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Home My Public Portal About10143 BOGUE ST_Building_4/3/2014_COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: TR: 16957 LT: 130 ASSESSOR INFORMATION NUMBER: 8586-019-013 OWNER: TEL. NO: HALL, FRANK (323) 519-9577- 10143 ROGUE STREET SQ. FT STORIES TEMPLE CITY CA 91780 SII APPLICANT: TEL. NO: TAM STUDIO (626) 398-7302- 107 S FAIR OAKS AVE 60000.00 PASADENA CA 91105 I NEAREST CROSS STREET: BALDWIN CONTRACTOR: TEL. NO: GERALD WAYNE MAR (626) 483-7565- 8835 EMPEROR AVENUE LIC. NO SAN GABRIEL, CA 91775 439297 ARCHITECT OR ENGINEER: TEL. N0: TAM STUDIO , (626) 398-7302- 107 S FAIR OAKS AVE )#213 LIC. NO: I PASADENA CA 91105 NONE I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:j 3 001 NO. OF FAMILIES: DWELLING UNITS: -I APT/COND: STAT CLASS: 0 NO 21 1 SCHOOL WITHIN -I HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO TEMPLE CITY # 0508 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: BUILDING PERMIT RESIDENTIAL ADD/ALT/REP BE 0508 1404020022 FEES PAID DESCRIPTION: QUANTITY: DOM PLANCHECK W/ENERGY NO. OF CONST NEW I BUILDING ADDRESS: BLDG PERMIT ISSUANCE SQ. FT STORIES TYPE OCCUP GROUPI 10143 HOGUE ST (STRUCTURE: 105 1 V -B R-3 I TEMP CA 917802703 GARAGE: 60000.00 I NEAREST CROSS STREET: BALDWIN OTHER: 80000.00 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY CA IEXIST BLDG USE: USE ZONE: JZSSUED ON: PROCESSED BY: IEXIST OCC GRP: TOTAL FEES 104/03/14 SR BLDGS. NOW ON LOT: VALUATION: (FINAL DATE FINAL BY: CODE: 1 80,000 FEES PAID DESCRIPTION: QUANTITY: DOM PLANCHECK W/ENERGY 80000.00 VAL BLDG PERMIT ISSUANCE STATE GREEN BLDG FEE 80000.00 VAL STRONG MOTION RESID 60000.00 VAL PERMIT W/ENERGY 80000.00 VAL INV WORK W/O PERMIT 344.00 DOL TOTAL FEES I ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508 DE JI.'TIO�F WORK IREMOVE EXIST FIREPLACE, ADD ENTRY VESTIBULE (92 SP.) ADD AMOUNT:IBAY WINDOW (13 SF.), REMODEL KITCHEN, BATHROOM (1 3/4), REPLACE ROOF SHINGLES 1,026.50 27.80 ISPECIAL CONDITIONS: 4.00 8.00 1,207.70 344.00 (APPROVALS DATE INSPECTOR SIGNATURE 2,618.00 1 'LOCATION AND SETBACKS [SOILS ENGINEER APPROVAL (FOUNDATION/TRENCH FORMS (SLAB/UNDER FLOOR RAISED FLOOR FRAMING UNDERFLOOR INSULATION (SST LEVEL FLOOR SHEATH ' i 12ND LEVEL FLOOR SHEATH (ROOF SHEATHING FIRE DEPT. FRAME INSPECT IRLDG DEPT. FRAME INSPECTI Z 1 I 1 ISHIER PANELS 11 (INSULATION/WEATHER STRIP I INTERIOR LATH/DRYWALL I I EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES I (FIRE DEPARTMENT APPROVAL( I � � 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 (J) 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 Contra � for pursuant .to the Contractors' State License Law). i U. 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 prion to completion. 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.leainfo.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 r' License No. +39 Zg % Date ! Contractor Signature 1 --of-' a 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 California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions ¢13� �- 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 l have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this county to enter the above -identified property for inspection purposes. Signature of P erty Owner or Authorized Agent Date