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