HomeMy Public PortalAbout9659 WEDGEWOOD ST_Building__ FBAS38A CE IBO9-'e-W APE LICA ll ION FOR BLULs N G ERMIT
COUNTY OF LOS-ANGELES BUILD►NG . .
DEPARTMENT OF COUNTY ENGINEER ADDRESS.
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMB1E.COUNTY ENGINEER NEAREST oe
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. .
DISTRICT.NOROUP SEWER MAP
FOR APPLICANT TO',FILL IN TYPE x
19 h ' _ coNST.
BUILDIN LC/�/ �,� .a N STATISTICALCLASSIFICATION
ADDRESS ��
L T O. &� �� LOCK CLASS.NO: DWELL.UNITS
MAP STATE YES
NUMBER H1A/16.
TRACT3:3U Z E SPECIAL
NO.OF B.L.DGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF B�
EXISTING BLDG. BUILDINGEXIST.
YARD HWY ST ET NAME
SETBACK WIDTH
OWNER C. C a L. FRONT
MAIL P.L:
ADDRESS AME SIDE
TEL. P.L.
CITY No. INSPECTION RECORD
ARCHITECT OR TEL:
ENGINEER NO.
ADDRESS
p ]--� TEL. 7"
CONTRACTORA4. P / /-' NO.
ADDRESS
DES P ON Ot WORK
NEW AD4-__'AL46 REPAIR DEMOLISH
SQ.FT: NO.OF NO..OF i
SIZE STORIES V FAMILIES.
USE OF S RUCTUR
SIGNATURE OF APPROVALS
APPLICANT
yr. DATE INSPECTOR'S_SIGNATIIRE
ADDRESS%.g�4V I FOUNDATION: LOCATION
FORMS,MATERIALS SI' -5-I , =a.m
$ /�
P. $- ;tee FRAME:•FIRE STOPS, w ` g-
®� (./ FEE BRACING,BOLTS s IG? r..i�
FURNACE: LOCATION, z
VALUATION $ ®� I
r 1 FEE GAS VENT.DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BUILDING STRUON. LATH,EXT.
SIGNATURE OF HOUSE NUMBER.COR-
PERMITTE RECT AND POSTED
ADDRESS FINAL
IOHN A.LAMBIE.COUNTY ENGINEER. CLYDE N.DIRLAM, PRINCIPAL STRU URAL GINEER
PLAN CHECB'VALIDATION G& WO. CAST PEEWT'VALIDATION,. CK M.O. CASH
Q '9 6 0S FEB 4 1 A.`
..,APPLICATION FOR COUNTY OF LOS ANGELES
I�U ILD INC PERMIT �"'� DEPARTMENT OF COUNTY ENGINEER
BUILDING OD SAFETY DIVISION
BUILDING FOR APPLICANT TO FILL IN ADDRESS (o� it7 d Gwood-
BUILDING
ADDRESS o kledeweL000d LOCALITY
s�-+ NEAREST
No
!
CITY .F ZIP CROSS ST.
\ NO.OF BLDGS. ASSESSOR
SIZE OF LOT Iro O X /O NOWON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE�ZV SSED Y
TRACT BLOCK LOT NO. CONST.
Or
TEL.
.
STATISTICAL CLASSIFICATION SEWER NrAP
ADDRESS Aty,e- • CLASSNO.Ipa/ DWELL.UNITS AIBl j PG
CITY ZIP E ZONE NOP p
ARCHITECT OR TEL. ,j� SPECIAL
ENGINEER NO. rW CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
TEL. 'a� •�� '
CONTRACTOR (� C Z. NO. a+� "L3(�� BL G.SETBACK.FROM
�} LIC. , FR NT PROP.LINE OF (STREET)
ADDRESS O ka . NO. - _ TOTAL SETBACK FROM TYPE OF EXISTING
JJ HI HWAY + YARD - FRONT PROP.LINE HIGHWAY WIDTH
LICCITY C CLASS -'L '
CONSTRUCTION LENDER + _ }
U
NAME AND BRANCH BLDG.S CK FROM
ADDRESS CITY SIDE PROP.L i F (STREET) 0
SQ..FT.,S NO.OF NO.OF CHECK HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE A EXISTING jj
SIZE o STORIES FAMILIES ONE DE PROP.LINE HIGHWAY WIDTH a
N
i + v Z
DESCRIPTION OF WORK NEW ❑
ADD CORNER CUTOFF YES ❑ NO
ALTER ❑ IN OPEN SPACE YES ❑ NO ❑
USE OF REPAIR ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG.' Q LU-L5 DEMOL ❑
APPLICANT TEL �O�
(PRINT) • ^Z NO. 'Z (
$Q^23 • ` �� �{� 7v SCR_A'iL'N-
BY(SIGN `" -1 11-f 7- ��%!r t�
C /L
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES _
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE.
SIGNATURE FINAL /` J/17J�2 BY
PERMITTEEoce DATE
ADDRESS t r
TEL Z �13� P.C.Fee$ Permit Fee
CITY 'NO.
Issuance Fee
VALUATION Total Fee 7
PLAN CHECK VALIDATION CK.C—R-p. CASH PERMIT VALIDATION CK. M.O. CASH
7 5 AUG 9 1 D 7 5.7 5 A96
®S 78A638A CE 1803A G/76
COUNTY OF IAS 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 1307290006
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
ON FILE I SQ. FT STORIES 'TYPE [ 9659 WEDGEWOOD ST I
1ASSESSOR INFORMATION NUMBER: ;STRUCTURE: V-B I TEMP CA 917802534 I
NEAREST CROSS STREET: GOLDEN WEST [
18588-008-012 I I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI
[TENANT: 'EXIST BLDG USE: RESID USE ZONE: R-1 IISST-ED ON: PROCESSED BY:
1 (EXIST OCC GRP: 107/:.9/13 SR
I
(OWNER: TEL. NO: :BLDGS. NOW ON LOT: VALUATION: I N TE F NAL BY: CODE: I
IBISHARA TAWFIQ A;OLLA E ( 1 5,300 1 I
19659 WEDGEWOOD ST 1 I
ITEMP 917802534 I FEES PAID IDEbiR P 0 OF WORK I
I ITEAR OFF REROOF WITH COMPO TION SHINGLES HOUSE, GARAGE I
I jFFF DESCRIPTION: QUANTITY: UOM: AMOUNT:IAND PATIO I
(APPLICANT: TEL. NO: I I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 I_
I :AB STATE GREEN BLDG FEE 5300.00 VAL 1.00 ISPE•:IAL CONDITIONS:
IAC STRONG MOTION RESID 5300.00 VAL 0.50 1 I
;D2 PERMIT W/O EN-HC 5300.00 VAL 149.40 I 1
I ,FR INV WORK W/O PERMIT 344.00 DOL 344.00 1^ I
ICONTRACTOR: TEL. NO: I TOTAL FEES 522.70 jAFF'!OVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I I_. I
I LIC. NO I ILOCITION AND SETBACKS
I I I
I ISOlLa ENGINEER APPROVAL 1 [ I
I I I
(ARCHITECT OR ENGINEER: TEL. NO: IFOI:'iDATION/TRENCH FORMS I I [
LIC. NO: ISLA1;/L?:DER FLOOR [
I j IRAT9ED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP;[ IUP^aFRFLOOR INSULATION I I [
1 3 O`I I FR;;!Z SHEATHING
INO. OF FAMILIES• DWELLING UNITS: APT/GOND: STAT CLASS:
I NO 21 [ IRC -. PHEATHING
SCHOOL WITHIN HAZARDOUS IF-'-C+F PANELS I 1
[AIR QUALITY: 1000 FEET MATERIALS
NO NO NO I I FPI%,vF. INSPECTION I I I
I IFI�4 SPRINKLER HANGERS
[ I ;IN",TIATION/WEATHER STRIP[ I I
I 1 1114T^RIOR LATH/DRYWALL I I
I I IEXrRIOR LATH I 1 I
1 I IRAJ3D FLOOR/CEIL ASSEM. I I [
I I I
jiva-FD WALL ASSEMBLIES [ I 1
[ I IRA"'..^sD SHAFTS/OPENINGS I
I
[ [ 1T-BAR CEILINGS I
I I I DRAINAGE
I I
IREPORT ID. DPR261 ROUTE TO- BSC508 I [ I I
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