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HomeMy Public PortalAbout10568 BOGUE ST_Building__ 76A638A CE#803 8-63 APPLICATION FOR -BUILDING PERMIT -- COUNTY OF LOS ANGELES BUILDING 1 DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUPT OF BUILDING' CROSS ST _ ED TR CT NO GR UP TYPE P ESSED BY FOR APPLICANT TO FILL IN CONST. BUILDING / STATISTICAL CLASSIFICATION S WER MAP - ADDRESS 14j� •., (... BK P CLASS NO DWELL UNITS�`- LOT NO G7/ BLOCK WATER CERTIFICATE. NOT REQUIRED RECEIVED ❑ TRACT >�' �- MAP HIGHWAY ' NO OF BLDGS NO (CIRCLE)„ 5„ATE MAJOR SECOND, L CA 12 SIZE OF LOT NOW ON LOT USn•ZOiSc �49£4AL- , �1 USE OF CONDITIONS EXISTING BLDG o �J'`,y OWNER NO 'BUILDING EXIST. ` SETBACK YARD HWY STREET NAME WIDTH ADDRESS FRONT 1 -� ARCHITECT O )' L / 9 ENGINEER SIDE ... P L ^ } ADDRESS/d _V ,a, TEL Cu' �! LC. ®Kr I/tl/s �� a CONTRACTOR NO I= O - ADDRESS at DESCRIPTION OF WChiK �C�'T I r �' -u Lu NEW, ADD 'ALTER 9L. REPAIR DEMOLISH I N SQ FT. NO OF NO OF ! tJ I fV ! /i bf fr SIZE STORIES FAMILIES U USE OF STRUCTURE • �,frJo ��s SIGNATURE OF APPLICANT ' VALUATION $ ) APPROVALS DATE INSPECTOR'S SIGNATURE P.0 /� 1�.. PMT. - w - - FCUNDATION LOCATION FEE $ FEE $ FORMS, MATERIALS FRAME FIRE STOPS. 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 BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT - TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE LATH EXT SIGNATURE OF' HOUSE NUMBER COR- PERMITTEE I RECT AND POSTED 1It I ADDRESS FINAL PLAN CHECK VALIDATION CK M o. CASH . JOHN F. LEWIS. PRINCIPAL ST CT' RAL ENGINEER PERMIT VALIDATION CK. M O 'AS- 0 1.0 ASH01.0 MAY 2Q 1 0 6.00 X ' -_ 1,'tC,• - x r7.. .-, . •y,s •. - r • •7fiA638A'CE✓yB03 2-63 APPLICATION FOR' BU;ILqI-NG,.•PERM-IT - ' COUNTY OF LOS ANGELES ;-'BUILDING'' ,,DEPARTMENT OF'COUNTY`ENGINEER ADDREss BUILDING AND SAFETY-DIVISION " ' LocAUTv:•r ', +I� ,J0HN.;k.,LAMbIE. COUNTY'ENGINEER NEAREST '-WILLIAM'A!�JENSEN% SUP'T;OF BUILDING- - CROSS ST •��G• �'/` _ - ,.,;, ., DISTR,ICT•NO 'GROLiP'•'•ITYPE PROCESSED BY FOR APPLICANT TO FILL IN coNsr. . BUILDING: '• - p p �'y P: STATISTICAL CLASSIFICATION' SEWER-MAP •ADDRESS•' v iM .�J O,.ly,.4✓ +• .- ' - - - J. BK PG - ", ,1 ••CLASS'Nd -DWELL UNITS , + �• ''LOT NO ;., 5,;-r t: '�- r •,-BLOCK WATER ' '.NOT _ REQUIRED+�- RECEIVED -� •QQ - CERTIFICATE: - , TRACT.. . , 3 2,U 60' - • ... -:; ', MAP •HIGHWAY,. ' ,- ' pp^ t. NO OF BL•DGS: NO '' ICIRCCeI STAT E.MAJOR:SECOND, O -' SIZE:OF LO190.t70, x 54.82,' NOW-ON LOT, ,,nolle ;USE ZONE SPECIAL - %`•. USE'OF - ;?,`• - _ -CONDITIONS: • - - EXISTING BLDG. '. • � - 'n-:Bld 'Cont: TNEoL44 3�510 BUILDING EXIST. OWNERpaluP1SETBACK YARD HWY STREET NAME WIDTH -old'1 Baldwin- a •, , FRONT. '• _• y ' ARCHITECT O •TE P•L - ,.- ,.ENGINEER- �u -Rodwell 'NO 'ADDRESS, 122 - nl - _ -- .CONTRA•CTOR NO 4-3 - *�•' _ O• DDRESS �pmp6 - A �~ , •�"'i'act'�. ' F O ty DESCRIPTION OF WORK' - r wL NEWX ,,-ADD'' ALTER REPAIR DEMOLISH SOFT I - NO OF NO OF • .,7`!S, P A SIZE _ _ STORIES'" 1 -FAMILIES - � �r T .USE OF ,.-. r GA' A>"IA A� - r STRUCTURE eside Ce E Olt 4 SIGNATURE-OF 1 - !� - � d `• , APPLICANT ��`—•� • ' - ' VALUATIO APPROVALS' I'�DATEy, - INSPECTOR'S SIGNATURE PC PMT• FOUNDATION- LOCATION ' FEE FEE'S FORMS,--MATERIALS ''�"�• - ' FRAME" FIRE STOPS.'- / . 1 HEREBY ACKNOWLEOGE•'THAT,I HAVE READ THIS APPLICATION BRACING, BOLTS - 7-L _,•'u AND STATE'THAT•THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, ' *WITH ALL-COUNTY ORDINANCES .AND STATE LAWS -REGULATING" , GAS VENT. DUCTS- - BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE,WORK - A �• AUTHORIZED-HEREBY I WILL NOT,EMPLOY ANY PERSON IN VIOLA-;-' LATH. IN - '� •, Q TION OF THE-LABOR CODE OF THE STATE OF CA RNIA,RELAT=" ING TO WORKMEN'S PENSATION INSURA NC - - t"v' �•; ,. . LATH. EXT.` _ SIGNATURE O OUSE NUMBER COR-, .PERM ITTEE RECT AND'POSTED n' ry •ADDRESS FINAL - - •• •`�- I/'D''7`�G .r - JOHN F. LEWIS.'PRINCIPAL ST TU RAL ENGINEER. j. PLAN'CHECK VALIDATION,' CK M D SASH _ 's PERMIT-VALIDATION ' CK M O CASH c� .7. 6.•7,9 _ .7 5'A _ '. WORKERS' COMPENSATION DECLARATION /) . insureboraafirm certif cer ,I have a certificate of tificate of Workers' Compensation ent to Insurance; : APPLICATION . FOR ' B I L D I,N G PERMIT or a certif d coy thereof (Sec.-3800, Lab. C ) W gj-a-6SM 3 /' '/ COUNTY OF LOS.ANGELES . BUILDING AND SAFETY Policy No. Company —r���r✓i6'Y1/ �(A: � ' Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUADDRESSILDING F 2 8 ® Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 10568 E. BOGUE STREET -LOCALITY Date Appl cantCITY Temple 'City. ZIP CST- CERTIFICATE ROSS ST- CERTIFICATE OF EXEMPTION FROM WORKERS' of �[ NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE _F'COT O( � �� NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE, MAPCD hundred dollars ($100)or less.) TRACT crOevr// BLOCK —]LOT No. /{J NO. Z' TEL �/ SPECIAL OWNER b1YS .JesSle Chang N0541-4745 \ CONDITIONS' d I certify that in the performance of the work for which this DISTRICT I GROUP TYPE FIRE PROCESSED BY O permit is issued, I shall not employ any person in any manner ADDRESS PiS above CONST. ZON so as to become subject to the Workers'Compensation Laws. �^- Date Applicant CITY ZIP STATISTICAL CLASSIFICATION APT. JCOI`4DO O NOTICE TO APPLICANT- If, after making this'Certificate of •ARCHITECT OR TEL w ENGINEER NO' CLASS NO—2V DWELL UNITS Exemption, you should become subject to the'- Workers' IZ Compensation provisions of the Labor Code, you must forth= ADDRESS - SEWER MAP Z with comply with such provisions or this permit shall be deemed revoked CONTRACTOR J•L.Shipley R f g TEL 7 9 2-2 4 3 7 BK PG VALIDATION LICENSED CONTRACTORS DECLARATION 265 N,V inedo L 309178 I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC �ry�©O Professions Code, and'my license is m full force and effect. CITY Pasadena, Ca. 91107 cLAss .C39 $ lJJ ; SQ FT. NO OF NO.OF CHECK License Number Lc.Class SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK Remove shakes NEW $ Contractor Date sheet Wl li p ywoo ADD 0:1I am exempt under Sec. apply 220# friberglass 9 / TIE' FINAL < B.BP.C. for this reason r r REPAIR ® DAT �7 C 11 Date: USE OF EXISTING BLDG. House DEMOL.-a FINAL By (�-a•6..� $} 0 0 0 Signature APPLICANT TEL \ OWNER-BUILDER DECLARATION PRINT J.L.SHIPLEY RFG N0.7 9 2 2 4 3 7 I hereby affirm that I am exempt from the Contractor's License 2 c o o 7 8 Law for the following reason (Section 7031.5, Business and ADDRESS 65 N.VinedO Pas . -Ca _ 1 , L _ Professions Code): PRESENT U El 1, /; 7 I, as owner of the property, ormy my employees with ADDRESS � „�2—8� • wages as their sole compensation,will do the work and the structure isnot intended or offered for sale(Section kADDRE 7044,'Business and Professions Code). TEL. I, as owner of the property, am exclusively contracting CTOR NO. with licensed-contractors to construct the project (Sec- 'tion•7044, Business and'Professions Code). ED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING'AGENCY CK YARD HWY PROP LINE WIDTH I hereby affirm that there is a'construction lending agency for, -- ► the performance of the work for which this permit is.issued(Sec. 3097, Civ. C.).Fo Lender's Name -$ Permit Fee6�i S V Y Lender's Address w I certif That I have read this a Icatiowand state that the g Y PP Issuance Fee above information is correct. I agree to comply with all County Investigation Fee v g ordinances and State laws relating to building construction, u and her authorize repre�sentatrves of this County to enter Total Fee upon the bove-mention prSifierVfor inspection purposes. L, SEE REVERSE FOR EXPLANATORY LANGUAGE _ W (1� Signature of Applicant or.Agent/ Datetl j. 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 0212130069 PHONE: (626) 285-0488 EXT: GA 0. OF CONST BUILDING ADDRESS: TR: 28607 LT: 15 SQ. FT STORIES TYPE 10568 BOGUE ST STRUCTURE: VN TEMP CA 917802816 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PAL MAL 8586-011-060 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY TENANT: S BLDG USE: RESID USE - ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/13/02 JK 06/11/03 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE F NA BY: CODE: CHUN;RONALD AND KELLY (626) 442-1413- 500 ' 10568 BOGUE STREET Z TEMPLE CITY 91780 FEES PAID DESCRIPTION OF WOR C/0 5 WINDOWS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 500.00 VAL 43.65 TOTAL FEES 71.90 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR NGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION X 3 01 FLOOR-SHEATHING NO.--OF-FAMILIES: DWELLING U S: APT/GOND: S ASS: 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- NT RIOR 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 „ 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 1205020058 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST 1 BUILDING ADDRESS: ITR: 28607 LT 15 - SQ. FT STORIES TYPE I - 10568 BOGUE ST I I ISTRUCTURE: 2800 V-B - .I- TEMP CA_917802816 - 1 (ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET: - 1 18586-011-060 I 1 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: _ IEXIST OCC GRP: 105/02/12 SR - I I I I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL ATE FINA BY: CODE: ICHUN, RON (626) 442-1413- 1 6,000 1 - 1 110568 BOGUE ST I I ITEMPLE CITY CA-91780 - I FEES PAID IDESCRIPTION OF WORK 1 1 1 IRE-ROOF OVER EXISTING ONE LAYER COMPOSITION USING A 30 YEAR 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IDEMENTIONAL SHINGLES 1 (APPLICANT: TEL. NO: - I IMATIARENA, MANUEL - IAA BLDG PERMIT ISSUANCE 27.80 I - I JAB STATE GREEN BLDG FEE 6000.00 VAL 1.00 ISPECIAL CONDITIONS: I 1 IAC STRONG MOTION RESID 6000.00 VAL 0.60 1 ID2 PERMIT W/O EN-HC 6000.00 VAL 149.40 I I 1 TOTAL FEES 178.80 1 1 ICONTRACTOR: TEL. NO: I 1APPROVALS- DATE INSPECTOR SIGNATURE I IGOLDSTAR ROOFING, INC. (323) 855-6669- - I 14425 ROWLAND AVE UNIT B LIC. NO 1 ILOCATION AND SETBACKS I I I IEL MONTE CA 91731 741676 C39 1 1- 1 I ISOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER: TEL. NO: - IFOUNDATION/TRENCH FORMS I I I LIC. NO: I (SLAB/UNDER FLOOR 1 I 1 I I I I I I I - .IRAISED FLOOR FRAMING I - MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: - � '- 1UNDERFLOOR INSULATION I -- 1150H273 3 001 1 1-1 I I IFLOOR, SHEATHING I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS. I 1 0 NO 21 (ROOF SHEATHING SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I (AIR QUALITY: 1000 FEET MATERIALS 1 _ I I 1 NO NO NO I IFRAME INSPECTION I IFIRE SPRINKLER HANGERS I I 1 11NSULATION/WEATHER STRIPI 1 (INTERIOR LATH/DRYWALL I I I I IEXTERIOR LATH 'I I I i _ I IRATED FLOOR/CEIL ASSEM. I I I IRATED WALL ASSEMBLIES 1 1 IRATED SHAFTS/OPENINGS I I I I I I I I _ IT-BAR CEILINGS I1 -- ILOT DRAINAGE I I I I I I f I I (REPORT ID: DPR261 ROUTE TO: BS0508 I I