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HomeMy Public PortalAbout10155 BOGUE ST_Building__ r DEPARTMENT OF BUILDING AND SAFETY �� APPLICATION FOR PERMIT (COUNTY OF LOS ANGELES 1 / WM. J. FOX. CHIEF ENGINEER B U I L I N U t' FOR APPLICANT TO FILL-IN FOR OFFICE USE ONLY BUILDING Baldwin Avenue DISTRICT NO. PLAN CK.NO. PERMIT NO., ADDRESS 5 � z V � 2- :5 -/(3 LOCALITY LOS Angeles County RECEIVED BY I DATE OFAPPL. DATEASSUED NEAR EBT CROBB ST. OWNERTj nde F' ADD EISS E MAIL �] - LOCALITY 2 L ADDREBB 2 SO Beverly Drives NEAREST �I- TEL. ��++ CROSS ST. CITY RP_VP.T� H;�.�R. Calif. NO. FIRE NO.OF TYPE OROS_. ARCHITECT OR TEL ZONE PLANS _1- ENGINEER Same as above NO. BLDG. , v ^ ORD.NO. ADDRESS SETBACK LINE ( `� APPROVED CONTRACTOR Same as above NEOL.BY DATE USE APPROVED ADDRESSZONE BY' DATE LEGAL DESCRIPTION I LOT NO. 132 BLOCK ��Q CORRECTIONS TRACT 16957 SIZE OF LOT X 107 A I NO.OF BLDGS. - NOW ON LOT one USE OF NO.OFNO.OF EXISTING BLDG. I FAMILIES I ROOMS DESCRIPTION OF WORK NEW jj_ ALTERATION ADDITION O A_ REPAIR MOVING DEMOLISH GI Sq.FT. ??36- NO OF 6 1 j SIZE ROOMS STORIES r COVERING WALL Stucco ROOF I COVERING Wood Shingl USE OF BUILDING W Dwelling and attached garage Plan 107 D-R ®/_=p 7c I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS - APPROVALS' APPLICATION AND STATE THAT THE ABOVE IS'CORRECTIN PECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAWS R BUILDING CD TRU ION. FORME. MATERIALS .,,u"� .V„- I FRAME: FIRE STOPS, u SIGNATURE OF inde Fin a velVent BRACING,BOLTS PERMITTEE �T. rlybn AUTHORIZED GT �j�jf/'��� ATH, EXT. �C�' [ 7GA63BA-3 7-49 $ P.C.$ PLASTER,INT. FEE PLASTER,EXT. VALUATION J FINAL FEE ,t COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL_ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0712110038 PHONE: (626) 285-0488 EXT: - LEGAL ID: j NO. OF CONST NEW BUILDING ADDRESS. ITR 16957 LT: 132 j SQ. FT STORIES TYPE OCCUP GROUP] 10155 BOGUE ST I ]STRUCTURE: 648 1 VN R3 I TEMP CA 917802703 ASSESSOR INFORMATION NUMBER: j GARAGE: j NEAREST CROSS STREET: BALDWIN 18586-019-015 j OTHER: j THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl ]TENANT: ]EXIST BLDG USE: USE ZONE: ]ISSUED ON: PROCESSED BY: EXPIRES ON: j ]EXIST OCC GRP: 112/18/07 SR 06/15/08 ]OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF7 AL DATES f FIN BY: CODE: j ]KIM, JASON YONGEE (626) 203-9193- 1 87,090 6� j 110155 BOGUE ST 1 ]TEMP 917802703 FEES PAID jDE CRIPTION OF WORK j j JSFD ADDITION BEDROOM, STUDY ROOM W/POWDER ROOM 648 S. F. (E) 1 I ]FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: jBATHROOM NEW CLOSET INTO BIGGER BATHROOM 190 S.F. 1 (APPLICANT: TEL. NO: j j I (KIM (626) 203-9193- jBl PLANCHECK W/ENERGY 87090.00 VAL 1,100.54 j I 110155 BOGUE ST. jAA BLDG PERMIT ISSUANCE 27.75 ]SPECIAL CONDITIONS: I ITEMPLE CITY CA 91780 JAC STRONG MOTION RESID 87090.00 VAL 8.71 j I IB2 PERMIT W/ENERGY 87090.00 VAL 1,294 76 I jFR INV WORK W/O PERMIT 257.00 DOL 257.00 j 1 ICONTRACTOR: TEL. NO: j - TOTAL FEES 2;688.76 ]APPROVALS DATE INSPECTOR SIGNATURE I--- IJASON YONGEE KIM (626) 203-9193- j 1 110155 BOGUE STREET LIC. NO j ]LOCATION AND SETBACKS j ITEMPLE CITY, CA 91780 NONE j ` j - I j I j ]SOILS ENGINEER APPROVAL j I j (ARCHITECT OR ENGINEER: TEL. NO: j - IFOUNDATION/TRENCH F01%MS 1ONAIL, CEZAR (661) 373-2747- 125745 PERLMAN PL LIC. NO: j 1S /UNDER FLOOR j 1 C012189 j jj 1 I j IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ] - (UNDERFLOOR INSULATION I j I I 3 Oil 1 11 I 1 j 11ST LEVEL FLOOR SHEATH INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS. j I I I I NO 21 j 12ND LEVEL FLOOR SHEATH j SCHOOL WITHIN HAZARDOUS j ]ROOF SHEATHING (AIR QUALITY: 1000 FEET MATERIALS j j_ j NO NO NO j ]FIRE DEPT. FRAME INSPECT( I� I j - 11 I ]REQUIRED TOTAL SETBACK FROM EXIST j ]BLDG DEPT.- FRAME INSPE I I ]SET BACK YARD: HWY: PROP LINE: WIDTH: j j - I •I j-FRONT PL- I ISHEAR PANELS SIDE PL- 1 IINSULATION/WEATHER STRIP11 f j 1- JINTERIOR LATH/DRYWALL _ �- 1 j ]EXTERIOR LATH 1 I j ]LOT DRAINAGE 1 I 1 j ]SMOKE DETECTION DEVICES ]FIRE DEPARTMENT APPROVALI j I j j 1 j j 1 1 ]REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT , DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0802190040 PHONE: (626) 285-0488 EXT: ILEGAL ID NO. OF CONST I BUILDING ADDRESS: 1 ITR: 16957 LT: 132 I SQ. FT STORIES TYPE 1 10155 BOGUE ST 1 I (STRUCTURE: 2300 V-B I TEMP CA 917802703 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN 1 18586-019-015 1 1 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON. 1 I 1EXIST OCC GRP: 102/19/08 SR 08/17/08 1 I I I I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: 1F AL DATE FINAL BY: CODE: IKIM, JASON YONGEE (626) 203-9193- 1 4,000 1 110155 BOGUE ST 1 1 ITEMP 917802703, 1 FEES PAID IDENCRIPTION OF WORK 1 I I ITEAR OFF EXISTING LAYER, USE 7/16 OSD PLYWOOD NAIL DOWN I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (BASE FLAT NAIL DOWN, 30 YEAR ASPHALT SHINGLES NAIL DOWN 1 (APPLICANT: TEL. NO: I I IKIM (626) 203-9193- IAA BLDG PERMIT ISSUANCE 27.75 I 110155 BOGUE ST. 1AC STRONG MOTION RESID 4000.00 VAL 0.50 ISPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 ID2 PERMIT W/O EN-HC 4000.00 VAL 115.80 I I I I TOTAL FEES 144.05 1 1 ICONTRACTOR: TEL. NO: I 1APPP,OVALS DATE INSPECTOR SIGNATURE IJASON YONGEE KIM (626) 203-9193- 1 1 1 ;- 110155 BOGUE STREET LIC. NO 1 ILOCATION AND SETBACKS I I I ITEMPLE CITY, CA 91780 NONE I I 1 ISOILS ENGINEER APPROVAL I I I I I I I I I 1ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I 1ONAIL, CEZAR (661) 373-2747- 1 1 I 1 I 125745 PERLMAN PL LIC. NO: I 1SLAB/UNDER FLOOR 1 I '• C012189 1 I I I I I I IRAISED FLOOR FRAMING 1 1 1 I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP. 1 (UNDERFLOOR INSULATION I I _ 1 •• 1147H269 3 Oil I I I - I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I NO 21 1 IROOF SHEATHING I I I I I I I I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I 1AIR QUALITY: 1000 FEET MATERIALS I I I I I NO NO NO 1 IFRAME INSPECTION I I I I I I I I I IREQUIRED TOTAL SETBACK FROM EXIST I (FIRE SPRINKLER HANGERS I I I ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I IFRONT PL- 1 11NSULATION/WEATHER STRIPI I I I SIDE PL- I I I I I 1 (INTERIOR LATH/DRYWALL I I I I I I I 1EXTERIOR LATH I I I I I I I 1 I (RATED FLOOR/CEIL ASSEM. I I I I I I I I I IRATED WALL ASSEMBLIES I I I I I I I I I I IRATED SHAFTS/OPENINGS I IT-BAR CEILINGS I I I I I I I ILOT DRAINAGE 1 1 I IREPORT ID: DPR261 ROUTE TO: BS0508 1 I I I I I I APPLICATION F�, _.joNG PERMIT �] COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT•TO FILL IN BUILDING ADDRESS I BUILDING ADDRESS hereby affirm that I have a certificate of consent to self Insure, I'��, t gp 4;UE or a certificate of Workers' Compensation Insurance,or a certified -0:1 J copy thereof(Sec 3800, Lab C) 'TEM R ZIP (Uy. 1. 1 � '`�-, LOCALITY /� Policy No Company SIZE OF LOT / NO OF BLD S NOW ON LOT NEAREST rfc► 7. El Certified copy Is hereby furnished �Z• + NEAREST CROs ST ❑ Certified copy Is filed with the county building Inspection TRACT BLOCK LOT NO USE ZONE MAP NO department 7-3 Date Applicant ASSESS K P P _/ SP CIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' ow .4140 TEL No /� COMPENSATION INSURANCE - WITHIN 1000 FT OF SCHOOLS YES NO (This section need not be completed If the permit Is for one hundred ADDRESS O(�� �`/ G A_ ,Jct uc 1✓ /SVS DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars ($100)or less) ZIP I certify that In the performance of the work for which this pCITY ermit IS issued, I shall not employ any person In any manner so*as to ARCHITECT OR ENGINEER become subject to the Workers'Compensation Laws _ STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO •�_� DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 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 P L LICENSED CONTRACTORS DECLARATION SIDE CITY LIC CLASS P L I hereby affirm that I am licensed Underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE NO OF STORIES NO OF FAMILIES .•�"- rJ Professions Code,and my license is in full force and effect. 0 NEW El BK PG !j DESCRIPTION F WORK VALUATION C License Number Llc Class �1iY, I���iG ADD $ C Contractor Date ALTER 49, ovaFO _ 7 I am exempt under Sec. V34_ N REPAIR El $ 40 c:;>,--, :-- • :,T h B&PC for this reason i'+- DEMOL ❑ =DMA PIC _!."' S'� - Date- USE OF EXISTING BLDG URM ❑ - Signature APPLICANT(PRINT)/�.,� L.,_ , TEL NO LDMA Perms ,�.f•. _ •_ I, as owner of the property, or my em oyees with wages as /"r��G W `� o O their sole compensation, will do the rk and the structure Is ADDRESS I� 1��� /yn not intended or offered for sale (Section 7044, Business and r �-• o [!L-r 'Or :'� FINAL DATE Q - Professions Code) f 1+� _• '{ (- WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ I, as owner of the property, am exclusive) contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q - , • ,rr p Y. Y 9 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE'S FINAL BY licensed contractors to construct the project (Section 7044, •_ Business and Professions Code) YES❑ IN = __:• - e n S.'r••: WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING •• OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _+t r'••'_•"" ji'j CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT iSCAOMD)SEE PERMITTING CHECKLIST FOR °.•11 S?'1 '_ GUIDELINES . I hereby affirm that there Is a construction lending agency for VES❑ No w the performance of the work for which this permit is Issued(Sec —-,r; ;_;•-.•• IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2•CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS' 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD _', ?( - --•, o Lender's Address —� OWNER OR AGENT O o I certify that I have read this application and state under penalty PC FEE PERMIT FEE 9 of perjury that the above Information Is correct I agree to comply o� �� �' " with all county ordinances and State laws relating to building ` c J M construction, and hereby authorize representatives of this County ISSUANCE FEE '..-✓ / - a �Dnteun the above mentioned prop rty nor Inspection purposes �7 G�'� �0 INVESTIGATION FEE TOTAL FEE r y` ✓ s, �or Agan , ome SEE REVERSE FOR EXPLANATORY LANGUAGE Q fV i ��•