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Home My Public Portal About9931 BOGUE ST_Building__ WORKERS' COMPENSATION DECLARATION insure bor afcertif certificate of Workers' Compensation onSent to Insurancef APPLICATION FOR BUILDING PERMIT 4 a certified copy thereof (Sec. 3800, Lab. C.) �iP3*01 Company �r�� z5y, o COUNTY OF LOS ANGELES BUILDING AND SAFETY Polic No. Com an � BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county buildin inspec- BUILDING 2 tion department. ADDRESS, t-� CITY' C^ ZIP LOCALITY Date Applicant 7 NO. OF BLDGS. CERTIFICATE OF EXEMPTION FR RKERS' SIZE OF LOT NOW ON LOT NEAREST COMPENSATION INSUR NCROSS ST.CE ASSESSOR (This section need not be completed if the permit is for one . TRACT BLOCK LOT NO. MAP BOOK hundred dollars ($100) or less.) TELPAGE PARCEL . ��/(� I certify that in the performance of the work for which this OWNER N6 "( USE ZONE OP�y�--�' SPECIAL a permit is issued, I shall not employ any person in any manner ADDRESS 1 t O J` CONDITIONS so as to become subject to the Workers'Compensation Laws. O ,_� V CITY ZIP Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE P CESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. / Exemption, you should become subject to the Workers' �ov _3 CONST. NE V Compensation provisions of the Labor Code, you must forth- ADDRESS l/ with comply with such provisions or this N p y p permit shall be TEL. STATISTICAL CLASSIFICATION APT.. CONDO. Z deemed revoked. CONTRACTOR ,WNO. LICENSED CONTRACTORS DECLARATION ,y LIC. CLASS NO.�DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 6 NO. -� 0 SEWER MAP (commencing with Section 7000)of.Division 3 of the Business CITY ,�� LIC.CLASS CC-y and Professions Code,and my license is in full force and effect. gK pG VALIDATION �7 SQ. FT. NO. OF NO. OF CHECK License Number .�� / 2Lic. Class G3 SIZE STORIES FAMILIES ONE Contractor��/�/oTri,L�.d d- e- Date DESCRIPTION OF WORK NEW ❑ VALUATION ❑I am exempt under Sec. �y v ADD ❑ ALTER ❑ B.&P.C. for this reason �. REFAI $ 00 D e: USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANTi TEL. OWNER-B DECLARATION (PRINT) NO FINAL I hereby affirm that I aniZemptfrom the Contractor's License / DATE Law for the following reason (Section 7031.5, Business and ADDRESS G �^/� G FINAtL. Professions Code): PRESENT By ,- ,• BUILDING ❑ I, as owner of the property, or my employees'with ADDRESS / wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY _ _!i 7044, Business and Professions Code.)❑ MOVING TEL. CONTRACTOR NO.I, as owner of the property, am exclusively contracting _ •� with licensed contractors to construct the project (Sec- )_i j _ ADDRESS tion 7044, Business and Professions Code.) _ REQUIRED TOTAL SETBACK FROM EXIST. %J - CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 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.). SIDE P.L. i Lender's Name, o / m P.C. Fee$ Permit Fee LDMA Ref. # 3 Lender's Address 0 1 certify that I have read this application and state that the Issuance Fee aAl 76 LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee L� 0 ordinances and State laws relating to building construction, Total Fee / o LDMA Perm. # a and her by authorize representatives of this County to enter upo above-menti ed proper for inspection purposes. a � SEE REVERSE FOR EXPLANATORY LANGUAGE Sign f Applicant or Agent Date COUINTY OF LOS ANGELES TEMPLE CTTY # CJ5 PER'mIT DEPAR-Tiv,7-PT OF PUBLIC WORKS 9701 LAS TUNAS PE5, ADD/ALT/REP . - *BUILDING AND SAFETY LAND DEVELOPMENT TEMPLE CITY CA 91780 Bil. 0508 0409100076 PHONE: (62,5) 2-25-0488 EXT: -Ul—LD FN—GTf,ACDNS S S- LEGAL !U: NO. Oi� -E7CTN—ST TR- 16557 LT: 3 I SQ. FT STORIES TYPE cpcijp GROUP 9931 BOGLE ST !STRUCTURE: 220 VN R-, TEMP CA 91-180263-2 !ASSEi8 SSOR INFORMTT1INFORMATIONGARAGE: NEAREST CRC�S STREET; LIVE OAK 588-014-020 i OTHER: 128 17Y VN R3 THOMAS PAH':' 597 GRID: A3 LOCAL TE:14PLE CITY, C ITENANT: 1E'/,IST SL USE—ZONlE`------- ISSUED ON: BY: E X P EXIST OCC GRP: 09/20/04 09/151,05 1,,')WN ER: TEL. DGS. NOW ON LOT: VALUATION: FINAL DATE �ML BY: ISA,MDRO, ELIZABETH (626) 281-9689-- 23,1:40 �l BOGUE ST ITE-ssr- 917802632 FEES PAID DESCRIPTION OF WORK ADD A NEW MASTER SED.prinP; SATHOCM 220 SF. li"I'D P;-:,N0DEL !FEE DESCRIPTION: QiJANTITY: UOM: AMOITNIT EXISTING 128 S--. APPI !'ANT: TEL. NO: SAM- AS OWNER 181 PLANCHECK W/ENERGY 23340.00 VAL 422-43 IAA BLDG PERMIT ISSLIAHcE 27-75 SPECIAL CONDITIOtqS. 1AC STRONG MOTION RESID 23340.00 VAL 2.33 (02 23340.00 VAL 496.98 TEL. PERMIT W/ENERGY TOTAL FEES 9,49.49 APPROVALS DATE IN S�1�1 C, _RE 'SAME AS OWNER I i ; LIC. No 1LOCk!ION AND SETBACKS —LE-ENGINEER�-A-P-P R—OV A 1. T fyr- FOUNP!�TION/TREE'.N FORM1.3C NO: SLAD.,'UNDER FLOOR FLOOR Fl, -1.1NG NO: SEWER MAP BOG-,-'T—P,.uE: FTRE ZONE: TMFp (UNDERFLOOR MFULATION, 3 1- II 11 -T—ST -p — R3--. TJ+ FAMILIES: DWELLING71S: APT/COND: STAT CLASS: - LEVEL FLOOR .SHEATH. �- NO 21 SC'.-;C;OL WITHIN HAZARDOUS ROOF SHEATHING I -4- AIR QUALITY: 1000 FEET MATERIALS NO W, NO FIRE DEPT. R �-s ;T APE , l"E ' S-E--BACK RD TCTP.L SETBACK FROM WIDTH TOR!"ME—P T. F P AMT�I sIYARD: HWY. PROP LINE: WIDTH: P !FRONT DE L- SHEAR PANELS SIPL- I NSULAT I ON/WEATTi�:5- STRIPI IV INTERIOR LATH/DRT�9LL EXTERIOR LATH V� LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL IREPORT 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 1111140001 PHONE: (626) 285-0488 EXT: LEGAL ID: I NO. OF CONST BUILDING ADDRESS: I ITR: 16557 LT: 3 SQ. FT STORIES TYPE I 9931 BOGUE ST (STRUCTURE: 1200 V-B I TEMP CA 917802632 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 18588-014-020 I I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI (TENANT: (EXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: (EXIST OCC GRP: 111/14/11 SR (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: •NAL D E F Y: CODE: IHUANG, ZHI YU (626) 285-0778- 1 1 2,500 I� 19931 BOGUE ST ITEMP 917802632 FEES PAIDID SCD SC IIPTION OF WORK I I I IREPLACE ELEVEN EXISTING WINDOWS I I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( I (APPLICANT: TEL. NO: I I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1 .-I � I IAB STATE GREEN BLDG FEE 2500.00 VAL 1.00 ISPECIAL CONDITIONS: ,-i I IAC STRONG MOTION RESID 2500.00 VAL 0.50 I I ID2 PERMIT W/O EN-HC 2500.00 VAL 99.10 I I TOTAL FEES 128.40 I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I I__ I I LIC. NO I (LOCATION AND SETBACKS I I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I LIC. NO: I (SLAB/UNDER FLOOR I I I I- I I I I IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I I 1147H269 3 001 I I I I I IFLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I i I 0 NO 22 I IROOF SHEATHING I I I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I IAIR QUALITY: 1000 FEET MATERIALS I I- I I NO NO NO I (FRAME INSPECTION IFIRE SPRINKLER HANGERS I 1 (INSULATION/WEATHER STRIPI I I 1 I (INTERIOR LATH/DRYWALL I I (EXTERIOR LATH I I (RATED FLOOR/CEIL ASSEM. I _ I IRATED WALL ASSEMBLIES IRATFD SHAFTS/OPENINGS IT-BAR CEILINGS I I I I ILOT DRAINAGE IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I , J -• COUNTY 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 0504010007 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING-ADDRESS: TR: 16557 LT: 3 SQ. FT STORIES TYPE OCCUP GROUP 9931 ROGUE ST STRUCTURE: 0 0 VN R3 TEMP CA 917802632 ASSESSOR INFORMATIO NUMBER: GARAGE: NEAREST CROSS STREET: BALDWIN 8588-014-020 OTHER: 288 1 VN U1 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUE ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 04/01/05 JK 03/27/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINALPATE TE FINAL BY: CODE: TAM, YILL KWON (626) 589-8679- 5,760 9931 ROGUE ST TEMP 917802632 FEES PAID DESCRIPTION OF WORK COVERED PATIO 288 SF. AND 1 SKYLIGHT FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 5760.00 VAL 0.58 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 B2 PERMIT W/ENERGY 5760.00 VAL 164.34 FR INV WORK W/O PERMIT 257.00 DOL 257.00 CONTRACTOR: TEL. NO: TOTAL FEES 504.37 APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORM LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FR I G MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 ST RVEL FLOOR SHE H 0. OF FAMILIES: DWELLING NITS: APT/CON : STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT EQUIRED TOTAL SETBACK FROM EXIST BLD9 DEPT. F A I PECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER L- S ..AT ON/ EAT ER STRY15 INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508