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Home My Public Portal About9552 WEDGEWOOD ST_Building__ 1 `76A638A CE :8032-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING j DEPARTMENT OF COUNTY ENGINEER ADDRESS . BUILDING AND SAFETY DIVISION LOCALITY l,, ! JOHN A. LAMBIE. COUNTY ENGINEER NEAREST / WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST. {,(/ DIST CT NO. GROUP TYPE ESSED BY FOR APPLICANT TO FILL IN CONST. � BUILDING �` STATISTICAL CLASSIFICATION S WER MAP ADDRESS �a,� BK G CLASS. NO.-9.1r-7 DWELL. UNITS LOT NO. / J�' l Ile BLOCK WATER NOT REQUIRED ❑ RECEIVED CERTIFICATE: TRACT MAP HIGHWAY O. F SLOGS. NO. ccIRCLE) STATE MAJOR SECON LOCAL SIZE OF LOT / yNOW ON LOT /USE ZONE SPECIAL USE OF ^ ' CONDITIONS EXISTING BLDG. TE JD�ji OWNER N /C 7 BUILDING - EXIST. SETBACK YARD HWY ST ET NAME WIDTH ADDRES/' FRONT /I / ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L. ADDRESS [}y TEL. R O CONTRACT O NO. �t r- U ADDRESS Ix O DESCRIPTION OF WORK v G4 (L E ADD ALTER REPAIR DEMOLISH N i / Z Q. FT, - . NO. OF NO. OF ' SIZE (5:j()STORIES FAMILIES USE OF STRUCTURE__rl �T 44 I _ SIGNATURE OF 7p, X04,164J APPLICANT , VALUATION APPROVALS DATE INSPECTOR'S SIGNATU E P.C. O PMT. U FOUNDATION: LOCATION J FEE �..+ FEE $ FORMS, MATERIALS L FRAME: FIRE STOPS, V A4 1 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 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- TI IOLA- LATH, INT. Nil 7„ TION OF THE LABOR CODE�. THE�STATE CALIFORNIA RELAT- ING TO WORKMEN'S O ION . LATH, EXT. SIGNATURE HOUSE NUMBER COR- PERMITTEE / RECT AND POSTED iii 09 ADDRESS FINAL 0;o' JOHN F. LEWIS. PRINCIPAL ST5jjCjVRAL ENGINEER PLAN CHECK VALIDATION cK. M.o. CASH _ PERMIT VALIDATION CK, .... CASH D .. nt"C1 27 :, D 64.r- u, WORKERS'COMPENSATION DECLARATION h ry affirm that I have a certificate of consent to self APPLICATION- FOR BUILDING P E RM I T in re ora certificate of o ker Co pe sationsurance� „1 ora t d e f c 38 (/f�J COUNTY OF LOS ANGELES BUILDING AND SAFETY Pli ,y J � ❑ Certified copy is hereby f nished. FOR PPLICANT TO ILL IN Abo Ess C�X/1 ❑ Certified copy is filed wi the unty bui i ins ec- ADDRESS tion department. Date Ap CIN t P LOCALITY -G O.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCEASSESSOR (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.) TEL. OWNER Hil&LMNO. USE ZONE MAP I certify that in the performance of the work for which this NOSPECIAL >. permit is issued, I shall not employ any person in any manner ADDRESS CONDITIONS a- so as to become subject to the Workers'Compensation Laws. O CITY ZIP fie Date Applicant ARCHITECT OR TEL. DISTRICT I GROUP TYPFIRE PROCESSED BY 0 NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CO Z NE Exemption, you should become subject .to the Workers- y, sd�� /' Compensation provisions of the Labor Code, you must forth- ADDRESS .� /L1 CL with comply with such provisions or this permit shall be ` TES STATISTICAL CLASSIFICATION AP7. CONDO. Z deemed revoked. CONTRACTOR N / _ LICENSED CONTRACTORS DECLARATIONLIC. CLASS NO. DWELL.DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRE NO. (commencing wqhWe'tio7 Division 3TBej s LIC. SEWER MAP and Professions e is in full t. CITY CLA55 ( gKpGVALIDATION /// SQ. FT. NO.OF NO. OF CHECKLicense Nu b Lic. ClaSIZE STORIES FAMILIES ONE /r VALUATION Contract r ` Date DESCRIPTIO O ' NEW ❑ $ ElI am exempt under Sec. �1 Q x ADD LJ ► B.&P.C. for this reason Date: USE OF 5 DEMOL ❑ EXISTING BLDG. Signature APPLICANT TEL. (PRINT) NO FINAL OWNER-BUILDER DECLARATION DATE 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): PRESENT By + / /� BUILDING C' y ❑ I, as owner of the property, or my employees with ADDRESS r. t Yt441°a wages as their sole compensation,will do the work and Sr%?�; ° #X-5( the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. ® /1/� j !TEM3 ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. (� with licensed contractors to construct the project (Sec- ADDRESS 'TOTAL f AL IL-33 m 05 tion 7044, Business and Professions Code.) CHECK REQUIRED YARD HWY TOTAL SETBACK FROM CHECKt EXIST. 103.05CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT CHANGE °1313 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. i rF;1 r 1 8113107_ JL)J_-a,.Gi C $ Lender's Name �".� / LDMA Ref. # ,.,.._ , P.C. Fee$ Permit Fee 1(.10L ],21 11 1 AM f;cl f Lender's Ad ess L 0 1 certify t t I ho read this application and state that the Issuance Fee Z6 LDMA P/C# 8 above in ati i correct. I o comply with all County Investigation Fee / �1 ordina a an t to laws ting t build44:� Total Fee /d`�• r� LDMA Perm. # a and h re y a ize rep a ves f thi m upo th a m ti n erty r insSEE REVERSE FOR EXPLANATORY LANGUAGE Signture of Applicant or Agent 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 0007280059 PHONE: (626) 285-0488 EXT: GAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 9552 WEDGEWOOD ST STRUCTURE: 0 VN TEMP CA 917802516 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY 8588-005-032 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R- ISS E ON: PROCESS Y: EXPIRES ON: EXIST OCC GRP: 07/28/00 UT 1/25/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: LI HONG J;SU YUJIANG - 1 3,800 9552 WEDGEWOOD ST 7.1 �7 TEMP 917802516 FEES PAID DESCR P I OR TEAR OFF WOOD SHAKE, APPLY 1/2" C COVER WITH 25 YR. G.S. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: COMP. SHINGLES APPLICANT: TEL. NO: C AND A ROOFING CO. (626) 285-7107- AA BLDG PERMIT ISSUANCE 27.75 4148 BALDWIN AVE 101 AC STRONG MOTION RESID 3800.00 VAL 0.50 SPECIAL CONDITIONS: EL MONTE, CA D2 PERMIT W/0 N-HC®6�3800.00 VAL 115.80 GEL.E C® E S 144.05 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE C AND A ROOFING CONSTRUCTION CO. (626) 285-7107- M NTE C NAVE LIC. NO ATIO AND SETBACKS EL EL ONTE CA 536091 B i SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER- TEL. 0: �/ / 1 �` FOUNDATION/TRENCH FORMS LIC.-NO: _t �V� SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: 1 UNDERFLOOR INSULATION 147H269 3 1p,'T -U L�7J L L G \��/ll/GO'K v 111 FLOOR-SHEATHING 0. OF-FAMILIES: DWELLING S: T/COND: STAT CLASS:— NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS-- t.� SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO0 � 1y FRAME INSPECTION \ i•.o�^ REQUIRED O A SETBACK R E IST �.` FIRE SPRINKLERHANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: 4�/j ❑ �IO� FRONT PL- C SePy�C� �� INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWAL EXTERIOR LATH RATED FL OR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508