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Home My Public Portal About4837 WILLMONTE AVE_BUILDING_11/10/2016_TEMPLE CITY PERMIT NO. B16-11393 City of Temple City 1 9701 Las Tunas Drive I Temple City, California 91780 1 (626) 285-2171 1 www.templecfty.us Address: 4837 WILLMONTE AV, TEMPLE CITY, California 91780 Parcel: 8589-024-015 Permit No: 816-11393 Type: Building Subtype: RR Residential Alteration Description: 1-STORYADDITION BEDROOM, BATHROOM, STUDY, WIC. BATHROOM Special #2. REMODEL (E) BEDROOM #3 ADD CLOSETAND RELOCATE Conditions: DOOR.REMOVE(E) FIREPLACE @ EXISTING FAMILY ROOM illp Issue Date: I1-10-2016 Expire 05-09-2017 Extension: 06-27-2017 Extension Date: Permit expires on date shown If: 1) work does not commence, or 2) work is suspended or abandoned, or 3) applicant falls to obtain code required Inspection. Contacts Owner KC Kong 4837 Wlllmonte Avenue, Temple City, California 91780 Strong Motion Fee Applicant Joseph Hsu 3018 East Colorado Boulevard, Pasadena, California 91107 (626) 716-8855 Contractor Chi Wall Tam Construction 4041 Keansburg Avenue, West Covina, California 91792 (626) 552-1010 917324 Architect lason Sun Architect Suns 3018 E Colorado Ave. #150 , Pasadena, California 91107 (626) 396-3063 Building Details Structure 1: Residential Construction Type: V -B Occupancy Group: R-3 Residential, one -and two-family New/Added Area: 769 Remodel/TI Area: 0 New Dwelling Units: 0 Stories: 1 Fees Total Valuation $106,810.00 Strong Motion Fee $13.89 Building Inspections Approval Date I Location/Setbacks4214 Rated Soils Engineer Shafts Foundation Forms T -Bar Slab/Under Floor Raised Floor Ceilings Framing Underfloor Lot Insulation 1st Floor _ Sheathing Smoke 2nd Floor Detectors Sheathing Fire Dep[ 2: Porch 3: 4: V -B U Utility, miscellaneous 33 0 0 0 0 0 0 0 0 0 0 0 Plan Check Fees $0.00 Permit Ease $1827.41 SB 1473 Fee $5.00 Parks Dev Fee $0.00 Sewer Const Fee $0.00 Approval Daq In r Roof Sheathing Fire Dep[ Framing �!Z{_Z_ Bldg Dept Framing �/�.f✓/�. A Shear Panels Sprinkler Hangars Insulation/Weather Strip Z� Interior Lath/Drywall Exterior Lath Approval Data Inspector Rated Floor/Ceiling Rated Walls Rated Shafts T -Bar Ceilings Lot _ Drainage � Smoke //[[� Detectors ( Fire Dep[ Approval I FINAL I/ r 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 (_) 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 7144, 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 exempt 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 1 must have resided for at least one year priorl to completionof the improvements covered by this permit, I cannot legally sll 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: htto://www.leginfo.ca.gov/calaw.htmi. 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. ` �3_C-,o-c-�o , 2 License Class License No. 17 Is (f —1 �—//_Contractor Signature a JOB ADDRE33 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? WORKERS' COMPENSATION DECLARATION Yes ❑ No ❑ WAWNG: 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 ATTORNEYS 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: Cartier 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 f twlth co dy with those provisions Signature Applicant Date D 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. C/ %/ yy/a- ' v1 i Applicant (Print Name) Applicant Signature Company Name 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 }20" Sections 220.100 through 220.140 conceming 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. 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. .2MS' nater rope� erg u dAgant � /NV Date/I-Lo-(6