HomeMy Public PortalAbout9515 WEDGEWOOD ST_Building__ 18A�'98A CE#803 io-38 APPLICATION FOR BUILDING PERMIT 1`.
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• 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