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HomeMy Public PortalAbout9958 BOGUE ST_Building__ TEMPLE CITY . ?' 76A668A CE#8032/60 APPLICATION -FOR I3[JILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION L&ALITY- JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.IIENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO. - GROUP TYPE CESSED BY FOR APPLICANT TO FILL IN �' , I CONST BUILDING ��� ��C�� 4�%_ STATISTICAL CLASSIFICATION EWER MAP " ADDRESS CLASS.NO. r DWELL.UNITS` BK - PCS - LOT NO. BLOCK- MAPST ATE YES O' NUMBER � HWY. TRACT USE ZONE SPECIAL ^ NO.OF BLDGS. CONDITIONS SIZE OF LOT COD f( "M I NOW ON LOT' ��•/ USE OF Q EXISTING BLDG'. /�L�• BUILDING - EXIST. TEL. YARD HWY STREET NAME /� `'� T SETBACK WIDTH OWNER �W67 W NO.A/ FRONT c P.L. ADDRESS Vc 5 SIDE ARCHITECT OR TEL. P.L. ENGINEER INSPECTION RECORD ADDRESS _ 1.' TEL. CONTRACTOR _ NO. .r r O ADDRESS T _ U DESCRIPTION OF WORK. Y NEW ADD LTER REPAIR DEMOLISH' - SC!.FT.,• NO.OF NO:OF SIZE ., STORIES FAMIL ES N USE OF STRUCTURE SIGNATURE OF APPLICANT - - - - VALUATION$ I APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE FCRMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRESTOPS, j-//� nelv�— -BRACING, BOLTS Ol PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION, V AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS •A STATE LAWS 'REGULATING BUILDING CONSTRUCTION. 1 CERTIFY THAT= GING E R THORIZED 1 LATH, INT, WILL NOT EMPL� P S IN, t L ION OF THE O E WORKMEN'S CATIO S OF LIFORNIA, J.ATH,EXT. ' r SIGNATURE F OUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL - CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN ' PLANT CHECK. VALIDATION CK. ' M.O. CASH PERMT VALIDATION' _cK. M.O.• CASH' 65 Li - ®6 76A638A CE#8033-66 APPLICATION FOR BUILDI G PERMI'1" COUNTY OF LOS ANGELES BUILDING -DEPARTMENT OF"COUNTY ENGINEER. ADDRESS BUILDING AND SAFETY DIVISION LO C A L I T Y JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST ' 'DISTRICT.NO. G TYPEP - BY ! ' FOR APPLICANT TO FILL INCONST. ,", _ BUILDING - STATISTICAL,C�,/�"ASSIFICATION, SEWER MAP ADDRESS CLdSSNO._.(ADW ELL-U NITS ' BK# PG /j's . LOT NO. BLOCK USE ZONE- M'AP-•- •� /�I" - --•! J• NO. L TRACT /' SPECIAL " NO. OF SLOGS. CONDITIONS - SIZE OF LOT • NOW ON LOT USE OF EXIST, NG BLDG. BLDG. SETBACK FROM '•' TEL. .q" '�t / FRONT PROP.,LINE OF (STREET) OWNER A NO. / U (J7 TYPE OF EXISTING I SETBACK HIGHWAY + YARD = TOTAL." ADDRESS C oQ'J HIGHWAY WIDTH FROM C-.L. CITY -1`40,m 12LIQ, JA 1p ARCHITECT OR J TEL. BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD, _ TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. a 1 +i, 0 TEL _-+ CONTRACTORN ' r NO / 1 _ LI C ADDRESS G •, NO •! J�� CORNER CUTOFF YES'[]- NO G CITY .CIC SEE REVERSE SIDE FOR SPECIAL APPROVALS - DESCRIPTION OF WORK W NEW ADD ALTER REPAIR DEMOLISH a V7 SQ,FT. NO OF NO. OF Z SIZE STORIES FAMILIES USE OF I STRUCTURE ��l 06 D SIGNATURE OF APPLICANT r VALUATION$ � � ,.v IQ •00 'APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION, LOCATION ' FEE$ FEE$ ((!i OQ FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION' WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS SUILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 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 OFl ` HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS n t F I N'A L ✓�� JOHN F. LEWIS. PRINCIPAL ST CT RAL ENGINEER PLAN CHECK VALIDATION CK MCK /.O. CASH _ PERMIT VALIDATION MO CASH it Lo 53"W; NOV 2 ID - 6.0 0 g AFL:'LICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN BUILDING. ADDRESS BUILDING p ADDRESS 8 Bogue - LOCALITY- NEAREST CITY Tem le Cit ZIP CROSS ST ` N EA ,ANO OF BLDGS ASSESSOR SIZE OF LOT a5 NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE SSED BY TRACT BLOCK LOT NO / �� �� CONST„ ZONE TEL OWNER Ellen Swanson NO 286-888 STATISTICAL CLASSIFICATION SEWER P ADDRESS CLASS NO DWELL UNITS- BK PG CITYGj;ty ZIP US NE MAP ARCHITECT O TEL NO o2G O ENGINEER NO / SPECIAL CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONTRACTORMontebello • Rf o NO 722-697 BLDG SETBACK FROM LIC FRONT PROP LINE OF (STREET). ADDRESs868 Truckway NO TOTAL SETBACK FROM - TYPE OF EXISTING LIC HIGHWAY + YARD - -FRONT PROP LINE HIGHWAY WIDTH CITYMOntebellO - CLASS_C-39 CONSTRUCTION LENDER +. a NAME AND BRANCH O BLDG SETBACK FROM U SIDE PROP'LINE OF (STREET) � ADDRESS CITY p SQ.FT NO OF. INC OF CHECK HIGHWAY 1+ YARD -_ TOTAL SETBACK FROM TYPE OF EXISTING - SIZESTORIES FAMILIES ONE SIDE PROP LINE . HIGHWAY WIDTH O + = Z DESCRIPTION OF WORK -Reroof NEW building with 240# 3-1 ADD ❑ CORNER CUTOFF YES ❑ NO f] • ALTER' ElIN OPEN SPACE YES ❑ NO- ❑ REPAIR ❑ USE OF G BLDG DEMOL ❑ N COASTAL PERMIT.ZONE• YES ❑ NO ❑ APPLICANT (PRINT)MontebellO Rf .i NO 22-6 BY-(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I 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 RELATING TO WORKMEN S COM- - - - - - PENSATION INSURANCE - - SIGNATURE OF - NAL �/ B PERMITTEE DATE_ p Lei%���C:(r✓G ADDRESS 8 8 Truckwa CITY Montebello NOL 22-6 P C Fee$ Permit Fee 2 Issuance Fee 7-00 VALUATION srl— .vv Total Fee . $34.00 -PLAN CHECK VALIDATION C'K.' M o CASH ' _ PERMIT VALIDATION -M.O.M`O. CASH ' 2:3 1 r"_''AU -10 ..1 U 3 4:0'U A`43 ©S 76A638B CE N803B 8/77 - - -• WORKERS' COMPENSATION DECLARATION I'hereby affirm that I have certificate of consent To self A,P P L I CAT I O insure, or a certificate of Workers' Compensation Insurance, _ . ,N /'FOR. BUILDING PERMIT ora certified copy thereof (Sec. 3800,lab. C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy NoCompany ❑ Certified copy is her furnishedBUILDING. FOR APPLICANT TO FILL IN ADDRESS ❑. Certified copy is filed with the-county building inspec- BUILDING tion department. ADDRESS ✓ ✓ ee s ;CITY �� J� i ZIP ,7 LOCALITY' Date Applicant - ,NO. OF BLDGS. _ CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT NEAREST' CROSS ST. ,COMPENSATION INSURANCE ASSESSOR (This section need not lie completed if the permit is for one TRACT BLOCK LOT NO MAP BOOK PAGE _ PARCEL hundred dollars ($100) or-less.), TEL •• OWNER /A ' NO USE ZONE, MAP I certify that in,the performance of the work for which this = NO SPECIAL permit-is issued,.)shall not employ any person'in any manner• ADDRESS CONDITIONS a so as-to become subject to the Workers'Compensation Laws. _ 0 a CITY ZIP Date Applicant' ARCHITECT OR TEL DISTRICT GROUP TYPE- FIRE PROCESSED:BY Q NOTICE TO APPLICANT: If, after, making.this Certificate of ENGINEER - NO CON ZONE 0 Exemption, you should become sublect-to. the ,Workers' � w Compensation provisions of the Labor Code,-'you must forth- ADDRESS - d/� .3 a with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT CONDO. Z deemed-revoked. CONTRACTOR NO LICENSED CONTRACTORS DECLARATION UC. CLASS NO. �� DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter? ADDRESS N9• (commencing with Section 7000)of,Division 3 of the Business LIC :SEWER MAP and Professions Code,and my license is in full force and effect. CITY - CLASS BK. VALIDATION - SQ. FT. NO OF NO OF CHECK - FIG License Number Lic. Class SIZE STORIES l FAMILIES ONE - - - VALUATION Contractor Date DESCRIPTION OF WORK,�� NEW ' ADD ❑ b�v ► ❑1 am exempt under Sec. B.&P.C. for This reason P ❑ $ Date: USE OF ; EXISTING BLD9. DEMOL ❑ Signature APPLICANT, _-TEL. FINAL OWNER-BUILDER'DECLARATION (PRINT)' fj, �n DATE �G I hereby affirm that I am exempt from the Controctor'sljcense ADDRESS f� ��. FINAL 1 Law for the'following reason (Section'7031.5, Business'and' -Professions Code):- PRESENT BY w/1 /'T°'e' a I, as owner of the property, or my employees with BUILDING 461 ACCADDRESS - wages as-their sole compensation,will do the work and 3303 ,1018°90 the structure is not intended or offered for•sale(Section LOCALITY 7044, Business and Professions Code.)' MOVING TEL l"'TTECIS ❑ p P y y g CONTRACTOR NO. TOTAL �� Q I, as owner of the ro erT am exclusrvel contractin with-licensed contractors to,construct the project (Sec- FAD ESS 90 ,tion 7044, Business and Professions Code.) �(�E�I'i 10�°��l UIRED TOTAL SETBACK FROM EXIST " CONSTRUCTION LENDING AGENCY BACK YARD HWY PROP. LINE WIDTH C;4AhIUE 00 I hereby affirm that there is a construction lending agency for NT t ° the performance-of the work'for which'this permit is issued(Sec. 3097, Civ. C.). 0000-0001 }/b1/96 Lender's Name ee$ Permit Fee' .loo LDMA Ref. # 6701 1 , FTI 4-02 3 Lender's Address a� �,�� FEE 0 I certify,that I have read This application and state that the Issuance Fee X150 LDMA P/C# , above information is correct. I agree•To comply with all County Investigation,Fee 0 ordinances'and State jaws relating io building construction, Total Fee LDMA Perm # a and hereby authorise representatives of This County.to enter 0000-0001 5/31/196, upon the abo e-mentio ed property for inspection purposes. H 7°_ �� ` �� — �j�j SEE REVERSE FOR EXPLANATORY_ LANGUAGE 6702Ft 1 t°1, Si a ure of Applicant Agent Date