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HomeMy Public PortalAbout9536 WEDGEWOOD ST_Building__ APPLICATION■ ION FOY Y BUILDUNG PERMIT .• Y� DIVISION OF BUMDING AND .SAFETY BUILDING ' ADDRESS Deportment of County Engineer County of Los Angeles ' LOCALITY WM.J.FOX.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,.SUP•T OF BUILDING CROSS ST.. 'DISTRICT. O. .1TY SEWER MAP FOR APPLICANT TO FILL IN _ �T CONST.. STATE BUILDING MAP y t. - ADDRESS . j NUMBER �O HWY V USE 39NESPECIAL LOT NO. BLOCK CONDITIONS TRACTNo.OF BLDG/y Y� SIZE OF LOT o X /x // I NOW ON LOTS !� gUILDNG TBA1CK YARD HWY STREET NAME WIDTH USE OF EXISTING BLDG. I� ` !f FRONT r jj P.L. OWNER / ZW/GG . 11 V-P1 ( /GLV SID L MAIL ADDRESS O TRACT DWELL. I.UNIT 5 ,INDUSTRIAL DWELL. 1 UNIT CITY /r��Kr'�✓��:.�G� V' F'� NO. �-/�[ 6 PUBLIC BLDG. " ARCHITECT OR� TE . 2 DUPLEX t UNIT ADDN.,ALT., ETC. ENGINEER L NO $ APT. UNITS M18CEL. ADDRESS 4 COMMERCIAL TEL. INSPECTION RECORD CONTRACTOR NO. ADDRESS -••-,�� - - DESCRIPTION OOF��W0R$ SE NEW ADD ALTER PAt1Y/ DEMOLISH i Q.FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE APPLICANT APPROVALS ADDRESS DATE INSPECTORS SIGNATURE P.C. S FFORMS,rMATERIAALSION FEE FRAME:FIRE STOPS, VALUATION �/ (� �© S (;jQ BRACING,BOLTS FEE "� FURNACE:LOCATION, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT.DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT, AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES. LATH.INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. I LATH.EXT. SIGNATURE OF _ f j � � � - /HOUSE NUMBER GOR- PERMITTEE RECT AND POSTED ADDRESS N FINAL 1 WM.J.'FOX.COUNTY ENGINEER VALIDATION C. N.DI LAM.CHIEF BLDG. INSPECTOR . APPLICATION F4QR, BUILDING PERMIT ,r COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN Bu NGES I hereby affirm that I have a certificate of consent to self insure, B G DRESS or a certificate of Workers'Compensation Insurance,or a certified ZIP copy thereof .17 ;aec.3800,Lab.C.) Orr�� LOCALITY Policy N Company�liy y , 7`- SIZE O LOT NO.OF'BL .NO ON oT ertified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed wiI.e .build! in action TRACT BLOCK LOT NO. a!�-EXEM' USE ZONE MAP NO. Datca ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONSM WORKERS' N R TEL NO.COMPENURANCE �N / WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be copermit is for one hundred 3 �— DISTRICT GROUP T79 CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) l CITY ree -914 I certify that in the performance of the work for which this permit '•_ Zf�� Q� _� 3 L� is issued, I shall not employ any person in any manner so as to CT OR ENGINEER TEL become subject to the Workers'Compensation Laws. STATISTICAL CL SIFICATION APT CONDO J Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS _ / LIC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE ClCIT LIC.C S PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ. .SIZE NO.OF STORIES NO. F FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK PG IL License Number _ Lic.Class IPTION OF WORK `, ADD E] VALU 0 loll- U Contract Date ALTER ❑ , IY ❑ I am exempt under Sec. 0. REPAIR $ o B.BP.C.for this DEMOL 11 �Lqq PTC# W Date USE OF EXISTING BLDG. URM ❑ CL Signatu ANT fPPoNT) T�N LDMA Perm# ❑ I, as owner of the pro rty, or my employees with w ges as p( 0 (�• JL their sole compen will do the work and the structure is EAE not intended or f ed for sale (Section 7044, Business and G FINAL DATE / G 172.F5 ProfeSSlOITS CO WILL THETAPPUCANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZA OUS MATERIAL / ITEMS i!'I,C OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE "'I 1 1 EMS ❑ I, as owner of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY _ licensed contractors to construct the project (Section 7044, YES❑ No ElI I-ITAL :172 - 6--!, Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLIN6 BY THE APPLICANT OR FUTURE BUILDING CHECK �Er^(••1, r5 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH C E` K {2'e 65 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES -t^ I hereby affirm that there is a construction lending agency for YES❑ NO 11MANE-- cN the performance Of the Work for which this permit IS ISSUed(Sec. 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 1 3097,Civ.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. Cq TITLE 2,CHAPTER 2.20 SECTIONS 2 20 100 THROUGH 2 20.140 CONCERNING HAZARDOUS 00103�-0001 6/?8/9r Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. r X87 1 SEI,1_e I e o Lender's Address 1 #` �' � OWNER OR AGENT G I certify that I have read this application and state under penalty 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE / �v N with all county ordinances a State laws relating to building l/ constructio d hereby a ori representatiyps of this County ISSUANCE FEE / /y m to enter on a above-m do d property f spection pu poses. (p d W Q INVESTIGATION FEE TOTAL FEE + l a SEE REVERSE FOR EXPLANATORY LANGUAGE I • APPLICATION FOR BUILDING PERMIT �l COUNTY OF LOS ANGELES BUILDING AND SAFETY FILL IN BUILDING ADDR FOR APPLICANT TO ESS WORKER'S COMPENSATION DECLARATION 3 � EIArfNd I hereby affirm that I have a certificate of consent to self insure, B LDING ADDRESS or a certificate of Workers'Compensation Insurance,or a certified 5 36 W E wail ST`S copy thereof(Sec.380.Lab.C.) CITY ZIP G6 G 2dtR--�'�I c � LOCALITY Policy No. Company ���IIG A40 SIZE OF LOT NO.OF BLDGS.NOW ON LOT NEAREST CROSS ST. ❑ Certified copy is hereby furnished. I�rIII �OAIDwA �dertified copy is flied with the county building inspection �GT BLOCK LOT NO. USE ZONE MAP NO. / de rtment. Date a D Applicant ASSESSOR MAP BOOK PAGE PARC SPECIAL CONDITIONS CERTIFICATE OF EXEMPTI FROM WORKERS' • ��OWNER YES N COMPENSATION I SURANCE WITHIN 1000 FT OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred l4Jd'Dla T, DISTRICT GROUP TYPE CONST' FIRE ZONE CESS BY dollars($hat or less.) CITY ZIP 5, off 9-3 LI certify that in the performance of the work for which this permit [ 14 Is Issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGI EE TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT OONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REOUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTORD f oa SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith ed 41- FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC,NO. PL LICENSED CONTRACTORS DECLARATION cITY y Age• LIC.CLASS SID C I hereby affirm that I am licensed under provisions of Chapter 9 Lwwr G f NA C • SEWER MAP v (commencing with Section 7000)of Division 3 of the Business and SQFT.SIZE No.O ORES NO.OF FAMILIES Professions Code,and my license is in full force and effect. 331 9 NEW ❑ BK PG , 0 License Number Lia Class DESCRIPTION OF WORK ADD VALUATION 4rNr� W Contractor Date b &Vol A00AP0 B� ALTE ❑ � 0D CA ❑ I am exempt under EwfAl REPAIR ❑ BARC.for this reason DEMOL ❑ LOMA PIC# Date: USE OF ING BLDG. .URM ❑ I dwido r Signature APPLICANT(PRINT) TEL NO. LOMA Penn N i ❑ 1,as owner of the property, or my employees with wages as u'1 " ri O ACCT e'e their sole compensation,will do the work and the structure is ADDR 11— not not intended or offered for sale (Section 7044, Business and '� U G Ave. 44"l>Y/EFA- FINAL DATE 1 -„ 2.0 �+ Q 3�I.r7 � .i'i�•Jn t Professions Code.) VALLTHEAPPLICANT OR FUTURE BUILDING OCCU HANDLEA HAZARDOUS MATERIAL I J T' ^ p p rty, am exclusively contracting With OR A MIXTURE OONTAINI A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN a 1 S)EMS ❑ I, as owner of the ro e 9 THE AMOUNTS SPECIFI N THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL, licensed contractors to construct the project (Section 7044, SEs❑ NO ' T13 AL '245 ®79 Business and Professions Code.) I. / _ LL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING "� OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH CHECK 2 5.1'i CONSTRUCTION LENDING AGENCY COAST GUIDELINES,l OVAL Y MANI�e£MENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR Lm7// CHANGE a I'll I hereby affirm that there is a construction lending agency for ES❑ NO I the performance of the work for which this permit is issued(Sec. 1.HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,Civ.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES � L� COUNTYCODE,TITLE PTER 3 CTIONS 220.100THROUGH 2.2MI40 CONCERNING01000-00011t 1 Lender's Name HAZARDOUS T DFOROBTAININGAPERMITFROMTHESCAOMD. Lender's Address �� 1593 1 AM 8:50 0 OWNANOU I certify that I have read this application and state that the above Information is correct. I agree to comply with all county RC.FEE PERMIT FEE ^a ordinances and State laws relating to building construction,and a/ hereby authQft-reprapentatives of this County to enter upon ISSUANCE FEE //'�� the all EionAee��perty for inspection pur�p,o�s�es� � ' 3. VE R� _,) _ INVESTIGATION FEE TOTAL FEEea ApplooN aDW I i SEE REVERSE FOR EXPLANATORY LANGUAGE, 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 1311040073 PHONE: (626) 285-0488 EXT: ILEGAL ID: I N0. OF CONST I BUILDING ADDRESS: ITR: 13806 LT: 8 I SQ. FT STORIES TYPE 1 9536 WEDGEWOOD ST I ISTRUCTURE: V-B I TEMP CA 917802516 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18588-005-008 I I THOMAS PAGE. 596 GRID: J3 LOCALITY: TEMPLE CITY CAI ITENANT: ]EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 I ]EXIST OCC GRP: 111/04/13 SR 1 (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: (FINAL DATE FIW BY: CODE: 1 IWONG, MEI - 4,000 I I 19536 WEDGEWOOD ST 1 I III 1 ITEMP 917802516 I FEES PAID IDESCRIPTION OF WORK I 1 IBAThROOM REMODEL (NEW SHOWER AND PEDESTAL SINK) 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I 1APPLICANT: TEL. NO: I I I IJIMINEZ, MANUEL ( IAA BLDG PERMIT ISSUANCE 27.80 1 I IAB STATE GREEN BLDG FEE 4000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 IAC STRONG MOTION RESID 4000.00 VAL 0.50 I I IB2 PERMIT W/ENERGY 4000.00 VAL 127.40 I TOTAL FEES 156.70 1 (CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1PRESIDENTIAL HOME DESIGN, INC. (323) 464-4625- 1 1 IPO BOX 4522 LIC. NO I ILOCATION AND SETBACKS I IVALLEY VILLAGE, CA 91617 562932 * 1 I-. I ] I I (SOILS ENGINEER APPROVAL 1 I ] (ARCHITECT OR ENGINEER: TEL. NO: I IFOU1MATION/TRENCH FORMS I I I LIC. NO: I IS /UNDER FLOOR I I I IRAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPP:I (UNDERFLOOR INSULATION I I I I I I I I IFLOOR SHEATHING I I ] INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 I 1ROOr SHEATHING I I I SCHOOL WITHIN HAZARDOUS I I I (AIR QUALITY: 1000 FEET MATERIALS 1 [SHEAR PANELS I I I 1 NO NO NO I ]FRAME INSPECTION I I I 1 1 1FIRE SPRINKLER HANGERS I I IINSULATION/WEATHER STRIP[ 1 1 I I (INTERIOR LATH/DRYWALL I I I (EXTERIOR LATH I I I 1 1 IRATED FLOOR/CEIL ASSEM. ] I [ I [ IRATED WALL ASSEMBLIES ] 1 I IRATED SHAFTS/OPENINGS 1 IT-BAR CEILINGS I I I I* ADDITIONAL DATA ON FILE ILDT DRAINAGE [ I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I