HomeMy Public PortalAbout9995 BOGUE ST_Building__ TEMPLE CITY
76A638A CE#803 9-68
APPLICATION FORBUILDING PERMIT fL.II
COUNTY OF-LOS ANGELES BUILDING Q
DEPARTMENT OF COUNTY ENGINEER ADDRESS /
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER •NEAREST
COLEMAN W. JENKINS, SUP T OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DlsTrjlcr No.� GROLP TYPE E D BY
(Print or type only)
"' � CONST.
BUILDINGSTATISTICAL CLA IFICATION S ER MAP
ADDRESS 9995 E Bo ue Street C CLASS NO. DWELL.UNITS BK L PG
LOT NO. BLOCK ;USE ZONEMAP /1
NO. l/
TRACT SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. ,BLDG.SETBACK FROM
TEL. FRONT PROP.LI NE OF (STREET)
OWNER O' — 'TYPE OF EXISTING SETBACK HIGHWAY } _ YARD = TOTAL
ADDRESS H Y WIDTH FROM C.L.
CITYTemple City - Calif
}
BLDG.SETBACK FROARCHITECT OR TEL. SIDE PROP.LINE OF• (STREET)
ENGINEER NO. TYPE OF EXISTING1 SETBACK HIGHW } YARD = TOTAL
ADDRESS •HIGHWAY WIDTH FROM C.L.
CONTRACTORH . L . Randol rCL
Tio`288-404 I }
ADDRESSVal leyp CORNER CUTOFF YES ❑ NO ❑
CITY San Gabriel Cali-'f CL SS C-39 c:SEE REVERSE SIDE FOR SPECIAL APPROVALS ILL
CONSTRUCTION LENDER c-
NAME AND BRANCH z
ADDRESS
SQ. FT. NO. OF NO. OF NEN, ❑
SIZE STORIES FAMILIES
USE OF ADD ❑
STRUCTURE — ALTER ❑
with F G Comp .
FXI
SIGNATURE OF - REPAIR
APPLICANT DEMOL ❑
VALUATION $ 941 APPROVALS DATE INSPECTOR'S SIGNATURE
FEE $ FEES 12 .00 rOFORMS,IMATERIIA SION
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 ORDINANCES AND LAWS REGUL TING BUILDING CON- GAS VENT, DUCTS
STRUC TION. I CERTIFY THAT IH DOING H WORK AUTHORIZED
HEREBY I WILL NOT EMP Y AN PER N I VI ATION OF THE LATH, INT.
LABOR CODE OF TH S TE •C .IFO IA R TING TO
WORKMEN'S COOP T N I RA
�.� I LATH, EXT.
SIGNATU OF HOUSE NUMBER COR-
' PERMITT RECT AND POSTED
ADDRESS 529 E Val lev Rlyd - , San G-aFINAL /f
PLAN' CHECK VALIDATION CK. MO cnsH JOHN F. LEWIS. PRINCIPAL ST R RAL ENGINEER
_ _ PERMIT VALIDATION CKM O. CASH
�, (►n l,s 0 ,1'17.0N AUG 26 1 U 1 2.0&� a
W
�cl+ CMPENSATION DECLARATION
�;h�reliY ' a{A have a certificate of consent'to self - F BUILDING PERMIT
ensure, or a certificate of Workers' Compensation Insurance, APPLICATION O
or a certified copy thereof (Sec. 3800, Lab. C.)T
COUNTY-OF LOS ANGELES BUILDING'AND SAFETY
policy No. Company ,
Certified copy is hereby,furnished. BUILDING
'FOR-APPLICANT TO FILL IN ADDRESS r
❑ Certified copy is filed with the-county building inspec- BUILDINGq
-
tion department. ADDRESS' `7 LOCALITY
NEAREST �.
Date Applicant CITY ZIP• CROSS 57.
CERTIFICATE,OF EXEMPT IO FRO WORKERS'. NO. OF BLDGS ASSESSOR ;' v
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PGE PARCEL
(This section need not be completed if the permit is for one USE NE MAP
hundred dollars ($100)or less.) TRACT' BLOCK - LOT NO NO l
' 1�
TEL I SPECIAL
I certify that in the performance of the work for which'this OWNER- "Vl NO. CONDITIONS CL
permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY O
ADDRESS [ ill( /I(� CONST ZONE U
so as to become subject'to the Work s' bmpensation Laws. ub I fy� ne
Date " -Applicant ��- CITY ZIP r STATISTICAL CLASSIFICATION APT- JCC DO. V
NOTI TO APPLICANT: 'If, offer ma ing this•Certificate of ARCHITECT OR TEL.
Exemption, you should become subject to the Workers' ENGINEER NO CLASS NO DWELL. UNITS �: CL
Compensation provisions of.the Labor Code, you must forth- ADDRESS SEWER MAP
with comply with such provisions or this permit shall, be I • z
deemed revoked. . TEL Sy VALIDATION}
CONTRACTOR I�QQ NO��. 7T� � -BK. PG, \
LICENSED CONTRACTORS DECLARATION / LIC. y/���
I hereby affirm that I am licensed under provisions of Chapter 9• ADDRESS [ / NO3C.�' VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC.,
Professions Code, and my license.is in full force and effect. CITYCLASS $ �j ►
p SQ FT S+ NO. OF NO OF CHECK
License Number ! Lic.Class SIZE J STORIES FAMILIES- ONE
N.
Contractor Date DESCRIPTION OF WORK
NEW ❑ $
❑ I am exempt under Sec. i°1 AD°
'296.5A
ALTER FINAL'
�•�9l/ 6 ❑ DATE # 0 0 0 0 0
B.BP:C: for this reason. REPAIR
w�
Date: USE OF I/
EXISTING BLDG4' DEMOL ❑ FINAL5625
Signature APPLICANT ! _ TEL.
^ OWNE -BUILDER DECLARATION PRINT � NOT/ 16o a 3 5 6i 2 5
I hereby affirm that I am exempt from the Contractor's License /��� , l 5_7&
Law for the following reason (Section 7031.5, Business and ADDRESS `/ry 2 _8 5
Professions Code): PRESENT
O 9'
❑ 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
tion 7044, Business and Professions Code).
'REQUIRED TOTAL SETBACK FROM EXIST
CONSTRUCTION LENDING AGENCY
SET BACK YARD HWY PROP. LINE WIDTH
I 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.
Lender's Name y i
P.C. Fee$ Permit Fee � •. i t � • �• \
Lender's Address
I certify that I have read this application'and state that the Issuance Fee ( �V JJ
above information is correct. I agree to comply with all County Investigation Fee `
g ordinances and State laws relating to'building construction, Total Fee ,5
u. and hereby u ori a representatives,of this County to enter
upon the - tioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE .ty .`a - •�• + I,
,
`y ✓
Sig Lure of Applicant or Agent / Date ®t
i „� `
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 1405270064
PHONE: (626) 285-0488 EXT-
ILEGAL ID I NO. OF CONST I BUILDING ADDRESS: 1
ITR: 14984 LT: 1 SQ. FT STORIES TYPE J 9995 BOGUE ST 1
I (STRUCTURE: 2800 V-B TEMP CA 917802606 J
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: J
18588-014-023 I I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY CAI
I I
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON- PROCESSED BY: I
1 (EXIST OCC GRP: 105/27/14 SR I
10WNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL CODE: 1
IWILLIAMS RICHARD B;CYNTHIA A (626) 286-8258- 1 11,000 A 1
19995 BOGUE ST J t 1
ITEMP 917802606 I FEES PAID IMSCiZIPTION OF WORK J
JRERO()F
N
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: JAND30 YEAR CCLASS "AllSH NGLES2TOR HI OWNS ORHEPATIO (200NSF)
APPLICANTTEL. NO: 1 129 SQUARES COMPOSITION J
ISHEA, JOE (909) 437-4924- IAA BLDG PERMIT ISSUANCE 27.80 1 I
15655 JUNIPER STREET JAB STATE GREEN BLDG FEE 11000.00 VAL 1.00 ISPECIAL CONDITIONS: J
ICHINO CA 91710 JAC STRONG MOTION RESID 11000.00 VAL 1.10 I
J ID2 PERMIT W/0 EN-HC 11000.00 VAL 233.40 I
TOTAL FEES 263.30-,l I
ICONTRACTOR: TEL. NO: 1 JAPPROVALS DATE INSPECTOR SIGNATURE 1
III SHEA ROOFING (909) 591-4463- 1
15655 JUNIPER ST LIC. NO 1 (LOCATION AND SETBACKS J I
ICHINO CA 91710 565595 J 1 I I
ISOILS ENGINEER APPROVAL I
(ARCHITECT OR ENGINEER: TEL. NO: J I.FOUNDATION/TRENCH FORMS I
LIC NO: J ISLAB/UNDER FLOOR I I I
J IRAISED FLOOR FRAMING
I J I I I I
IMAP NO: SEWER MAP BOOK- PAGE FIRE ZONE: CMP:I JUNDERFLOOR INSULATION
I 3 0('l I 11 1
I I IFLOOR SHEATHING I I I
INO OF FAMILIES: DWELLING UNITS: APT/COND: •STAT CLASS: J I I I
J NO 21 J IROOF SHEATHING I
J SCHOOL WITHIN HAZARDOUS ISHEAR PANELS 1
JAIR QUALITY: 1000 FEET MATERIALS I I_ J I I
J NO NO NO IFRAME INSPECTION I I I
IFIRE SPRINKLER HANGERS I J I
J I I
I 11NSULATION/WEATHER STRIPI I I
I I JINTERIOR LATH/DRYWALL
I 1EXTERIOR LATH I
I I I
J IRATED FLOOR/CEIL ASSEM. I I
IRATED WALL ASSEMBLIES I I I
(RATED SHAFTS/OPENINGS J J I
J J IT-BAR CEILINGS I I I
I ILOT DRAINAGE I I
I 1 I I
I , 1REPORT ID DPR261 ROUTE T0: BS0508