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HomeMy Public PortalAbout9515 WEDGEWOOD ST_Building__ 18A�'98A CE#803 io-38 APPLICATION FOR BUILDING PERMIT 1`. y • COUNTY OF LOS ANGELES BUILDING ' DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST. DISTRICT N OUP •I•YpE SSED B FOR APPLICANT TO FILL IN tj rj I CONST, I BUILDING � �� �¢� ���� STATISTICAL SSIFICATION SEWER A G -• ADDRESS j p� • LOT NO. BLOCK CLASS.NO DWELL.UNIT n-/ tpo MAP t7 "ST"ATE YES NO•- I �y NUMBER OB HWY. TRACT E ZONE SPECIAL / NO.OF BLDGS. p•� CONDITIONS SIZE OF LOT �D X / I NOW ON LOT � O� USE OF. p�J��E�YL� • EXISTING BLDG. K BUILDINGYARD HWY STREET NAME EXIST. .� /p�� SETBACK WIDTH OWNER /� ff L FRONTMAIp � ��• - ADD �.��Jr l`.���i O'd"d P.L. . eft` ADDRESS SIDE - , cITY svGr / OL' /��/ J7 P.L. NINSPECTION'RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS 'q iS CONTRACTOR/&AXOW.-00-010 0 N/OO,'�y�V/I p� aft ADDRESSfl&i gfkiymL� - TQ D I DESCRIPTION OF WORKS f9(1--A1L .-7_ 11/1 /6// T40R,4127- - /4DU,P NEW ADD ALTER REPAIR DEMOLISH SC!.FT. / ,/ NO.OF NO.OF SIZE A -xlf, STORIES f FAMILIES USE OF STRUCTURE T h- 'r'g Am SIGNATURE OF APPROVALS ' APPLICANT DATE INSPECTOR'S SIGNATURE ADDRES Gf� FOUNDATION: LOCATION FORMS,MATERIALS i �S 7 /7��2/1,[L(J/ C/. P.C. $ FRAME: FIRE STOPS. J`Ye�. A �/ FEE BRACING,BOLTS ?..(L'.5�C1 all AllQ&�IN/ VALUATION V $ FURNACE: LOCATION. ( ' FEE GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CIDReLY WIT ALL CO TY ORDINANCES AND LATH.EXT. STATE LA GU IN ING .CONSTRUCT SIGNATURE HOUSE NUMBER COR- 'o RECT AND POSTED ) ��Jj��t����//�� ADDRES FINAL 1G--�r�9 E/I'i�l.IMP_1 .CLY E.N.DIRLAM,PRINCIPAL ST§!27 AL ENGINEER CHECK VALIDATION C& N.C. CASH PEENIT VALIDATION cIc 1-.m.o. -CASH 5 1 0 5 �. 1 R15. L��C� 1 n 5:0 0• WORKERS'COMPENSATION DECLARATION , 840661 LA I herebyaffirm that I have a certificate of consent to self insure, r a certificate of Workers'Compensation Insurance, APPLICATION F O Ri BUILDING PERMIT or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES j BUILDING AND SAFETY Policy No.I V84-2251 mpanyFremont I ndemn i ty 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 9515 Wedgewood LOCALITY Tem l e Cit NEAREST Date 12/14/84 Applicant Virgin Roof Co. CITY P y ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USEgAPhundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. TEL. SPECIAL I certify that in the performance of the work for which this OWNER Albert Stank NO. CONDITIONS g- permit is issued, I shall not employ any person in any mannerDIST ICT GROUP TYPE FIRE PROC ED BY V so as to become subject to the Workers'Compensation Laws. ADDRESS a5 above CONST ZQ[VE at Date Applicant CITY ZIP STATISTICAL CLASSIFICATION APT. JCONo NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. w Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. _DWELL.UNITS 0. Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP 0 with comply with such provisions or this permit shall be deemed revoked. Virgin r I n Roof CO. TEL VALIDATION CONTRACTOR g� NO. 287-0507 BK. PG, LICENSED CONTRACTORS DECLARATION P•Q BOX J No. 160650 I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. VALUATION (commencing with Section 7000)of Division of the Business and LIC. Professions Code,and my license is in full force and effect. CITY San Gabriel cLAss C39 $ 1543.00 1 2 0 R SQ. FT. NO.OF NO.OF CHECK License Number 160650 Lic.Class C39 SIZE ISTORIES FAMILIES ONE # 0 0 0 0 0 1 Virgin rQ i n Roof Co. 1 2/14/84 DESCRIPTION OF WORK Re-roof house & NEW ❑ Contractor Date❑ ❑ � l a a 4 9 8 8 garage with Class "A" Comp. ADD 4988❑ FINAL o o o = shin ❑ r DATE les. B.BP.C. for this reason g SqS• REPAIR I 220-84 USE OF Date' EXISTING BLDG, dwe 1 ib1 n DEMOL ❑ FIN Signature APPLICANT TEL. / OWNER-BUILDER DECLARATION PRINT Virgin Roof Co. NO. 287-0507 I hereby affirm that I am exempt from the Contractor's License ADDRESS P.O. BOX J San Gabriel 91778 Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT ❑ I, as owner of the property, or my employees wiBUILDING th ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 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 TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY 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. tSec. 3097, Civ. C.).. SIPE to P.L. v Lender's Name 9 P.C. Fee$ Permit Fee 39.38 Lender's Address I certify that I have read this application and state that the Issuance Fee 10.50 above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 49.88 and herelby authorize representatives of this County to enter upon above-mentioned pr erty f r in action pL•pose • ` SEE REVERSE FOR EXPLANATORY LANGUAGE o ®i Sign a of Appl cant o Agent Date COUNTY OF LOS ANGELES TEMPLE CITY #'0508 BI:ILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS -RESIDENTIAL ADD/ALT7REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9808210015 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRFSS• ON FILE SQ. FT STORIES TYPE OCCUP GROUP4=115 WEDG'-:JOD SI STRUCTURE: 160 1 VN R3 '-FmP-cx-91Y80Z5ty-- ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: CLOVERLY 8588-006-004 OTHER: THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY TENANT: EXIST LDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/21/98 UT 08/21/99 OWNER: TEL. NO: BL GS. NOW ON LOT: VALUATION: FINAL DATE FINAL DELGADO,CLAUDIO ( 1 14,000 /'� Q 9515 WEDGEWOOD ST / -7 TEMP 917802517 FEES PAID DESCRIPTION E%TEW—REDOOM AND ADD BATHROOM AND CLOSET,,MINOR KITCHEN APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UDM: AMOUNT:- REMODEI. - TOTAL NEW SQ. FT,(160) --—' ROBERT E NEWMAN (626) 285-2602- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 14000.00 VAL 1.40 SPECIAL CONDITIONS: AX BUILDING REVIEWY,FEE i_= 54.70 B2 PERMIT W/EER�f ILL-TOT%IC11OOQ:. S VAL 3312.18 96.03 CONTRACTOR: TEL. NO: `�, s�_-- APPROVALS DATE INSPECTOR SIGNATURE ROBERT E NEWMAN (626) 285-2602- s- ; � � 9144 SOUTHVIEW LIC. NO �� . -- OCATI.ON AND SETBACKS SAN GABRIEL, CA 91775 432157 B ate, �� ,� SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCHORMS'y 7� f. s ._ +� _ LIC. NO: y ' `, i SLAB/UNDER FLOOR RAISED FLOOR FRAMING 1-1-w OOZE— MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 IST LEVEL FLOOR SHEATH 0. OF FAMILIES: DWELLING ITS: APT/CO : STAT CLASSF NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF 9HEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIS BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: �. FRONT PL- SHEAR PANELS SIDE PL- INS LATI N/W ATH R STRIP J INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE'CITY # 0508 - BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD • BUILDING AND SAFETY / LAND DEVELOPMENT 'TEMPLE CITY CA 91780 BL 0508 9901280007 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW I I G- R SS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9515 WEDGEWOOD ST STRUCTURE: 0 1 VN R3 %—TEMP CA 917802517 ASSESSOR INFORMATION BER: GARAGE: NEAREST CROSS STREET: CLOVERLY 8588-006-004 OTHER: 570 1 THOMAS PAGE: 596 GRID: A LOCALITY: TEMPLE CITY TENANT- X ST 9 EDG U S E USEZONE: ISSUED ON: PROCESSED B : EXPIRES EXIST OCC GRP: 02/02/99 UT 02/ 0 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B CODE: DELGADO;CLAUDIO ( 1 13,700 9515 WEDGEWOOD ST TEMP 917802517 FEES PAID DES[ 0F4. ADDITION OF WORKSHOP AND SINOILET-ATTACHED TO REAR OF FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GARAGE - APPLICANT: EL. NO: NEWMAN (626) 285-2602- AA BLDG PERMIT ISSUANCE 27.75 9144 SOUTHVIEW AC STRONG MOTION RESID 13700.00 VAL 1.37 SPECIAL CONDITIONS: SAN GABRIEL, CA AX BUILDING V-FEWT_ 54.70 D2 PERMI OI&CEL �LO�EO VAL 367. 62 CONTRACTOR: TEL. NO: �0�9 �A� APPROVALS DATE INSPECTOR SIGNAT ROBERT E NEWMAN (626) 285-2602- RE 9144 SOUTHVIEW LIC. NO LOCATION AND SETBACKS SAN GABRIEL, CA 91775 432157 B / SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: E 0: - 0 A 0 C FORMS Ap F vp LIC. NO1• 1111111 SLAB/UNDER FLOORTL RAISED FLOOR FRAMING 14AP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: M�,R )n n D n n�� �(�/J UNDERFLOOR INSULATION uQ U IlhC \1J ILJ^I<�ILJKCv ST LEVEL LOOK S E H FD 0. OF FAMILIES: DWELLING T COND: STAT CL • NO 21 O 0ND LEVEL FLOOR SHEATH SCHOOL HAZARDOUS �, r�I; ROOF T I G AIR QUALITY: 1000 FEET MATERIALS ® Q ❑ ti_ i t; Z'�� NO NO NO ;lf� FIRE DEPT. FRAME INSPECT REQUIRED OTAL S B C FROMS 4� El _,,10�� DG DEPT. FINSPECTSET q FRONT PL-ACK YARD: HWY: PROP LINE: WIDTH: OePVICe T � SHEAR PANELSSIDE _1 8 INSULATION/WEATHER STRI INTERIOR LATH/DRYWALL EXTERIOR LOT DRAINAGE ~ 11 PI" SMOKEETEC O DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS05O8