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HomeMy Public PortalAbout9843 WENDON ST_Building__ 'BAUM Cli BBS zho APPLICA'T'ION FOR BUILDING PERMI`f 1 COUNTY OF LOS ANGELES BUILDING 9843 E. Wendon Ave. ' ADDRESS . DEPARTMENT OF COUNTY ENGII�TEER Tem le Cit • BUILDING AND SAFETY DIWSION- LOCALITY P Y JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DI R1CT NO. ROUP TYp9 P CESSED HY. FOR APPLICANT TO FILL IN CONST BUILDING STATISTICA L CLASSIFICATION SEWER MAP ADDRESS • W O Ve• K CLASS.Nd — WELL.UNIT LOT NO. 3 West WOO- BLOCK MAP Q 3 'STATE YES NO NUMBER HWY. TRACT 11386 U,S�j•ZONE SPECIAL NO.OF HLDGS. .11A. {_�• CONDITIONS. SIZE OF LOT I NOW ON LOT 2 USE OF House 8e &rap�e EXISTING BLDG. O BUILDING' EXIST. TEL. SETBACK. YARD HWY STREET NAME yy. TH OWNER C B C NO. FRONT A IS• WSM071 Ve• emp a SIDE ARCHITECT OR TEL P•L• ENGINEER STANDAP PIAN NO. INSPECTION RECORD ADDRESS P0618.9 Ine a.q Tot S X32' O. DUf Ir es OneD.LVCL. , o a e v ESS DESCRIPTION OF WORK 21-�o" 15MV F/All rlieP O Y�ESFr �Aff S z NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF 04 SIZE594 STORIES - FAMILIES USE OF STRUCTURE Private O' : SIGNATUREO v APPLICANT l p. VALUATION$ 3200 oOO APPROVALS-/J EFi DATE INSPECTOR'S SIGNATURE /� FOUNDATION:LOCATION Z. J Q/p___y�O..Bn FEE '$ FEE $ /V .. FORMS MATERIALS I_A t/�G(iGLG.C.(Y I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME:FIRE STOPS, BRACING' BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE:LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS STATE LAWS REGULATING BUILDING 'CONSTRUCTION. I CERTIFY THAT IN DOING THE WOR)<AUTHORIZED I LATH,INT: WILL NOT EMP OY ANY PERSON 1N OLATION OF THE WORi<CMEN'S MP SATIO S F 1FOR iA. LATH,EXT. V OUSE NUMBER COR- SPIGNATUE F , i t RECT AND POSTED „� res ne : s 50 Ua FINAL '4 !1�// CLYDE N. DIRLAM, PRINCIPAL STR L ENGINEER PLAN CIECS VALIDATION Cw . O. CASH PERNIIT VALIDATION . M.O. CASs Llu4 5 1 7 7 \a ruu 18 > 3 '.D 7.5 0 M L;-U �� �/�/�9PYL'fiLG�l�c7/ ' ' • -APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT 'BUILDING AND SAFETY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESS f l t3 1'—''R1 e� NG ADDREBUILDSSfzy, (,117-Y �/�'v 0A LOCALITY ,q ��+ /r /' CITY !j6' (,J / ZIP 4? , NEAREST CROSS ST. {� / n �_ NO.'OF BLDGS. ASSESSOR ` SIZE OF LOT NOW ON LOT c;� MAP BOOK PAGE PARCEL C ��� DISTRICT GROUP TYPE FolRE PROCESSED BY TRACT I BLOCK LOT NC)',_QV_ $ �, i rl , CONST ? r OWNER N5J/v&..I+I NOLW Sr-/ STATISTICAL CLASSIFICATION A SEWER MAP ADDRESS .3 n�'A CLASS NO. �y DWELL,UNITS BK PG CITY / m Ga- C . ZIP ` :) USE ZONE NOP [/ ARCHITECT OR TEL. SPECIAL ENGINEER NO• r CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES[:] NO❑ CONTRACTOR TEL. BLDG.SETBACK FROM NO FRONT PROP.LINE OF (STREET) ' LIC. % TYPE OF ADDRESS NO. HIGHWAY YARD - CITY TOTAL SETBACK FROM HIGHWAY EXI LIC. FRONT PROP. LINE CLASS +. _ CONSTRUCTION LENDER �� 4 - y NAME AND BRANCH BLDG,SETBACKF M C ADDRESS CITY SIDE PROP.LINE OF (STREET) G. SQ. FT �^ NO. OF NO. OF CHECK HIGHWAY /} YARD = T S BACK FROM TYPE OF EXISTING I% SIZE �J STORIES J FAMILIES J ONE . PROP. NE HIGHWAY WIDTH DESCRIPTION OF WORK• NEW ❑ ADD C RNER CUTOFF YES NO ❑ 0 v LTE D, IDEPAIR[: l IN OPEN SPIACE YES ❑USE OF IN COASTAL;PERMIT ZONE YES E] NOEXISTING BLDG. EMOL ❑ APPLICA T � EL r - (PRI-T c ei� rp OF BY (SIGNATOR - '•1�"• 1 HEREBY ACKNOWLEDGE MAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- ' STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA I RATING TO WORKMEN'S COMPS ATION.INSURANCr F /zSIGNATURE FINAL ./', BY PERMITTEE ,tea DATE �7� ADDRESS �I v44 a/v TEL. CITY � 4_ NO, �S�s ' P.C.Fee$ _-z—­ Permit Fee - Q Issuance Fee VALUATION P ��. Total Feed PLAN CHECK VALIDATION CK. M.O. AS PERMIT VALIDATION CK. M.O. CASH 24:2:3_:© • . 72.°0 E - Ty � ~ 7GA.B3BA CK*8030 9z/7s i- .. 3..1 a4-SEP; 24 i:.© 1j�. .2 0.0 s98 y/_ .G-yam _ 16A689A CI{X90810-59 APPLICATION FOR BUILDING. PERMIT- COUNTY OF LOS ANGELES BUILDING4 . �. DEPARTMENT OF COUNTY ENGINEER AD°REss BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN SUPT of BUILDING CROSS ST. DISTRICT NO. GROUPI TypE PR SED BY FOR APPLICANT TO FILL IN coNsr. BUILDING / B ADDRESS 3 ' �N Q (� .�� STATISTICAL CLASSIFICATION ,I S RMAP ! Loi i � CLASS. O ELL.UNITS . LOT NO. O �J BLOCK NMAP STATE- . - j N NUMBER AE" 13 HWY. TRACT yw US$ZONE- SPECIAL NO.OF SIZE OF LOT�. (I I NOW ON LOTS' CONDITIONS USE OF EXISTING BLDG. PW e// ` e K BUILDINGEX18T. /� 7� .b SETBACK YARD HWY STREET NAME WIDTH OWNER-`MAIL �}`/fJ�t'' y if rd- r'i D FRONT ADDRESS ( (7 7 e7 /� IV �'p M� SIDE TEL CITY li P /G C! ll NO• P.L. ARCHITECT Off TEL. INSPECTION RECORD ENGINEER NO. ADDRESS /� TOr TEL J/ / t/ — - 1' I C.'YN- CONTRACR �. C�5(S Q NO. i (O 7 r ADDRESS 1103 G S. , /c+�ar I,✓ �} c�b�� �5'r.'-Ir�:l� dA/ 61AY'LL1,=/J DESCRIPTION OF WORK NEW V-00ADD ' ALTER REPAIR DEMOLISH NO.OF NO.OFQQ�� RS S ZET .��� STORIES FAMIILIES15 USE OF STRUCTURE DL ! f���' jf �J /f�.Alj r CI.N'6� C's Ca9�''6 G'r7/• C5.r7 /31- /1111/)fl.r'�_:- RAID 7'f}LL54� SIGNATURE OF f� G APPROVALS APPLICANT .fJ " � 'DATE INSPECTOR'S SIGNATURE. ADDRESS ,� 1 �4 FOUNDATION:.LOCATION �/� < $ FORMS.MATERIALS 21�5 ydyke �i P.C. 8 1. FRAME: FIRE STOPS. FEE BRACING,BOLTS _ FURNACE: LOCATION. VALUAT N FEE $ 4q_ FURNACE: GAS VENT.DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AF;-- PL P- LATH.INT. PLICATION AND STATE THAW1 AB IS CORRECT AND AGREE TO COMPLY ITH Ll C U Y O INANCES AND STH,EXT. STATE LAWS RE T G��NSTRUCTION.SIGNATURE OF HOUSE NUMBER COR- PERMITTEyDeRECT AND POSTED ADDRESS r7 e. I/ FINAL CLYDE N.DIRLAM,PRINCIPAL STR URAL-ENGINEER PLAN CHECK VALIDATION CK M.O. CASH - PERMIT VALIDATION' c M.O. CASH 5 2 9 8 0� 17 ,.1 9.00 ®�` . 7BA638A CE#803 2-63APPLICATION FOR BUILDING PERMIT ' COUNTY OF LOS ANGELES BUILDING 3 DEPARTMENT OF.COUNTY,ENGINEER ADDRESS BUILDING AND SAFETY—DIVISION' LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST- WILLIAM EAREST•WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. C DIS'71 RICT G UP TOE P. CE BY FOR.APPLICANT TO FILL IN . ',Q NST. BUILDING STATISTICAL CLASSIFIC ION SEWER MAP ADDRESS - G�/ENd�I� ur, P CLASS. NO. D, LL.UNITSl- B LOT NO. 3 (.V- O, BLOCK WATER NOT REQUIRED rV RECEIVED CERTIFICATE: LAJ El TRACTMAP , HIGHWAY STATE MAJOR SECOND,LOCAL O.OF BLDGS. - NO. ICIRCLE> SIZE OF LOT NOW ON LCT USE ZONE SPECIAL USE OF � CONDITIONS EXISTING-BLDG. C:A Ge OWNER A, pt Q V. NO I DING YARD HWY STREET NAME EXIST. �J� 77��,�� n SETBACK WIDTH ADDRESS - T� ��Do N T.0- FRONT b / ENGINEER ARCHITECT-CFR U NO. SIDE b a P. L. ADDRESS JJ d TEL. O CONTRACTOR NO. U ADDRESS O DESCRIPTION-OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF -NO.OF' , SIZE STORIES.4 FAMILIES Piz lz USE OF - STRUCTURE17 SIGNATURE OF 2La APPLICANT VALUATION $ G� APPROVALS DATE IN SIGNATURE P.C. PMT. Q O FOUNDATION:. LOCATION FEE $ FEE $ FORMS, MATERIALS 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS ' BUILDING CONSTRUCTION. 1 CERTIFY THAT'.IN DOING THE WORK' AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.- TION OF THE.LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT: ' - SIGNATURE OF HOUSE NUMBER COR- PERMITTEE �' RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. RIM -71- L ST ' RAL ENCrONEER PLAN CHECK VALIDATION cit. M.O. CASH PERMIT VALIDATION CK. ' M.O. CASH 4 L ;O:9. 9 7 73-AU' 7,':'t 'i..Q' 1'2:00 ��. .1.76A638A•-CE#603 9.67 •����'� APPLICATION FOR BUILDING PERMIT COUNTYQ,OF LOS ANGELES BUILDINGI-✓Ei(//�a�V' DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST /� J 7- DISTRICT W. JENKINS, SUP*T of BUILDING CROSS ST. CT 10 G. D E 4245 S FOR APPLICANT TO FILL IN DISTRICT GNO. GROUP TYPE PROCESSED BY Print ort a only) C7 O � CONST BUILDING79, 13 STATISTICAL CLASSIFICATION EWER MAP ADDRESS CLASS NO. C9 DWELL.UNITS _ BK/ PGd1 LOT NO. G Q GtF 3 BLOCK USE ZONE' MAP 7 R_� NO. 02 00 J TRACT oSPECIAL NO.OF BLDGS. 7Z DO CONDITIONS SIZE OF LOT NOW ON LOT USE OF n�^^ EXISTING BLDG. ��/ .� BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) OWNER _ QQ/� NO.,Z c7 TYPE OFEXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS /' � /�+/(/�� �'Ve HIGHWAY WIDTH FROM C.L. CITY E/�/�e�G C�/ 3Getii. (� li'0 = LO BLDG.SETBACK FROM ARCHITECT OR c. TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS •HIGHWAY WIDTH FROM C.L. TEL. + CONTRACTOR SEG/ NO. C ADDRESS NO. CORNER CUTOFF YES ❑ NO C CITY LASS SEE REVERSE SIDE FOR SPECIAL APPROVALS t DESCRIPTION OF WORK L`I C7 Z NEW ADD LTE REPAIR DEMOLISH SQ. FT. NO. OFNO. OF le SIZE STORIES FAMILIES / USE OF ce STRUCTURE SIGNATURE OF G - APPLICANT VALUATION$ �oa APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE$ FEE$ ' 00 OO FORMS, MATERIALS FRAME: FIRE STOPS, I 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK _ AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT• LATH, INT. ING TO WORKMEN'S COMPENSATION INSURANCE. 01 LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIIPA&ST RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 3 3 6 DEC 27 1 0 12.a'0, a + , r ' - 'WORKERS'COMPENSATION DECLARATION ' hereby affirm that I have a certificate of consent to self APPLICATION FORBUILDING PERMIT insure, or a certificate of Workers'Compen on Insurance a cert'f.'ned copy ere f(Sec. 3800, Lab. Policl(6 �� �pany ��ci �,.r✓' COUNTY OF LOS ANGELES BUILDING AND SAFETY + BUILDING Certified copy is hereby furni�ed. FOR APPLICANT TO FILL IN �1/��' ADDRESS Certified copy is filed with the county building inspec- BUILDING ( E // tion department. ADDRESS . . LOCALITY j� [Zs✓3 &V rJati, -� NEAREST ` 7' Date C� �� � Applicant �'7 -0 // CITY TC-111 C% T 111 ZIP CROSS ST. 4, CERTIFICATE OF EXEMPTION R O E SL'�✓ttitt NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONEMAP ) hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MN ��:01 >_ C+ TEL. . SPECIAL IL I certify that in the performance of the work for which this OWN E a:5 1� NO. CONDITIONS O DISTRICT �G.Rbup TYPE FIRE UIESS�Dk V • permit is issued, I shall not employ any person in any manner �' r , so as to become subject to the Workers'Compensation Laws. ADDRESS 9 yv eAJ ) A 116,, ) - J CONS�� CITY-r o / ZIP C/ a Date Applicant STATISTICAL CLAS ICATION APT. 1coNDO. / W ARCHITECT OR. TEL. t/ NOTICE TO APPLICANT: If, after making this Certificate of 2. 6• Exemption, you should become subject to the Workers' ENGINEER / ? 1 ��G-/7 - NO.3_3r CLASS NO DWELL. UNITS N Compensation provisions of the Labor Code, you must forth- �) +�- 4� / p p y ADDRESSJ'90� �� rrld��/A � (c' � SEWER MAP � with comply with such provisions or this permit shall be TEL. deemed revoked. CONTRACTOR + pp BK. PG, VALIDATION Pte. NO.�, �?'d LICENSED CONTRACTORS DECLARATION ,/� LIC 8 I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 5.30 P P/JLLr NO�IC7 3, VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. r Professions Code, and my license is in full force and effect. CITY �AJ ),QA CLASS $ ha ?,70 FT. NO.OF NO.OF CHECK L�ii%�nnse Number+ ggy Lic.Class ,,,„/ SIZE STORIES FAMILIES ONE DESCRIPTION OF WORKalc. NEW ❑ $ Contractor �.7�F I/� �Date Ca -XI I am xe�from the licensing requirements as I am a 91 ADD licensed architect or a registered professional engineer ALTER FINAL } acting in my professional capacity (Section 7051, REPAIR DATE r� dr Business and Professions Code). USE OF ❑ EXISTING BLDG. DEMOL FINAL By Lic.or Reg.No. Date APPLICANT ��`� TEL. ❑ S OWNER-BUILDER DECLARATION (PRINT) NO. ` 1 I hereby affirm that I am exempt from the Contractor's License r. / [.Ci Law for the following reason (Section 7031.5, Business and ADDRESSY Professions Code): PRESENT ❑ BUILDING I, as owner of the property, 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 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). 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 FRONT the performance of the work for which this permit is issued P L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name ' Lender's Address P.C. Fee$ Permit Fee ~" I certify that I have read this application and state that the Issuance Fee Y above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee S and hereby authorize representatives of this County to enter upo bo e-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 'Sli0 nature of Applicant or Agent Date ®s ter, APPL.ICATIC � ®R BUILDING PERMIT • COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FIiI_!RN BUILDING ADDR�ElgS I hereby affirm that I have a certificate of consent to self insure, B LDIN ADDSS �� �� � C� 7 �� �P• or a certificate of Workers'Compensation Insurance,or a certified ' copy thereof(Sec.3800,Lab.C.) d® a zIP / LOCALITY/ Policy No. Company SIZE OF LOT NO OF BLDGS NOW ON LOT El Certified copy is hereby furnished. NEAREST CROSSPIST ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL `,J SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' *Jei,�/ Ak 7 A WITHIN 1000 FT OF SCHOOL? ves G No COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred D DISTRICT GROUP TYPE CONT FIRE ZONE PROCESSED BYdollars($100)or less.) / a ZI I certify that in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. 42;2 1 DWELL UNITS NOTICE 70 APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO PL > SIDE tl LICENSED CONTRACTORS DECLARATION CITY LIC CLASS PL CC', I hereby affirm that I am licensed underprovlsions of Chapter 9 EWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT SIZE NO.OF STORIES NO OF FAMILIES d' Professions Code,and my license is In full force and effect. NEW BK PG F License Number Lic.Class D C N O WORK ADD 11V$ALUATON7 ® d LL Contractor Date ALTER ❑ ❑ 1 am exempt under Sec. REPAIR ❑ $ Z BAP.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG URM ❑ 9q Signature APPLICANT(PAINT) TEL NO LDMA Perm# 1 131, as owner of the property, or my employees with wages as z ACCT. their sole compensation, will do the work and the structure Is ADDRESS 0 "��'i 3-+ 3 209.25 not intended or offered for sale (Section 7044, Business and FINAL DATE Q 0. y ./Professions;Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL iT`1 N:S OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE i I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDESa e 5 licensed contractors to construct the project (Section 7044, FINAL BY/ , > �;7T��'_ '�'jL'I� ,-+r, �,'�':_n Business and Professions Code.) .ves 11 No 11WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING CHECK 209.25 i9n2r OCCUPANT REOUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH (� 1C �'y CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR Cpl`114 a 03 GUIDELINES I hereby affirm that there Is a construction lending agency for VES❑ NO❑ II the performance of the Work for which this permit is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOKD PERMITTING T5f 713 3097,CIV.C.) CHECKLIST I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, L.u�l �Qt S 2/ / Ln TITLE 2.CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS aaaa3333 Lender's Name MATERIALS REPORTING AND FOR OBTAIN.NG A PERMIT FROM THE SCAOMD 47'....I S Lender's Address pNAiR OR AG.NT $ 1 certify that I have read this application and state under penalty aPC FEE PERMIT FEE /J/ fC e of perjury that the above information is correct.I agree to comply d W with all county ordinances and to laws relating to building M construction, and hereby author' representatives of this Coun ISSUANCE FEE Q t er upon the abo menti rope for Insp�ctio urpos Z r�i/ INVESTIGATION FEE TOTAL FEE a law—aAW oAw-1 0.e rT O SEE REVERSE FOR EXPLANATORY LANGUAGE � � P COUNTY OF LOS ANGELES TEMPLE CITY w 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADDIIALT/REr-- BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0406030032 PHONE: (626) 285-0488 EXT: LEGAL D: NO. OF CONS NEW BU I LD RG ADDRE S: TR: 11386 LT: 3 BL: A UN: .003 SQ. FT STORIES TYPE OCCUP GROUP 9843 WENDON ST ASSESSOR INFORMATION NUMBER: — STRUCTURE: 134 1 VN R3 TEVIP CA 917801727 GARAGE: NEAREST CROSS STREET: GOLDEN WEST 5385-022-018 OTHER: 80 1 VN R3 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C TENANT:- S BLDG USE: SE 0 E: ISSU50 OJ: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/15/04 JK 0'1/10/05 OWNER: TEL. NO: BLOGS. NOW ON LUT: VALUATION: FINAL DA1F FINAL BY: ' LADE: LIU, CHUNG YUAN - 15,000 984 9843 WENDON ST -- TEMP 917801727 FEES PAID -DESCRIPTION GF WORK CONVERT FRONT PORCH TO CLOSET & FOYER, REMODEL EXIST BEDROOM APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOA: AMOUNT: AND ADD 1 BATHROOM SAME AS OWNER - B1 PLANCHECK W/"ENERGY 15000.00 VAL 281.06 _ AA BLDG PERMIT ISSUANCE 27.75 SPECIAL L6NDIfIONS: AC STRONG MOTION REESID 15000.00 VAL 1.50 B2 PERMIT W/ENERGY 15000.00 VAL 330.66 TOTAL FEES 640.97 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NOOCA1 AT Oil AND —1-SW S SOILS ENGINEER APPROVAL ARCHITECT O4 ENGINEER. TEL—A!n ---TAI, CLEMENT F0!;%'rn'•'O'•l�R,` !�CT��ORMS(62&) 286-0079- 9552 286-0079- 1 9552 WENDON ST LIC. NO: SLAB/UNDER FLOOR TEMPLE CITY CA 91780 NOME { RAf= FLUOR-FRA:;ING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: OP- UJ:DERFLt70R INSULATION 3 01 0. OF FAMILIES: DWELLING UNITS: APT/CGND: STAT—C CLASS: 1ST LEVEL FLOORSAT - NO 21 2ND LEVEL FLOOR SHEATH - SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO pJ0 FIRE DERE. �. :ME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT -— SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS - SIDE PL- INS LA ION/WFAT EL1 R STRIP INTERIOR LATH/DRYWALL EXTERIORLATH J LOT DRAINAGE / SMOKE DETECTION DE ICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508