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HomeMy Public PortalAbout9918 BOGUE ST_Building__ APPLICATION FOR BUILD-ING PERMIT _ FOR 40VLI CANT TO FILL IN .(Print or type only) . COUNTY OF LOS ANGELES A DDESS ING , �^+ DEPARTMENT OF COUNTY ENGINEER AD (�CS''UG J T— CITY LN til z I P -2 BUILDING AND SAFETY DIVISION - NO OF BLDGS. BUILDING _ SIZE OF LOT a'X /S NOW ON LOT ADDRESS Py TRACT/ &S 7 BLOCK LOT NO U LOCALITY r TEL NEAREST OWNER / Lz NO ?� S J CROSS ST ASSESSOR . ADDRESS 7- / MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PRO SED BY " J ZIP © `r �� �j ZON C F� AL ^"� ARCHITECT OR TEL V G! ENGINEER NO STATISTICAL CLASSIFICATION ' SEWER MAP ADDRESS _ CLASSNO JI_ L DWELL UNITS Bvd `FG TEL CONTRACTOR NOUSE ZONE NOP �} a LIC i�/ ADDRESS NO - SPECIAL LIC CONDITIONS. CCLASS CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ - NAME AND BRANCH BLDG-SETBACK FROM FRONT PROP LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ FT NO OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH SIZE • - _STORIES FAMILIES ONE• } DESCRIPTION OF WORK LG f NEW + d O BLDG SETBACK FROM ADD ❑ SIDE PROP LINE OF (STREET) O ,— �� /l/ (? ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w ` '❑ HIGHWAY + YARD = SIDE PROP LINE - HIGHWAY WIDTH N USE OF REPAIR Z EXISTING BLDG DEMOL El + APPLICANT TEL CORNER CUTOFF YES ❑ :NO,-.El (PRINT( 0L_Z ANO ^1 IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE( - IN COASTAL PERMIT ZONE YES ❑ NO ❑ ' VALUATION I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES - AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF - THE LABOR CODE OF THE STATE OF CALIFORNIA IN LATING TO WORKMEN S COM. PENSATION INSURANCE - - - r• , SIGNATURE O PERMITTEE < 1 ADDRESS FINAL BY, DATE TEL CITYNO llllll [L !!v// --MAKE CHECKS PAYABLE TO: - FEE $ _ FEET J a HARVEY T.BRANDT•COUNTY'ENGINEER / •• V PLAN CHECK VALIDATION CK. M.O. CASH,. PERMIT VALIDATION CK. M.O. t -`e sur �� 1. 1 5.0A, ®s 76A63BA CE#803 3.75 CITY- 79AG38ACEz803•1-61 APPLICATION FOR,,.BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUP'T-OF BUILDING CROS_ _ � FOR APPLICANT TO FILL IN DIST ICT NO. GROUP CONS ESSED BY d ' CONST. BUILDING �: v 4 U C- �� STATISTICAL CLASSIFICATION S ER MAP ADDRESS •(J CLASS.NO. \ DWELL.UNITS BK LOT NO. 1Q BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT MAP IGHWAY STATE MAJOR SECOND, AL NO.OF BLDGS. NO - (CIRCLE) SIZE OF LOT �J�U NOW ON LOT -USE ZONE SPECIAL USE OF // {/ 1 d CONDITIONS EXISTING BLDG.1� (,�/�i// f.1!1�( j� TEL. OWNER / 2 Z l 77 NO. B';:-ILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS 7•�j /�J !J S-C/ FRONT ARCHITECT OR TEL. P L. ENGINEER NO. SIDE P.L. / ADDRESS`' INSPECTION RECORD ^D_ CONTRACT6gl&//-,-' // 7'///� / ,A/�Y ADDRESSU'/J'7+C..0?!7?'7!%(��G7 i�y-P�C' � DESCRIPTION .OF WORK 4,1, 7$ Lu NEW ADD 6-ALTE'R'R REPAIR DEMOLISH .�:'_ ,{',� I% rl In �', to SQ. FT. �� NO.OF NO.OF �IZE STORIES FAMILIES USE OF o b n•� ,.•�,..''> ;�� STRU11 M" �J e_fL SIGNATURE OF � ' Jr" I9F2,9td�'t��i7"P�+Ciyy-- APPLICANT /A, VALUATION$ Ll I APPROVALS d DATE INSPECTOR'S SIGNATURE P.C. `� PMT. // FOUNDATION: LOCATION //_� FEE $ FEE 7 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 N AND STATE LAWS REGULATING GAS VET DUCTS l„ BUILDING CONSTRUCTION I CERTIFY THAT IN DOING'THE WORK ,/I / AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. i//,1/ /, 1 TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. I ✓ I I LATH,EXT. II /f�1 SIGNATURE HOUSE NUMBER RECT AND POSTED PERMITTEE ? I ADDRES FINAL CLYDE N. DIRLAM, PRINCIPAL STRAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. CASH 1 0 �.- APPLICATION FOR BUILDING PERMIT ' COUNTY OF LOS ANGELES'^ I BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR-APPLICANT TO.FILL IN BUILDING D RE S I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS L ' or a certificate of Workers' Compensation Insurance,or a certrfled } copy thereof (Sec.3800,Lab C) CITY �. ` 1 ZIP: ,k LOCALITY T-eC� , Policy Cy No Company SIZE OF LOT NO.OF BLDGS NOW ON LOT. ❑ Certified copy Is hereby furnishedf NEAREST CROSS El Certified copy is`filed with the county building Inspection TRACT BLOCK LOT•NO+ l�" department USE ZONE P NO. Date — Y-f Xp—plIcant Y-9-✓L e— — ASSESSOR MAP BOOK PAGE PARCEL r—z SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO •-�J COMPENSATION INSURANCE rf Z L WITHIN 1000 FT OF SCHOOL? YES NO (This section need not be completed If the permit Is for one hundred ADDRESS ! t DISTRICT GROUP TY CONST FIRE ZONE PROCE D BY dollars ($100) or less) CITZIP ®Q D I certify that in the performance of the work for which this permit 1 U4p� IS Issued, I shall not employ any person In any manner so as to ARCHITECT R ENGINEERTEL NO become subject to the Workers'Compensation Laws STATISTICAL C S IFICATION APT O O Date' —M-4�LCppllcant . eT 7p4eut, ADDRESS- CLASS NO DWELL UNITS NOTICE TO APPLICANT If, after 'making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject , to the Workers' CO RACTOR 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 _a Lr S� 41-3— 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 SO FT SIZE NO OF STORIES NO OF FAMILIES r Professions Code,and my license Is In full force and effect. NEW ❑ BK PG a License Number _S', f=JT? Lic Class c-- fir DESCRIPTION OF WORK ADD ❑ VALUATION G Q ContractorDate `1 -= ��/— �� ALTER '❑ $ S�Dd U axZ2 REPAIR ❑ $ O El I am exempt under Sec i B&PC for this reason DEMOL ❑ LDMA P/C# 1 W Date. USE OF EATING BLDG _ URM ❑ ACCT.11'r 7 a_ Signature APPLICANT(PRINT) TEL NO LDMA Perm# 3303 175'.6`Z ❑ I, as owner of the property, or my employees with wages as Z V M their sole compensation, will do the work and the structure Is ADDRESS O 1 ITEMS not Intended or-offered for sale (Section 7044, Business and FINALJ)ATE Q Professions Code) I � TCITAL � a-�_� - 65 WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL, J , OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, as owner of the property, am'exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINALY licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code) r CHECK 175.65 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING v L� r OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHANGE' - (lf} CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR 00 GUIDEUNES I hereby affirm that there Is a construction lending agency for YES❑ No 9/14/95 the performance of the work for which this permit is Issued(Sec IHAVEREAD THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING Jy - 1` 3097, CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, AM 8:46 - 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 O OWNER GR 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 PC FEE PERMIT FEgas . N with all county ordinances and State laws relating to building m construction, and hereby authorize representatives of this County ISSUANCE FE to enter the above-mentioned property for Inspection purposes7.�8 _J^ 7� �sr INVESTIGATION FEE - TOTAL ay,v Fy 4 Apo—or ApA,I v `011e • Y SEE REVERSE FOR EXPLANATORY LANGUAGE 60UNTY 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 1210220105 PHONE: (626) 285-0488 EXT: . - ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: ITR: 16557 LT: 10 1 SQ FT STORIES TYPE OCCUP GROUPI 9918 BOGUE ST I ISTRUCTURE. . 30 1 V-B U I TEMP CA 917802631 ASSESSOR INFORMATION NUMBER: 'I GARAGE: I NEAREST CROSS STREET: BALDWIN 18588-015-023 OTHER: 1 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI TENANT: IEXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: I EXIST OCC GRP- 111/07/12 SR (OWNER TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFI DATE - FINAL BY: CODE: I ICHOW, ANDY (626) 246-8729- 1 1,290 1 19918 BOGUE ST Ifir( (TEMP 917802631 1 FEES PAID JDASCRIA)TIA OF WORK I 1 1ENCLOSED (E) PORCH AND BUILD A NEW PORCH I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( (APPLICANT TEL. NO: I I ISAME AS OWNER - ID1 PLANCHECK W/O EN-HC 1290.00 VAL 82.10 I IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: 1 IAB STATE GREEN BLDG FEE 1290.00 VAL 1.00 I I 'IAC STRONG MOTION RESID 1290.00 VAL 0 50 I I 1 ID2 PERMIT W/O EN-HC 1290.00 VAL 82 20 I (CONTRACTOR: TEL. NO: I TOTAL FEES - 193 60 (APPROVALS DATE INSPECTOR SIGNATURE I (SAME AS OWNER - I I- I -I LIC. NO 1 ILOCATION AND SETBACKS "j(���\h \1 b I I (SOILS ENGINEER APPROVAL I I I I I I 1ARCHITECT OR ENGINEER: TEL N0: I (FOUNDATION/TRENCH FORMS IDLC DESIGN (626) _383-6972- 1308 626) 383-6972-1308 N MAPLEWOOD AVE 'LIC. NO: I ISLAB/UNDER FLOOR 1 I' IWEST COVINA CA 91790 NONE 1 I I I I 1 (RAISED FLOOR FRAMING 1 I d' IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( ! (UNDERFLOOR INSULATION I 1 3 071 1- 1 I _1 11ST LEVEL FLOOR SHEATH I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS. I I I I I 0 NO 21 1 i -12ND LEVEL FLOOR SHEATH I 1 SCHOOL WITHIN HAZARDOUS 1 (ROOF SHEATHING (AIR QUALITY: 1000 FEET MATERIALS I I I NO NO NO I (FIRE DEPT. FRAME INSPECT 1 I I 1BLDS DEPT. FRAME INSPECT. I I ISHEAR PANELS I I 1 I I I i 11NSULATION/WEATHER STRIP( 1 I I I I I I I (INTERIOR LATH/DRYWALL I I_ I -J EXTERIOR LATH I �1� // • 1 I I ILOT DRAINAGE I I I I I I I ISMO:E DETECTION DEVICES I I I I I (FIRE DEPARTMENT APPROVALI I I I I I I I I IREPORT ID: DPR261 ROUTE TO: 250508 I I I I I I I I I t