HomeMy Public PortalAbout9256 WEDGEWOOD ST_Building__ 'BA888A 089.3 8.99
APPLICATION FOR BUILDING PERMIT 1
BUILDING
DIVISION OF BUILDING AND SAFETY .
ADDRESS
Depoiiment of Couaty Eaglaeer
County of Los Angeles LOCALITY
WM.J.FOX.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRI Q. GROUP SPE SEWER BK MA PG
FOR APPLICANT TO FILL IN ICTI I CONST.
BUILDING /�I 9 C`d� �j� ���,�� MAP d o Q' STATE YES NO
ADDRESS 7e3[b� 6a &� NUMBER �/ HWY
LOT NO. BLOCK USE ZONE SPECIAL
` L ( CONDITIONS
. TRACT
�
i� NO.OF BLDGS. BUILDING EXIST.
SIZE OF LOT L`�V 3\ I S�� I NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH.
USE OF FRONT
EXISTING BLDG. P.L.
OWNER -I SIDE
i -
MAIL
ADDRESS OC j �'Ii �
O TRACT DWELL. f UNIT 5 INDUSTRIAL
TEL Z 7 1'' DWELL. I UNIT
CITY ILL�r . (,L�G� NO.:g (��7o�D 6 PUBLIC BLDG.
ARCHITE OR TEL. 2;'DUPLEX U f UNIT 7 ADON..ALT..ETC. ..
ENGINEER NO. $ APT. UNITS •
_ 8 MISCEL.
ADDRESS fgA 4 COMMERCIAL
CONTRACT®R (.�/�_N�NO...�1640/S•�1-4 93 INSPECTION RECORD..
_ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH .
8Q.FT. O.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS DATE INSPECTOR'S SIGNATURE
$ ION
P.C. E FOUNDATIONFORMS,MATEROCASS
(� FEE FRAME: FIRE STOPS.
VALUATION
/ D BRACING.BOLTS
REE ary FURNACE:LOCATION, q
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
GAS VENT.DUCTS I _ A.-
APPLICATION AND. STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. LATH.EXT.
SIGNATURE OR �. / j�j(� HOUSE NUMBER COA-
PERM'ITTEE RECT AND POSTED
ADDRESS FINAL
WM.J.FOX;•COUNTY ENGINEER VALIDATION C.N.DIRLAM.CHIEF BLDG. INSPECTOR
JACO L BAR 1
.0 WORKEPS'COMPENSATION DECLARATION
her • affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT
�irasts e,?r o certificate of Workers'Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING OZ d
ADDRESS
❑ Certified copy is filed with the county building inspec- BUILDING �(�,
tion department. ADDRESS
Date Applicant CITY Gf!'` (` '/ ZIP 1 2 Yv LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT 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
LSS TAJL E&%1
OWNER 7V NO.- �'� � US ONE MAP
I certify that in the performance of the work for which this _ MN0.
permit is issued, I shall not employ any person in any manner �� �Gtloi= r r SPECIAL
so as to become subject to the Workers'C pensation Laws. ADDRESS CO0.NDITIONS p
s CITY �� L t% ZIP ..:'?
Date Applica � �^ - —A �
NOTICE TO APPLICANT: If, of or makin is Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE P OCESSED BY O
Exemption, you should become subje' to the Workers' ENGINEER NO. r-. CONST. ZONE H
Compensation provisions of the Labor Code, you must forth- ADDRESS "t'� w
with comply with such provisions or this permit shall be 0-
deemed revoked. CONTRACTOR NO. STATISTICAL CLASSIFICATION A CONDO.
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER 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 CLASS BK PG VALIDATION
SO.FT. NO.OF NO.OF CHECK
License Number Lic.Class SIZE .� STORIES FAMILIES ONE
v�/
/ VALUATION
Contractor Date DESCRIPTION OF WORK X t c'`( r NEW ❑ $
�f irUTYt GL- /< ADD Vg ,
E] I am exempt under Sec. F, �� ALTER ❑
B.BP.C. for this reason I �L�' •� �!' i' 6 REPAIR ❑ $
Date: USE OF aUke.IDEMOL
EXISTING BLDG. ❑
Signature APPLICANT L-ESXW. YA;%I` LT TEL.
�'- DATE `�� 1 1 2 5 A
I hereby affirm that I am exempt from the Contractor's License T
Law for the following reason (Section 7031.5, Business and ADDRESS �2 h:Lt C .f % Ab . 6 ca. FINA # a o 0 0 0 1
Passions Code): PRE EN ey
BUILDING11 - 29 5 0
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY ® 0 o2 9 5 O=0
7044, Business and Professions Code). MOVING TEL.
❑
ICONTRACTOR NO. ( 1. 14-88
, as owner of the property,am exclusively contracting ,
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
REQUIRED TOTAL SETBACKFROM'
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY 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.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name
digLDMA Ref. q
Lenders Address
> P.C.Fee$ Permit Fee
' �j �c�� FF
I certify that I have read this application and 'state that the Issuance Fee (/ lJ V LDMA P/C N
above information is correct. I agree to comply with all County Investigation Fee ..,
ordinances and State laws relating to building construction,
3 and hereby-)authorize representatives of this County to enter Total Fee S LDMA Perm. p
up t bove-mentioneed propert for inspection purposes.
-06rcA,` SEE REVERSE FOR EXPLANATORY LANGUAGE
Sig re of Applicant or Agent Date
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING P E RM I T
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. Company
BUILDIN
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS /x� a
❑ Certified copy is filed with the county building inspec- ADDRESS c, v Z �T i
tion department. T_ 1 / 01170
! Q�
Date Applicant CITY �• �� V& ` ZIP C( t 01[ 0 LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 0><'�63 r� NOW CRoSON LOT OSS
o S -
sr.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
hundred dollars ($100)or less.) ,`, ,�,,r �,
USE ZONE MAP a
I certify that in the performance of the work for which this / .�y NO.
permit is issued, I shall not employ any person in any manner ADDRESS Z ^6 W&PL-Gl1dVD ®_ / SPECIAL a
so as to become subject to the Workers'Compensation Laws. y C�� Imo- CONDITIONS Q
CITY �T�V 7� & IP qq/ U
Date Applicant ARCHITECT OR TEL. M
NOTICE TO. APPLICANT: If, after making this Certificate of I ENGINEER NO DISTRICT GROUP CONST. FIRE PROCESSED BY Q
Exemption, you should become subject to the Workers' 15
Compensation provisions of the Labor Code, you must forth- ADDRESS 4'� (/ a
with comply with such•provisions or this permit shall be TEL. STATISTICAL.CLA�EIFICATION. APT. CONDO. rA
_GS Z
deemed revoked. CONTRACTOR d�%� NO.
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS
-
I hereby affirm that I am licensed under provisions of Chapter9. ADDRESS NO.
LIC. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business� ': }� Q
and Professions Code,and my license is in full force and effect. CITY' CLASS BK. Jb PG/ / VALIDATION
SQ. Fr. NO.OF NO.OF CHECK
License Number Lic. Class SIZE I STORIES FAMILIES ONE
Contractor Date j DESCRIPTION OF WORKK�Y Q J& i NEW ❑ VALUATION
E]1 am exempt under Sec. I y (p ADD LJ
ALTER ❑
BAP.C. for this reason REPAIR ❑ $
USE OF
Date: j EXISTING BLDG. DEMOL ❑
Signature APPLICANT TEL. FINAL
OWNER-BUILDER DECLARATION (PRINT) NO.
I hereby affirm that I am exempt from the Contractor's License DATE �j'ti .�
Law for the following reason (Section 7031.51 Business and ADDRESS FINAL
Professions Code): I PRESENT BY '
BUILDING r::,• n-
❑ I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and ; .„i�? T;?,
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code.) MOVING TEL.CONTRACTOR NO.
I,as owner of the property,am exclusively contracting _ ••r•�'
with licensed contractors to construct the project (Sec-
tion 7044, Business and Professions Code.) ADDRESS
REQUIRED TOTAL SETBACK FROM EXIST. - J
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY 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. ;;.I.- 114
(Sec. 3097, Civ. C. SIDE `'- t �•'� 1
C P.L: ¢
Lender's'Name k
P.C. Fee$ �/ Permit Fee j
sr
B 7 � LDMA Ref. # � '"f.iA�il�
•
Lender's Address r� 7l
I certify that I have read this application and state that the Issuance Fee oS /a LDMA Pic#
above information is correct.I agree to comply with all CountyInvestigation Fee �'
ordinances and State laws relating to building construction, Total Fee U• tO LDMA Perm.#
and hereby authorize representatives of this County to enter _(Ar
upon h bove-mentioned property r inspection purposes.
o ` G —3— Z } SEE REVERSE FOR EXPLANATORY LANGUAGE
SignaturV Xpplicont or Agent Date
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 1003150002
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS:
ITR: 7485 LT: 24 I SQ. FT STORIES TYPE I 9256 WEDGEWOOD ST
I ISTRUCTURE: 238 V-B I TEMP CA 917802436
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18588-002-023 I
I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
[TENANT: (EXIST BLDG USE: GARAG USE ZONE: R-1 [ISSUED ON: PROCESSED BY: I
[ (EXIST OCC GRP: 103/15/10 SR I
(OWNER: TEL N0: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FIN Y: CODE: 1
ILEE ING CHYANG;LI YUAN C ( 1 850 1
19256 WEDGEWOOD ST of V
ITEMP 917802436 I FEES PAID IDE CRIPTION OF WORK I
I I ITEAR OFF AND REROOF COMPOSITION SHINGLES GARAGE ONLY
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( I
(APPLICANT: TEL. NO:
[SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 I
IAB STATE GREEN BLDG FEE 850.00 VAL 1.00 ISPECIAL CONDITIONS: I
[ IAC STRONG MOTION RESID 850.00 VAL 0.50 I [
ID2 PERMIT W/O EN-HC 850.00 VAL 65.40 I
TOTAL FEES 94.65
ICONTRACTOR: TEL. NO: [ [APPROVALS DATE INSPECTOR SIGNATURE 1
[ISAME AS OWNER _ I I [
LIC. NO I ILOCATION AND SETBACKS
[ 1 [SOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: [ IFOUNDATION/TRENCH FORMS I I I
I - _
LIC. NO: I [SLAB/UNDER FLOOR I I
[ IRAISED FLOOR FRAMING [ 1
I
1147H265 SEWER MAP BOOK: PAGE: FIRE ZONE: 001 I
. XUNDERFLOI
TION 1 I I
[
I FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS. 1 I �I1
NO 21 1 IROOF SHEATHING 1VI
SCHOOL WITHIN HAZARDOUS I JSHkAR PANELS I I
I I I
(AIR QUALITY: 1000 FEET MATERIALS
[ NO NO NO I IFRAME INSPECTION I I
[ I I
IREQUIRED TOTAL SETBACK FROM EXIST [ [FIRE SPRINKLER HANGERS I I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I
IFRONIT PL- I (INSULATION/WEATHER STRIP( I I
SIDE PL-
[ [INTERIOR LATH/DRYWALL I I I
[ 1 (EXTERIOR LATH I I I
I I I
IRATED FLOOR/CEIL ASSEM. I I I
IRATED WALL ASSEMBLIES I I I
[ [RATED SHAFTS/OPENINGS [ [
I IT-BAR CEILINGS I I
ILO^- DRAINAGE I I
I I
IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I
I I I I I I
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 0509290049
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 7485 IT: 24 SQ. FT STORIES TYPE 9256 WEDGEWOOD ST
STRUCTURE: VN TEMP CA 917802436
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8588-002-023 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 09/29/05 JK 09/24/06
OWNER:
5,000
9256 WEDGEWOOD ST
TEMP 917802436 FEES PAID DESCRIPTION OF WORK
REPLACEMENT 16 VINYL WINDOWS (SAME SIZE)
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
AVILA (714) 990-9988- AA BLDG PERMIT ISSUANCE 27.75
350 S. MAPLE AVE #E AC STRONG MOTION REBID 5000.00 VAL 0.50 SPECIAL CONDITIONS:
CORONA, CA 92880 D2 PERMIT W/O EN-HC 5000.00 VAL 132.60
TOTAL FEES 160.85
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
PREFERRED WINDOWS AND DOORS (949) 701-8714-
22600 LAMBERT ST. #709 LIC. NO LOCATION AND SETBACKS
LAKE FOREST, CA 92630 327576B
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS
LIC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
1479265 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH DRYWALL
EXTERIOR LATH
RATED FLOOR CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
R3PORT ID: DPR261 ROUTE TO: BS0508