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Home My Public Portal About5742 LOMA AVE_BUILDING_6/23/2016_COUNTY OF I ANGELES DEPARTMENT OF UBLIC WORKS BUILDING AND SAFETY/ LAND DEVELOPMENT GAL ID: : 5904 LT: 366 SESSOR INFORMATION NUMBER 84-013-004 GONZALEZ LOUIS J;VICTORIA 15936 LAMA AV ITEMP 917801923 JAPPLICANT: ITARANTO, JOSEPH IPO BOX 1857 (UPLAND CA 91785 1 I [CONTRACTOR': ITARANTO CONSTRUCTION, INC 11252 MONTE VISTA AVE., (SUITE M5 UPLAND, CA 91786 TEL. NO: TEMPLE CITY 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LVV. Vk LVq I'1 SQ. PT STORIES TYPE STRUCTURE- V -S EXIST OCC GRP: CEG.[ YAlU [FEE DESCRIPTION: QUANTITY: DOM: TEL. NO: 1 (909) 917-4312- 1 A BLDG PERMIT ISSUANCE JAB STATE GREEN BLDG FEE 9500.00 VAL JAC STRONG MOTION REBID 9500.00 VAL ID1 PLANCHECK W/O EN -HC 9500.00 VAL ID2 PERMIT W/O EN -HC 9500.00 VAL TEL. NO: I TOTAL FEES (909) 931 -3233 - LIC. NO 876297 LIC. NO: EMAP VU: JGWCK MAP BUUX: PAUS: FIRE TONE: CMP: J 3 001 I IND. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 NO 21 I SCHOOL WITHIN HA2ARDOU9 AIR QUALITY: 1000 FEET MATERIALS NO NO NO 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 JDESCRIPTJOF OF WORK - -/ I [REPLACEMENT WINDOW INSTALLATION (16) TOTAL AMOUNT:J 34.40 1.00 [SPECIAL CONDITIONS: 1.20 [ 229.80 J 270.40 1 536.80 JAPPROVALS DATE INSPECTOR ILOCATION AND SETBACKS [ I JSOIL3 ENGINEER APPROVAL (FOUNDATION/TRENCH FORMS I I JSLAB/UNDER FLOOR I IRAISED FLOOR FRAMING J 1 I JUNDERFLOOR INSULATION I1 I 111 IFLOOR SHEATHING I —1-1 IROOF SHEATHING [ 1 ISHEAR PANELS [ IT -BAR CEILINGS 1LOT DRAINAGE REPORT ID: OPR261 ROUTE TO: BS0508 �i L_- tt ♦ n 59 3p komor $ 0508 BUILDING PERMIT ALTERATION/REPAIR BL 0508 1606230024 BUILDING ADDRESS: 1 5936 LOMA AV - TEMP CA 917801923 I NEAREST CROSS STREET: GARIBALDI . � THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CA ZONE: R-1 I TISSUED ON: PROCESSED BY: 106/23/16 SR UATION:FINAL jPATE FAL CODE: 9,500 l0/ 1& /, CEG.[ YAlU [FEE DESCRIPTION: QUANTITY: DOM: TEL. NO: 1 (909) 917-4312- 1 A BLDG PERMIT ISSUANCE JAB STATE GREEN BLDG FEE 9500.00 VAL JAC STRONG MOTION REBID 9500.00 VAL ID1 PLANCHECK W/O EN -HC 9500.00 VAL ID2 PERMIT W/O EN -HC 9500.00 VAL TEL. NO: I TOTAL FEES (909) 931 -3233 - LIC. NO 876297 LIC. NO: EMAP VU: JGWCK MAP BUUX: PAUS: FIRE TONE: CMP: J 3 001 I IND. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 NO 21 I SCHOOL WITHIN HA2ARDOU9 AIR QUALITY: 1000 FEET MATERIALS NO NO NO 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 JDESCRIPTJOF OF WORK - -/ I [REPLACEMENT WINDOW INSTALLATION (16) TOTAL AMOUNT:J 34.40 1.00 [SPECIAL CONDITIONS: 1.20 [ 229.80 J 270.40 1 536.80 JAPPROVALS DATE INSPECTOR ILOCATION AND SETBACKS [ I JSOIL3 ENGINEER APPROVAL (FOUNDATION/TRENCH FORMS I I JSLAB/UNDER FLOOR I IRAISED FLOOR FRAMING J 1 I JUNDERFLOOR INSULATION I1 I 111 IFLOOR SHEATHING I —1-1 IROOF SHEATHING [ 1 ISHEAR PANELS [ IT -BAR CEILINGS 1LOT DRAINAGE REPORT ID: OPR261 ROUTE TO: BS0508 �i L_- tt ♦ n 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 IV) all of or i_) 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 Con" or pursuant to the Contractors' State License Law). 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. '8114 24 - / )'Date` ti' Contr or Signature �fi WORKERS' C 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. Poli_y 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 nuryper are: S i wTe tc~b t/ a �. Carder Policy Number 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 so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the By my signature below I acknowledge that, except for my workers' compensation provisions of Section 3700 of the Labor personal residence in which I must have resided for at least Code, I shall fo Shwith comply with rovisions one year prior) to oompletiory of the improvements covered by _ ` /Z� //f this permit, I cannot legally sell a structure that I have built as an,�— owner-builder If it has not been constructed in its entirety b Si ure of Applicant Date licensed contractors. I understand that a copy of the appli% e law, Section 7044 of the Business and Professions Code, ' available upon request when this application is submitted or at the following Web site: htto://www.leginfo.ca.gov/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 I, 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 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 ❑ N o ❑ 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 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). Lenders 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 authorize representatives of this county to enter the above -identified property for inspection purposes. Signature of