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HomeMy Public PortalAbout9830 WENDON ST_Building__ i8'A833ArEE #803 4/7 APPLICATION FOR BUILDING DING PE IT r 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 NEARESTIr CROSS ST. Print or tvDe oni ffLDI /. DISTRICT NO. GROUP TYPE /pR ESSED BY 83� `�� 00 A/ ® ��� � CONST.STATISTICAL CLA SIFICATION SEWER MAP BLOCK /CLASS NO. � DWELL.UNITS BK� PC��� U NE MAP +� NO.OF BLDGS. /� NO. SIZE OF LOT _ NOW ON LOT C SPECIAL USE OF I CONDITIONS EXISTING BLDG. S p OWNER f G -R j3(j`) NOL BLDG.SETBACK FROM ADDRESS "A © FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY + 1HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. 490 1 ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) 'vf `� TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR _ �ytvL��•,�Z NO. / HIGHWAY WIDTH FROM G.L. ADDRESSY 0n j lA5/--Aj /�IGLob9- NO.'/ ]� +/ + _ c CITY (a�C d 'G!j A CLASS B`� CORNER CUTOFF YES NO ❑ C NAME AND BCONSTRUCTRON ANCH CHNDER SEE REVERSE SIDE FOR SPECIAL APPROVALS u n ADDRESS v Z SQ. FT. NO. OF NO. OF NEW ❑ �"' I A DO A' .1 S •1.'I J'rJ SIZE STgBIES I FAMILIES USE OF r ADD C O r��l / .s." STRUCTURE N �' ALTER ❑ �dcc.e A R ER❑ SIGNATURE OF APPLICANT ❑ VALUATION S �� L/'� O� APPROVALS DATE INSPECTOR'S SIGNATURE FEE S FEES G-7. FOUNDATION:�/�7 FORMSMATERIAALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE' LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE F 'CALIFORNIA, IN RELATING TO WORKMEN'S COMP A N INSU ANC LATH, EXT. SIGNATURE O w f i HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS &zlFINAL JOHN F. LEWIS. PRINCIPAL STRU RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. M.O. CASH r~r. 0 4 �� 9� 8024 1 D 2 7.75- 76AG38A CEt1803 9-68 � #6609 APPLICATION FOR BUILDIN PERIVIVY COUNTY OF LOS ANGELES BUILDING East Wendon -�D DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY Temple City JOHN'A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. Ir FOR APPLICANT TO FILL IN DISTRICT NO GRf �P TYPE P D BY (Print or type only) -5- - 1)V Q BUILDING Q STATISTICAL CL SIFICATION SEWER MAP ADDRESS East Wendon ! a-2CLASSNO. DWELL.UNITS BK PG LOT NO. I5_ BLOCK USE ZONE MAP NO. TRACT113" S PECIA L NO.OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. Dwelling BLDG.SETBACK FROM OWNER NO. TEL' — FRONT PROP.LINE OF (STREET) eO 2 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESgr O H GHWAY WIDTH FROM C.L. CITY Temple Cit • + BLDG.SETBA OM ARCHITECT OR TEL. SIDE PROP.LINE (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. AY _ CONTRACTOR TEL. NO. + j ADDRESfDOO S San Gabriel B1 NL0'cl6Q65O CORNER CUTOFF YES ❑ I CITY San Gabriel 91776 CL a'ss 0-39 SEE REVERSE SIDE FOR SPECIAL APPROVAL CONSTRUCTION LENDER e NAME AND BRANCH ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ IZE STORIES 1 FAMILIES ❑ USE OF ADD STRUCTURE ALTER ❑ SIGNATURE OF REPAIR APPLICANT DEMOL ❑ VALUATIONS 416.00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEES FEES QQ FORMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTI ON. 1 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 COMPENSATION I URANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL. (� JOHN F. LEWIS. PRINCIPAL STRU )RAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. CASH Ar-' l sd'18 1 9.00� ''WORKERS' COMPENSATION DECLARATION ' � APPLICATION FOR BUILDING PERMIT 1 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 ANGELES BUILDING AND SAFETY Policy No. Company ' BUILDING ElCertified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS g� - ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS Date Applicant CITY ZIP LOCALITY NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) L' USE ZONE MAP OWNER O•��-d(•e�0 NO. 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 _ SPECIAL CONDITIONS IL so as to become subject to the Workers'Compensation Laws. 0 �������QQ��� clrY A zip gflll Date.L1��Applicant ARCHITECT OR TEL• T I ROUP TYPE FIRE PROCESSED BYNOTICE TO APPLICANT: If, after a ing this Certificate of ENGINEER N �DlCONST. E Exemption, you should become subject to the Workers' 25 q 'i 3 WCompensation provisions of the Labor Code, you must forth- ADDRESS N V a_ with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION AP 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. (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 CLASS BK. PG. VALIDATION SQ. FT.1 NO. OF NO.OF CHECK License Number Lic. Class SIZE ii L Ji/l/ STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK , NEW 1:1 $7 l — ❑1 am exempt under Sec. ADD ElLTER 110111.� A 1:1 B.BP.C. for this reason 7• REPAI $ Date: USE OF EXISTING BLDG. DEMOL Signature APPLICANT `n �L• FINAL OWNER-BUILDER DECLARATION (PRINT)11 W, LkJ O - DATE I hereby affirm that I am exempt from the Contractor's Licensec Law for the following reason (Section 7031.5, Business and ADDR � �7 FINAL 3307 ITEMS 60.50 Professions Code): PRESENT By 1 iTE!t ❑ I, as owner of the property, or m employees with BUILDING gcompensation, P P Y. YtADDRESS TOTAL60.50 wages as their sole com ensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY A ¢ 7044, Business and Professions Code.) MOVING TEL. CHECK Ll0.51l I,as owner of the property,am exclusively contracting CONTRACTOR NO.. with licensed contractors to construct the project (Sec- CHANGE olll� tion 7044, Business and Professions Code.) ADDRESS REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH hereby affirm that there is a construction lending agency for FRONT 0000-0001 11/28/85` the performance of the work for which this permit is issued P.L. o (Sec. 3097, Civ. C.). SIDE 7060 1 AM 9e 10 P.L. Lender's Name 02� /l LD MA Ref.# 8 P.C. Fee$ Permit Fee �J Lender's Address h I certify that I have read this application and state that the Issuance Fee �. v LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee- ordinances eeordinances and State laws relating to building construction, Total Fee S 0 LDMA Perm. n and hereby out or z representatives of this County to enter u n t e abov oned property for inspection purposes. o '�� I SEE REVERSE FOR EXPLANATORY LANGUAGE ignature 'Applicant or Agent Date WORKERS' QOMPENSATION DECLARATION I hereby affirm that I have a ce' ccf dte of con5enf to ielf APPLICATION F O R BUILDING p E RM I T insure, or a certificate of Workers' Compensation Insuror e, '' or a certified copy thereof(Sec. 3800, Lab. C. I COUNTY OF LOS ANGELES BUILDING AND SAFETY • � Policy No. Company ❑ Certified copy is hereby furnished. I FOR APPLICANT TO FILL IN BUILDING 7 ADDRESS El BUILDING / ' I(> Certified copy is filed with the county building inspec- ADDRESS ` lJ 1. � tion department. Date Applicant CITYareae ZIP 9 LOCALITY NO. OF BLDGS. NEAREST r�V CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. Hen 4l COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) I OWNER I (� `P NOGG �Q` USE ZONE MAP I certify that in the performance of the work for which,this NO. permit is issued, I shall not employ any person in any mariner ADDRESS Q I� SPECIAL �� CONDITIONS O so as to become subject to the Workers'Compensation Laws. 1 0 CITYr ARAN ZIP �/ 7211 Date Applicant ARCHITECT OR TEL. )) DISTRICT GROUP TYPE FIRE OCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER t R NO. �o' Exemption, you should become subject to the Workers' ii CONST. ` w Compensation provisions of the Labor Code, you must forth- : ADDRESS 11 �i, l a with comply with such provisions or this permit shall be • .;L Z TE T STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR N LICENSED CONTRACTORS DECLARATION � cc IC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS lJ � P, C1 O. (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 b(-I CLASS BK L PG $ VALIDATION SQ. FT [j NO. OF NO. OF CHECK License Number Lic. Class SIZE k STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK NEW VALUATION ❑I am exempt under Sec. 1 d /0 c ADD 10 $ ALTER ❑ BAP.C. for this reason REPAIR ❑ $ /0/I Date: USE OF }}��ee AJ11 EXISTING BLDG. V _ DEMOL ❑ Signature APPLICANT ( TEL, 1 PRINT NO FINAL OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS "cL6 L FINAL Professions Code): PRESENT By ❑ I, as owner of the roe or m employees with BUILDING property,NYS YLADDRESSwages as their sole compensation,will do the work andthe structure is not intended or offered for sale(Section 7044, Business and Professions Code.) TEL: I, as owner of the property,am exclusively contracting NO. ACCUTL with licensed contractors to construct the project (Sec- .,tion 7044, Business and Professions Code.) 3307 993°7rt REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 1 ITEMS 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. TOTAL 993.75 (Sec. 3097, Civ. C.). SIDE P.L. CHECK 993.75 Lender's Name n�P,C. Fee:$ g J Permit Fee . OSS LDMA Ref. # CH) E °�I+Lender's AddressI certify that I have read this application and state that the Issuance Fee LDMA P/C# , ,- above information is correct. I agree to comply with all County JInvest50 10'0 igee 0000-01,!01 12/ 8189 Zordinances and State laws relating to building construction, Total Fee ' LDMA perm. # 737 9:52= and hereby authorize representatives of this County t enter g° n the ove-mentioned property for inspectiio/n� ueos •q, /oC V / SEE REVERSE FOR EXPLANATORY LANGUAGE Signatu of Applicant or Agent Date WORKERS' COMPENSATION DECLARATION insure,hereby aa certificate of Wo ke s'tificate Compensat on Insur nceelf APPLICATION FOR BUILDING P E RM I T 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 QL0330 Wz / Dz?xl W4 ❑ Certified copy is filed with the county building in I ec- FADIDRE �a.1 pa. / M� J j tion department. w�ll f 1�►/�`^� /Date Applicant P/_ 0TV ZIP % rf �/ LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NOW ON LOT CROSS NO.OF BLDGS. ST.COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is foi one BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL.Nps G USE ZONE MAP NO. I certify that in the performance of the work for which this c i SPECIALapermit is issued, I shall not employ any peson in any manner J / � � CONDITIONS so as to become subject to the Workes'Compensation Laws. l7 O CITY i� zip �/ (-- v Date Applicant ARCHITECT OR TEL. W NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER ' NO DISTRICT G UP TYPE FIRE ICESSED BY O Exemption, yoshould become subject t the Workers' I� h`�G• ens A �j 0� �CONST. ZgbjlE 15 Compensation provisions of the Labor Code, you must forth- ADDRESS f{�- cJe with comply with such provisions or this permit shall be �7� �` STATISTICAL CLASSIFICATION APT. CONDO. to deemed revoked. CONTRACTOR NO.�7/ `KSI z LICENSED CONTRACTORS DECLARATION S 7—USC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS / C. r LIC. SEWER MAP ACC (commencing with Section 7000)of Division 3 of the Business /'_�r��/ ov' and Professions Code,and my license is in full force and effect. CITY r;7 f`-t c--l� CLjASS -� ALIDATION i3'' License Number Lic Class S. FT298 STORIES I NO. OF NO.OF • ONEK BK PG ��� 635.77 ;ALUATION ,�� 1 ITEMS Contractor Date DESCRIPTION OF WORK NEW -40 t]T ElCHECK77 I am exempt under Sec. ADD ❑ T�t �AL o ALTER ❑ ► G4CHECK0 77 B.BP.C. for this reason USE OF e REPAIR ❑ $ C�G nUV -- Date: EXISTING BLDG. Molle`e DEMOL ❑ Signature APPLICANT FINAL (PRINT) / -lp (p OWNER-BUILDER DECLARATION nn DATE Ot ]Ci-QCI1 10/17/89 1 hereby affirm that I am exempt from the Contractor's License ADDRESS t E. S U J. - o Law for the following reason (Section 7031.5, Business and FINAL 6259 1 AM11 43 Professions Code): PRESENT B ElI, as owner of the roe BUILDING y p p rty, or my employees with ADDRESS wages as their sole compensation,will do the work and , the structure is not intended or offered for sale(Section LOCALITY I�/ on( c7044, Business and Professions Code.) j,*�, MOVING TEL. M I,as owner of the property,am exclusively cting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) CONSTRUCTION LENDING AGENCY SETBACK YARD HWY TOTAPROE PpLINE FROM 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 3 P.C. Fee$ 36 Permit Fee LDMA Ref. # Lender's Address , 1 certify that I 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 ordinances and State s relating to building construction, Total Fee LDMA Perm.# and reby outhi re sentatives of this County to enter g n t above ti property for inspection purposes. o �,.� ® j SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of plie nt or Agent Date