HomeMy Public PortalAbout9712 WEDGEWOOD ST_Building__ TEMPLE CITY f
76A 3BACE'yf, 803 1-62APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING /
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT N GROUP TYPE PRCE Y
FOR APPLICANT TO FILL IN CONST.
BUILDING �- +�) c -}- STATISTICAL CATION SEWER MAP
ADDRESS // L'UI✓06/ �tlUc7 �]/ P
CLASS. NO. CL DWELL. UNITS
LOT NO. BLOCK WATER
ppL� CERTIFICATE: NOT REQUIRED RECEIVED
FZ
TRACT dK.J(y,7 Y' MAP HIGHWAY
NO. OF BLOGS.
NO. (CIRCLE) STATE MAJOR SECOND. OCALD
SIZE OF LOT L�� S NOW ON LOT USE ZONE SPECIAL
USE OF I J 7� CONDITIONS
EXISTING BLDG. m/ / ./I _(
OWNER � TEL. � ' -}� �"�
rNO. BUILDING YARD WY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS �% G "'ve S FRONT / O
ARCHITECT OR TEL. P.
L
ENGINEER ry) NO. p� SIDE
P. L.
ADDRESS S me A
_ TEL.
CONTRACTOR m NO. ..
ADDRESS C' ✓�
Ci
F
DESCRIPTION OF WORK u
� � u
NEW YADD ALTER gy REPAIR DEMOLISH 2
SO. FT. / NO.OF NO. OF _
SIZE STORIES FAMILIES /
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT 11/11 I
VALUATION $ i'�/y� Cw
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. .. — FOUNDATION: LOCATION
FEE �_ FEE $ FORMS. MATERIALS -
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.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURA NC€- LATH, EXT.
1
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
�— JOHN F. LEWIS, PRINCIPAL STR TURAL ENGINEER
PLAN CHECK VALIDATI �lf:X .D. CASH _ PERMIT VALIDATION l CK. M.O. CASH
Lo i3O 1 0 0 3 FEB 15
'6Ati73tiA Obi-�b•5>
APPLICATION FOR BUILDING PERMIT 1
DMSION OF BUILDING AND SAFETY ADDRESS BUILDING �vGZ �j000
Department of County Engineer ^
County of Los Angeles LOCALITY
WM. J. FOX. COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. O'� I TYPE � SEWER MAP
FOR APPLICANT TO FILL IN MAP /� Q� CONST
BUILDING % % l =�.��G NUMBER C!Q _' (�' ? HWY YES 140ADDRESS
LOT NO. BLOCK USE ZONE SPECIAL
CONDITIONS
TRACT . `+
1-T NO. OF BLDGS. BUILDINGEXIST.
SIZE OF LO x� I NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH
USE OF FRONT
_EXISTING BLDG. j- P. L.
OWNER �. /— SIDE
P. L.
MAIL ��
� -�- DWELL. 1 UNIT
6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX I UNIT 7 ADDN., ALT.. ETC.
ENGINEER NO. 3 APT. UNITS
$ MISCEL.
ADDRESS 41 COMMCRCIAL
TEL. INSPECTION RECORD
_CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. 1
/-i-� ) '1 NO. OF NO. OF
SIZE 1L STORIES / FAMILIES %
USE OF STRUCTURE
�,_t/ „ ,��/�1A� ,IG, ,• ,
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS JQ�C,1�/ DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
P.C. $ �. FORMS, MATERIALS
�+�' FEE FRAME: FIRE STOPS,
r�„r., y -r--
VALUATION /D � BRACING, BOLTS
FEE �"� FURNACE: LOCATION,
I 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. r�
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION.
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
41 NAL
WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR
^o 6 1 JAN rj 1 6 1 7.V U • -
'��
`.�1 6 9
i
` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9610310001
PHONE: (818) 285-0488 EXT:
LEGAL I 0. OF CONST BUILDING ADDRESS:
TR: 21833 LT: 4 SQ. FT STORIES TYPE 9712 WEDGEWOOD ST
STRUCTURE: 0 V TEMP CA 917802535
ASSESSOR FO ION BER: NEAREST CROSS STREET: GOLDEN WEST
8588-010-010 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
TENANT: X S BLDG USE: RESID USE ZONE: R`-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 10/31/96 TC 10/31/97
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL. DATE FIN BY CODE:
KOLBERG E P;DIANA M TRS ( 1 11,000 1�1`
9712 WEDGEWOOD ST 1
TEMP 917802535 FEES PAID ESCRIPTIO 0 ORK
TEAR OFF INSTALL 1/2" COX PL OOD - NATURE GUARD CLASS A
FEE DESCRIPTION: A-1-
SUNSET
i-T : 1� ' ®A AMOUNT:
APPLICANT: TEL. 0: q
SUNSET ROOFING (818) 357-3996- AA BLDG PERMIT ISSUAN2 —1� 27 75
5660 GARY PARK AC STRONG MOTION RESID �''IOOU:UO=VAI ,,T)I- SPECIAL CONDITIONS:
ARCADIA, CA 91006 D2 PERMIT W/0 EN' HC
/11000.00 VALE 234.,75
¢ FEES ' �� 263:601
CONTRACTOR: TEL. N0: ,.i/ .APPROVALS DATE INSPECTOR SIGNATURE
SUNSET ROOFING (818) 357-3996- 3, ,.��// Ll' �' / e a
5660 GARY PARK AVE. LIC. NO ;;' _ „1, �,• LOCATION A SETBACKS
ARCAD IA, CA. 91006 603218/C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: . N0: ;i, .�'� ''l-J" �I1d �J�� �l', 'I f_ ' FOUNDATION/TRENCH FORKS
LIC. N0: '' ` - - - ;- i ' s ' - -, ,' SLAB/UNDER FLOOR
`'Q l r�
ii RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: y ' ��� �Z �/' / UNDERFLOOR INSULATION
147H269 3 07 F�� A�/
NO. OF FAMILIES: DWELLING UNITS: APT/CON : STAT CLASS:
FLOOR S I G
NO 21 ------ ' "`� NOOF EATHING
SCHOOL WITHIN HAZARDOUS SHEAR P LS
AIR QUALITY: 1000 FEET MATERIALS J�=
NO NO NO �J FRAME INSPECTION
REQUIRED TOTA SETBACK FROM EXIST FIRE S RIN LER NG RS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION WEATHER STRIP
SIDE PL-
T RIOR LA /DR ALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
OT ORAI AGE
REPORT ID: DPR261 ROUTE TO: BS0508