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HomeMy Public PortalAbout9725 WEDGEWOOD ST_Building__ FWA638A C•E 0803 12/69 J APPLICATION FOR BUILDIN PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY , FOR APPLICANT TO FILL IN NEAREST 00.11, Print or tvoe onlvl CROSS ST. BUILDING / DISTRICT NO. GR P TYPE PR E BY ADDRESS J� • �� CONST, STATISTICAL CLASSIFICATION SE R MAP LOT T BLOCK ,r CLASS NO, DWEI I UNITS BK PG� TRACT an , . '1 USE ZONEI MAP I -7 � NO.OF BLDGS. NO. . P SIZE OF LOT :2 SIZE I NOW ON LOT 4 SPECIAL USE OF CON D1TI'ONS EXISTING BLDG. TEL.. OWNER NO. SETBACK FROM ADDRESS FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY HIGHWAY WIDTH FROM C.L. ENG NIEERARCHTECT OR • ' TEOL,. V } o BLDG. ETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) TEL. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CONTRACTOR (,�}'7A�/t NO, HIGHWAY WIDTH FROM G.L. LICADDRESS NO' t = C C CITY CLASS CORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER C NAME AND BRANCH , SEE REVERSE SIDE FOR SPECIAL APPROVALS C. Li + n o ADDRESS lljw 040ck Ee i �9:�Fco SQ, FT, NO. OF NO. OF SIZE STORIES FAMILIES NEW USE OF ADD ❑ `T C.�� ✓/a. /.� ,Sl STRUCTUR ALTER ❑ , 5 GNATURE REPAIR[] APPLICANT r DEMOL ❑ /T VALUATION r APPROVALS DATE SPoR's NATURE P,C, PMT. �j FOUNDATION: LOCATION / FEE's a FEES FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, 70 WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. / LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPE N3ATI0 INSUR/tyCE. LATH, EXT. SIGNATURE OF /l • HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS, PRINfCIPAL SrCK. RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION M.O. CASH 24-7R ALIIG1023 0 82.801 v 1 6762ti SEP15 ID 13 8.00- Q APPLICATION FOR -BUILDING PERMIT FOR APPLICANT TO FILL IN (Prim or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY 49 j7-WIGL Cr IP ! �' BUILDING AND SAFETY DIVISION NO.-OF BLDGS. BUILDING �! SIZE OF LOT_,V-.5' J(�J,0N0W ON LOT ADDRESS c .. TRACT BLOCK LOT NO. LOCALITY TEL. NEAREST OWNER U �w Cs�KlO - CROSS ST. ASSESSOR ADDRESS s � ��it?!(J!� MAP BOOK PAGE PARCEL c DISTRICT GROUP TYPE FIRE OC SED BY CITY /JJ CCT ZIP �/7�a r CONS ZONE ` ARCHITECT OR TEL. ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO.�_DWWELL•UNITS BK PG CONTRACTOR Q N0. ZONE NOP 6LIC. r,+ SPEC ADDRESS - NO.- IAL CONDITIONS CITY LIC. CONSTRUCTION LENDER CLASS ROA-D DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ - NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) C ADDRESS CITY c HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING C- SQ.'Fy? NO. OF NO. OF CHECK FRONT PROP. LINE- HIGHWAY WIDTH p SIZE S� STORIES ` FAMILIES ONE F DES'CRIP N OF WORK NEW El + - p ADD BLDG.SETBACK FROM v Al SIDE PROP.LINE OF (STREET) ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING rDEMOL EPAIRSIDE PROP. LINE HIGHWAY WIDTH EXIST NG BLUSE OF DG. fR�rL.4- ❑ + APPLICANT �,�T�4 CORNER CUTOFF YES ❑ NO E](PRINT) 0. IN OPEN SPACE YES ❑ NO ❑ BY (SIGNATURE) ,�� A QQIN COASTAL ZONE YES C-] NO E]VALUATION�P ��O'c7a CATEGORICAL EXEMPTIOJ_ •YES❑ NO ❑ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE LHAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT LOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF T "�IS F CALIFOR AIN RELATING TOWORKMEN'S COMP 5AN8.SIGNATURE OF . �,. PERMITTEE ADDRESS 9 G� sc�fz� TEL.Id FINALS BY CITY .� e < NO. ��% a�I.s DATE 11:1tiE (;NI:C:tiS Pr1}'AI3I.L: '1'O: FEE FEE HARVEY T. BR NDT, COUNTY ENGINEER /yf / PLAN CHECK V DATIO CK. M.O. CASH / PERMIT VALIDATION CK'. M.D. CASH n r. -4 % 4 2 3 D• 17.1 D� 76A638A CE#803 12/72 :- I4A638A �E #B03 4/72 ��- 1 APPLICATION POR BUDDING PERMIT • COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING , MAKE CHECKS PAYABLE TO: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALIT FOR APPLICANT TO FILL IN NEAREST Print or tvoe cnlvl CROSS ST. BUILDING DISTRICT NO. GROUP I TYPE PRO SSE BY ADDRESS =S iA-"F&Rr"_x ,�,c"7 � �� CONST. STATISTICAL CLASSIFICATION SEWER M LOT NO. BLOCK CLASS NO.g:2/_DWELL.UNITS BK P TRACT 1MC.6L„ fl'o U ONEMAP NO.OF SLOGS. NO. Q SIZE OF LOT ,,� X NOW ON LOT u,i SPECIAL USE OF �.+ CONDITIONS EXISTING BLDG. JJf .LC•/ r�!'`� OWNER( �:C�T' GGfSts` NO., BL G.SETBACK FROM ADDRESS 7. 5' jis' 1440.0 F NTPROP.LINEOF (STREET) TY0gOFjEXISTING SETBACK HIGHWAY + YARD = TOTAL HlGftYl WIDTH FROM G.L. ARCHITECT OR TEL. ENGINEER NO. D BLDG.SETBACK FROM 6 ADDRESS SIDE PROP.LINE OF (STREET) C TEL. TYPE OF EXISTING SETBACK- HIGHWAY + YARD = TOTAL c CONTRACTOR Lj/ NO, HIGHWAY WIDTH FROM C.L. C ADDRESS LIC. + _ NO. 4 LIC. v CITY CLASS CORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPR VALS w ADDRESS SQ. FT. 't' NO. OF NO. OF NEW ❑ / SIZE ST IES FAMILIES USE OF ADD STRUCTURE ALTER ❑ SIGNATURE OF REPAIR❑ APPLICANT DEMOL ❑ rt9 VALUATIONS APPROVALS DATE INsFo�s SIGNATURE P.C. PMT.S' FOUNDATION: LOCATION ( (I FEE 5 FEE$ , FORMS, MATERIALS I- 'f FRBRACINIGEBOLSTOPS, TS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, O WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. �a LABOR CODE OFJr1ll 9TA OF -CALIFORNIA IN RELATING TO WORKMEN'S COM ION TION Sul-Be U N E LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS :`S FINAL PLAN CHECK VALIDATION CK. M.O.' CASH _ PERMIT VALID TION CK. M.O. CASH c_ . f qr„ 0 5 8 073 APR 1 6 1 DI 850- CQ Os 76A638A CE 8803(REV,Z1/78) �- r APPLICA ON R B U ILD G E RM IV' -COUNTY OF LOS ANGELS _ BUIL ING AND SAFETY FOR APPLICANT=TO FILL IN BUILDING y, ADDRESS BUILDIN �• ` ADDRESS G� LOCALITY +--�►/� NEAREST ol CITY / .L.: ZIP - CROSS ST. NO.OF,BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK'� PAGE PARCEL DISTRICT GROUP TYPE FIRE P SED BY TRAg oe BLOCK LOT NO.. - CONST: ZONE OWNER NO. *j STATISTICAL CLCATION ER MAP ADDRESS CLASS N DWELL.UNITS BK CITY ZIP ENGIiNE O TEL. VALUATION $/�r ADDR BLDG.SETBACK FROM. L FRONT PROP.LINE OF (STREETI CO T TOTAL&eBACKFROM TYPE CI IXTSrING • • HIGHWAY + YARD LIC. - FRONT PROP.LINE GH Y WIDTH - AD NO. Q - LIC. + goa CITYBLDG.'SETBACK FROM CLASS CONSTRUCTION LENDER NAME AND BRANCH SIDE PROP.LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING 0 ADDRESS CITY SIDE PROP.LINE HIGHWAY-WIDTH. SQ.FT ��••�� NO.OF NO.OF CHECK + = V SIZE V ISJbRIES I FAMIES ONE ❑ USE ZONE �MAP O DESCRIPTION OF O1K NEW ECIAL ADD ONDITIONS ALTER ❑ FINAL 49 ZX_F BY a _z REPAIR ❑ DATE ff • UU EXISTSE OING BLDX, "`� DEMOL ❑ / 1 0 5 8 A APPLICANT TEL . �J (PRINT) NO. Q o 0 0 0 23 D BY(SIGNATURE)' ' a 2 a 'a 9360 IHEREBY ACKNOW E THAT I AV D THIS APPLICATION AND STATE uY a o - 9a605 THAT THE ABOVE IS RRECT AND A R T COMPLY WITH ALL ORDINANCESAND LAWS _ WORK AUTHOR Z�HEREBYBUILDING WILL CO 5 U I ANY PErIFY RSONFINTIN DOING THE VIOLAT ON OF FJ 0 17.02-80 THE LABOR COD THE STATE LI A RELATING TO WORKMEN'S COM- Z PENSATION IN CE.' g •6 SIGNAT OF- -91 0 5 9 A FERMI E - ADDRESS 4 Z #0 0-0 0 0 1 TEL. ° 2 . 12400 CITY NO. Q ' O a a 1 24,00 P.C.Fee$ Permit Fee 7 > 07.02-80 Issuance Fee W 6 Total Fee,/ V V WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS C17"Z ST' ❑ Certified copy is filed with the county building inspec- BUILDING . -f tion department. ADDRESS q725 C 141EVG45 U'�o-7 57- -7 A,C- G/7-; Date Applicant CITY fOP- C/7-1— ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST / COMPENSATION INSURANCE SIZE OF LOT-!rZ I:r 0 NOW ON LOT CROSS ST. �-��!7 LCk 5--7— (This i(This section need not be completed if the permit is for oneASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK 17 PAGE PARCEL TEL. USE ONE MAP 1 certify that in the performance of the work for which this OWNER N NO. permit is issued, I shall not employ any person in any manner - SPECIAL so as to become subject to the Workers'Compensation Laws. CONDITIONSADDRESS �� E ��� CONDITIONS V Date/0-25:47 APPlicant Rte; L H� ,` CITY ZIP / �7�� Ir NOTICE TO APPLICANT: If, after rata g i �ecite ofARCHITECT OR TEL DISTRICT G UP TYPE FIRE PRO ESSED BY O Exemption, you should becomgGENGINEER �'` CONST. ZONECompensation provisions of the abor Code, yous forth- ADDRESS with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFIC TION APT. CONDO. N deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. 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 CLASS BK PG VALIDATION SQ. FT,. NO.OF / NO.OF CHECK License Number Lic.Class SIZE x%017 STORIES / FAMILIES ONE h VAL AT �V DESCRIPTION OF WORK NEW ❑ ; Contractor Date 7 ADD ❑ ❑ I am exempt under Sec. �—APc-4et A p� ❑ (� e� ALTER y B.BP.C. for this reason J �r`C � � REPAIR ❑✓ $ r• Date: USE OF 26 S 11D f 4 C-9 DI MOL ❑ EXISTING BLDG. Signature APPLICANT 1 I TEL. �� FINAL � \ PRINT t3Ajl(j�.-1 4- r -- � NO. d. A 8 n( Q 9 OWNER-BUILDER DECLARATION DATE # o o X o o I hereby affirm that I am exempt from the Contractor's License ADDRESS '-FMA Low for the following reason (Section 7031.5, Business and I a a b a 6 3 Professions Code): P BY 6 8 6 BUILDING 3= �0 0 o v I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ® ( Q 0 5-8 7 the structure is not intended or offered for sale Section LOCALITY 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- ADDRESS tion 7044, Business and Professions Code). OF— CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAL SETBACK NEER 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. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref.# P.C. Fee$ Permit Fee Lender's Address s I certify that I have read this application and state that the � y pp� Issuance Fee � a 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 r LDMA Perm."#' and hereby authorize representatives of this County to enter $ upon bove-mentione property for inspection purposes. Y' O(J l0'7"O / SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0405200002 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONSTBUILDING ADDRESS: BK: 24 PG: 84 PC: 3 SQ. FT STORIES TYPE 9725 WEDGEWOOD ST STRUCTURE: 2500 VN TEMP CA 917802536 ASSESSORINFORMATIONNUMBER: NEAREST CROSS STREET: GOLDEN WEST 8588-011-035 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C ENANT: I BLDG USE: RESID USE NE: R- ISSUED ff PROCESSED B EXPIRES ON:- EXIST OCC GRP: 05/20/04 VG 05/15/05 OWNER: TEL. 5,000 #/ 9725 WEDGEWOOD ST TEMP 917802536 FEES PAID D SCI TIOt OF WOR T/0 EXIST ROOF, RESHEAT AND INSTALL 40-YR CLASS A TIMBERLINE APP CANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: HERNANDEZ (626) 350-8285- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONUITIONS: D2 PERMIT W/O EN-HC 5000.00 VAL 132.60 TOTAL FEES 160.85 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE HERNANDEZ ENTERPRISES ROOFING (626) 350-8285- 11803 CHERRYLEE DR. LIC. NO LOCATION AND SETBACKS EL MONTE, CA 917;2 HIC SOILS EN INEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0; OUN -OSIT EMC FICO-RMS LIC. NO: SLAB/UNDCi FLOOR RA-ISO-FLOOR f RAMIN i MAP NO: SEWER RAP BOOK: PAGE: ME ZONE: CMP: UNDERFLOOn IINSULATION XX 3 01 N0. OF FAMILIES: DWELLING UNITS: APT/CO D: STAT-CTSS: FLOOR SHEATHING SCHOOL WITHIN NO 21 ROOF SHEATHING Ctly 'L HAZARDOUS SHEAR-PANELS- AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQ RED TOTAL—SETBACK FROMXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/—W—E—A—TIER STRIP SIDE PL- INTERIOR LATH/DRYWALL — EXTERIOR LATH RATED L00 /C IL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS-- T-RAR HA TS/OP NI GS-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAG REPORT ID: DPR261 ROUTE TO: SS0508