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