HomeMy Public PortalAbout9873 WENDON ST_Building__ V-' W AND OMFITY ' rare •% AAWM r Wrs r ••MI •A
C�UOL�-X:WOA � GELES � � � � ® � N. J. FOXr BINEER
FOR APPLICANT TO FML nN FOR OFFICE USE ONLY
BUILDINR DISTRIOT No. PLAN or_Me. PERMIT No.
ADDRESS Wendon Avenue - C t (p
LOCALITY menie aity, slit IVlD DAT RA L DAT!INUE
CRORESTa•r Golden West venueS 3 . S
OWNER H. W. Button ,,..pd ADOADORN ° /� 7� ���� �d drat
MAIL 601 No. Howland LOCALITY r_ C.
ADDRESS
/� L. NEARlBT
CITY Temple Oity Nn�.�. 6-097'3 CRCBB BT. .�'T
TM RIR! NO.Or TYP B
ARCHITICUT ENB NEER ORAdgm II �1 O =ON! PLANS
p
ADDR 229 N. Peck Rd. El Monte
BETBAOK LINE
APPROVED
OONTRACWTOR ins, Trin TC ��, O BY - DAT!
=OM!UBE BYPR01(!D i0//f, DA ��-�
DRIBS L•L
LEMAL odp
DESCRIPTION I LOT Mo. 2 BLOCK
TRACT 1EI002
■I=!of LOT 60 1 0 NOW ON LOT° 0
S 13 Rl" 1 oY
UR!OR MO.OR No.OF
IBTINB BLDB OO A� /1 A o l
DESC EPTION OF WORE bCY/` 0 7W OLO r
NEW I X I ALTERATION I I ADDITION
REPAIR MOVINS DEMOLISHoil.rr. U.Or
L� �' /- ��• o
MIZE 1037 Rooves 6 Rromics , - 1
OOVlRINB onolRINB �WALL r T- - {�•
UBE OR NEW
BUILDING RA al I=nal
I
1 C3 " ^�
[.?
LAUTHURIAD
EREBY ACKNOWLEDB! THAT 1 HAVE READ THIS APPSOVALS
ATIMM AND STATE THAT THE ABOVE IB CORRECT OUMDATIONr LOOATION INBpIOTCR DA
BR!!TO COMPLY WITH ALL COUNTY ORDINANCES RORMS,MATERIALS j
TAT!LAWS RlSULATINB BUILDING CONSTRUCTION.
FRAMEr FIRE STOPS,
UR!OR / C / gag BRADINB BOLTS
R
LATH,INT.11
LATH,OIT.1
t Bert 4-w e � PLARTER.INT.
RE! �' PLASTER,OLT.ION Z•L�� FINAL /C►�[ ?9.�
F!E
1 - -
DEPARTMENT OF.COUNTY MqG MB
DIVISIOAND SAFFff
CNOOF B1 Lo-NGGEM
WILLIAM J. FOX, CouNTY ENGINEER. L
CA88ATT D. GRIMM, SUPT OF BUILDING � APPLICATION
FOR APPLICANT TO FILL. IN _ FOR OFFICE USE,ONLY
BUILDING DIST NO. PLANCK.Olt REC.No. PERMIT NO.
ADDRESS. C F y ` !� -
LOCALITY REG ED BY ATE F A DATE ISSU
NEAREST 7�K
9
CROSS ST.
WNER
BUILDIii��
ADDRZ .a
O _
MAIL LOCALITY �-
ADDRESS = NEAREST
CITY
TEL. CROSS STX-'-�dz G 497 Sv"'�-
ARCHITECT TEL, FIRE TYPE
ENGINEER NO, _ ZONE PLANS .
ADDRESS BLDG. a46O OR
SETBACK LINE A
CONTRALTO We L. USE APPROVED � o
ZONE DAT
ADDRESS ^ S �® HOUSE NUMBERING
LEGAL MAP NUMBNO. ASSIGNED BY
DESCRIPTION I. LOT NO. LOCK S
• CORRECTIONS
TRACT ,
OF BLDGs.
SIZE OF LOT.
I NOW ON LOT + 7�r✓�
USE OF NO.OF i.l
EXISTING BLDG. FAMILIEG
DESC-MMON OF WORE /L. /�':� ✓✓�T -? L.�ff il,, .o• _
NEW ALTERATIONADDITION
REPAIR I DEMOLITION I� I .1 IF Yd t �/� y U �
Sq. FT. NO.
I
T ' 7/? y Gr�r�r
SIZE 0RR=OS A STORIE
VRG ROOF
IPA,AjV1 G /W7-47 /r,
CEI COVERING
Alleo 55
USE OF STRUCTURE !) I71.l�f
F / r �
LL ff
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION:LOCATION
FORMS, MATERIALS 3
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN 18=7 BRACING, BOLTS !
CORRECT.IAGREE TO.COMPLY WITH ALL COUNTY ORDINANCES FURNACE:LOCATION, S �
GAS VENT, DUCTS `r"� "" `"� dvll.
AND STATE LAMUBUI 'd f ATH, INT. �tl�i1 n �7
SIGNATURE OF ��
PERWTTE1�ts`• `"
LATH. EXT.. `
ADDRESS
PLASTER, INT.
AUTHORIZED AGT.
PLASTER, EXT.
near$ FEE" 8
e ® HOUSE NUMBER COR-
RECT AND POSTED.
VALUATION FEE FINAL
76AS38A DBS 3 8-M _ __
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Pont o,type only)
BUILDING COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
CITY ZIP
.NO.OF BLDGS. BUILDING
SIZE OF LOT NOW ON LOT ADDRESS 3
TRACT BLOCK LOT NO. LOCALITY
TEL NEAREST
OWNER NO CROSS ST. .GG�CJ
ASSESSOR
ADDRESS MAP BOOK PAGE PARCEL
DISTRICT I GROUP TYPE FIRE SED BY
CITY ZIP CO :,NSZON
ARCHITECT OR
ENGINEER NO.
- STATISTICAL CLASSIFICATION SEWER AP
ADDRESS CLASS NO. LDWELL,UNITS BK PG
TEL. �
CONT R NO USE ZONEIMANOP G/
LIC .
ADDRESS t NO, �/ SPECIAL
LIC. CONDITIONS
CITY CLASS
ROAD D
CONSTRUCTION LENDER 'APARTMENT APPROVAL REQUIRED YES❑ NO❑
NAME AND BRANCH BLDG SETBACK FROM
FRON PROP.LINEOF (STREET)
ADDRESS CITY HIGH Y + YARD TOTAL SETBACK FROM TYPE OF EXISTING C.
A
SQ, FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH p
SIZE STORIES FAMILIES ONE F
Ell - u
DESCRIPTION OF WORK NEW p
ADDBLDG.SET v
SIDEPROP.LINEOF - STREET)
ALTER g _ TOTAL SETBACK FROM TYPE O EXISTING
37� HIGHWAY + YARD — SIDE PROP. LINE
FDEMOL
EPAIR HIGHWAY (DTH
USE OF
EXISTING BLDG. ❑ +
,APPLICANT /`� TE CORNER CUTOFF YES ❑ NO ❑
(PRINT) /L• NO s
BY (SIGNATU ) IN OPEN SPACE. YES ❑ NO ❑
Q `y/ IN COASTAL ZONE YES ❑ NO ❑
VALUATION CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ,THIS APPLICATION ENVIRONMENTAL
AND 'STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFOR A IN RE�.ATI NG TO
WORKMEN'S COMPEN ON It E.
SIGNATURE OF
PERMITTEE
ADDRESS
FINAL BY _
TEL. DATE f
CITY NO. ✓. ✓
MAKE C:HEC KS PA}'ABLE TO: FEE , FEE
HARVEY T. BRANDT, COUNTY ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O. CASH
3 9 S 473 DEC 5 - ? D
6.OOA
76A638A CE0803 12/72 ,
WORKERS'COMPENSATION DECLARATION
e,4fit � certificate consent
'aertifateof Workers' Insurance, APPLICATION FOR BUILDING PERMIT
0 or a certified copy thereof(Sec. 3800, Lab. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
P❑ollcy No. Company
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
ADDRESS
Certified copy is filed with the county building Inspec- BUILDING �j
tion department. ADDRESS 9ePI �e�i1 h�vL
Date Applicant CITY CA ZIP /�� LOCALITY [
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST.
(ThisSec ti dollars d not oe i ss)leted If the permit is for one TRACT BLOCK LOT NO. "ADASSERn
�. / q MAP BOOK PAGE PARCEL
OWNER. /- /. �'V NO % D USE Z NE MAP
I certify that to the performance of the work for which this _ NO.
permit is Issued, I shall not employ any person In any manner i ADDRESS SPECIAL
�– CONDITIONS
so as to become subject to the Workers'Compensation_LawJs. U
Dot e� Applicant e0--- CITY — C ZIP /
NOTICE TO APPLICANT:Pf of a making tb' Certificate of ARCHITECT OR ''T L. DISTRICT G OUP TYPE FIRE PROCESSED BY O
ENGINEER NO. CONST. ZONE Ct��
Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code, you must forth-
ADDRESS rf
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. NDO. fA
deemed revoked. CONTRACTOR Q NO. h A
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 and LIC. SEWER MAP
Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION
SQ.FT. i NO.OF NO.OF CHECK
License Number Lic.Class SIZE . STORIES FAMILIES ONE
' - vaLUA
Contractor Date DESCRIPTION OF WORK NEW E] s �c
❑ ,f��I /�L - tom//L <,�/�' �JC ADD ��JJ
I am exempt under Sec.
�� ALTER 0
110.
B.BP.C. for this reason 70 f3. t-M � �A A�Gul T� -REPAIR ❑ $
Date: USE OF MOQ
EXISTING BLDG. f�C'i�� / DEL
Signature APPLICANT r-/TEL. d d. FINAL
OWNER-BUILDER DECLARATION PRINT c .CC f"i/NO• � J� DATEO— 981 1.6A
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS PIN # o 0 0 0 0.1
Professions Code): R _ �I, BYmn
1, as owner of the property, or my employees with ADDRESS `� �� �H'Ur11 '( o o49,88
LP wages as their sole compensation,will do the work and ' LOCALITY 7 /7 ® 0 0 0 4 9 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 CONTRAZTOR NO. 1 0.1 5 -87
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
REQUIREDTOTAL SETBACK
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 LDMA Ref. #
Lender's Address P.C.Fee$ Permit Fee
I certify that I have read this application and state that the Issuance Fee 9 LDMA P/C#
o above information is correct. I agree to comply with all County Investigation Fee
0 ordinances and State laws relating to building construction, Total Fee LDMA perm. q
and hereby authorize representatives of this County to enter
$ upo a above-mentioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
641,gnature of piicont or Agent Date