HomeMy Public PortalAbout9713 WEDGEWOOD ST - Building ,\• �
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8.8\\ APPLICATION FOR BUILDING PERMIT
II•SS'r'�
j,TJN OF BUILDING AND SAFETY BUILDING
DVADDRESS
Department of County Engineer
County of los Angeles LOCALITY
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.,Oa
FOR APPLICANT TO FILL IN DISTRICT NO. GR� TYPE `SEWER MAP
BK P
CONST.
BUILDING �p '9
ADDRESS + y Q+
r NUM ER �(/ HWY STATE YES
-LOT NO.f/ BLOCK USE Z NE SPECIAL
�r CONDITIONS
'TRACT n
(� y�/��/ I NO.OF BLDGS�
SIZE OF LOT��� /f NOW ON LOT /�j(( BUILDINGEXIST.
USE OF
SETBACK YARD HWY STREET NAME WIDTH
EXISTING BLDG. FRONT
P.L.
OWNER / SIDE
P. L.
MAIL
ADDRESS / O TRACT DWELL. I UNIT
1 DWELL. 1 UNIT 6 -PUBLIC BLDG.
ARCHITE OR Jr TEL. 2 DUPLEX 2 UNITS 7 pDDN.,ALT., ETC.
ENGINEER NO. 3 APT. UNITS
ADDRESS ;Z!2 93 4 COMMERCIAL S MISCEL.
CONTRALTO
T INSPECTION RECORD
ADDRESS zci ]Z I- ••+l -tL(r I k. -
DESCRIPTION OF WORK
,
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. • "�" NO. OF NO.OF
SIZE STORIES FAMILIES
USEOFS CTURE
71)v 0* 0 V. ~���V. 1��A `�4�,ae4 4-h1%)t!AP
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SIGNATURE OF
APPLICANT APPROVALS
ADDRESS zvzoe /^ DATE INSP CTOR•SISIGNATURE
FOUNDATION:LOCATION
//l ld G P.C. $ (�f FORMS.MATERIALS
(0/ FEE FRAME: FIRE STOPS.
VALUATION S r (7(3 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. }� IIs ..Dl'Al Jh _
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. _ LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERM ITT RECT AND POSTED
ADDRES � / FINAL 4
JOHN A.LAMBIE.COUNTY ENGINEER V4IMATION CLYDE N.DIRLAM, CHIEF BLDG. INSPECTOR
C CI'/ MO CASH
C04421u- _1 23 16 18.00a � ✓
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4 5 2 0 •.JAN 2 8 1 3 6.0 0 �
76A639A C'E#803 8-64APPLICATION ICATION FOR BU IILLDI G PERMIT lul
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
, k
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE•. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSSUP'T.OF BUILDING CROSS ST. /
DISTRICT'.NO GRO TYPE. -PR S Y
FOR APPLICANT. TO FILL"IN :' CONST.
BUILDING STATISTICAL C A IFICATION SEWER AP
ADDRESS (P �� CLASS NO. DWELL UNITS BK PG
LOT NO. BLOCK USE ZONE MAP
ry 71 /t
TRACT g -T r SPECIAL V L/
NO. OF SLOGS.. CONDITIONS
SIZE OF LOT ��O /1 ® NOW ON LOT
USE OF_
X NG 11-01. V✓Pi BLDG. SETBACK FROM _
Q(J TEL'. FRONT PROP. LINE OF (STREET)
OWNER o TYPE OF EXISTING SETBAC1( HIG WAY + YARD = TOTAL
ADDRESS /� ([N Q HIGHWAY WI H IF 6M C.L.
CITY R/� li / 7 + _
ABLDG. SETBACK FROM
ARCHITECT OR TEL.
ENGINEER NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS / HIGHWAY WIDTH FROM C.L. a
CONTRACTOR r [�OQ NOL6 /Tc ((s�4(.7 + - O
ADDRESS_ S, Q NO.2! (/�tl CORNER CUTOFF YES � NO
O
CITY , CL SS SEE REVERSE SIDE FOR SPECIAL APPROVALS V
DESCRIPTION OF WORK �,fn /�. I�~ Aw�! a
NEW ADD ALTER REPAIR DEMOLISH
SO,FT. NO. OF NO. OF G^
SIZE STORIES FAMILIES ?�
USE OF ^ '4
STRUCTURE 44 itr�� �.✓ J `
LA
GNATURE OF +���Rb�1�rC.T.L' R=r.r ✓�� YL"+NSJi•"� /r �•.�i {�v��
PPLICANTALUATION$ f!
r �O 1 APPROVALSr,r��ATE INSPECTOR'S SIGNATURE"
FOFORMS.!MA� TERIALSON r' '� �L'•fj
FEE$ FEE$ l!
FRAME, FIRE STOPS; 1.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT I'. A • ./
AND STATE THAT THE ABOVE IS'CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DU.CTiS r
SUILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. 'S
_ TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S C ENSATION INSURAI 1!" a +q/�v�j--IV
LATH. EXT. J R
SIGNATURE OF HOUSE NUMBER COR-. �r
PERMITTEE RECT AND POSTE
ADDRESStz 2 Fl NAL
JOHN F. LEWIS. PRINCIP/tL STRUCTURAL ENGI ER
PLAN CHECK VALIDATION CK. M.G. CnSH- _ PERMIT VALIDATION CK. M.O. CASH
�:yi;0 8 6. 7 5 Fra 17 1 D 1 8.50—
M.
WORKERS'COMPENSATION DECLARATION
Workers'Compensation Insurnce,hereby affirm that I have certificate of consent to self
insure, or a certificate of I APPLICATION FOR BUILDING PERMIT
or a certified copy thereof(Sec. 3800, b. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy N I Company tze�er
❑ Certified copy is hereby furnished. I I FOR APPLICANT TO FILL IN BUILDING
ADDRESS
Certified copy is filed with the cou ty building inspec- BUILDING ✓J� ,,,'Cor
tion deportment. ADDRESS !/L/
Date t Applicant CITY ✓ ZIP LOCALITY
ERTIFICATE OF EXEMPTI FROM WORKERS' NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST.
(This section need not be completed If the permit is for one ASSESSOR
hundred dollars($100)or less.) TRACT i BLOCK LOT NO. MAP BOOK PAGE PARCEL
TEL. USE ZONE MAP
I certify that in the performance of the work for which this OWNER -� NO. NO.
permit is issued, I shall not employ any person In any manner SPECIAL
so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS O
U
Date Applicant CITY ZIP Ix
NOTICE TO APPLICANT: If, after•making'this Certificate of ARCHITECT OR TEL. DISTRICT GROUP I TYPE FIRE R ESSED BY O
Exemption, you should become subject to the Workers' ENGINEER NO. Q CONST,
ZONE V
Compensation provisions of the Labor Code, you must forth- ADDRESS �a If-3W
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFI TION C 10 AFT. CONDO. N
deemed revoked. CONTRACTO NO. Q
LICENSED CONTRACTORS DECLARATIONLIC, CLASS NO. DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. d� ( SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and LIC.
Professions Code, and my license is in full force and effect. CITY to CLASS BK A PG VALIDATION
hSQ.FT. NO.OF NO.OF CHECK
License Numbers 7 ,�Lic.Class SIZE STORIES FAMILIES ONE
VALUATION
Contract to $"� DESCRIPTION OF WORK NEW ❑ $ j r Uta
ADD ❑ ,
❑ I am exempt under Sec. TER ❑
B.BP.C. for this reason lox REPAIR ❑ $
USE OF
D e. EXISTING BLDG. DEMOL [E:]
Signature APPLICANT TEL. FINAL
NER-BUILDER DECLARATION PRINT NO. DATE
I hereby off' that I am exempt from the Contractor's License
Low for the following reason (Section 7031.5, Business and ADDRESS FI
Professions Code): PRESENT
❑ z
1, as owner of the property, or my employees with BUILDING
ADDRESS Q A
wages as their sale compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY # 0 0 0 0 0 .1
7044, Business and Professions Code). MOVING TEL. 0 1 3 5 2 5
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
CONSTRUCTION LENDING AGENCY
tion 7044, Business and Professions Code). 0 �'`� Z � U
REQUIRED YARD HWY TOTAL SETBACK Q
SET BACK PROP. LINE WIDTH
1 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
P.L.
Lender's Name
0
` LDMA Ref. #
Lender's Address
P.C. Fee$ Permit Fee
I certify that I have read this application and state that the Issuance Fee 1A f io LDMA P/C#
above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee LDMA Perm. fi
6 and h eby authorize representatives of this County to enter
upo a ibo - entioned Deny for inspection purposes.
JA
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date
i
` COUNTY-QF LOS 9gGELES 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 0103010006
PHONE: (626) 285-0488 EXT:
EGA ID: NO. OF CONST BUILDING D SS:
TR: 21833 LT: 17 SQ. FT STORIES TYPE 9713 WEDGEWOOD ST
STRUCTURE: 1600 VN TEMP CA 917802536
ASSESSOR rNMOMAMOR N NEAREST CROSS STREET:
8588-011-009 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
TE
NAN : EXIST B G USE: F USE ZONE: X 5 ED ON: PROCESSED BY: RES 0
EXIST OCC GRP: 03/01/01 UT 08/28/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL TE FI 09 CODE:
GEE, EVA ( 1,500
9713 WEDGEWOOD 312-1-Zok4fb
TEMPLE CITY, CA FEES PAID DESCRIPTION OF WORK
9 WINDOWS AND 3 DMS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
GT CONSTRUCTION (626) 285-2300- AA BLDG PERMIT ISSUANCE 27.75
5227 AGNES AVENUE AC STRONG MOTION RESID 1500.00 VAL 0.50 SPEL:AL CONDITIONS:
TEMPLE CITY 82 PERMIT W/ENERGY 1500.00 VAL 90.42
TOTAL FEES 118.67
CONTRACTOR: —TEL—NO:— APPROVALS DATE INSPECTOR SIGNATURE
G. T. CONSTRUCTION (818) 285-2300-
5227 AGNES STREET LIC. NO LOCATION AND SETBACKS
TEMPLE CITY, CA 91780 484056/B-1
SOILS ENGINEER APPROVAL
ARCHITECTOR ENG ER: TEL. 0: FOUNDATIONPRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED0 FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 01
N0. OF-FAMILIES: DWELLING UNITS: P SS
CO D: STAT CLASS: FLOOR SHEAT G
NO 21 ROOF SHEATHING
SCHOOL WITHIN A DO S SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED OTA SETBACK FROM XIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
I RI R LATH/DRYWALL
EXTERIOR LATH
RATED—PLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
R DS 50PN S
T-BAR CEILINGS
0 A
REPORT ID: DPR261 ROUTE TO: BS0508