HomeMy Public PortalAbout10165 BOGUE ST_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
;COUNTY OF LOS ANGELES ucl
U '
WW1. J. FOX. CHIEF ENGINEER
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN
DISTRICT NO. PLAN CK.NO. PERMIT NO.
ADDDRESS Baldwin AVei111@
LOCALITY Los Angeles County RECEIVED BY DATE OF APPL. DATE ISSUED
CROSS T. Live Oak Avenue /
BUILDING
OWNER Linde Finance & Development Corr). ,
MAIL So. Beverly Dawe, LOCALITY _r C
ADDRESS 232
NEAREST
CITY Beverly Hills., TEL CROSS ST:
Cal if aNO.' CR 5—hhcN
FIRE NO.OF TYPEr-y- GROUP
ARCHITECTOR ,,.., TEL. ZONE PLANS
ENGINEER Same as above NO.
BLDG. / OFjo.Mg.
ADDRESS SETBACK LINE Zc �"' �' L
APPROVED
TELCONTRACTOR e aS abode . BY DATE
NO.
USE •,/ APPROVED
AD REB17 ZONE BY DATE
LEGAL 2- CORRECTIONS
DESCRIPTION I LOT NO. 134 BLOCK
TRACT 16957
SIZE OF LOT
63 X 107 (Abt1W ON LOTS None
UBE OF NO.OF NO.OF
EXISTING BLDG. FAMILIM13 I ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
A
REPAIR MOVING DEMOLISH D_
Bq.PT. NO.OF Z
SIZE 1206 ROOMS 6 STORIES1 r
WALL ROOF
COVERING St"00 I COVERING Dol mi bVe
BUELDFINOW Dwelling and detached Raaaae
Plan 111 R„
tcs ' 7(S Yeg
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS/
APPLICATION AND STATE THAT THE ABOVE IS CORRECT IN PECTOR DATE
FORMS,
AND AGREE.TO COMPLY WITH ALL COUNTY ORDINANCES FLOCATION
FORMS,MAATT ERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. n�
FRAME: FIRE STOPS. O {f
SIGNATURE OF BRACING,BOLTS
PERMITTyr lAnde Finance .,e Develonm nt10
PO LATH, INT.
�ox
AUTHORIZED AOT O 11
t1A1t` k I 1 c+n U � Irin°�Ii�+A®F�rrsai rirsn F. LATH, EXT.
7SA63BA-3 2-SO $ ` (' P.C.s � PLASTER,INT.
7 p Com. FEE 1• PLASTER.EXT.
VALUATION �� T o FEE �/� a 0 FINAL I,r'
76A638A CE#8033-BFi"ItAP LICATION FOR R B UIL DING PERMIT`
A �
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY G
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST 62
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST.
DISTF�JCf y,0. GROUP TYPE PROC SSED BY
FOR APPLICANT TO FILL IN (J ay CONST.
BUILDING /� ,p STATISTICAL CL OSSIFICATION SEWER MAP
ADDRESS �I (7�u L BK PG
CLASS NO. DWELL UNITS .
LOT NO. BLOCK USE ZONE 'MAP,
TRACT NO.
6 SPECIAL
NO. OF BLDGS. / CONDITIONS }.\
SIZE OF LOT NOW ON LOT
USE OEXtSTIF _ "
L 1
NG K FROM
,, / ��" �EL FRONT PROP.CLINE OF C1f (STREET)
OWNER Z NO. —
TYPE OF EXISTING SETBACK HIGHWAY + YARD — TOTAL
ADDRESS S/ 04,-e HIGHWAY WIDTH F OM CC.LAF ,
CITY - e i21 L " I�7Q d�' .� + �0 = �-�J
ARCHITECT OR T L. BLDG. ETRACK
INFROM /i/Cf//h�Y ,•,fd
ENGINEER NO. SIDE PROP. LINE OF VGA ^ (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
11
CONTRACTOR O •- „S9 OR � � }
ADDRESS NO CORNER CUTOFF YES LIC NO V
IC
CITY 1 JWiiV CL SEE REVERSE SIDE FOR SPECIAL APPROVALS a
DESCRIPTION OF WORK
NEW ADD /t ALTER REPAIR _ DEMOLISHy ,�9
SQ
Q.FT. NO. OF NO. OF 7Z �AL
SIZE STORIES I/ FAMILIES /
USE OF __ � i • 7
STRUCTURE i
SIGNATURE OF
APPLICANT
VALUATION$ �: •00 APPROVALS DATE INSPECTOR'S SIGNATURE
PMT. J"
FOUNDATION, LOCATION
FEE$ FEES U v FORMS, MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
SUILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK -
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR COD-, F THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S CnM NATION INSU RANO LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS IX/ 4 , FINAL14
JOHN F. LEWIS. PRINCIPAL STIRD.K RAL ENGINEER
PLAN CHECK VALIDATION CK. M.o. CASH _ PERMIT VALIDATION M.OCASH
L& 7 4 S 3� MAR '7 1 D 8.0 0- 03
APPLICATION FOR BUILDING PERMIT it
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS
BUILDING ADDRESS
I hereby affirm that I have a certificate of consent to self insure, 'J O ��- e ��
or a certificate of Workers'Compensation Insurance,or a certified CITY C% ZIP
copy t r of(�, 3800,Lab.C.) y/ �t LOCALITY ���
Policy No• / 0,La C.Company - (�/L�ZIJ� Lr/� LE C Zr y G WOV
i`Z SIZE OF LOT NO.OF BLDGS.NOW ON LOT NEAREST CROSS ST.
❑ Certified copy is hereby furnished.
Certified copy is filed with the county building inspectio TRACT BLOCK LOT NO.
department. USE ZONE, MAP NO.
ASSESSOR MAP BOOK FSAGE PARCEL
Date Applicant 6,5d 01,7 SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OVrNEA
/vim NO.
COMPENSATION INSURANCE WITHIN 1000 FT.of SCHOOL? ves No
ADDRESS
(This section need not be completed if the permit is for one hundred DISTRICT GROUP TYPST.' FIRE ZONE ROC SED BY
dollars($100)or less.) ,�.g^ !� V //J�
I certify that in the performance of the work for which this permit
CITY�M�G� c T zpC� /1 7re /� t A {� e3
is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. �f'J� r/ I
1 3 )A —
become subject to the Workers'Compensation Laws. STATISTICAL CLA§SIfICATION APT f CONDO
Date Applicant ADDRESS CLASS NO. DWELL UNITS
NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, I CONTRACTOR TEL.NO.
p you ShOUId become subject t0 the Workers' 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.
1 /3W�/ PL
7� SIDE >'
LICENSED CONTRACTORS DECLARATION CITY /� LIC.CLASS P L C
I hereby affirm that I am licensed under provisions of Chapter 9 0Z41`� 46 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORES No.OF FAMILIES
Professions Code,and my license.is in full force an effect. I NEW ❑ BK PG , O,
DESCRIPTION OF WORK ❑ VALUATIONS/ NU
License Number ic.Class ADD as
ContractorA!!�YE Date V 21 ALTER
z
REPAIR 11 —
❑ I am exempt under Sec. $
BAP.C.for this reason DEMOL ❑ LOMA P/C#
Date: USE OF EXISTING BLD . URM ❑
Signature APPLICANT�(PJRINT ` TEL.NO. LDMA Perm#
❑ I, as owner of the property, or my employees with wages as S�il7 L / AL �� 7 /�f p
their sole compensation, will do the work and the structure is ADDRESS _ A',.�Iz•I .
not intended or offered for sale (Section 7044, Business and /U. G �F _ rYNvL` FIN D T Q a ,� y��
Professions Code.) ti3+R F# 1 _a
WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL'TO OR GREATER THAN .iy d E lug
❑ I, as owner of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINA Y � S�
licensed contractors to construct the project.(Section 7044, YES❑ N0)91 L lf/ TOTAL 105 m
Business and Professions Code.) -a-�--
WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING q
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH {; hi�;
KNGE _IS}
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. ;.,HA-w d.t-`5.i
n
hereby affirm that there is a construction lending agency for VES El Np-'�9
the mance Of the Work for which this permit IS ISSUed(Sec. 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD
3097,,Civ.CIV.C.). - PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES _
a0 COUNTY CODE,TIT E2,C APTER 2.20SECTION 2.20.100 THROUGH 2.20.140 CONCERNING. - /
;Z Lender's Name HAZ� DOUSl;1 IA' E�A STAININGAPERMIT FROM THE SCAOMD. 1 1=3=�+—= 3 4 17.1�+{0
Lender's Address / r f l rer a C h
10. OWNER OR AGENT 1.E'I'..a i ! a.ly,
o' 1 certify that I have read this application'and state that the above
g information is correct. I agree to comply with all county P.C.FEE PERMIT FEE
3N ordinances and State laws relating to building construction,and
a_ hereby authorize representatives of this County to enter upon ISSUANCE FEE a
th,�e�/gbove nti ��pection purp�o/ses. � /y�a i/L,'� 3 l & / INVESTIGATION FEE TOTAL FEE i!a't Jsp!SGL /
Slonaeum of Appawnt w Agan am
SEE REVERSE FOR EXPLANATORY LANGUAGE
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 917.80 BL 0508 1304220059
PHONE: (626) 285-0488 EXT:
ILEGAL ID: 1 NO. OF CONST 1 BUILDING ADDRESS:
ITR: 16957 LT: 134- I SQ. FT -STORIES TYPE I 10165 BOGUE ST
(STRUCTURE: 500 V-B I TEMP CA 917802703
(ASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET: BALDWIN
18586-019-017 1 1 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY CAI
1TENANT: (EXIST BLDG USE: DETAC USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I
1EXIST,OCC GRP: 104/22/13 SR
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFI/y,AL DATE FIj�V7/A�I�(y(/ABY: CODE: 1
IWEBER WAYNE R - (541) 659-4653- 1 1,650
11319-2-GOLDEN PARK
1GRANTS PASS OR 97527 1 FEES PAID IDESCRI TION OF WORK I
IREROOF DETACHED GARAGE 30 GAF NATURAL SHADOW TIMBER LINE I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ICOMPOSITION
1.APPLICANT: TEL. NO: I I I
18UFFINGTON, PHIL L _ (714) 401-4133- IAA BLDG PERMIT ISSUANCE 27.80 1 I
12450 HILLSBOROUGH IAB STATE GREEN BLDG FEE 1650.00 VAL .1.00 ISPECIAL CONDITIONS:
1CHINO HILLS CA 91709 IAC STRONG MOTION RESID 1650.00 VAL 0.50 - I
ID2 PERMIT W/O EN-HC 1650.00 VAL 82.20 I I
1 I TOTAL FEES 111.50
ICONTRACTOR: _ TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
ILBI GENERAL CONTRACTOR (714) 633-5503- 1
117853 SANTIAGO BLVD STE 107 LIC. NO 1 ILOCATION AND SETBACKS I I I
IVILLA PARK CA 92861 534482 1 1 I I I
I ISOILS ENGINEER APPROVAL 1
I I I I I I
1ARCHITECT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS I
LIC. NO: 1 ISLAB/UNDER FLOOR I
I I- 11
IRAISED FLOOR FRAMING 1 I
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( .(UNDERFLOOR INSULATION I I I
1 3 001 1 -1-1 I
I I IFLOOR SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I - I
-- NO 21. 1 _ IROOF SHEATHING 1 I
I I II I
I SCHOOL WITHIN HAZARDOUS I 1SHEAR PANELS Tr1 I
1AIR QUALITY: 1000 FEET MATERIALS 1 I I I I
1 NO NO NO 1 i 1FRAME INSPECTION I 1
I I IFIRE SPRINKLER HANGERS I I
(INSULATION/WEATHER STRIPI I
I - (INTERIOR LATH/DRYWALL I I I
I (EXTERIOR LATH 1 I
1 I RATED FLOOR/CEIL ASSEM. I
I IRATED WALL ASSEMBLIES I I
I I (RATED SHAFTS/OPENINGS 1
I 1T-BAR CEILINGS I I I
I ILOT DRAINAGE
IREPORT ID: DPR261 ROUTE TO: BSO508 1
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 1304220058
PHONE: (626) 285-0488 EXT: _
ILEGAL ID: - 1 NO. OF CONST'' I BUILDING ADDRESS:
ITR: 16957 LT: 134 - SQ. FT, STORIES TYPE 10165 BOGUE ST 1
I ISTRUCTURE: 1500 _ V-B I TEMP CA 917802703
(ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: BALDWIN 1
18586-019-017 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY CAI
TENANT:, IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 104/22/13 SR 1
I I I I
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFI-VAL DA FINAL BY: CODE: 1
IWEBER WAYNE R (541) 659-4653- 1 4,850 1
11319-B GOLDEN PARK - I I
IGRANTS PASS OR 97527 1 FEES PAID IDESCR PTI N OF WORK
I I IREROOF MAIN HOUSE 30 GAF NA RAL SHADOW TIMBER LINE
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ICOMPOSITION
(APPLICANT: TEL. NO:
IBUFFINGTON, PHIL L (714) 401-4133- IAA BLDG PERMIT ISSUANCE 27.80 1 1
12450 HILLSBOROUGH IAB STATE GREEN BLDG FEE 4850.00 VAL 1.00 ISPECIAL CONDITIONS:
ICHINO HILLS CA 91709 IAC STRONG MOTION RESID 4850.00 VAL 0.50 I I
ID2 PERMIT W/O EN-HC 4850.00 VAL 132.60 1
TOTAL FEES 161.90
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
ILBI GENERAL CONTRACTOR (714) 633-5503- 1 I 1
117853 SANTIAGO BLVD STE 107 LIC. NO ILOCATION AND SETBACKS
VILLA PARK CA 92861 534482
ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: 1 1"FOUNDATION/TRENCH FORMS I I 1
- LIC. NO: 1 - 1SLAB/UNDER FLOOR
IRAISED FLOOR FRAMING
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I ' (UNDERFLOOR INSULATION I
1 3 001 I 1-1
_1 IFLOOR SHEATHING I I
INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I h,
1 NO 21 1 IROOF SHEATHING I
I I I Y, I
I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I vI .
(AIR QUALITY: 1000 FEET MATERIALS I I
1 NO NO NO 1 1FRAME INSPECTION I I
. (FIRE SPRINKLER HANGERS I
(INSULATION/WEATHER STRIPI I I
I I I I
-I (INTERIOR LATH/DRYWALL
IEXTERIOR LATH I
I I I I I I
1 1 IRATED FLOOR/CEIL ASSEM. I
I I I I I I
' I - IRATED WALL ASSEMBLIES
IRATED SHAFTS/OPENINGS I I
IT-BAR CEILINGS 1
I I I I I I
ILOT DRAINAGE 1 I
IREPORT ID: DPR261 ROUTE TO: BS0508 1 I
I I I I I I
' 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 BL 0508 1303200008
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST NEW I BUILDING ADDRESS: I
ITR: 16957 LT: 134 I SQ. FT STORIES TYPE I-OCCUP GROUPI 10165 ROGUE ST
I ISTRUCTURE: , 1346 1 V-B R-3 I TEMP CA 917802703 i
(ASSESSOR INFORMATION NUMBER: GARAGE: I NEAREST CROSS STREET: BALDWIN
18586-019-017 OTHER: I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY CAI
TENANT: IEXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY:
IEXIST OCC GRP: 103/25/13 SR
I I I i
(OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFIN.L TE FIN Y: CODE: 1
(WEBER WAYNE R (541) 659-4653- 1 40,000 I 1 -
11319-B GOLDEN PARK I
(GRANTS PASS OR 97527 1 FEES PAID JDESCRI TIO OF WORK
I FRAMING REPAIR FROM FIRE DAMAGE, 2 NEW DOORS, 2 NEW CONST 1
I 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IWINDOWS, 11 RETROFIT WINDOWS, NEW DRYWALL @ DEN, UTILITY RM 1
(APPLICANT: - TEL. NO: I (AND STUCCO PATCH
IBUFFINGTON, PHIL L (714) 401-4133- IB1 PLANCHECK W/ENERGY 35000.00 VAL 563.30 1
12450 HILLSBOROUGH JAA BLDG PERMIT ISSUANCE 27.80 ISPEC:IAL CONDITIONS: - I
CHINO HILLS CA 91709 - JAB STATE GREEN BLDG FEE 40000.00 VAL 2.00 I I
1 IAC STRONG MOTION RESID 40000.00 VAL 4.00 1 1
1 _JB2 PERMIT W/ENERGY 40000.00 VAL 734.80 1
ICONTRACTOR: TEL. NO: I TOTAL FEES 1,331.90 JAPPROVALS DATE INSPECTOR SIGNATURE
ILBI GENERAL CONTRACTOR (714) 633-5503- 1 1
117853 SANTIAGO BLVD STE 107 LIC. NO I JLOC7=.TION AND SETBACKS
IVILLA PARK CA 92861, 534482 I I _
1 (SOILS ENGINEER APPROVAL
I I I I I I
JARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I
LIC. NO: ISLAB/UNDER .FLOOR
I _ I-_.- 11 I
I 1RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMr: 1 - (UNDERFLOOR INSULATION I I I
1 3 JCI 11 i
1 __! 11ST LEVEL FLOOR SHEATH I { 1
IND. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS I--
0 NO 21 I 12ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOT' SHEATHING
JAIR QUALITY: 1000 FEET MATERIALS 1 1
1 NO NO NO IFIRE DEPT. FRAME INSPEC 1 ' 1
'IBLDG DEPT. FRAME INSPECTI� F�
I - (SHEAR PANELS
I I
(INSULATION/WEATHER STRIP(
I-__ I
JINTERIOR LATH/DRYWALL 1
I I I EX'1'ERIOR LATH I I
I ILOT DRAINAGE Lo-1
_ ISMOKE DETECTION DEVICES
I I I I I I
IFIRE DEPARTMENT APPROVALI I
I I I I II I
1 'IREPORT ID: DPR261 ROUTE TO: BS0508 I�I