'I�, El REQUIRED TOTAL SETBACK FROM EXIST 4(j O FRONT - CA 5 IR SP IN ER ANGERS LSET TAPYARD: HWY: PROP LINE: WIDTH: ��C Se rvic ,T�sq v" INSULATION/WEATHER STRIP SIDE PL- IOR LATH/DRYWALL EXTERIOR LATH RATEDF OOR/C IL ASSE . RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508