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