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HomeMy Public PortalAbout9713 WEDGEWOOD ST - Building ,\• � 7SAS880D®e. 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 Cq 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 � ✓ :_��0 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