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Home My Public Portal About9509 WEDGEWOOD ST_Building__ APPLICATION FOR COUNTY OF LOS ANGELES B U 14 D I N G PERMIT DEPARTMENT ENGINEER BUILD NG AND SAFETY D)VISION f BUILDING L= FOR APPLICANT TO FILL IN ADDRESS J BUILDING ^+ ADDRESS p c LOCALITY /t NEAREST CITY l_ ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT d JZ Z.O NOW ON LOT MAP BOOK GE PARCEL DISTRICT I rUP�TYP FIRE ED BY TRACT h 134-ItM BLOCK LOT N /L ST. ZOf TEL. '57000 OWNER h l � STATISTICALCLASSIF ATION SEWER MAff ADDRESS CLASS NO. DWELL.UNITS BK PG CITY ' C ZIP PONE MAP O. U� ARCHITECT OR TEL. SPECIAL ENGINEER NO. J CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ TEL. CONTRACTOR NO. BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET) ADDRESS NO. TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD = LIC. FRONT PROP.LINE 1HIGHWAY1 WIDTH CITY &tm hKA50t,_� CLASS _ CONSTRUCTION LENDER + CL O NAME AND BRANCH BLDG.SETBACK FROM V ADDRESS CITY SIDE PROP.LINE OF (STREET) ix O SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING "- SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH N IF t = Z DESCRIPTION OF WORK NEW c ADD CORNER CUTOFF YES ❑ NO04- ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ USE REPAIR ElEX STOF BLDG EMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICANT C V TEL - CYC (PRINT) NO. BY(SIGNATURE) I HEREBY ACKNO LEDGE THAT I HAVE READ THIS APPLICATION AND STATE - - THAI THE ABOVE I CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM. PENSATION INSURANCE. SIGNATURE OF FINAL /ab/ BY PERMITTEE v DATE ADDRESS LOA u TEL. ' P.C. Fee$ 3t, Permit Fee CITY NO. Q Issuance Fee VALUATION.p Total Fee PLAN CHECK VALIDATION CK. M Q. CASH _ PERMIT VALIDATION c"_QK_� CASH 9 3 3 r-JUE- '6""C .j_..0 — 4 5.3_6 ¢ n 9 3 4 JUL b I U 8 83.,'j U s�Y> — tet^ -z v .,� WORKERS'•COMPENSATION DECLARATION .. �. ._It ereby Affirm that I have a certificate of consent oto self insure_o;a 5ertificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT or certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING Tion department. ADDRESS JM CITY '`y( [ S ZIP O LOCALITY Date Applicant NO. OF BLDG5. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT Z CROSS ST. 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.) TEL. OWNER NO, USE ZONE MAP I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner ADDRESS � SPECIAL so as to become subject to the Work rs' Compensatio S. CONDITIONS O CITY ZIP U Date f Applicant < ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PR ESSED BY NO CE TO APPLICANT: If, after making this ertificate of ENGINEER NO. CONST. ZONE Exemption, you should become subject to the Worker 676 Compensation provisions of the Labor Code, you must fort - ADDRESS A with comply with such provisions or this permit shall be TEL. STATISTICAL LASSIFICATION CONDO. deemed revoked. CONTRACTOR O. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. =�� DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS A NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS J BK PG VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number 2 4 Lic. Class � / SIZE STORIES FAMILIES ONE VALUATION Contractor rIr Date DESCRIPTION OF WORK NEW ❑ $ � ❑1 am exempt under'[sec z ` ADD , ALTER ❑ B.BP.C. for this reason REPAIR ❑ $ USE OF te: EXISTING BLDG. �— DEMOL ❑ Signature APPLICANT TEL. FINAL OWN -BUI DE CLA TION (PRINT) c_ NO. I hereby affirm that I am exempt from the Contractor's License DATE / Law for the following reason (Section 7031.5, Business and ADDRESS L FINAL Professions Code): PRESENT By BUILDING I, as owner of the property, or my employees with ADDRESS wages their sole compensation,will o the work and 00 the structure for is not intended or offered for sale(Section LOCALITY +(J`/ 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 Code.) REQUIRED YARD HWY TOTAL SETBACK FROM EXIST, CONSTRUCTION LENDING AGENCY SET BACK 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 ' i� LDMA Ref. # 3 (/ [Inv:estigotion $ Permit Fee Lender's Address ► 1 certify that I have read this application and state that the Issuance Fee LDMA P/C# above information is correct. I agree to comply with all County Fee 3 ordinances and State laws elating to building construction, Total Fee �7– , LDMA Perm. # L and her y authorize repr se ives of this County to enter upon t o - ntion erty for inspection purposes. ? SEE REVERSE FOR EXPLANATORY LANGUAGE Sig toe of Ap 1icant or A y1nt 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 1102030038 PHONE: (626) 285-0488 EXT: [LEG ON FILE NO. OF CONST BUILDING ADDRESS: SQ. FT STORIES TYPE 9509 WEDGEWOOD ST ISTRUCTURE: V-B I TEMP CA 917802517 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 18588-006-003 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: [EXIST OCC GRP: 102/07/11 SR 1 OWNER: 1 11,000 FEES PAID IDESCRIPTION OF WORK I IKITCHEN REMODEL (REPLACE WALL PLASTER WITH DRYWALL, REPLACE I _ FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ICABINETS, COUNTER TOPS, REPLACE 14 WINDOWS WITH ENERGY [APPLICANT: TEL. NO: I I 1 ICKI USA INC. ( IAA BLDG PERMIT ISSUANCE 27.80 I I AC STRONG MOTION RESID 11000.00 VAL 1.10 [ I ] 1B2 PERMIT W/ENERGY 11000.00 VAL 257.40 [ I ] ID2 PERMIT W/O EN-HC 11000.00 VAL 234.00 ] 1 ICONTRACTOR: TEL. NO: [FR INV WORK W/O PERMIT 257.00 DOL 257.00 [APPROVALS DATE INSPECTOR SIGNATURE I [SBL CONSTRUCTION INC. (626) 512-5748- TOTAL FEES 778.30 1 I 19173 SOUTHVIEW ROAD LIC. NO [ ILOCATION AND SETBACKS I 1 1 ISM GABRIEL CA 91775 754301 B I I I I [ I 1 ISOILS ENGINEER APPROVAL I I (ARCHITECT OR ENGINEER: TEL. NO: - 1 [FOUNDATION/TRENCH FORMS I I [ LIC. NO: ] ]SLAB/UNDER FLOOR I I 1 1 [RAISED FLOOR FRAMING I I [ MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ [UNDERFLOOR INSULATION I I I 1147H269 370 I 1-1 1 I 1 IFLOUR SHEATHING I [ I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I NO 21 [ROOF SHEATHING I I I 1 SCHOOL WITHIN HAZARDOUS ] [SHEAR PANELS I I I [AIR QUALITY: 1000 FEET MATERIALS I I I 1 I NO NO NO IFRAME INSPECTION I I I I I [FIRE SPRINKLER HANGERS I I I I I I I [ ]INSULATION/WEATHER STRIP[ I I [ I (INTERIOR LATH/DRYWALL 1 I I ] I (EXTERIOR LATH 1 I 1 I I [RATED FLOOR/CEIL ASSEM. ] I I I I RATED WALL ASSEMBLIES ] I I I I I 1 1 [RATED SHAFTS/OPENINGS 1 1 1 I [ I 1 ] IT-BAR CEILINGS 1 1 I �* ADDITIONAL DATA ON FILE I 1 ] 1 I ] ILOT DRAINAGE 1 I 1 I IREPORT ID: DPR261 ROUTE TO: BS0508 ] 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 1201040051 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: ON FILE I SQ. FT STORIES TYPE I 9509 WEDGEWOOD ST (STRUCTURE: 3100 V-B I TEMP CA 917802517 I IASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18588-006-003 1 1 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I (EXIST OCC GRP: 101/04/12 SR I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: I IYI, KEN ( 1 8,000 1 r I 19509 WEDGEWOOD ST I_J � ITEMP 917802517 1 FEES PAID IDISCRIPTION OF WORK wI I I ITEAR OFF & RE-ROOF USEING 30 YR OWENS CORNING DURATION 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ISHINGLES W/15# FELT 1 1APPLICANT: TEL. NO: I I I ITATENCO, ANGEL (310) 539-1033- IAA BLDG PERMIT ISSUANCE 27.80 1 I 11602 LOCKNESS PL IAB STATE GREEN BLDG FEE 8000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 [TORRANCE CA 90501 AC STRONG MOTION RESID 8000.00 VAL 0.80 I 1 ID2 PERMIT W/O EN-HC 8000.00 VAL 183.40 i I I 1 TOTAL FEES 213.00 I 1 ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE IPACIFIC HOMEWORKS INC. (310) 534-1033- 1 1. I 11602 LOCKNESS PLACE LIC. NO 1 VOCATION AND SETBACKS I I I ITORRANCE, CA 90501784477 C39 1 I. I I I I O ISOILS ENGINEER APPROVAL 1 (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I _ I I 1 LIC. NO: I (SLAB/UNDER FLOOR I I I I I I I I 1RAISED FLOOR FRAMING-1-1 1 [MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFLOOR INSULATION I I I 1147H269 3 001 -1-1 I I I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I 1 0 NO 21 1 (ROOF SHEATHING [� I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I (AIR QUALITY: 1000 FEET MATERIALS I I I I I NO NO NO IFRAME INSPECTION I I I IFIRE SPRINKLER HANGERS I IINSULATION/WEATHER STRIP( I [ I (INTERIOR LATH/DRYWALL I I I I I I I 1EXTERIOR LATH I I I I IRATED FLOOR/CEIL ASSEM. [ I I I [ IRATED WALL ASSEMBLIES I I I I I I I I (RATED SHAFTS/OPENINGS I I [ I I I IT-BAR CEILINGS I I I I I I ILOT DRAINAGE I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I