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Home My Public Portal About10547 BOGUE ST_Building_11/4/2015_COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: TR: 28607 LT: 27 ASSESSOR INFORMATION NUMBER: 8586-011-072 TENANT OWNER: DEAL, MIKE 10547 BOGUE ST TEMP 917802817 AVITIA, EMILIO 1517 E GARFIELD AVE GLENDALE CA 91208 CTR BUILDERS, INC. 3518 OCEAN VIEW DR GLENDALE CA 91208 OR ENGINEER: TEL. NO: TEMPLE CITY H 0506 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: NO. OF CONST SQ. FT STORIES TYPE STRUCTURE: V -B EXIST BLDG USE: REBID USE ZONE: R-1 EXIST OCC GRP: BLDGS. NOW ON LOT: VALUATION. - 7, 800 FEES PAID BUILDING PERMIT ALTERATION/REPAIR BL 0508 1511040022 BUILDING ADDRESS: 10547 BOGUE ST TEMP CA 917802817 NEAREST CROSS STREET: THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY ISSUED ON: PROCESSED BY: 11/04/15 SR FINA��Lp��//pry�Tyy////��6 Fi�� CODE: DESCRI--{{yy2TION"OF� O K KITCHEN REMODEL (NON-STRUCTURAL) PERMIT EXPIRES 180 DAYS IF 1) WORK DOES NOT COMMENCE, OR 2) WORK IS SUSPENDED OR ABANDONED, OR 3) FAILS TO OBTAIN CODE REQUIRED INSPECTION ID: DPR261 ROUTE TO: BS0508 RATED WALL ASSEMBLIES LOT DRAINAGE DATE INSPECTOR SIGNATURE IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( TEL. NO: I I (818) 249-3281- IAA BLDG PERMIT ISSUANCE 27.80 I IAB STATE GREEN BLDG FEE 7800.00 VAL 1.00 ISPECIAL CONDITIONS: I IAC STRONG MOTION REBID 7800.00 VAL 1.00 IB1 PLANCHECK W/ENERGY 7800.00 VAL 171.20 OF FAMILIES: DWELLING UNITS: IB2 PERMIT W/ENERGY 7800.00 VAL 201.30 TEL. NO: (818) 249-9211- ^TOTAL FEES (APPROVALS ^/\•1r7� LIC. NO p44002.30 .i'�l I�/�I/"'��// ^�'��///�� LOCATION AND SETBACKS I/nVw 704369 �/(�Y^ �//�(Cn/N SOILS ENGINEER APPROVAL �� i 0T -Nr(`!, " •�v'�kff' `�I�J�Wr-� TEL. NO: I (FOUNDATION/TRENCH FORMS LIC. NO: (SLAB/UNDER FLOOR PERMIT EXPIRES 180 DAYS IF 1) WORK DOES NOT COMMENCE, OR 2) WORK IS SUSPENDED OR ABANDONED, OR 3) FAILS TO OBTAIN CODE REQUIRED INSPECTION ID: DPR261 ROUTE TO: BS0508 RATED WALL ASSEMBLIES LOT DRAINAGE DATE INSPECTOR SIGNATURE IRAISED FLOOR FRAMING N0: SEWER MAP HOOK: PAGE: FIRE ZONE: CMP:( JUNDERFLOOR INSULATION 3 001 I (FLOOR SHEATHING OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS ISHEAR PANELS QUALITY: 1000 FEET MATERIALS NO NO NO,y2IFRAME INSPECTION (FIRE SPRINKLER RANGERS I )INSULATION/WEATHER SIR PERMIT EXPIRES 180 DAYS IF 1) WORK DOES NOT COMMENCE, OR 2) WORK IS SUSPENDED OR ABANDONED, OR 3) FAILS TO OBTAIN CODE REQUIRED INSPECTION ID: DPR261 ROUTE TO: BS0508 RATED WALL ASSEMBLIES LOT DRAINAGE DATE INSPECTOR SIGNATURE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code): Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do (,/) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner - Builder will have the burden of proving that it was not built or improved for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contrb�tor pursuant .to the Contractors' State License Law). (_)• I am exem�t from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior) to completioq! of the improvements covered by this permit, I c 'nnot legally sell a structure that I have built as an owner -builder If it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: httD://www.leoinfo.ca.00v/calaw.html. Date: Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class > License No. � � 3 Datekt ILI 1(,-�Co`ntractor Signature ,S/lIi WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self - insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone Number _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of C mia, and agree that, if I should become subject to the rke 'compensation provisions of Section 3700 of the Labor I hall forthwith comply with those provisions V1, L� Signature of Applicant Date LOBBYIST ORDINANCE CERTIFICATION Complete this section for permits in Unincorporated Los Angeles County only This is to certify that I, as permit applicant, am familiar with the requirements of Los Angeles County Code Chapter 2.160 et seq., (relating to the Los Angeles County Lobbyist Ordinance) and that all persons acting on behalf of myself complied and will continue to comply therewith through the application process. Applicant (Print Name) Applicant Signature Company Name Date JOB ADDRESS LOCALITY HAZARDOUS MATERIAL DECLARATION Will the applicant or future building occupant handle a hazardous material or a mixture containing a hazardous material equal to or greater than the amount specified on the hazardous materials information guide? Yes ❑ No ❑ Will the intended use of the building by the applicant or future building occupant require a permit for construction or modification from the South Coast Air Quality Management District (SCAQMD)? See permitting checklist for guidelines. Yes ❑ N.o ❑ I have read the hazardous materials information guide and the SCAQMD permitting checklist, I understand my requirements under the Los Angeles County Code Title 2, Chapter 220' Sections 220.100 through 220.140 concerning hazardous material reporting and for obtaining a permit from the SCAQMD. ASBESTOS NOTIFICATION ❑ Notification letter sent to AQMD and/or EPA ❑ I declare that notification of asbestos removal is not applicable to addressed project. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to;each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I au riz representatives of this county to enter the a bc ope-ider4ified property for inspection purposes. Sign'aLl, V roperty Owner or Authorized Agent Date V LA J