HomeMy Public PortalAbout9644 WEDGEWOOD ST_Building__ 'eA888A`t3es.88.88 P A I®N FOR BVIL®IY�OA r ER�IT
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DIVISION OF BUILDING AND SAFETY ADD ADDRESS
Deportment of County Engineer - / o
County of 1.08 Angeles LOCALITY I/�e- i w O 1 �. �c�
WM.J.FOX.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. bt!lt?p c7
DIST Y NO. GROUP TYPESEWER MAP
FOR APPLICANT TO FILL IN I CONST I NB= PG
F7ADDRESS r 3 MAP
ER eCQ O� HWSTAY YES NO
�,� BLOCK USE ZONE SPECIAL
I CONDITIONS
TRACT / ✓�1 lo
SIZE OR LOT (/ �'�� I NO.OF BLDGS. BUILDING EXIST.
NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH
EX FRONT
EXISTING 624
1STI8TING BLDG. P.1„ �G
J� fJ�''' / SIDE
OWNER /�/ (�
1 DWELL. I UNIT 6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX 1 UNIT .7 ADDN..ALT.. ETC.
ENGINEER NO. g APT. UNITS
8 MISCEL.
ADDRESS `` 4 COMMERCIAL
r CONTRACTDR A if&t I��r TNo'����"��G INSPECTION RECORD
ADDRESS r4- .ice FA, ....
DESCRIPTION OF WORK 110 .j>I il. - (.0 t< L j L%n moi? t--Len )b N J1,--
NEW ADD ALTER REPAIR DEMOLISH I
SQ.FT.p/ ` NO.OF NO.OF
SIZE (( / STORIES FAMILIES +
r USE OF STRUCTUREo �-�•
= .47f Citi'
SIGNATURE OF r
APPLICANT APPROVALS
ADDRESS S^ DATE INSPEC ORAS SIGNATURE
,g • S FOUNDATION:LOCATION
$ �*" (3 ® . FORMS.MATERIALS
FEE
®Q FBRACING.BOLTS S' SI �I��. t-I Cl6�,".._"„
VALUAT[O FEE FURNACE:LOCATION,
1 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. LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL CA g G A]A"
WM.J.FOX,COUNTY ENGINEER VALIDATION c.N.DIILAM.CHIEF BLDG. INSPECTOR
i-To 3 5 2 4- FEB 27 1- 6 1 8.0 0 ,& in 5 r� p9AR 28 1 3 6-00 - In
WORKE�S'COMPENSATION DECLARATION
hereby affirm that I have certificate of tangent to self APPLICATION F R BUILDING PERMIT Il
insure, or a certificate of-Workers'Compensation Compensation Insurance, O
or a certified copy thereof(Sec. 380, Lab. C.) I COUNTY OF LOS ANGELES 1 BUILDING AND SAFETY
Policy No. Company
❑ Certified copy is hereby furnished. i FOR APPLICANT TO FILL IN ADDRESS [
❑ Certified copy is filed with the county building inspec- BUILDING �//Da
tion department. ADDRESS `Y WC (A,(X7/✓ Il LOCALITY
EST
Date Applicant CITY rrs. C ZIP 8V ROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' �Q r' NO.OF BLDG4. / ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT Q fJ I f NOW ON LOT -( MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one - USE ON MAP
hundred dollars($100)or less.) TRACE BLOCK LOT NO. i NO.
OWNER �S GLJ. IV NO. �TEL. tir CONDITIONS
I certify that in The performance of the work for which this DISTRICT' GROUP TYPE FIRE PROC ED BY
permit is issued,I shall not employ any person in any manner ADDRESS ap/ CONST. ZONE 0
so as to become subject to the Worke Compepset'on Laws.
Date Applicant f W&I erl CITYARCHITECT OR IM
ZIP TEL. STATISTICALCLASSIFI TION APT. ICON&P.
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER �_ NO. CLASS NO. DWELL. UNITS on
Exemption, you should become subject to the Workers' A,
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP ?A
with comply with such provisions or this permit shall be I TEL,
deemed revoked. CONTRACTOR f VA610 NO. 1q6g0r7
BK. PG, VALIDATION
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS VALUATION
(commencing with Section 7000)of Divisiovi 3 of the Business and �/p� LIC. J
Professions Code, and my license is in full force and effect. CITY (!t'Cc.J R;* G 6A CLASS CA) $ j p� r ,
Fq.qF NO.
License Numbe,615L/1/11� Lic.Class ro NEE
FiE0 O o STORIES = FAMIOLIES / CHECK ONE
/�� �a �n�[,,I '] r DESCRIPTION OF WORK eOD�IN NEW ❑ $
Contractor,Ktrl f�` T VFL V( �� Date � —��` ��❑ �I am exempt under Sec. ADD
❑
ALTER ❑s FIN.A
DATEY'
B.BP.C. for this reason REPAIR d
USE OF FINA
Date: EXISTING BLDG. DEMOL ❑ BY 2 Jr 1�4 A
Signature APPLICANT TEL.
OWNER-BUILDER DECLARATION PRINT NO. # 0 0 0 0 0
1 hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS ® o - 87,38
Professions Code): ING
R
13I, as owner of the property, or my employees with ADDRESSSS o 0 o87,380'
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY U 7,22-85
7044, Business and Professions Code). MOVING TEL.
11I,as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code). „
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
'o P.L.
Lender's Name
= P.C.Fee$ Permit Fee s
Lender's Address
I certify that I have read this application and state that the Issuance Fee
above information is correct. 1 agree to comply with all County Investigation Fee Q�
ordinances and State laws rel Ing to building construction, Total Fee 3 O 3
and hereby a ori a rep e . tives this County to enter
ib ntio perry r inspection purposes.
691I
oA, SEE REVERSE FOR EXPLANATORY LANGUAGE
Si azure of Applwnt or Agent Date
as
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 0508180073
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 21833 LT: 13 BL: .001 SQ. FT STORIES TYPE 9644 WEDGEWOOD ST
STRUCTURE: 3000 VN TEMP CA 917802533
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8588-009-004 THOMAS PAGE: 597 GRI A3 L Y: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 08/18/05 JK 08/13/06
OWNER: TEL. NO: SLUGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
WILSON ELEANOR A ( 12,800 h�/�r
9644 WEDGEWOOD ST N
TEMP 917802533 FEES PAID DESCRIPTION OF WORK
THAR OFF WOOD SHAKE, INSTALL 1/2 CDX PLYWOOD, 30# FELT
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GAF LIFETIME COMPOSITION SHINGLES CLASS A
APPLICANT: TEL. NO:
JOHN BATIOFF ( AA BLDG PERMIT ISSUANCE 27.75
D2 PERMIT W/0 EN-HC 12800.00 VAL 267.00
TOTAL FEES 296.03
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
HUNTERS ROOFING (818) 996-6120-
18328 EDDY ST LIC. NO LOCATION AND SETBACKS
NORTHRIDGE CA 91325 633938 C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: - FOUNDATION/TRENCH FORMS
LIC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
1478269 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS:
NO 21 ROOF SHEATHING
i
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508