Loading...
HomeMy Public PortalAbout9937 BOGUE ST_Building__ APPLICATION FOR BUILDING PERMITJ'� FR APPLICANT TO FILL IN (Print or type only) BUILDING .,, r-- COUNTY OF LOS ANGELES ADDRESS OGC4 T DEPARTMENT OF COUNTY ENGINEER CITY -�%+� ,t �-( ZIP 2t";'ko BUILDING AND SAFETY DIVISION O.OF SLOGS. BUILDING SIZE OF LOOT J NOW ON LOT ADDRESS C/J _ TRACT /<J BLOCK LOT NO, LOCALITY P 1,E '•,, I TEL. NEAREST OWNER O,4c6 1G NO. �-17),? CROSS ST. N ,r, ,n ASSESSOR ADDRESS ("j �'t MAP. BOOK PAGE a� PARCEL DISTRICT IGROUPITYPE FIRE PROCESSED BY CITY /,� '��'r ZIP O �� CONST ZONE ARCHITECT OR \TEL. �/ ENGINEER d SO./J NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO.�_DWELL,UNITS BK PG TEL. CONTRACTOR NO USE ZONE MAP ��yy �/y� NO. CJ 0 ADDRESS NO LIC. r- SPE A LIC. D� CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO CONSTRUCTION LE R NAME AND BRANC O r u16).) �II BLDG.SETBACK FROM A FRONT PROP.LINE OF (STREET) a ADDRESS /J Iid TY HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING CD SQ. FT- NO. OF NO. OF CHECFRONT PROP. LINE HIGHWAY WIDTH SIZE D STORIES ` FAMILIES ONE DESCRIPTION OF WORK NEW V G N BLDG.SETBACK FROM d ADDSIDE PROP. LINE OF (STREET) Z OF rl i►. 0 . 7 r H- � ,\ ALTER TOTAL SETBACK FROM TYPE OF EXISTING — �• eO k •IS?l1J G- % HIGHWAY } YARD = HIGHWAY WIDTH REPAIRSIDE PROP. LINE EXISUSE TING BLDG. tS%B _ DEMOL } APPLICAN TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) G 'G N0. S• BY ILI IN OPEN SPACE YES ❑, NO ❑ IN COASTAL ZONE, YES ❑ NO ❑ VALUATION /0 _>- CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY A OWLEOGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMP NSATION INSURANCE. SIGNATURE OF PERMITTEE Cs. �- ADDRESS 0 �y TEL. FINAL BY CITY L� O N0. J"17 DATE 3 —1.,q— — )LIKE HECKS PAYA131-E 10: FEE � o FEE v HARVEY T. BRANDT, COUNTY ENGINEER /r70 , PLAN CHECK VALIDATION CK. M.O. CASH P h MIT VALIDATIONCK.' M.O. CASH a 3 575 OCT 16 2 3 D ---6 5 .r 0 .. _�- ir, 3 8 3 .273 rayl( 2_3 1 D .1 0 0-50A 76A638A CE-9803 12/72 - 76A63tlj. CE 403 3-69 v .. APPLICATION FOR BUILDING PERMIT COUN-tY OF LOS ANGELES UILID 1 NG ADDRESS �Q t U ✓� DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY ""- '�-'%, ,j1 �^ JOHN A. LAMBIE, COUNTY ENGINEER f. COLEMAN W. JE'NKINS, SUPT OF BUILDING NEAREST CROSS ST. 124 Al FOR APPLICANT TO FILL IN DISTR CT� GROUP TYPE CONST. P SSS�E+Da_BY- (PRINT OR TYPE ONLY) �V Pl-clL •1f� /`l'�' BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. —DWELL. UNITS BK*/—/ PG/Z6 LOT NO. BLOCK OS.E ZjNE NOP r7,00 TRACT `�7x SPECIAL N0. OF BLDGS. /20O CONDITIONS SIZE OF LOT S G (� NOW ON LOT USE OF EXISTING BLDG. • BLDG. SETBACK FROM - 4/ TEL. �^ FRONT PROP. LINE OF w (STREET) OWNER J PS �; N0. .215 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL .� HIGHWAY WIDTH FROM C.L. _ rOM le ADDRESS CITY c. 50 + Zo = Zv ARCHITECT.*OR TEL. BLDG.SETBACK FROM (STREET) ENGINEER N0. SIDE PROP. LINE OF TYPE OF EXISTING SETBACK HIGHWAY- + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL.. + _ } CONTRACTOR G NO. CL ADDRESS LIC. CORNER CUTOFF YES ❑ NO ®' 0 CITY CLASS SEE REVERSE SIDE FOR SPECIAL APP VALS 0 CONSTRUCTION LENDER /� u NAME AND BRANCH +1�- •G' L' ', L� W Lu N ADDRESS Z SQ. FT NO. OF NO. OF SIZE STORIES FAMILIES NEW USE OF f ADD ❑ STRUCTURE ` ry. L70 ❑ ALTER REPAIR ❑ SIGNATURE F /�. �� OEMOL ❑ APPLICANT- VALUATION S0'�f� /J APPROVALS DATE INSP'5CTo 'S Si NATURE LOC FEE $ f✓p• / -+ FEE $ (.-� FO FORMSTIN O MATERAA SN I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OF CALIFORNIA IN RELATING -TO WORKMEN'S COM- PENSATION INSURANCE. LATH, EXT. SIGNATURE OF // ' PERMITTEE �i"�/�,iy/�.C% 13- �- HOUSE NUMBER CORRECT ((4 AND POSTED ADDRESS FINAL yj 0 JOHN F. LEWIS, PRI CI PAL STUR L ENGINEER P,L N C ECK V,AL•,IDAT ON (7,") M.O. -Z� - , PERMIT VALIDATION CK. ^.O. CASH # 1 � t 3 n WORKERS'COMPENSATION DECLARATION hereby affirm that I hacertificate of consent To self APPLICATION FOR BUILDING PERMIT insure, or a certifi?;afe of Workers' kers' Compensation Insurance; or a certified copy thereof (Sec. 3800, Lab. C.) • �Cp COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Nope Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ZOO'o Certified copy is filed with the county building inspec- BUILDING iq 51 tion department. ADDRESS r LOCALITY l NEAREST Date Applicant �. i 11. CITY . ZIP !IV CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKE S 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 USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. //�/ NO. (© EL, ( �J `- SPECIAL } I certify that in the performance of the work for which this OWNER _ (5Q' O. �1` \\//" CONDITIONS 0. permit is issued, I shall not employ any person in any manner _ DISTRICT GROUP TYPE FIRE R ESSED BY so as to become subject to the Workers'Compensation Laws. ADDRESS CONST. ZONE,; �� 10�j• �� �} � If/Date Applicant CITY ZIP STATISTICAL CLASSIFICATION" v APT. CONDO. � ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CLASS NO. 'Zj .DWELL. UNITS � Exemption, you should become subject to' the Workers' IL Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP H with comply with such provisions or this permit shall be TEL. deemed revoked. CONT RACTO r NO.� BK. 14G, O3 VALIDATION LICENSED CONTRACTORS DECLARATION LIC. 2 I hereby affirm that I am licensed under provisions of Chapter 9 ADDRES ./g J NO. ` VAL ATION (commencing with Section 7000)of Division 3 of the Business and J, Professions Code, and my license is in full force and effect. CITY 4C46>/101V CLASS /✓ $ ® SQ. FT. NO.OF NO. OF CHECK ► License Number Lic.Class SIZE STORIES I FAMILIES ONE �r ma*—A (ml Date �v �-�� DESCRIPTION OF WORK NE , Contracto ADD I am exempt under Sec. L- LJV *' ALTER E] FINA -•� B.&P.C. for this reason ( 1 REPAIR DATE/G C/ 0111 USE OF Date: ' FIN A EXISTING BLDG. ByDEMOL L/,� J Signature APPLICANT , i O Y TEL. OWNER-BUILDER DECLARATION PRINT L- N . I hereby affirm that I am exempt from the Contractor's License ADDRESS d� , ► Law for the following reason (Section 7031.5, Business and _ Professions Code): PRESENT ` 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 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS z 5 7 2 A tion 7044, Business and Professions Code). <, , CONSTRUCTION LENDING AGENCY REQUIRED TYARD HWY TOTAL SETBACK FROM EXIST. t o e o SET BACK PROP. LINE WIDTH •'�,,, ._� 1� hereby affirm that there is a construction lending agency for FRONT o the performance of the work for which this permit is issued P.L. , t �,- 1 (1 8 (Sec. 3097, Civ. C.). SIDE - 1 24.88-8 g FO P.L. Q Lender's Name 0 0 0_8 Lender's Address P.C. Fee$ Permit Fee r O ! 6 ''1 4:2., I certify that I have read this application and state that the Issuance Fee (/` -S41 above information is correct. I agree to comply with all County Investigation Fee g ordinances and State laws relating to building construction, Total Fee u and hereby authorize representatives of this County to enter upon t above- do ed property for inspection purposes. a & Z� SEE REVERSE FOR EXPLANATORY LANGUAGE ®s Signature o Applicantor Ag t Date - ' 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 0804140030 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 16557 LT: 4 SQ. FT STORIES TYPE 9937 BOGUE ST I (STRUCTURE: V-B TEMP CA 917802632 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 18588-014-021 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl (TENANT: JEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 104/14/08 SR 10/11/08 1 OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: DATE FIN BY: CODE: CORRIGAN JAMES E JR;MARIE B - 20,000 19937 ROGUE ST , �`r TEMP 917802632 FEES PAID JJESCRIPTION OF WORK IKITCHEN REMODEL IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( (APPLICANT: TEL. NO: ITOM O'LEARY (626) 287-0927- IAA BLDG PERMIT ISSUANCE 27.75 1 1 15823 AGNES AVENUE IAC STRONG MOTION RESID 20000.00 VAL 2.00 ISPECIAL CONDITIONS: TEMPLE CITY CA 91780 JB2 PERMIT W/ENERGY 20000.00 VAL 423.06 1 TOTAL FEES _ 452.81 I � I CONTRACTOR: TEL. NO: I �. (APPROVALS DATE INSPECTOR SIGNATURE ITOM O'LEARY CONSTRUCTION (626) 287-0927- '` \ 15823 AGNES AVENUE LIC. NO (LOCATION AND SETBACKS 1 (TEMPLE CITY, CA 91780 489354 B-1 1 1 I (SOILS ENGINEER APPROVAL I I 1 I I I I I I 1ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I 1 LIC. NO: I JSLAL/UNDER FLOOR I I I I I I I I I 1RAISED FLOOR FRAMING 1 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I I - 1147H269 3 Oil 1 11 I I 1FLOC;R SHEATHING 1 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I'' I I I 1 NO 21 1 IROCY SHEATHING SCHOOL WITHIN HAZARDOUS (SHEAR PANELS I 1AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO I IFRAME INSPECTION (REQUIRED TOTAL SETBACK FROM EXIST I (FIRE SPRINKLER HANGERS ( I ISET BACK YARD: HWY: PROP LINE: WIDTH: I 1 1 1 1 IFRONT PL- I 11NSULATION/WEATHER STRIPI I I I SIDE PL- I I 11NTT:RIOR LATH/DRYWALL I I I I I I 1 1 IEXTERIOR LATH I I I I I I I I I IRATED FLOOR/CEIL ASSEM. I I I I I I I I I IRATED WALL ASSEMBLIES 1 I I I I I I I I IRATED SHAFTS/OPENINGS I 1 1 I I IT-BAR CEILINGS 1 1 1 I I I I I I 1 1 ILOT DRAINAGE I I I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 1 1 I