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Home My Public Portal About9825 WENDON ST_Building__ APPLICATION FOR BUILDING PERMIT ' COUNTY OF LOS ANGELES, BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING D�tESS I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESSa � or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) �� OI em Pit ei ZIPw I'D LOCALITY Policy No. Company SI OF LOT `/ -� NO.OF BLDGS.NOW ON LOT ❑ Certified copy Is hereby furnished. Jy, 1� NEAREST CROSS ST. Certified copy is filed with the county building inspection TRACT `� � BLOCK LOT NO. department.., ``66 USE ZONE MAP NO. Date L-a$(Applicant �f f�KeAUA OR PBOOK PAGE PARCEL -� 4� PAGE SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' °WN11 Bek o2 �D f!!t( WITHIN 1000 FT.OF SCHOOL? YES NO COMPENSATION INSURANCE ADDRESS (This section need not be completed If the permit is for one hundred tVJEN to.%fJ DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP I certify that in the performance of the work for which this permit eelPte- C./ rL 9 d' ` 3 is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. J become subject to the Workers'Compensation Laws. LO '�pp� / yg= STATISTICAL CLLAfSSSIIFICATIO PT CONDO Date Applicant ADDRESS CLASS NO. 60 3 D UNITS NOTICE TO APPLICANT. If, after making this Certificate of CO OR e&,V TEL NO. REQUIRED TOTAL SETBACK FR EXIST Exemption, you should become subject to the Workers' [� SETBACK YARD HWY PROPLINE WIDTH Compensation provisions of the Labor Code,you must forthwith •"��W 4 Cly 3 9 FRONT comply with such provisions or this permit shall be deemed revoked. �4DDRESS LIC.NO. P L /A/I/ t ek.x0o.� ` SIDE �_ uoB LICENSED CONTRACTORS DECLARATION CITY LI .CLASS p L Oe � o .� c I hereby affirm that I am licensed under provisions of Chapter 9 � �A'` SEWER MAP v Np',� NO. FAMILIES cc STOR (commencing with Section 7000)of Division 3 of the Business and S FT.SIZ V3sWq Professions Code,and my license is in full force and effect. Z (ES NEW ❑ BK PG , (� 6 DESCRIPTIO OF WORK ADD ❑ VALUATION W License Number Llm Class y Contractor O e('s )QkSDate � S� ALTER ❑ $ ❑ I am exempt under Sec. REPAIR ❑ BARC.for this reason DEMOL N LDMA PIC N Date' / ro Yy�L USE OF EXISTING BLDG. URM ❑ Signature�P,r,4a.14"/ �/ moos APPLICANT PRINT) `/ TEL NO. LDMA Perm p " ' ❑ I, as owner of the property, or my employees with wages as •V e W12—as 620/2 Z their sole compensation,will do the work and the structure is ADDRESS O " not intended or offered for sale (Section 7044, Business and 7'Id�bfL�4-I C8� D W-t A A_ t>� / id, FIwU-DATE Professions Code.) C _ WILLTHEAPPLICANTOR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL �� h Y Y • ❑ I, a9 owner of theproperty, I OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN . am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044 YES❑ NO❑ -•_ - Business and Professions Code.) ' WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING "OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH "�'�•''.:- ) CONSTRUCTION LENDING AGENCY FOR GU DIEL INE MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST - - S. I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance of the work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES -• _ COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.2MIOD THROUGH 2.20.140 CONCERNING Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Lender's Address 0 OMIMoRAGMT 0 1 certify that I have read this application and state that the above Information Is correct. I agree to comply with all county RC.FEE PERMIT FEE / ordinances and State laws relating to building construction,and _ hereby authorize representatives of this County to enter upon ISSUANCE FEE ,�S the above-mentioned property for Inspection purposes. INVESTIGATION FEE TOTAL FEE yf` BlpnaWndAppOraM arA➢em Vmo C� SEE REVERSE FOR EXPLANATORY LANGUAGE e WORKERS'COMPENSATION DECLARATION I 'ere . tthat e certificate nf eAPPLICATION FORWiLDING PERMIT insureoaerf catof Worke s'Cesaon Insurance, or a ramified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES y BUILDING AND SAFETY Policy No. Company 5 yrr Aygo ❑ Certified co is hereby furnished. FOR APPLICANT TO FILL IN BUILDING PY Y ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS ' tn� 6S CITY`S ZIP d LOCALITY Date 9 Z Applicant „��,, 6 NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT ?— CROSS ST. COMPENSATION INSURANCE ASSESSOR o (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE - PARCELOX::� hundred dollars ($100)or less.) TEL' USE ZONE MAP OWNER NO. NO. 4" yah I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any mannerADDRESS / SPECIAL O}.. so as to become subject to the Workers'Compensation Laws. CONDITIONS O CITY d.44V16ZIP Date Applicant 4AG9L1E=OR TEL. DISTRICT �GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of EMGIAEER / NO D 277 CONST ZONE U Exemption, you should become subject to the Workers' jJ' 1 / p - U Compensation provisions of the Labor Code, you must forth- ADDRESS � �/ ✓ a with comply with such provisions or this permit shall beCON TEL STATISTICAL CLASSIFICATION APT. DO. N deemed revoked. v� CONTRACTOR 060d NO. /) 6Dola ? LICENSED CONTRACTORS DECLARATIONLIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS j '10619LOW D 04- NO.X53/&V? (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY PP`D10IV- CLASS fb BK. -4 PG if/ •VALIDATION �✓ SQ. FT. NO. OF NO.OF CHECK _ '- License Numbery ! �� Lic. Class SIZE STORIES FAMILIES ONE I �/� 9 NEIN ❑ VALUATION Contractory 1h�of 15 �•I A Date 7 Z DESCRIPTION OF WORK $ ADD .•— .' �:-- . � —. ..: ❑I am exempt under Sec. ALTER He)0 , , B.BP.C. for this reason USE OF REPAIR $ ❑ Date: EXISTING BLDG. e—%_-- JJD OL ❑ Signature APPLICANTTEL• FINAL OWNER-BUILDER DECLARATION (PRINT) O L DATE �— '-�� - = ' - -' -• I hereby affirm that I am exempt from the Contractor's License f� Law for the following reason (Section 7031.5, Business and ADDRE FINAL _.. _�.. Professions Code): PRESENT By BUILDING ❑ I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY , ' the structure is not intended or offered for sale(Section 7044, Business and Professions Code.) MOVING TEL. _o CONTRACTOR NO. - ❑ I,as owner of the property,am exclusively contracting _ with licensed contractors to construct the project (Sec- ADDRESS - tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for RONT the performance of the work for which this permit is issued L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name n Lender's Address P.C. Fee$ / 7� Permit Fee �� LDMA Ref. # I certify-that 1 have read this application and state that the Issuance Fee / LDMA P/C# above information is correct.I agree to comply with all County Investigation Fee Q ordinances and State laws relating to building construction, d •7 Total Fee% cO 01 LDMA Perm. # and hereby authorize representatives of this County to enter upon the above-mentioned pro erty for inspection purposes. o ��r[(a E•,J[ �j (/�(�11.,� •�$•� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Alepplicant or Agent Date APPLICATION FOR BUILDING PERMIT - COUNTY OF LOS ANGELES., i BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION i FOR APPLICANT TO FILL IN BUILDINGS o tS ' ILDING ADDRESS I G I hereby affirm that I have a certificate of consent to self insure, IBU 0, Z ( or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.38Lab.C.) ��i�T�— j O1 em jDl C�+ ZI /d 1-0 LOCALITY Policy No. Company�H/C FV�YJ g) OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. 11 y, cm NEAREST CROSS ST. AI•-Certified ,copy is filed with the county building InspectionTB^cT BLOCK LOT No. department. of 16k USE ZONE MAP NO. Date Applicant_AJ i&L / R�S R P BOOK PAGE PARCEL -1 1 !Pjq SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' _J.6Q 6TEL 71(6 KyOSCHOOL? YES NO WITHIN 7000 Fr.OF OOL7 COMPENSATION INSURANCE ADDR r ` (This section need not be completed if the permit is for one hundred W`N 0,%IJ DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) I certify that in the performance of the work for which this permit CITY �Yl (� 61 ZIP / .�D is issued, I shall not employ any person In any manner so as to ARCHITECT OR ENGINEER TEL No. J ✓ become subject to the Workers'Compensation Laws. �0 STATISTICAL CLsA1SS�IFICA;rUNITS�*� CONDO Date Applicant ADDRESS CLASS NO. NOTICE •TO APPLICANT: If, after making this Certificate of s REQUIRED TOTAL SETBACK FR EXIST Exemption, you should. become subject to the Workers' MNTZCTOR TEL NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith9)L14r.Lt life L .0 I.X3 rd Dmply.with such provisions or this permit shall be deemed revoked. ADDRESS/� - LIC.NO. PL I FRONT /A111 tek->>o&V SIDE' C LICENSED CONTRACTORS.DECLARATION CI LI cLnssPL I hereby affirm that I am licensed under provisions of Chapter 9 I 14A__ � . SEWER MAP r2 S FT.SIZ STORES NO.-OF FAMILIES I (commencing with Section 7000)of Division 3 of the Business and v Professions Code,and my license in-hill force and effect. I r Z. NEW BK I PG poll- - o• e 3J DESCRIPTIO OF WORK License Number ' 'r Lic.Class b e-4 Q4 W-� ADD ❑ VALUATION CO) Contractor s Date /6 M2 If 91 Com/�, ALTER ❑ $ `' _ I ' REPAIR ❑ ❑ i am exempt under Sea i $ 1 B.&RC.for this reasonDEMOLI p Date* ~� Y�� USE OF EXISTING BLDG. LDMA P/C q UPM. ❑ Signature�R... � �"";� APPLICANT PRINT) ,,.// TEL NO. LDMAI Perm q ❑ I, as owner of the property, or my employees with wages as VV K�I�t�S �y �v2Q( 4 Z �, their sole compensation,will do the work and the structure is ADDREss I O ; �_• i not Intended or offered for sale (Section 7044, Business and wet--001h D�2i.o N�/IL tA / FINAL DATE a i is_= Professions Code.) WILLTHEAPPUCANTOR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL .17 : — .,-.,...— I;: _ - _ten ❑ 1, as owner of the property, am exclusive) contractin with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN 4 L Y fl THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY t:10 licensed contractors to construct the project.(Section 7044 YES❑ ND❑ ;;E j! ; q j,':� Business and Professions Code.) Ii. DING OCCUPANT REQUIRWILL THE REE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THEUSE OF THE BUILDING BY THE APPLICANT OR FUTURE ILSOUTH i =4 31��.i!_ •;', CONSTRUCTION LENDING,AGENCY `COAST AIR QUALITY MANAGEMENT DISTRICT WAOMD)SEE PERMITTING CHECKLIST } FOR GUIDELINES. I hereby affirm that there Is a construction lending agency for ❑ NO❑ the performance of the work for which this permit is issued(Sec. YES "1{�, ,_?�i^j 3097,Civ.C•. I I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE QMD " '- H=• J:%.+: ,PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE IAS ANGELES .._"3:�;fir. • COUNTY CODE,TITLE CHAPTER 220 SECTIONS 22D.100THROUGH 220.140 CONCERNING �f j'_i.C• IT Lender's Name j HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 1 ° Lenders Address oxmm OR Aee+r _ o' I certify that I have read this application and state that the above J information Is correct. I agree to comply with all DP.C.FEE PERMIT FEE county ' ` ordinances and State laws relating to building construction,and hereby authorize representatives of this County to enter upon I ISSUANCE FEE 4 the above-mentioned property for inspection purposes. INVESTIGATION FEE TOTAL FEE y(` n 8gnMmcfApp wAgW Dob 1 lJ Of. 1 . SEE REVERSE FOR EXPLANATORY LANGUAGE, e WORKERS' COMPENSATION DECLARATION APPLICATION FORt--;U- �LDING PERMIT ' I hereby affirm that I have a certificate of consent to self insure,"or a certificate of Workers' Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) ' COUNTY OF LOS ANGE4FS y BUILDING AND SAFETY Policy No.—Company�5r�nr )ZK0 •-' BUILDING / ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS Date _97— Applicant- „ 4��` �� P�F'T"-S CI NO. 1 LOCALITY �IiG CERTIFICATE OP EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT Z NEAREST .- CROSS ST. COMPENSATION INSURANCE ASSESSOR O (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE1V.;2- PARCE44 hundred dollars ($100)or less.) TEL' USE ZONE MAP OWNER NO. NO. 95� Al.;L46 I certify that in the performance of the work for which this _ permit is issued, I shall not employ any person in any manner ADDRESS � CON DTIONS a so as to become subject to the Workers'Compensation Laws. O CITY ZIP Date Applicant OR TEL,MZ30 0,0 oZ NOTICE TO APPLICANT: If, after making this Certificate of ! NO p Z� DISTRICT GROUP CONST FIRE PROCESSED Q Exemption, you should become subject to the Workers' p� ) - Compensation provisions of the Labor Code, you must forth- ADDRESS !� �r/JO �� Y t” a with comply with such provisions or this permit shall be ( TEL. 1 PT. CONDrn deemed revoked. V\ CONTRACTOR J6 t`t� Q NO. /T bDOlO STATISTICAL CLASSIFICATION AO. Z 2 LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. o / DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS j %rTl 61kodobi 04- NO.S3%�Yby LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business Ao CLASS lb and Professions Code, and my license is in full force and effect. CIN r / �N� BK -i PG.4P/ -:VALIDATION _ License Number y j G�� Lic. Class SIZE STORIIEES L AMILLIIES I ONEK - - �! Z,. DESCRIPTION OF WORK NEW ❑ VALUATION Contractor�G::��`� � �•+[�Date �" •- •• Elam exempt under Sec. ADD $ ► -.71 .�" cr - - s ._ ALTER 7 QO i�': ��' :.. B.BP.C. for this reason REPAIR ❑ $ -.71 /�/ ; � r Date: USE OF _.... . ;••j':� EXISTING BLDG. jr a e-r_---- IDEMOL ❑ Signature APPLICANT TEL. FINAL (PRINT) O. Z OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License f1 = Law for the following reason (Section 7031.5, Business and ADDRE FINAL Professions Code): PRESENT By El , or m I, as owner of the property, o BUILDING P P Y Y employees P Yees with ADDRESS wages as their sole compensation,will do the work and ;'` .:1-11 i s the structure is not intended or offered for-sole(Section LOCALITY 7044, Business and Professions-Code.) MOVING TEL. "i_: El 1, NO. COr''-•: ___ : o^.•: I,as owner of the property,am exclusively contracting _ :�,-,• _ with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. ' CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for RON7 •� __ _, _ the performance of the work for which this permit is issued A. (Sec. 3097, Civ. C.). SIDE - i P.L. Lender's Name g DMA Ref. # P.C. Fee$ / 7 permit Fee Lender's Address 1 certify-that I have read this application and state that the Issuance Fee �� LDMA P/C# 8 above information is correct.I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, "/ Total Fee% a LDMA Perm. # and hereby,authorize representatives of this County to enter upon the above-mentioned pro erty for inspection purposes. o S�..�� ,j pro SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date COUNTY OF LOS ANGELES 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 0910130061 PHONE: (626) 285-0488 EXT: ILEGAL ID: I N0. OF CONST I BUILDING ADDRESS: ITR: 11386 IT: 2 BL: A UN: .003 I SQ. FT STORIES TYPE 9825 WENDON ST ISTRUCTURE: V-B TEMP CA 917801727 'ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: GOLDEN WEST 1 15385-022-015 I I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: ] ] (EXIST OCC GRP: 110/13/09 SR ]OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: ]FINAL DATE FIW BY: CODE: [THOMAS, EDWIN (626) 374-4998- I 1,380 I�� O I 19825 WENDON ST ITEMP 917801727 1 FEES PAID ]DESCRIPTION OF WORK yI I I IBATHROOM REMODEL, WATER DAMAGE, NEW DAM NEW FRAMING RE HANG 1 IFEE DESCRIPTION: QUANTITY: UOM. AMOUNT:IWINDOW PATCH STUCCO J (APPLICANT: TEL. NO: I I I (DAN MIKILASKO CONSTRUCTION (626) 716-2273- IAA BLDG PERMIT ISSUANCE 27.75 1 I 15048 UNIT A CALMVIEW IAB STATE GREEN BLDG FEE 1380.00 VAL 1.00 ISPECIAL CONDITIONS: 1 IBALDWIN PARK 91780 IAC STRONG MOTION RESID 1380.00 VAL 0.50 ] I JB2 PERMIT W/ENERGY 1380.00 VAL 90.42 I ] I 1 TOTAL FEES 119.67 ] I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE ] JDAN MIKOLASKO CONSTRUCTION (626) 338-0055- 1 1 I 15048 A CALMVIEW AVE. LIC. NO I ILOCATION AND SETBACKS ] I I IBALDWIN PARK, CA 91706 855601E I I-- ] [ I J I ISOILS ENGINEER APPROVAL ] I I [ARCHITECT OR ENGINEER: TEL. NO: ] IFOUNDATION/TRENCH FORMS I I I J LIC. NO: I JSLAB/UNDER FLOOR I I I J I (RAISED FLOOR FRAMING I I ] IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J (UNDERFLOOR INSULATION I ] I 1153H269 3 001 1 I I I I I IFLOOR SHEATHING ] [ ] INO. OF FAMILIES: DWELLING UNITS. APT/COND: STAT CLASS: I I I I ] NO 21 1 IROOF SHEATHING I I I [ SCHOOL WITHIN HAZARDOUS J ISHEAR PANELS I I I LAIR QUALITY: 1000 FEET MATERIALS I I I ] I ] NO NO NO J FRAME INSPEC9WA/ (REQUIRED TOTAL SETBACK FROM EXIST 1 FIRE SPRINKLER HANGERS I I ] ISET BACK YARD: HWY: PROP LINE: WIDTH: [ I I I ] IFRONT PL- I [INSULATION/WEATHER STRIPI I ] I SIDE PL- 1 I I I ] I I (INTERIOR LATH/DRYWALL I ] I I (EXTERIOR LATH I I I ] ]RATED FLOOR/CEIL ASSEM. I ] I I IRATED WALL ASSEMBLIES I I I 1 I (RATED SHAFTS/OPENINGS I I I I I [ IT-BAR CEILINGS 1 I I I ILOT DRAINAGE 1 I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I 1 ] I I I I I I