HomeMy Public PortalAbout9831 WENDON ST_Building__ i
DEPARTMENT OF BUILDING AND SAFETY APPLICATIO FOR PERMIT
COUNTY OF LOS ANGELES U � G
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DIS ICT NO. PLAN CK. NO. PEfIIT NO.
BUILDING vll��ff
ADDRESS �" u
LOCALITY EIVED BY Z7E OF APPL. DA ISSUED
NEAREST
CROSS ST. BUILDING
ADDRESS
OWNER
MAIL LOCALITY
ADDRESS TEL. NEAREST
CROSS ST. O'
CITY NO. FIRE NO. OF GRCJ�P�
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO. BLDG.
SETBACK LINE L
ADDRESS APPROVED
TEL BY DATE
CONTRACTOR NO. USE APPROVED
ZONE 4+f BY DATE
r ADDRESS HOUSE NUMBERING
LEGAL1
DESCRIPTION I LOT
yN BLOCK MAP NUMBER' ?td FIELD CHECK BY
TRACT
{ / s{ NO. ASSIGNED BY ATF
✓
NO. OF SLDGS. CORRECTIONS
SIZE OF LOT dS-r-a NOW ON LOT
USE OF NO. OF
k EXISTING BLDG. , I FAMILIES
DESCRIPTION OF WORK
NEW I &<ALTERATION I I ADDITION
REPAIR I I DEMOLITION I I I
SQ. FT. NO. OF
SIZE /�'�;� l.Q ROOMS STORIES It 7 &6
EXT.WALL ROOF
COVERING (/c-� s(�' I COVER'
ING..�d'2/zt��� � r�
USE OF STRUCTURE ��
&E
APPROVALS
INSPECTOR'S SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCTION..
_ L FURNACE: LOCATION,
SIGNATURE OF�� l�4;��,,4 j GAS VENT, DUCTS
PERMITTE�f� L
LATH, INT.
ADDRESS
r LATH, EXT.
AUTHORIZED AGT.
+ w PLASTER, INT.
F 78ABSBA•DHf>t 10-50 .s' P. C. 8
FEE PLASTER, EXT.
VALUATION E/ FEE � FINAL I ,���'i'j;• ��w. ,`.'' i/ �i��
DEPARTMENT OF COUNTY ENGIIM
DIVISION OF BUILDING AND SAFETY -
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDINGDISTRICT NO. PLAN CK.OR REc.No. PERMIT NO.
F-Teml2le
m9831q rWendo n Ave.',
T e l e Cit RECEIVED BY DATE OF APPL. DAT SSUE
Golden West
a�4 e r M� s3
BUILDING O�p I (lrn e
- ADDRESS �l O C'9(
Jenkins
IL
MA 9831 �'lle ndo n Ave.IL LOCALITY 1
Gity No AT 0 2929 cROSSST. �c3kcJ) Pen VV�2�
ARCHITECT OR TEL. FIRE I NO. OF I TYPE,: I GROU
ENGINEER NO. ZONE PLANS ��
ADDRESS BLDG. r7µ -C' O D NO.
SETBACK LINE
CONTRACTOR Self NLAT 0 2929 USE APPROVED '
ZONE - BY DATE
ADDRESS Avg, HOUSE NUMBERING 1
LEGAL t� MAP NUMBER �� NO. ASSIGNED BY �' `S
DESCRIPTION I LOT NO. 2 I BLOCK A
TCORRECTIONS
TRACT 11386
SIZE OF LOT Y I I NO.OF BLDGS.
NOW ON LOT
USE OF NO. OF
EXISTING BLDG. }�Afi1f� Y1P.f?A I FAMILIES 1 '
DESCRIPTION OF WOR$ �/ff ;"`f; O -
NEW $ ALTERATIONADDITION REPAIR -I DEMOLITION -I Ix
L+ `y /n '"'� `! D
SQ. FT. NO.OF !1 /rL•��� I� �CI� �a I!!J�' 1'
SIZE 440 ROOMS STORIES y
EXT.WALL ROOF
COVERING StUnno COVERING C:Om a ShyA VAZ?
USE OF STRUCT RE
GARAGE )-!r/li-r.Rl+r'
J[�rid i/G•cq, //T�f��'t L�
APPROVALS
INSPECTOR'S SIGNAT RE DATE
FOUNDATION:LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING. BOLTS
CORRECT.
I AGREE TO COMP Y WITH ALL NTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWff RtI� TING BU G CONSTRUCTION. GAS VENT. DUCTS
URE
LATH, INT.
S P RMIYTE OF
ADDRE LATH. EXT.
L
PLASTER, iNT.
AUTHORIZED AGT.
C, PLASTER, EXT.
$ �OO FEE S HOUSE NUMBER COR-
RECT AND POSTED
VALUATION
FEE (p FINAL �`-�if /l`jl ✓ 12- T S
76A666A 1288 3 801 - tPl
,`, 10R&S'COMPENSATION DECLARATION
insurebo affirm that I have r certificate of consent to self AP I��� WILDING
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
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
ADDRESS 040,31
7--
❑ tion clep copy is filed with the county•buiiding inspec- BUILDING q B3 `A' E� ON` `*1Z6
+-� � � y� 1,d q1
�
tion de ariment. ADDRESS `,1N�/�B ,MVV 1V Y' �.G
Date Applicant CITY �1 o IOLEtV ZIP BO LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT 12 CROSS ST. ld
(This section need not be completed if the permit is for one eems�'' Q ASSESSOR
hundred dollars($100)or less.) TRACT J C� BLOCK LOT NO. MAP BOOK PAGE PARCEL
pp�� TEL.
I certify that in the performance of the work for w ich FSIs OWNER 0 `r��-Qn Re NO. USE ONE OP
permit is issued, I shall not employ any per n' an nner �'� I SPECIALi
so as to become subject to the Worker m ns i Law ADDRESS CONDITIONS 0'
i�7
h Date Applicant 80
CITY ZIP 9.` ! IX
T
NOTICE TO APPLICANT: If, after eking thiCertificate of ARCHITECT OR TEL. r DISTRICT GROUP TYPE FIRE PROCESSED BY O'
ENGINEER NO. CONST. ZONE
Exemption, you should become subject to the Workers' .r 'J ^ ()
Compensation provisions of the Labor Code, you must forth- ADDRESS ` 1/ _5
with comply with such provisions'or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CDO. fA
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 AARP
(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.� NO.OF NO.OF CHECK
License Number Lic.Class SIZEF5 S I STORIES FAMILIES ONE
uo
y� VALUATION
Contractor Date DESCRIPTION OF WORK Vcrz NEW ❑ $ I
❑I am exempt under Sec. ���� hgf$c ADD 1:1ALTER
B.&P.C. for this reason / �S REPAIR ❑ $ '? � Q
Date: USEEXIOIFG BLDG. / iP /i �f`^ DEMOL ❑ / lV!
Signature APPLICANT TEL. FINAL 2 13 3 6 A
OWNER-BUILDER DECLARATION PRINT NO. DATE 14 0 0 0 o a 1
1 hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL ( - 237.38
Professions Code): PRESENT BY
❑ I, as owner of the property, or my employees with ADDRESS o o'2 3 7 3 8 C
wages as their sole compensation,will o the work and LOCALITY 1 4f- �, _ ( 2 1 6-�8 8
the structure is not intended or offered for sale(Section ,
7044, Business and Professions Code). MOVING TEL.
❑ I, as owner of the property, am exclusively contracting I CONTRACTOR NO.
with licensed contractors to construct the,project (Sec- ADDRESS
tion 7044, Business and Professions Code). I
REQUIRED TOTAL SETBAC
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for I FRONT
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name V LDMA Ref. k
ot1
Lender's Address P.C.Fee$ Permit Fee nn
I certify that I have read this application and state that the Issuance Fee U �� LDMA P/C N
? above information is correct. I ggree to comply with all County Investigation Fee —
ordinances.and State la s r 1 ng to building construction, Total Fee ' a LDMA Perm. q
and hereb horize r r e tiv of this County to enter
5 upon t ab e- d p for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
gndture of Applicant or Agent Date '
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 0105230002
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST E ADDRESS:
TR: 11386 LT: 2 BL: A SQ. FT STORIES TYPE OCCUP GROUP 9831 WENDON ST
STRUCTURE: 455 1 VN R3 TEMP CA 917801727
ASSESSOR-INFORMATIONU B R: GARAGE: NEAREST CROSS STREET: GOLDEN WEST
5385-022-016 OTHER: THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
TENANT: - • S 0 SS 0 : PROCESSED E P 0
EXIST OCC GRP: 05/23/01 UT 11/19/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE L BY: CODE:
MALCYNSKI
TIMOTHY D;SUSAN (626) 286-1755- 22,000
9831 ,24-01 �� I 1Z /
TEMP 917801727 PA SC I 01 Or WORK f
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: RENEW PERMIT FOR BEDRM, BATHRM, LAUNDRYRN, & UPGRADE EXIST
APPLICANT:- E 0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 22000.00 VAL 2.20 SPECIAL CONDITIONS:
B2 PERMIT W/ENERGY 22000.00 VAL 46.02
TOTAL FEES 75.97
CONTRACTOR: TEL. 0: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO LOCATION D SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR G O: FOUNDATION/TRENCH F0 S
LIC. NO:. SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 01
LEVELFLOOR SHEATH
0. OF FAMMME-FMIONG UNITS: P /COND: STAT CLASS-
NO
SS:NO 21 ZND LEVEL FLOOR SHEATH
i
SCHOOL HAZARDOUS ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT'
REQUIRED 0 A -9ETBACK-FROM EXISTLDG MT. FRAMESP
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS
SIDE PL- �s- -- ���',= - . -
_ INSULATION/WEATHER STRIP
INTERIOR LA H DRYWALL
EXTERIOV-LATH
LOT DRAINAGE
SMOKEC
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508