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HomeMy Public PortalAbout9700 WEDGEWOOD ST_Building__ 1ADBB•8 I1.55 APPLICATION FOR BUILDING. PERMIT ]; SS DIVISION OF BUILDING AND SAFETY BUDRESS ILDING DepOStment of County Engineer AD (✓ County of Los Angeles LOCALITY JOHN A.LAMBIE. COUNTY ENGINEER ] NEAREST- CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DIST 1 NO, GROUP TYPE SEWER MAP �e^i p+�`0® �j CONS BUILDING YE �NO ADDRESS D O s f! .so NUMBER OO HWY LOT NO. BLOCK UP20 SPECIAL IVO 1' � -7 � CONDITIONS Iy TRACT I :/. �� • ^/ x I a 't I NO.OF BLDGS. SIZE OF LOT V NOW ON LOT BUILDING EXIST. USE OF —• SETBACK YARD HW Y STREET NAME WIDTH EXISTING BLDG. FRONTpa0 s� P.L. F! OWNER � �(� / SIDE -MAIL ADDRESS ( -P, WELL. i UNIT_ 6 PUBLIC BLDG. ARCHIT CT OR TEL. 2 DUPLEX 2 UNITS ENGINEER NO. 7 ADDN.,ALT., ETC. 3 APT. UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL CONTRACTOR II,�? ��,, dr TEL L' ,!,/ INSPECTION RECORD _ I v ADDRESS �� f .�?y:-w°lr'.. l f•It A C DESCRIPTION OF WORK = eze- NEW ADD ALTER REPAIR DEMOLISH SO.FT IVO. OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE 0` `` - SIGNATURE OF ,- APPLICANT C !���• ' APPROVALS f ADDRESS DATE INSPECTORS SIGNATURE $ 27FOUNDATION:LOCATION a � v+. � P.C. $ FORMS.MATERIALS � - S� 0 FEE FRAME: FIRE STOPS. olUXT ONA0 D 4V Od BRACING.BOLTS FEE FURNACE: LOCATION, 1 HER A KNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS f APPLICATIO "D STATE THAT THE ABOVE IS.CORRECT AND AGREE T. COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. / I �I �` ���f J.i.. rJ,. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH. EXT. SIGNATURE OF i} HOUSE NUMBER COR- PERMITTEE �� e` RECT AND POSTED z ADDRESS ^v P FINAL JOHN A.LAMBIE,COUNTY ENGINEER Ti ON CLYDE N.DIRLAM. CHIEF BLDG. I SPECTOR 1 Cy MO CASH _�4,C0 5 7 5,/6 PLAY '7 1 6 1 5.0`C Gb6 8 5 6Ln MAY 9 1 2.0 0 w a.r-;• 76A63SA CE#6035-61 APPLICATION FOR BUILDING PERM1 COUNTY OF 'LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUIJNG AND SAFETY DMSION LOCALITY .JOHN A. LAMBIE. COUNTY ENGINEER' NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE P SED BY- FOR APPLICANT TO FILL IN CONST BUILDING ,A/ _ f� 'A' STATISTICAL CLASSIFICATION - SE ER MAP ADDRESS// d d 4 . t2 k �' vv�U CLASS.'NO.�.—DWELL.UNITS "� K PG LOT NO. SO BLOCK WATER NOT REQUIRED RECEIVED ??77 CERTIFICATE: TRACT dJ MAP (/HIGHWAY STATE O AL /�/ NO.OF BLDGS. NO. �' O (CIRCLE) MAJOR SECOND, _SIZE OF LO-K ) /V I NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS 'EXISTING BLDG. �" OWNER (GNO U BILING EXIST. OYARD HWY STREET,NAME WIDTH ADDRESS !J i 1 FRONT q , ARCHITECTOR TEL. P.L. of } ENGINEER NO. SIDE Z1• ADDRESS CONTRACTOR ( ,� �`�- NO r`yb" INSPECTION RECORD • � 0 ADDRESS T D S AA F 4�7/ J Y V DESCRIPTION OF WORK Z N16 ADD ALTER REPAIR DEMOLISH SQIE.FT.IZZ NO.OF NO.OF' E STORIES FAMILIES USE OF ' STRUCTURE SIGNATURE OF ;�V D APPLICANT VALUATION$ APPROVALS DATE' INSPECTORS SIGH TORE FEE $ FEE PMT. $ ^6 " FOUNDATION:LOCATION' FORMS;MATERIALS ✓% j� .J i ;���. FRAME:FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACINGift 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- LATH;INT. TION OF THE LABOR CODE OF.THE STATE OF CALIFORNIA RELAT. _ ING TO WORKMEN'S COMPENSATION INSURANCE LATH,EXT. _ SF� IGNATURE O /'/J� HOUSE NUMBER COR- ' PERMITTEE ////,, RECT AND POSTED ADDRESSFINAL p IeC. �y CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PIAN CHECK VALIDATION cK.' m.o. CASH PERMIT VALIDATION cK, M.O. cases 5 . .--%-04 7 1 'ODEC - 5 1 D 3'.0 0 WORKERS'COMPENSATION DECLARATION ent to sel insure,boraafcertif cafirm tharte of Worke s'tCompensation Insurance, A F p U CQV MROOM 3UILDING P N T LI IS or a certified copy thereof(Sec. 3800, Lab. C.) PoliryNo.RC�137886CompanyROYAT. JOBS 3717 COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING 1:1Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS r ® Certified copy is filed with the county building inspec- BUILDING 9700 PMDM700D ST. � tioVITT ca _ent. ADDRESS r LOCALITY �� CISNEARESTDateAppCITY ZIP91780 CROSS 5T. CERTIFICATE OF EXEWTIOQ FROM WORK NO.OF BLDGS. i ASSESSOR COMPENSATIONVINSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP `, 26 TEL. hundred dollars($100)or less.) TRACT BLOCK LOT NO. R/1 NO. r/ I SPECIAL > I certify that in the performance of the work for which this OWNER JA Ng4Za CONDITIONS & permit is issued, I shall not employ any person in any manner DISTRICT I /► UP TYPE FIRE PROCRSSED BY O so as to become subject to the Workers'Compensation Laws. ADDRESS a , V Of� CONST. ZONE Date Applicant CITY ZIP 72a91STATISTICAL CLASSI�N APT. CON NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS- Compensation provisions of the Labor Code, you must forth- with comply with such provisions or this permit shall be ADDRESS SEWER MAP deemed revoked. BK. PG,TEL' 2 / VALIDATION CONTRACTOR CAL-PAC ROOFgT1G No. LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO-3795C)3VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. 5700.00 Professions Code, and my license is in full force and effect. CITY CLASS $ SQ. FT. NO.OF NO.OF CHECK License Number 379503 Li,.Class B SIZE STORIES FAMILIES ONE F $ ntracto DESCRIPTION OF WORK REROOF NEW 1 ADD I a exempt under Sec. ❑'; ALTER �•_ FINAL B. P.C. for this reason REPAIR DATE USE OF + Date' EXISTING BLDG. T DEMOL B N Signature APPLICANT TEL. 1/ OWNER-BUILDER DECLARATION PRINT CAL-PAC ROOFII�IG NO800 548 54 I hereby affirm that I am exempt from the Contractor's License 2 5 5 O A Law for the following reason (Section 7031.5, Business and ADDRESS UPOD]T DR. 2220 S. DAIQAHEIM 0 0 0 0 0 , Professions Code): PRESENT ❑ BUILDING 9700 INTE GETHOOD ST. o 087 ,38 I, 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 ale(Section LOCALITY o 0 0 8 73,q x 7044, Business and Professions Code). MOVING TEL. I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- 7,2 6 5 tion 7044, Business and Professions Code). ADDRESS 8 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. tSec. 3097, Civ. C.). SIDE o P.L. v Lender's Name x . Lender's Address P.C. Fee$ Permit Fee 7f; R8 rI certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 87.38 and hereby authorize representatives of this County to enter u on the above-mentions pa�forspection purposes. SEE REVERSE FOR EXPLAWATORY LAPIGUAGE Signature of Applican or Agenore ®s