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HomeMy Public PortalAbout9512 WEDGEWOOD ST_Building__ '6AB�8A DBS•3 8-BB APPLICATION F®'R BU-ILDING PERMIT �- DIVISION OF BUMDMG AND SAFETY BUILDING ON 015 Deportment of County Engineer , County of Los Angeles LOCALITY. WM.J.FOX.COUNTY ENGINEER NEAREST GL CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP I Typl SEWER MAP FOR APPLICANT TO FILL IN J/� ex PG BUILDp ,•rr � r CONST. ADDREI61 88 9s'I VY C�U"G W D O D S NUMBER a HWY STATIC YES MO LOT NO. 1 •S / BLOCK USE ZONE. SPECIAL TRACT /V �G ID � CO IONS fir+ NO.OF BLDGS. BUILDING EXIST. SIZE.OF LOT %7 Q V I NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH USE EXISTING BLDG.T 1 A �L ` ' FP.LT t J (fid OWNERRdy I 4,C -r-4c idr— SypPL B.LE MAIL ` ,� ADDRESS vr"I v mp&-r-- V10 U A S -7� O TRACT DWELL. i UNIT 5 INDUSTRIAL CITYf MPV E C-)T V _ NO. r�4T_cAG DWELL. i UNIT g C BLDG. ARCHITECT OR TEL 2 DUPLEX i UNI .7 ADDN..ALT., ETC. ENGINEER .n �r/l�`l0• 3 APT. UNI s M18CEL. ADDRESS / 4 1 COMMERCIAL Gd No• INSPECTION RECORD CONTRACTOR _ .�n - ., � �f ADDRESS /lam + ez 4'�C.+rr..-® DESCRIPTION OF WORK �, �P NEW DD ALTER REPAIR DEMOLISH / or - . SQ.FT. NO.OF NO.OF I ' SIZE ��,' / STORIES 0 FAMILIES USE OF STRUCTURE ,/ _/ ! l S _ QA _S I.k.d ,, °`I.4Y�P( SIGNATURE OF APPLICANT ADDRESS 1 iI ! liar. np , ' / . DATE INSPECTOR'S SIGNATURE OO00 �Jf •FOUNDATION:LOCATION � ��� I/ FEE• E FORMS,MATERIALS 1 FRAME: FIRE STOPS. VALUATION Q BRACING,BOLTS ]"( f-L �d-''•"�""1 ,,�� f V _FEE ` FURNACE:LOCATION, I HE ACKNOWLEDGE THAT 1 HAVE READ THIS GAS DUCTS 4 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. I a' AND STATE LAWS REGULATING UILDING CONSTRUC­ w TION. LATH.EXT. SIGNATURE OFLL,Pj HOUSE NUMBER COR- PERMITTEE 6—y-, RECT AND POSTED )I �' �1 /Gfl,� 45.&'F°e+Cg1'�il FINAL ADDRESS /f� r!�•�' �F--!.cam 0/1.�-�-. WM.J.FOX.COUNTY ENGINEER VALIDATION C. N. DIRT aW.CHIEF BLDG. INSPECTOR _.Ca 5 3 6 5�, APR 23 1 0.0 0 WORKERS'COMPENSATION DECLARATION #880042 BG hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT 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. W0007146 Company Beaver Insurance BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Q ® Certified copy is filed with the county building inspec- BUILDING 12 Wedgewood tion department. ADDRESS 95 Date 1-20-88 Applicant V i rg i n Roof Co. CITY Temple City zip 91780 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 3 BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL' USE NE MAP I certify that in the performance of the work for which this, OWNER Pat Miller NO. NO. permit is issued, I shall not employ any person in any manner I ADDRESS CONDITISPECIONS AL so as to become subject to the Workers'Compensation Laws. U Date Applicant CITY Temple City ZIP 91780 IX NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT G OUP TYPE FIRE P CESSED BY O ENGINEER NO. CONST. ZONE F— Exemption, you should become subject to the Workers' &_ 2 U Compensation provisions of the Labor Code, you must forth- ADDRESS J` ✓ w with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. DO.CONU) deemed revoked. CONTRACTOR V i r I n RoofCoNO. 28 -0 O Z LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. BOX J NO. 160650 SEWER P (commencing with Section 7000)of Division 3 of the Business and LIC. n Professions Code, and my license is in full force and effect. CITY CLASS BK PG 4V VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number 160650 Lic.Class C39 SIZE STORIES FAMILIES ONE VALUATION Contractor V i r,9,i n Roof CO. Date 1-20-88 DESCRIPTION OF WORK Tea r off existing NEW ❑ $ 612 00 ADD ❑ , I am exempt under Sec. �L�ER ❑ B.BP.C. for this reason — �R ❑ $ USE OF ❑ Date: EXISTING BLDG. DEMOL Signature APPLICANT TEL. — FINAL R,3,­ - OWNER-BUILDER DECLARATION PRINT NO. DATE I hereby affirm that I am exempt from the Contractor's License $8 1. A $$ Low for the following reason (Section 7031.5, Business and ADDRESS P.O. BOX J San Gabriel 91778 FI a a 1 MINT 6 8 6 Professions Code): BUILDING I o o = ❑ I, as owner of the property, or my employees with ADDRESS . 0 0 0 6 8,6 3 5 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 00. 0 1.21 -88 7044, Business and Professions Code). MOVING TEL. ❑ 1, as owner of the property,am exclusively contracting CONTRACTOR NO. QUI with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY RED SETT BACK QUIRED YARD HWY TOTAPREOTPAINEF 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 o P.C.Fee$ Permit Fee !$68.63 1 LDMA Ref. # Lender's Address 3 1 certify that I have read this application and state that the Issuance Fee 10.50 LDMA P/C# 3 above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee LDMA Perm.# and hereby authorize representatives of this County to enter a upon the above-mentioned property for inspection purposes. C 1-20-8R SEE REVERSE FOR EXPLANATORY LANGUAGE n Si alure of Applicant or Agent Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0310080036 PHONE: (626) 285-0488 EXT: -LEGAL I D: NO. OF CONST NEW BUILD= ADDR5SS: TR: 13806 LT: 3 SQ. FT STORIES TYPE OCCUP GROUP 9512 WEDGEWOOD ST STRUCTURE: 232 1 VN R3 TEMP CA 917802516 ASSESSOR ON ER: GARAGE: NEAREST CROSS STREET: CLOVERLY 8588-005-003 OTHER: THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY TENANT: ST BLDG USE: S 2 ISSUED PROCESSED EXPIRES EXIST OCC GRP: 10/15/03 JK 10/09/04 . OWNER: TEL. NO: B DGS. NOW ON OT: VALUATION: FINAL DATE FINAL BY: CODE: CHIEN HSUING LIN AND MING CHU CHEN ( 17,000 D 9512 WEDGEWOOD ST TEMPLE CITY 91780 S E1)`SCRIPTION OF-WORK CONVERT PATIO TO BEDROOM FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - B1 PLANCHECK W/ENERGY 17000.00 VAL 312.48 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION. RESID -= 17000.00 VAL 1.70 B2 PERMIT W/ENERGY 17000.00 VAL 367.62 ' 'T.OTAL FEES 709.55 �.- r: *; CONTRACTOR: E N0: 1 .� , •.1 ., APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO ;' •'�t+ LOCATION N SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: EL. 0: FOUNDATIOWIMNCH FORMS �J LIC. N0: SLAB/UNDER FLOOR ' RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01' 1ST LEVELFLOOR SHEATH 0. OF FAMILIES: DWELLING S: APT CO D: STAT CLASS: NO 2ND LEVEL FLOOR SHEATH SCHOOLHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED O L SETBACK 0 T 4 BLDG DEPT. AM S SET BACK YARD: HWY: PROP LINE: WIDTH: (y FRONT PL- - SHEAR PANELSIDE INSULATION/WEATHERSTRIP INTERIOR LATH/DRYWALL EX1 EtOR Cdr / LOT DRAINAGE SMOKE DETECTIONDEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 P 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 0404010026 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 13806 LT: 3 SQ. FT STORIES TYPE 9512 WEDGEWOOD ST STRUCTURE: VN TEMP CA 917802516 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY 8588-005-003 THOMAS PAGE: 596 GRID: A LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 04/01/04 VG 03/27/05 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FIATE FINAL BY: CODE: WAN, KEVIN ( 1,200 FEES PAID DESCRIPTION OF WORK REMOVE AND REPLACE 6 WINDOWS (SAME SIZE) FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. 0: CHIANG (626) 202-5145- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1200.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 1200.00 VAL 82.20 TOTAL FEES 110.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE CHIANG, YEN (626) 202-5145- 2317 CARWILE DR. LIC. NO LOCATION AND SETBACKS ALHAMBRA, CA 91803 788141 B 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 XX 3 01 FLOOR S EA H NG NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANEL 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 SSEMBLIESRA D SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 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 0402230020 PHONE: (626) 285-0488 EXT: LEGAL D: wo. OF CONSTB ILD G ADDRESS: TR: 13806 LT: 3 SQ. FT STORIES TYPE 9512 WEDGEWOOD ST STRUCTURE: VN TEMP CA 917802516 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY 8588-005-003 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG . S D USE ZONE: R- SS ED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 02/23/04 VG 02/17/05 OWNER: 6,000 FEES PAID OF WORK CONVERT PORTION OF EXIST BEDROOM AND ADD WET BAR TO EXIST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: DEN APPLICANT: TEL. NO: CHIANG (626) 202-5145- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 6000.00 VAL 0.60 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 B2 PERMIT W/ENERGY 6000.00 VAL 164.34 TOTAL FEES 247.39 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE CHIANG, YEN (626) 202-5145- 2317 CARWILE DR. LIC. NO LOCATION AND SETBACKS ALHAMBRA, CA 91803 788141 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER-- TE . NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR ff RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR-SHEATHING NO. 0 FAMILIES: D FEEING UNITS: APT/GOND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOT WITHIN---- HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION v REQU RED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGER SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL q) / �J EXTERIOR LATH RATED LOOR C IL AS M. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS 0 RMAGE REPORT ID: DPR261 ROUTE TO: BS0508