HomeMy Public PortalAbout9264 WEDGEWOOD ST_Building__ • APPLICATION FOR COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING PERMIT BUILDING AND SAFETY DIVISION
BUILDING
FOR APPLICANT TO FIIILL IINN ADDRESS
ADD BUILDRE7 �^' " ° LOCALITY
NEAREST
CITY ZIP CROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE PROC SED BY
CONST. Z E
TRACT / 8 5 B, CK LOT NO. 3 �!V V v
.
OWNE NO. STATISTICAL CLASSIFICATION
_ SEWER MAP
ADDRESS: lZ.� CLASS NO.O--'/ DWELL•UNITS � BKi31Z
[CITY
'USE ZONE MAP
IP NO. Q
ARCHITECT OFk TEL IZ J SPECIAL
ENGINEER NO. CONDITIONS
APINESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
NEE �� BLDG.SETBACK FROM
LIC. rJ J FRONT PROP.LINE OF (STREET)
AD ` NO. /rte / HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING
L � ` FRONT PROP. LINE HIGHWAY WIDTH
C I T
CONSTRUCTION LENDER _ +
a
NAME AND BRANCH r BLDG.SETBACK FROM C
ADDRESS CITY SIDE PROP.LINE OF (STREET) C.
SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING C
SIZE STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH
DESCRIPTION OF WOR NEW ❑ + -
^-xD [I CORNER CUTOFF YES ❑ NO ❑
ALTER
REPAIR❑ IN OPEN SPACE YES ❑ NO ❑
USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. e&f�52=e DEGM ❑
gOL
APC !/ �•(�/u
NO/ /J ODQ�'��6 c� .' Z
BY (SIGNATURE)
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
ST
R I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HE EBY I LL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LA OR CODE OF THE STATE OF CALIF NIA IN RELATING TO
WO KMEN'S C P VHW,4,1ON INSURANCE.
.SIGN A UR FINAL �� ��7 BY
PERMI ll DATE
i
TE P.C. Fee$ Permit Fee J r
CI NO.
Issuance Fee
VALUATION$��ff®
Total Fee
PLAN CHECK VALIDA'T'ION CK. M.O. CASH PERMIT VA CK.ATION M.O. CASH
n•
8=1 1'�APR 2 •® 5 5.5.0 eS8
7GA638A CM080981 12/75
78A838A'CE#0033-88 1 DIN PERMlt
APPLICATION FOR' BU L
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER; A o D R Ess .
BUILDING AND-SAFETY. DMSION L O c A L
JOHN A. LAMBIE•.COUNTY ENGINEER NEAREST'..-
COLEMAN W. JENKINS,BUP'T OF BUILDING CROSS ST. {'
DIS:r NO GR P TYPE P C
FOR APPLICANT TO FILL INS g /` CONST.
BUILDINGSTATISTICAL Csj:,GSSIFUCATION SEWER MAP
ADDRESS � � CLASS NO. LDWELL• UNITS BK PG
LOT NO,.Ir,If Z��0�. z3 BLOCK USE ZONE MAP?
�)
No. �
TRACT 7 SPECIAL
N0. OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT ,
USE OF
rXISTINO WLQQ.. BLDG. SETBACK FROM
TEL. FRONT PROP. LINE OF - (STREET)
OWNER •NO. 69� TYPE OF EXISTING 9 ACK HI-GH-**k YARD = .TOTAL
ADDR'E`SS &2.Ao-g"iA� H10X AY WI T M C.L.
CITY / BLO0.-S.ETBACK ftM -
ARCHITECT O TEL. SIDE PROP. LI OF (STREET)
ENGINEER NO. TYPE OF E TING SETBACK HIGHWAY } YARD = TOTAL
1.'-
ADDRESS HIGHWAY W DTX FROM C.L.
'J
TEL. �/_ I
CONTRApinNO ).�►(J
ADDRESS S�v LNO
I /✓/� CORNER CUTOFF YES Ej' NO 1:1 F
�' C
CITY CLASSLIC ` _ SEi REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO. OF NO. OR .
SIZE - STORIES FAMILIES
USE OF o
STRUCTURE
SIGNATURE OF I
APP'LfCANT
VALUATION$ ..00
' ' 1 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEE$ FEE$ ,OFORMS, MATERIALS
FRAME, FIRE STOPS,•
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE'ABOVE IS CORRECT AND AGREE TO COMPLY FURNACEt LOCATION
WITH ALL COUNTY ORDINANCES .AND STATE LAWS REGULATING GAS VENT:DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY'1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. ' LATH. EXT. -
SIGNATURE OF HOUSE NUMBER COR-
PEIRMITTEE ' ' RECT AND POSTED
ADDRESS fcd! FI NAL - �
JOHN
�F.. L�E�WIS. PRINCIPAL/ST7RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PEBMIi VALIDATION CM.O CASH
.6i:8'8.5 JAN 2 7 1 d 8.G _
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BLO 08 ALTERATION/REPAIR12090001
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
ITR: 7485 LT: 23 UN: .002 I SQ. FT STORIES TYPE 1 9264 WEDGEWOOD ST
I 1STRUCTURE: 2700 V-B I TEMP CA 917802436 I
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 1
18588-002-022 1 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
I 1 TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
EXIST OCC GRP: 102/29/12 SR 1
(OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: 1FIIME� F NAL BY: CODE: 1
ITERUYA ROY Y;SANDY S - J 13,000
19264 WEDGEWOOD ST 1
ITEMP 917802436 I FEES PAID ID SCRIPTION OF WORK 1
I I ITEAR OFF, RE SHEATING AND INSTALL 30 YR COMPOSITION SHINGLE 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I
(APPLICANT: TEL. NO: 1
ICABRAL, AGUSTIN (323) 202-7177- JAA BLDG PERMIT ISSUANCE 27.80 1
1 JAB STATE GREEN BLDG FEE 13000.00 VAL 1.00 ISPECIAL CONDITIONS: I
JAC STRONG MOTION RESID 13000.00 VAL 1.30 1 1
I ID2 PERMIT W/O EN-HC 13000.00 VAL 267.00 I 1
TOTAL FEES 297.10 I J
ICONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE J
IFIVE STAR ROOFING, INC. (323) 202-7177- 1
12132 WESLEYGROVE AVE LIC. NO J ILOCATION AND SETBACKS I I I
1
DUARTE CA 91010 406409 C39 1 _
I 1 ISOILS ENGINEER APPROVAL-1 I 1
I I
1ARCHITECT OR ENGINEER: TEL. NO: - 1 1FOUNDATION/TRENCH FORMS I I I
1 LIC. NO: J ISLAB/UNDER FLOOR I I 1
1 i 1RAISED FLOOR FRAMING 1 1 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:
1147H265 3 001 IUNDEP.FLOOR INSULATION I I I
I I 1FLOOR SHEATHING
NO. OF FAMILIES: DWELLING 1 1 1
ILING UNITS: APT/COND: STAT CLASS: J
1 0 NO 21 1 IROOF SHEATHING 1
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I
JAIR QUALITY: 1000 FEET MATERIALS I I 1 1 I
1 NO NO NO 1 1FRAME INSPECTION 1 I I
1 1 IFIRE SPRINKLER HANGERS I I I
1 I JINSULATION/WEATHER STRIP( I I
1 1 11NTERIOR LATH/DRYWALL I I 1
1 I 1EXTERIOR LATH I I 1
I I I
I 1 1RATED FLOOR/CEIL ASSEM. I I I
1 1 1RATED WALL ASSEMBLIES 1 I 1
I 1RATED SHAFTS/OPENINGS 1 1
IT-BAR CEILINGS
I I I
I I (LOT DRAINAGE I I I
J IREPORT ID: DPR261 ROUTE TO: BS0508 I I I 1
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 1203070038
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
ITR: 7485 LT: 23 UN: .002 I SQ. FT STORIES TYPE I 9264 WEDGEWOOD ST I
[STRUCTURE: 600 V-B I TEMP CA 917802436 I
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
[8588-002-022 [ [ THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
[TENANT: [EXIST BLDG USE: DETAC USE ZONE: R-1 IISSUED ON: PROCESSED BY: [
[ [EXIST OCC GRP: 03/07/12 SR [
(OWNER: TEL. NO: SLUGS. NOW ON LOT: VALUATION: FINAL DATE FINAL Y: CODE: I
ITERUYA ROY Y;SANDY S - i 2,500 [ [
19264 WEDGEWOOD ST
ITEMP 917802436 1 FEES PAID 1DDSCRIPTION OF WORK N3I
[ [ (TEAR OFF, RE SHEATING AND INSTALL 30 YR COMPOSITION SHINGLE I
[ IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IDETACHED GARAGE FEE PAID UNDER BL 1202290001 I
[APPLICANT: TEL. NO: I I I
ICABRAL, AGUSTIN (323) 202-7177- 1AA BLDG PERMIT ISSUANCE 0.00 1 I
IAB STATE GREEN BLDG FEE 2500.00 VAL 0.00 ISPECIAL CONDITIONS: [
[ IAC STRONG MOTION RESID 2500.00 VAL 0.00 I [
ID2 PERMIT W/0 EN-HC 2500.00 VAL 0.00 I
[ 1 TOTAL FEES 0.00 I [
[CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE
[FIVE STAR ROOFING, INC. (323) 202-7177- I 1 [
12132 WESLEYGROVE AVE LIC. NO I ILOCATION AND SETBACKS
IDUARTE CA 91010 704409 C39 I I 1 I
I 1 ISOILS ENGINEER APPROVAL 1 I
[ARCHITECT OR ENGINEER: TEL. NO: - [ (FOUNDATION/TRENCH FORMS [ 1 I
LIC. NO: I (SLAB/UNDER FLOOR I I I
[ [RAISED FLOOR FRAMING 1 1 1
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ (UNDERFLOOR INSOLATION I I I
147H265 300 1 1 I
1 IFLOOR SHEATHING 1 1 I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I
[ 0 NO 21 [ IROOF SHEATHING 1 1 1
SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS [ I I
1AIR QUALITY: 1000 FEET MATERIALS I I I I 1
[ NO NO NO 1 (FRAME INSPECTION I I [
1 [ [FIRE SPRINKLER HANGERS 1 1 1
1 I (INSULATION/WEATHER STRIP 1 1
1 I [ NTERIOR LATH/DRYWALL I [ I
[ I 1EXTERIOR LATH
I [
[ IRATED FLOOR/CEIL ASSEM. [ I [
[RATED WALL ASSEMBLIES [ [ I
[ i [RATED SHAFTS/OPENINGS
I IT-BAR-CEILINGS [
I I
I 1 I�-DRAINAGE I 1 1
[ [REPORT ID: DPR261 ROUTE TO: BS0508 1 1 1 [