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Home My Public Portal About10554 BOGUE ST_Building__ 76A638A CE#803 2-63 APPLICATIONFOR BU I.LDI NG .PERMIT 'lull COUNTY OF LOS ANGELES, BUILDING DEPARTMENT OF COUNTY ENGINEER ADDREs5�4.f`S a C'U� BUILDING AND SAFETY DIVISION LocALlry JOHN-A. LAMBIE, COUNTY ENGINEER NEAREST. WILLIAM A. JENSEN,SUPT OF BUILDING - CROSS ST. . DISTRICT NO. GROUP TYPE PROCESSED BY FOR APPLICANT TO,FILL•.IN Z CONST.._[ BUILDINGq STATISTICAL CLASSIFICATION SEWER Mgf ADDRESS. U �j Q. U15 - . BK PG 4CLASS. NO: d - DWELL'. UNITS LOT NO. 17 BLOCK e WATER qL^ CERTIFICATE:. NOT REQUIRED ❑ RECEIVED TRACT 2860' MAP 'HIGHWAY^ 'HIGHWAY STATE MAJOR SECONDLI; A NO.OF SLOGS. NO. V %9^ (CIRCLE) SIZE OF LOT 55 x 91 NOW ON LOT none USE ZONE SPECIAL USE OF •' - CONDITIONS - EXISTING BLDG. OWNER Baldwin Bldg. Contr. N0443-5710• BUILDING YARD HWY STREET NAME EXIST. SETBACK' WIDTH ADDRESS 5041 'Baldw n Temple- City FRONT /)t ARCHITECT OR - TEL..i P. L. ENGINEER NO.15Y i =68 SIDE . P. L. y 'ADDRESS ^ D d B O CONTRACTOR B•B-C• NO 10 • V ADDRESS Q DESCRIPTION OF' WORK !!_ w da f� � ea to CL NEW] DD - ALTER REPAIR DEMOLISH �qt- Z SQ. FT 7NO..OF NO.'OF - .fl LW.� �, o_ SIZE ' TORIES 2 FAMILIESUSE l tZ E STR O TURE Residence & Garage SIGNATURE OF OF APPLICANT` VALUATION APPROVALS DATE INSPECTOR'SM1SIGNATURE \ PmT. FOUNDATION;' LOCATION / FEE $ �� FEE•$ •• FORMS, MATERIALS _ FRAME: FIRE STOPS. ✓II U 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 tl BUILDING CONSTRUCTION.'I CERTIFY THAT IN.DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLR- '•LATH, INT. . TION OF THE LABOR CODE OF THE STATE'OF CALIFORNIA RELAT. ING.TO WORKMEN'S CO�SATIONINSLRAN , LATH. EXT. SIGNATURE OF / ,,,/ HOUSENU.MBER OR-PERMITTEE' /_�-'!%(-,✓"�`'�'� RECT AND POS ED ADDRESS JOHN F. LEWIS, PRINCIPAL STD URAL ENG1(NE�E�rR7�� PIAN CHECK VALIDATION CK. -M.O. CASH PERMIT VALIDATION CK: M.O./eM_A�� 1 1 WORKERS' COMPENSATION DECLARATION V I hereby affirm that I have a certificate of consent to self Insure, or a certificate of Workers'Compenstion Insurance, or APPLICATION FOR BUILDING- PERMIT a certified copy thereof (Sec. 3800, Lab C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy N §3-446'76 Company Fremont Indemnity ❑ BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS _ ® Certified copy is filed'with the county building inspec- BUILDING 40 tion department ADDRESS 10554 BO Ll Street LOCALITY 1/ NEAREST Date 6/24/83 Applicant'Virgin Roof Co. I CITY. T=le. City ZIP - CROSS ST CERTIFICATE-OF EXEMPTION FROM WORKERS' 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 IUSE ZONE MAP hundred dollars ($100) or less ) TRACT BLOCK LOT NO NO. l�G� TEL SPECIAL C OWNER R o Kuroki NO •� CONDITIONS` - 0 1 certify that in the performance of the work for which this ISTRICT GROUP TYPE FIRE PROCESSED BY O permit Is issued,-I shall not employ any person In any manner ADDRESS 10554 Bogue Street ` U so as-to become subject to the Workers'Compensation Laws. �/�' CONST ZONE IM OEMAAAA CITY Temple Cit ZIP ,ATISTAL CLASSI'CATION APT ICONDO O Date Applicant _ � NOTICE TO APPLICANT: If, after-making this Certificate of ARCHITECT OR TEL Exemption, you should become subject to the Workers' ENGINEER NO CLASS NO DWELL UNITS N Compensation provisions of the Labor Code, you must forth- ADDRESS _ SEWER MAP with comply with such provisions or this permit shall be- TEL deemed revoked. CONTRACTOR -Vir in Roof -Co. NO 287-0507 BK PG, - VALIDATION LICENSED_CONTRACTORS DECLARATION LIC ,.I hereby affirm that I am licensed under provisions•of Chapter 9_- ADDRESS P-0- NO VALUATION (commencing with Section 7000)of Division 3 of the Business andi LIC Professions Code, and my license is in full force and effect - CITY Sarl Cahriel CLASS jC Q $ 5983.00 SQ FT NO OF NO.OF CHECK License Number. 160650 Lic.Class C39, SIZE STORIES FAMILIES" ONE NEW Contractor' Virgin Roof Copate 6/24/83• DESCRIPTION OF.WORK — $ ADD ❑ I am exempt from the licensing requirements as I am a Class "A" Fiber lass copp. ALTER EJ FINAL % A � licensed architect or a registered professional engineer DATE Lf acting in my professional capacity (Section 7051, shin les. REPAIR Business and Professions Code) USE OF DEMOL a FINAL EXISTING BLDG TEL By CL-*Lic or Reg No Date APPLICANT OWNER-BUILDER DECLARATION (PRINT) Virgin Roof Co. , NO 287-0507 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS 'P. 0. BOX J. San Gabriel 9177 Professions Code) PRESENT El _ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and # 0 0 0 0 0.1 - - the structure is not intended or offered LOCALITY for sale(Section, � i , 7044, Business and Professions Code). _MOVING TEL 2 0 0 8 7 3 8 ElI, as owner of the property, am exclusively contracting CONTRACTOR NO i ; with licensed contractors to construct the project (Sec- ADDRESS o 0 0 8 3 8,� tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET.BACK YARD HWY PROP LINE WIDTH 7 5-83 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 ) St -P Lender's Name m - P.0 Permit Fee. 476.88 Lender's Address > I certify that I have read this application and state that the Issuance Fee 10.50 above Information is correct."I agree to comply with all County - Investigario Fee ordina ices and State laws relatingto building construction, 0 9 Total Fee' 87'.38 w and h eby authorize representative of this County to enter 'Q upo the above-mentioned pert spectioli purposes " m �ti. 0 a — SEE REVERSE FOR EXPLANATORY LANGUAGE Si n ure of Applicant or Agent a