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HomeMy Public PortalAbout9542 WEDGEWOOD ST_Building__ 'BABBBA CE#809 8-88 APPLICATION FORBUILDING PERMIT COUNTY OF LOS ANGELES BUILDING a DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION •LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. '�•�.O V ��•. DIS .RI T NO. GR UP TYPE ESSE[S BY FOR APPLICANT TO FILL.IN CONST. L, BUILDING STAT ICAL CLASSIFICATION- S WER MAP / ADDRESS 'CLASS. NO. DWELL.UNITS BK P / LOT NO. , � BLOCK WATER y��, L CERTIFICATE: NOT REQUIRED RECEIVED ❑ TRACT epn / lil�G7 t-g4.. MAPHIGHWAY STATE MAJOR SECOND, CAL NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT NOW ON LOT• USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL. OWNER NO. BUILDING YARD HWY STRE E NAMEXIST. SETBACK WIDTH ADDRESS FRONT ARCHITECT L. !/ ENGINEER NO.� :SIDE P. L. ADDRESS TEL. 1 1 7 CONTRACTO - j ADDRESS DESCRIPTION OF WOR '' �' 'r ' `` v.A."-,I ��"� � '� ~' ��, C NEW ADD ALTER REPAIR DEMOLISH r X+ `" e" F/ H SQ.FT. NO.OF' NO.OF 4 f fr'i S ��: f .'�L`! :sma5�"'.J:L a Al� Ie Z _ SIZE STORIES FAMILIES i'i/ g USE OF 3 J: >' LvJg1CJ •'`ado !F asr�. R .N�a.•'.�:: � STRUCTURE �Y Y SIGNATURE OF APPLICANT VALUATION APPROVALS DAT9---\ NATURE P C. FOUNDATION: LOCATION FEE $ FEE $ �/f(JG FORMS. MATERIALS FRAME: FIRE STOPS, '•� HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS APPLICATION BRACING. BOLTS ( �7 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:.LOCATION. V r WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS ` f BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK / AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. !J TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE. LATH.EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE bv& R RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. Pif NCI l►L ST RAL ENGI ER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH iLo~ 5'6 9G.''PlAy'l 2 1 D 6.0 0 1 76A638A CE 46032-63 APPLICATION FOR BUILDING P.-�ERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY C JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST. DI$TRI T G U TYPE P SSE. BY FOR APPLICANT TO FILL IN ' i�j CONST. I" BUILDING /►` BSTATISTICAL CLASSIFICATION SE ER MAP ADDRESS J rL+ �j' / Il0000'BK G /S b8 �; 4 CLASS. NO.�DWELL. UNITS LOT NO. BLOCK WATER CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑ TRACToeWZE,f MAP A HIGHWAY STATE MAJOR SECOND LOCAL- NO. OF BLOGS. NO. G/ (CIRCLE) SIZE OF LOTtCl X j_ NOW ON LOT USE ZONE SPECIAL USE OF l CONDITIONS EXISTING BLDG. TE OWNERNkw k4pal? �..�,/� BUILDING YARD HWY STR ET NAME EXIST. ^ SETBACK WIDTH ADDRESS 7F FRONT ARCHITECT OR TEL, P. L. ENGINEER NO. SIDE P. L. ADDRESSg, TEL. rJ �' 4/ F� I'7t z O CONTRACTO it NO. j V ADDRESS 0 DESCRIPTION OF WORK �' _'� W D- EW ADD ALTER REPAIR DEMOLISH SIZE T S�O TORIES FAMIILIES - USE OF f STRUCTURE SIGNATURE OF ol APPLICANT VALUATION e/ ` APPROVALS I DATE INSPECTOR'S SIGNA P.C. ° PMT. FOUNDATION: LOCATION FEE $. FEE $ FORMS. MATERIALS 7 �i —' FRAME: FIRE STOPS, �- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. i rl• f TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMP ION INSURANCE. LATH, EXT. SIGNATURE HOUSE NUMBER COR- _ PERMITTEE RECT AND POSTED 41 ADDRESSFINAL JOHN F. LEWIS. PRINCIPAL ST TURAL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH e � WORKERS' COMPENSATION DECLARATION certificatethat I have a 'ftif A P P L I CATION FOR BUILDING P E RM I T insebor cecote of Workers'CompensatonInsurane r a certified ropy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy*40. Company NG El Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING §�II tion department. ADDRESS /� CITY a .0�' zip l 7 3 0 LOCALITY Date CERTIFICATE OFPEXEMPTION FROM WORKERS' SIZE OF LOTS-/x q!f•SO NOW ON LOT plicant NO.OF BLDGS NEAREST CROSS ST. COMPENSATION INSURANCE ASSESSOR Q(/ e[� (This section need not be completed if the permit is for one TRACT BLOCK LOT "� MAP BOOK "If PAGEd0 PARCEL�� hundred dollars ($100)or less.) TEL. OWNER 13I2o,-fo NO. USE ZONE MAP I certify that in the performance of the work for which this //�� n.� .,,,. SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS (,��2 Q-'��v�w"'� SPE CONDITIONS so as to become subject to the Workers'Compensation Laws. Q *� O CITY /Yo@'f Q C[ zip ( 17A) U Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PR CESSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. 7VE o Exemption, you should become subject to the Workers' ��O Compensation provisions of the Labor Code, you must forth- ADDRESS Y e� a with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION AFT: I CONDO. Z deemed revoked. CONTRACTOR NO. _ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO.ZDWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT. NO. OF NO.OF CHECK License Number Lic. Class SIZE STORIES FAMILIES ONE VALUATION DESCRIPTION OF WORK NEW ❑ Contractor Date ADD $ � ❑ 7 , ❑1 am exempt under Sec. ALTER BAP.C. for this reason $ REPAIR DUSE OF ate: DE OL ❑ EXISTING BLDG. "e/` C Signature APPLICANT (PRINT) N DATE 3f C I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESSFINAL 1 P of ssions Code): PRESENT BY I, as owner of theproperty, or m em to employees with BUILDING AL�CT ®r Y P Y ADDRESS wages as their sole compensation,will do the work and -- rtr� r;_ the structure is not intended or offered for sale(Section LOCALITY , ,:307 J._•-s i•: 7044, Business and Professions Code.) MOVING TEL. i Eft.;❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. TOTAL t iT Eft. with licensed contractors to construct the project (Sec- ADDRESS 105-8� 25 tion 7044, Business and Professions Code.) REQUIRED YARD HWy TOTAL SETBACK FROM EXIST. (,;HECK �� CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT CHANGE' �Uli the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref..# �f Ll�� I 1 11313 1�—('G 1 �: P.C. Fee$ Permit Fee 8-5-1. Lender's Address _ 73,62 A� r ' I c ti that I have read this application and state that the Issuance Fee Aff LDMA P/C# a ove formation is correct.I agree to comply with all County Investigation Fee yy o dina ces a elating to building construction, I Total Fee [/ �J LDMA Perm.# a d h reby a thor' re ntatives of this County to enter u o the above- n ioned propert nspecti n purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sign re of Applicant or Agent Date r IWORKERS'COMPENSATION DECLARATION of consent to sel ins w i;,hereblon 2 fcertil cote of Wo ke s''ificate Compensa ion Insurance, APPLICATION FOR BUILDING PERMIT or o'certified copy thereof (Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Poligy NQ._Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRE dv,4eboo Certified copy is filed with the county building inspec- BUILDING / `' e r� 1 tion department. ADDRESS ` W t.•fit/�C7'' LICENSED CONTRACTORS DECLARATION J LIC, CLASS NO. DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS � 2 L+.�t?t6tYl�O�cl'NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER P Professions Code,and my license is in full force and effect. CITY 't'� ' �`� ct" / CLASS BK PGL VALIDATION SQ. FT. 5 F NO.OF NO.OF CHECK License Number Lic.Class SIZE -70 STORIES FAMILIES ONE VALUATION JJ Contractor Date DESCRIPTION OF WORK NEW ❑ $ I (/fi V f L /� I n/ C7 ;�c ADD , I am exempt under Sec. ❑ ALTER B.BP.C. for this reason REPAIR ❑ $ Date: USE OF DEMOL EXISTING BLDG. S ❑ APPLICANT TEL. Signature FINAL _/{► OWNER-BUILDER DECLARATION PRINT NO. DATE 2 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PR EN By BUILDING ^IT as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ' the structure is not intended or offered for sale(Section LOCALITY @ O 1 'a8 A 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. # 0 0 0 0 o 11 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). f o,1 9 9,8 8 REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT o 0 1 9 9.8 8.0 the performance of the work for which this permit is issued P.L. 8 8 (Sec. 3097, Civ. C.). SIDE o7,1 2 /Jdv/ ( �// P.L. Lender's Name ( L� Ii ` L/ s LDMA Ref. q ef �e V�rt� �4 f `a GA P.C. Fee$ Permit Fee 4above s Address ,,11 that I have read this application and state that the Issuance Fee U L� LDMA P/C q 01110. onformation is correct. I agree fo comply with all County Investigation Fee 0ces and State I s relating to building construction, Total Fee LDMA Perm. q Neby autho ' repr sentatives of this County to enter e above- do d property for inspe� urpo es. SEE REVERSE FOR EXPLANATORY LANGUAGE Signo� re fApplr6ant or Agent Date 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 SL 0508 0310060012 PHONE: (626) 285-0488 EXT: CONSTGADDRESS: ON FILE SQ. FT STORIES TYPE 9542 WEDGEWOOD ST STRUCTURE: VN TEMP CA 917802516 ASSESSOR NEAREST CROSS STREET: CLOVERLY 8588-005-030 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: D — 5 P 0 . EXIST OCC GRP: 10/06/03 JK 9/30/04 OWNER: N0: BLOGS. NOW ON LOT: AL ON: L PA E FINAL BY CODE: MAESAKI TED ( 4,200 i 9542 WEDGEWOOO ST TEMP 917802516S 0 61 OF WORK T/0 OUSE & GARAGE; INSTALL 1/2"CDX PLYWOOD & 30YR CLASS A FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: FIBERGLASS SHINGLES P CA NO: JOSE SALAS (626) 287-0669— AA BLDG PERMIT ISSUANCE 27.75 4251 BALDWIN AVE AC STRONG MOTION RESID 4200.00 VAL 0.50 SPECIAL CONDITIONS: EL MONTE D2 PERMIT W/O EN—HC 4200.00 VAL 132.60 TOTAL FEES 160.85 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE WEATHERGUARD ROOFING (626) 287-0669- 4251 BALDWIN AVE. LIC. NO LOCATIONS BAC S EL MONTE, CA 91731 808888 C39s SOI�S ENGI EER APPROVAL ARCHITECT OR ENGINEER: 0: FOUNDATIONPRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP N0: SEW R MAP SWK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATIO 147H269 3 01 FLOOR SHEATHING N0. 0 LIES: W S: O S AT SS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIREDO L SETBACK S SPR G RS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH L ASSM7. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS -B R CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508