HomeMy Public PortalAbout9503 WEDGEWOOD ST_Building__ 4
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76A638A CE*803 8-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING C��D
DEPARTMENT OF COUNTY ENGINEER ADDRESS /
BUILDING AND SAFETY DIVISION LOCALITYC
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTg,I,CT NO ROUP TYPE PR CE BY
FOR APPLICANT TO FILL IN j l o1l c'� CONST..
BUILDINGSTATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 01503CLASS. NO. �_3DWELL. UNITS BK PG 1
LOT N /�� - / BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE: ��LL0`L..
TRACT A , -'�Sd MAP NO. e2. (n o HI HWA STATE MAJOR SECOND CAL
NO.OF BLOGS.
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL.
OWNER J„�Q NO. �� D BUILDING YARD HWYSTREET NAME EXIST.
SETBACK WIDTH
ADDRESS 9s04LU000 FRONT
ARCHITECT OR TEL. P. L. oC V
ENGINEER NO. SIDE
P. L. /O
ADDRESS d
TEL. O
CONTRACTOR Q Z NO. v V
ADDRESS O
DESCRIPTION OF WORK u
W
d
NEW- ADD ALTER REPAIR ' DEMOLISH Vf
ga-FT. NO. OF NO. OF Z
SIZE STORIES FAMILIES
USE C EE NC£ �
STRUTUR
1 /
SIGNATURE OF
APPLICANT /
VALUATION S `�
12, APP OVALS DA INSP R'S SIGNATURE
P.C. PMT. `� FOUNDATION: LOCATION
FE E��:-: " " FEE'S �J� FORMS. MATERIALS
FRAME: FIRE STOPS.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I 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 ZE, LATH. EXT.
SIGNATUREOF HOUSE NUMBER COR.
PERMITTEE
RECT AND POSTED
ADDRESS FINAL r,ir r
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
, ,ti/ ,O 9 5 0 6 JUL 7 1 D 2.00-
x G i o�-
76A638ACE08038-64 APPLICATION FOR BUILDING PERMIT.
COUNTY OF LOS-ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 0 Wed woo
BUILDING AND SAFETY DIVISION LOCALITY Tem le City, Caiif,
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSAUP'T OF BUILDING CROSS S.T.
DISTRICT NO. GROUP TYPE. P SED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICA�LJ C��ASSIFICATION SEWER MAP
ADDRESS 563 Wed ewood St. CLASS NO.�DWELL UNITS BK PG
LOT NO. BLOCK USE ZONE MAP
NO.
TRACT / SPECIAL
N0. OF SLOGS.
CONDITIONS
SIZE OF LOT NOW ON LOT '
USE OF
E S G BLDG. SETBACK FROM
TEL FRONT PROP. LINE OF (STREET)
OWNER Mr A K rt NO.• TYPE OF EXISTING SETBACK- HIGHWAY + YARD = TOTAL
ADDRESS 563• Wed ewood HIGHWAY WIDTH 'FROM C.L.
1
CITY Temple Cit BLDG. 5 BA 0
ARCHITECT OR TEL. 91DE PR LI E OF (STREET)
ENGINEER NO.
TYPED 19TIN SETBACK HIGHWAY i- YARD = TOTAL }
ADDRESS H10HWA WIDTH FROM C.L. p„
_ 0CONTRACTORG a O NOL 288-4040 +
ADDRESS NO 860 CORNER CUTOFF YES NO E O
U
CITY CL s C— SEE REVERSE SIDE FOR SPECIAL APPROVALS W
DESCRIPTION OF WORK h
Z
NEW ADD ALTER REVAIR DEMOLISHo . .�
SQ,FT. NO. OF NO. OF G
SIZE STO RUMS FAMILIES ��r �v f, �� ft �• ti
USE OF A J
STRUCTURE p
' R
SIGNATURE OF
APPLICANT tm
VALUATION$ 170,06 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. 7 PMT, FOUNDATION, LOCATION
FEE$ FEE$ 6.00 FORMS,.,MATERIALS
FRAME, FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDING CONSTRUCTION.•I CERTIFY THAT, IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPE •ATIOy,INSUR - LATH. EXT.
SIGNATURE OF �/-�)(`// HOUSE NUMBER COR
PERMITTEE RECT AND POSTED tea.
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
LACO 1 1 7 7`
OCT 1 6.rJ�N