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HomeMy Public PortalAbout10542 BOGUE ST_Building__ 76A636ACEk8032-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER• ADDREssrxg BUILDING AND SAFETY DIVISION LOCALITY _e v JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN,'SUP'T OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE PROCESSED BY FOR APPLICANT TO FILL IN . J/"�n,.Y L coNST.­�_P c� .BU.ILDINGj` STATISTICAL CLASSIFICATION - . SEWER MAP ADDRESS o ` O G U�/. CLASS. NO. !_DWELL. UNITS BK PG LOT NO.T0�'1 BLOCK. .WATER NOT REQUIRED ❑ .RECEIVED' 1:1^/ CERTIFICATE:- RACT, 286 .7 m t MAP HIGHWAY rre NO. OF BLDGS. NO. Q (CIRCLE) STATE MAJOR SECOND, O AL SIZE OV OT ? •5f 9 NOW ON LOT 'none USE ZONE SPECIAL ' USE OF CONDITIONS' EXISTING BLDG._ OWNEFBaldv,in Bldg. C NO - BUILDING EXIST. - SETBACK YARD HWY STREET NAME WIDTH ADDRESS 5041 'Baldwnn Temple Cit 'FRONT ARCHITECT - TEL. LLQQ ENGINEER You RodwFell NO.'sy -vU SIDE ADDRESS 221L Aralia Rd.1� P L O EV CONTRACTOR B NO .I ,43-5710 . ADDRESS 5o4l Baldwin Tan- le Cit O .. G DESCRIPTION OF WORK -z r NEW ADD ALTER REPAIR • DEMOLISH -y D /,y, h SO. FT.. O. OF NO. OF -7-�/� SIZE STORIES 2' FAMILIES — USE OF (-% (5 STRUCTURE Residence & Garage _ /O 1 C C. _ ovwB _ C o dl IL SIGNATURE-0F ' APPLICANT ✓'••^"'�'� C >p VALUATIO - - " APPROVALS DATE INSPECTORAS SIGNATURE �--�) FOUNDATION: LOCATION FEE $Ij' I J FE=-5 . FORMS. MATERIALS FRAME: FIRE STOPS, {' I HEREBY ACKNOWLEDGE THAT d HAVE READ THIS APPLICATION BRACING, BOLTS —7-64 ✓L 1_v AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITHALL 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 VYOLA- LATH. INT. TIONOFTHE LABOR C G OF-THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S OM NSATION,INSURAN - LATH. EXT. - SIGNATURE O HOUSE NUMBER COR- PERMITTEE (((JJJ RECT AND POSTED ') ADDRESS_- FINAL. a1` �.�� (:rOTO y�//�o JOHN F. LE IS. PRINCIPAL STRTURAL NGIN PLAN.CHECR VALIDATION. cK., M.O. CASH _ PERMIT VALIDATION cK. CASH D •r . ti� 9 ;rtil) 1. 5 7 1 .F� s' APPLICATION FOA.BUILDING PERMIT f COUNTY OF LOS ANGELES Y' s BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUI I DDF3�SS i LOCALITY 3 or a certificate of Workers' Compensation Insurance,or a certified dl- copy thereof(Sec.3800, Lab.C.) CIT zip Policy No. Company SIZE OF LC NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. department. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' QOE COMPENSATION INSURANCE FO67 dV / U C TEL NO. WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred A�Pjr)ySS 190 r7v / !,rte DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) C'ITY(V`J^ ^ C9'1/1G I certify that in the performance of the work for which this permit �/N �� / ;r ZIFys r1�® /D� A /� is issued, I shall not employ any person in a manner so as to `N/�r �/ become S je to the Workers' ompe ior�LawS. ARCHIT CT OR ENGINEER TEL NO. STATISTICAL CLASSIFICATION APT CONDO Date � H-3Applicant 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' C94TRACTOR IT TEL N l�'ry SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith itul aA)� Q LX !DN Y -7. /—l�3 FRONT comply with such provisions or this permit shall be deemed revoked. DDRE S IC._NQ. PL LICENSED CONTRACTORS DECLARATION 61 /05r 0/1!"05 �. V 4 SIDE ITY LIC. ASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 �1r�f" SEWER MAP CL} (commencing with Section 7000)of Division 3 of the Business and SQ.FT SI E NO.OF STORIES NO.OF FAMILIES 0 Professions Code, nd my I' se is in full force d effect. ., NEW BK PG , O License Number Lic.Class o DESCRI I NOF ORK ADD ❑ VALU Q... V Contractor• c �� Date t ( 3 ���1 �O u � 0 $ ALTER ❑ O REPAIR ❑ ~ ❑ 1 am exempt under Sec. $ U BAP.C.for this reason DEMOL ❑ LU LDMA P/C# la Date: USE OF EXISTING BLDG. URM El Z Signature APPLICANT(PRINT) TEL NO. LDMA Perm# •~.� ❑ I, as owner of the property, or my employees with wages as 1 Z their sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE Q - =.;s 5 i Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL T y OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J ❑ 1, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY § i licensed contractors to construct the project (Section 7044, s VES❑ NO❑ fi n S Business and Professions Code.) WILL THE INTENDED USE OF THE BUOUNG BY THE APPLICANT OR FUTURE BUILDING �� I^+ :—e•••i OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ,],- / p,(y�p tit•_i_::F i.,.� .4D CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR , 1/ 1�[V ��5 © - GUIDELINES. I hereby affirm that there is a construction lending agency for YES ElNO 1:1i� the performance Of the Work for which permit IS Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING I;Tt'If_ 9z _ 5 d m ?q� 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,LIf-!' 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. , o Lender's AddressH GE O OWNER OR AGENT ' o I certify that I have read this application and state under penalty O of perjury that the above information is correct. I agree to comply P.C.FEE , ��7j PERMIT FEE with all county ordinances and State laws relating to building ['j I < construction, an hereby authorize representatives of this County ISSUANCE FEE / 25—,05 ato a r u o eabove-mentioned property for inspection�u�rp/p�ses. p26• `7 INVESTIGATION FEE TOTAL FEE ,w � �/ re e of Apvikam o.Agee( nage 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 91780 BL 0508 0610310035 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 28607 LT: 19 SQ. FT STORIES TYPE 10542 BOGUE ST-- STRUCTURE: 25 VN TEMP CA 917802816 `. ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: I 8586-011-064 THOMAS PAGE: 597 GRID: 'C3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 10/31/06 JK 10/26/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: - CODE: HAWKINS POLLY E - 8,000 /� 10542 BOGUS ST S-r TEMP 917802816 FEES PAID DESICRIPTION OF WORK �- TEAR OFF AND REROOF PLYWOOD COMPOSITION SHINGLES FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: FOOTHILLS ROOFING (626) 695-5312- AA BLDG PERMIT ISSUANCE 27.75 737 W. CARTER DR. AC STRONG MOTION RESID 8000.00 VAL 0.80 SPECIAL CONDITIONS: GLENDORA, CA 91740 D2 PERMIT W/O EN-HC 8000.00 VAL 183.00 - TOTAL FEES 211.55 CONTRACTOR: TEL. NO: - APPROVALS DATE INSPECTOR SIGNATURE FOOTHILLS ROOFING (626) 915-1223- 737 W. CARTER LIC. NO - LOCATION AND SETBACKS GLENDORA, CA 91740 736268 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: - SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 150H273 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST ' FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS - T-BAR CEILINGS LOT DRAINAGE -� REPORT ID: DPR261 ROUTE TO: BS0508