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Home My Public Portal About10127 BOGUE ST_Building_9/21/2015_COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: ITR: 16957 LT: 127 ASSESSOR INFORMATION NUMBER: 18586-019-010 1 TENANT: OWNER: IBROGE, AL & CONNIE 10127 BOGUE ST TEMP 917802703 APPLICANT: ICOGHLAN, TIM 833 W HERBER STREET IGLENDORA CA 91741 CONTRACTOR: IV I P ROOFING 833 W. HEBER STREET IGLENDORA, CA 91741 (ARCHITECT OR ENGINEER: TEMPLE CITY # 0508 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: NO. OF CONST SQ. FT STORIES TYPE (STRUCTURE: 25 V -B EXIST BLDG USE: RESID EXIST OCC GRP: . TEL. NO: IBLDGS. NOW ON LOT: FEE DESCRIPTION: TEL. NO: 1 (626) 857-0592- JAA BLDG PERMIT ISSUANCE JAB STATE GREEN BLDG FEE JAC STRONG MOTION RESID ID2 PERMIT W/0 EN -HC TEL. NO: (626) 857 -0592 - LIC. NO 696625C39 TEL. NO: LIC. NO: MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 3 00 INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS I NO NO NO PERMIT EXPIRES 180 DAYS IF 11) WORK DOES NOT COMMENCE, OR 12) WORK IS SUSPENDED OR ABANDONED, OR 13) FAILS TO OBTAIN CODE REQUIRED INSPECTION REPORT ID: DPR261 BUILDING PERMIT ALTERATION/REPAIR BL 0508 1509210069 BUILDING ADDRESS: 10127 BOGUE ST TEMP CA 917802703 NEAREST CROSS STREET: LIVE OAK THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY CAI USE ZONE: R-1 JISSUED ON: PROCESSED BY: 09/21/15 SR VALUATION: IFINAL TE FINAL CODE: 5,000 fv%� FEES PAID IDESCRIPTIO OF WORK RECOVER OVER (1) LAYER EXISTING 20 YR COMP WITH A CLASS "A" QUANTITY: UOM: AMOUNT:IFIRE RATED 30 YR COMPOSITION ROOFING SHINGLE ON BOTH HOUSE AND ATTACHED GARAGE 27.80 1 5000.00 VAL 1.00 ISPECIAL CONDITIONS: 5000.00 VAL 0.70 5000.00 VAL 132.60 TOTAL FEES 162.10 ROUTE TO: BS0508 APPROVALS DATE INSPECTOR SIGNATURE LOCATION AND SETBACKS SOILS ENGINEER APPROVAL FOUNDATION/TRENCH FORMS SLAB/UNDER FLOOR RAISED FLOOR FRAMING UNDERFLOOR INSULATION FLOOR SHEATHING ROOF SHEATHING SHEAR PANELS FRAME INSPECTION FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS IT -BAR CEILINGS SLOT DRAINAGE OWNER -BUILDER DECLARATION LICENSED CONTRACTOR'S DECLARATION I JOB ADDRESS 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 (_) 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 Contrbc or pursuant.to the Contractors' State License Law). 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 �T n effect. //Lic��e�/]n�Is Clas `� LicenseN y–Datej �bntractor Signa ure , Yl//� WORKERS' COMPENSATION`DE TION 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. Po icy No. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the wo5k for which this permit is issued. My s5t'ion i rysr' -aqd policy nyaiber aJ� j� Cartier Pd icy umber Expiration Date Name of Agent Phone Number U I am exemdt from licensure under the Contractors' State — I certify that, in the performance of the work for which this License Law for the following reason: permit is issued, I shall not employ any person in any manner sobecome subject to the workers' compensation laws of C fo a, and agree that, if I should become subject to the By my signature below I acknowledge that, except for my orker ' pensatio�isions of Section 3700 of the Labor personal residence in whicf I must have resided for at least Cod I forthwi comply with those provisions one year priori to completion of the improvements covered by carT� this permit, I cannot legally sell a structure that I have built as an / GY rj owner -builder if it has not been constructed in its entirety by gig fApplicant bat 1 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.aov/calaw.html. Date: Signature of Property Owner or Authorized Agent LOBBYIST ORDINANCE CERTIFICATION Complete this section for {permits in Unincorporated Los Angeles County only This is to certify that 1, as permit applicant, am familiar with the requirements of Los Angeles County Code Chapter 2.160 at seq., (relating to the Los Angeles County Lobbyist Ordinance) and that all persons acting on behalf of myself compiled and will continue to comply therewith through the application process. Applicant (Print Name) Applicant Signature Company Name Date 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 ❑ No ❑ I have read the hazardous materials information guide and the SCAQMD permitting checklist, I understand my" quirem nts under the Los Angeles County Code Title 2, Chapter20' 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). Lenders Name Lenders 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. 1 have read this application and the information I have provided is correct. I agr to comply with all applicable city and county orohiancips and state laws relating to building /Fate __a�� l�/ �✓ of this county to enter the inspection purposes. or Authorized Agent