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HomeMy Public PortalAbout9532 WEDGEWOOD ST_Building__ hr i, BUILDING c3ilUILDING ADDRESS APPLICATION LOCALITY NEAREST / DIVISION OF BUILDING AND SAFETY CROBB ST. ICT NO. RECEIPTcvO. PERMIT NO. DISTRICT•- • Department of County Engineer ,_.._ County of Los Angeles �. �j 42 r WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED CASSATT D. GRIFFIN, SUPIT DF BUILDING f FOR APPLICANT T2 FILL IN TY. PONST. RECEIVED BY Is UED OWNER O w a w e1] 3-MAP �y- MAIL � r , O O NUMBER. �V C� sHWYYE YES NO ADDRESS _IS 3„ol USE ZONE SPECIAL TEICITY ��1 �L11 No. _6060 —/ CONDITIONS ARCHITECT OR TEL. L7 VLJ� ENGINEER NO. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS CONTRACTOR ( Q , ad NO.. -p.L. IvU / rC y� Jq SIDE �C.� ADDRESS L-/ app A nl/ -BUILDING J DATE CORRECTIONS INSPECTOR ADORES S 13 1 A d LOT NO: - / BLOCK TRACT f �� d `� �P_ v- 41!'O L�t! I. / .. _ "'.1='P" zT- NO.OF BLDGS. SIZE OF LOT, O I NOW ON LOT USE OF ?t=: EXIRTING SLOG. - qe 8!. . a d, \ DESCRIPTION OF WORK1._(ct.>`_cr- 0 NEW ADD ALTER REPAIR DEMOLISH Z So.FT. NO.OF NO.*GF > SIZE STORIES FAMILIES F. r USE OF STRUCTURE 1 - i NO.DF / EMPLOYEES I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN 18 APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT. 1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAWSREGU TING BUILDING CORUCTI FORMS,MATERIALS FRAME: FIRE STOPS, �J SIGNATURE OF r J NS BRACING,BOLTS PERMITTE v FURNACE: LOCATION, ADDRESS GAS VENT,DUCTS ��� •� LA-H, INT. AUTHORIZED AOT. A• LATH, EXT. $ P.C.$ HOUSE NUMBER COR- FEE RECT AND POSTED VALUATION ^ $ Oh -, FEE FINAL r;.PrF2EeJ r.► 4 '� 76A638A DIS 3 Ob 5-54 FOAS38ACIE#809.6-57 APPLICATION FOR BUILDING PERMIT ]. COUNTY OF LOS ANGELES` BUILDING /^3 DEPARTMENT OF COUNTY ENGINEER ADDRESS J BUILDING AND SAFETY DMSION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT.NO. GROUP SEWER MAP FOR APPLICANT TO FILL IN TYPE B PG CONST. BUILDING / `� STATISTICAL ADDRESS C SSIFICATION U f CLASS.NO. DWELL.UNIT LOT NO. BLOCK MAPSTATE ace) aj r. NUMBER a HWY. YES NO TRACT USE Z NE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT Q USE OF apo EXISTING BLDG: a BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH OWNER V. FRONT MAIL P.L: ADDRESS J SIDE TEL. P•I-• CITY. NO• �` INSPECTION RECORD ` ARCHITECT O TEL. ENGINEER NO. ADDRESS TEL. CONTRACTOR NO..% ADDRESS I. DESCRIPTION OF WORK N ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE 00 STORIES FAMILIES USE OF STRUCTURE M SIGNATUF APPROVALS APPL[CA T DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION lw FORMS,MATERIALS JFRAME: FIRE STOPS, BRACING,BOLTSVALUATION / C� FEE S FURNACE: LOCATION, S S �--� FEE ` GAS VENT,DUCTS �1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND `gTATE LAWS EGULATIN SU DING CO TRU;ION. LATH,EXT. SIGNATURE OF 1! HOUSE NUMBER COR- �0�\ PERMITTE O` RECT AND POSTED �J ADDRES t FINAL G / IOHN A.LAMBIE.COUNTY ENGIN R. CLYDE N.DIRLAM,PRINCIPAL STRUCTURAL.EXfiFf4wFrR PLAN CHECK VALI ON CK. M.O. CASH PE DUT VALIDATION cK. M.o. aH 78A888A CE#8082/80 APPLICATION- FOR BUILDING PERMIT � 1 .COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILD NG AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER. NEAREST WILLIAM A.JENSEN SUPT OF BUILDING I CROSS ST. FOR APPLICANT TO FILL IN DISTRICT N GROUP Np PROCESSED BY a I C ST. BUILDING" j u� �/,, STATISTICAL CLASSIFICATIONSEWER MAP ADDRESS Gi's61�c> Q�a s�� !� © BK PG. �y CLASS.NO. WELL.UNITS LOT NO, / BLOCK MAP STATE YE NO NUMBER 14WY.. TRACT USE ZONE` SPECIAL / NO.OF SLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT USE OF —EXISTING-BLDG. BUILDING EXIST. ' TEL.: SETBACK YARD HWY STREET NAME WIDTH. OWNER' NO. D 0 FRROL T.P. �Q ADDRESS S SIDE ARCHITECT OR TEL. P.L. ' ENGINEER No. INSPECTION RECORD ADDRESS TEL. - CONTRACTOR NO. O ADDRESS V DESCRIPTION OF WORg 0 NEW ADD ALTER REPAIR i/ DEMOLISH - SQ.FT. NO.OF NO.OF a SIZE STORIES FAMILIES N USE OF STRUCTURE SIGNATURE OF' APPLICANT VALUATION$ �� APPROVALS DATE INSPECTOR'S SIGNATURE FEE FEE $ FOUNDATION:LOCATION FORMS,MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1•HAVE READ THIS AP- FRAME:FIRE STOPS, PLICATION AND STATE THAT THE ABOVE 18 CORRECT AND BRACING BOLTS ON AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND FURNACENT,D ATI GAS VENT S lJCT8 STATE LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE.WORK AUTHORIZED 1 LATH,INT.' WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATION LAWS OF CALIFO fA. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, POINCIAL STRUCTURAL EN PLAN CHECK VALIDATI N 'CK. M.O. CASs PER]& VALMATIOP CK. L��C�5. 5 3 0 APR 14 .. .•1 ° -5.0m o".. . ' WORKED COMPENSATION DECLARATION APPLICATION FOR BUILDING PERMIT I hereby affirm that I have a certificate of consent to self �esure, or a certificate of Workers' Compensation Insurance, orN,certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING 4Q, `` ll El Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS )(� W ❑ Certified copy is filed with the county building inspec- BUILDING p W , Gv��� tion department. ADDRESS 1 . �/jj'�� CITY r� not 6 (,!• ZIP �17 O(J LOCALITY Date Applicant d/ NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT �D�j X �? NOW ON LOT 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.) USE ZONE MAP I certify that in the performance of the work for which this NO.SPECIAL }a permit is issued, I shall not employ any person in any manner ADDRESS t S CONDITIONS XD1.te' tbecome subject to the Workers'Compensation Laws. G170 �� O r ✓I `� ��Ay 1 C�L ZIP U -1 8 Applicant inurU t�%� �6 ARCHITECT O yy t TEL. � CONST. ZONE 03 Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS h 8 ^3 3 � a- with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. 0) deemed revoked. CONTRACTOR —NO. Z CLASS NO.SDWELL. UNITS LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 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 BK / VALIDATION SQ. FT. NO. OF NO. OF CHECK V License Number Lic. Class SIZE STORIES FAMILIES ONE VALUATION `?7 a Contractor Date DESCRIPTION OF WORK lad� j T NEW ❑ �a4; �,t 265.85 �� ITEMS ❑ ADD EJ am exempt under Sec. X17 �C,�r�Dr/J.. Q ALTER ❑ 6 �5 BAP.C. for this reason USE OF REPAIR ❑ $ CHECK 265°$5 Date: EXISTING BLDG. rp S DEMOL ❑ CHANGE .00 Signature APPLICANT TEL. OWNER-BUILDER DECLARATION (PRINT) NO. FINAL /O t 9/ I hereby affirm that I am exempt from the Contractor's License DATE ADDRESS i� 1 8�fQ/'9 Law for the following reason (Section 7031.5, Business and FIy AL� /J�� ^� �1�����ui 80-15 iC tProfessions Code): PRESENT B v //'(,•��f� c��Cf i AM Q o y1 J I, as owner of the property, or m em to ees with BUILDING � P P Y� Y P Y ADDRESS ' wages as their sole compensation,will do the work and 1 the structure is not intended or offered for sale(Section LOCALITY Pooq IST 7044, Business and Professions Code.) MOVING TEL. ACC °B CONTRACTOR NO. 33L� I, as owner of the property,am exclusively contracting ') 32.�°2�' with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) i ITEMS REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH TOTAL 323-25 1 hereby affirm that there is a construction lending agency for FRONT syr the performance of the work for which this permit is issued P.L. CHECK 323.225 (Sec. 3097, Civ. C.). SIDE P.L. CHANGE ,CIC Lender's Name B Lender's Address P.C. Fee$ Rs— Permit Fee L7 �� LDMA Ref. # t'1 �`—�GVI S/16/P �iCIU V 1 certify that I have read this application and state that the Issuance Fee .-� LDMA P/C# , �}1L"(Q 1 AM u;15 above information is correct. I agree to comply with all County Investigation Fee Z ordinances and State laws relating to building construction, Total Fee J LDMA Perm. # and hereby authorize representatives of this County to enter upon the above-mentioned pr erty f r inspection purposes. uJ a 1 Ss5- SEE REVERSE FOR EXPLANATORY LANGUAGE tgnatu6 of Applicant or Agent Date