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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