Loading...
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