The URL can be used to link to this page

Home My Public Portal About5124 SERENO DR_BUILDING_4/19/2016_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 • ADDITIONAL DATA ON FILE ID: DPR261 ROUTE TO: BS0508 INTERIOR LATH =RIOR LATH SMOKE DETECTION DEVICES 51H2 SERENO :>I COUNTY OF IAS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW RESIDENTIAL BUILDING ,AND -SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1602170036 PHONE: (626) 285-0488 EXT: DUPLICATE LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP( 5142 SERENO DR 1708 2 V -B R-3 TEMP CA 91780 ASSESSOR INFORMATION NUMBER: GARAGE: GARAGE: 440 1 V -B U NEAREST CROSS STREET: 5388-011-008 1 OTHER: 3 1 V -S U 1 THOMAS PAGE: 596 GRID: HE LOCALITY: TEMPLE CITY CA TENANT: USE ZONE: R-2 (ISSUED ON: PROCESSED BY: 1 104/19/16 SR J OWNER: TEL. NO: BLDGS. NOW ON IAT: VALUATION: FINAL DDD]]]��TE FINAL ,$Y) CODE: XLV PROPERTIES LLC 1129 CALIFORNIA ST 249,891 1 '/ /�/( 1,W // �/({�� SAN GABRIEL CA 91776 J FEES PAID IDSA TI Nl OF WORK INEW 2 -STORY 4 BEDROOMS, 3 BATHROOMS DETACHED CONDO WITH IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IATTACHED 2 CAR GARAGE WITH LAUNDRY SPACE AND FRONT PORCH APPLICANT: TEL. NO: J(TO CONTINUED PLAN CHECK FOR PROSECT STARTED UNDER LAI, KAMEN (626) 288-2651- IAA BLDG PERMIT ISSUANCE 34.40 1 8747 E VALLEY BLVD K JAB STATE GREEN BLDG FEE 249891.00 VAL 10.00 JSPECIAL CONDITIONS: ROSEMEAD CA 91770 JAC STRONG MOTION REBID 249891.00 VAL 32.50 IFIRE SPRINKLERS REQUIRED 182 PERMIT W/ENERGY 249891.00 VAL 3,133.10 ID7 ADDNL PLANCHECR FEE 2.00 HOU 272.60 CONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 125.60 (APPROVALS DATE INSPECTOR SIGNATURE MSV CONSTRUCTION INC. (626) 675-7052- 1 TOTAL FEES 3,608.40 J 1769 GIGAR TERRACE LIC. NO (LOCATION AND SETBACKS WEST COVINA CA 91792 997533 i 10� I ISOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS ' LEE, PETER (626) 280-9000- I I /,�jl 8748 E VALLEY BLVD SUITE L LIC. NO: (SLAB/UNDER FLOOR ROSEMEAD CA 91770 997533 • RATSED FLOOR ING J FRAM MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE.: CMP:J JUNDERFLOOR INSULATION J 3 021 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I J1ST LEVEL FLOOR SHEATH I 5 YES 04C i 12ND LEVEL FLOOR SHEATH 1 SCHOOL WITHIN HAZARDOUS J IROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO 1 1 FIRE DEPT. FRAME INSPECT I ) A B� I (BLDG DEPT. FRAME INSPECT( I (/� I ISHEAR PANELS /I IINSULATION/WEATHER STRIP( Ln .. ,i 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 • ADDITIONAL DATA ON FILE ID: DPR261 ROUTE TO: BS0508 INTERIOR LATH =RIOR LATH SMOKE DETECTION DEVICES 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 Contr9ctor pursuant to the Contractors' State License Law). II (_)� 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 whicf I must have resided for at least one year priorl to completioq of the improvements covered by this permit, Innot legally sell a structure that I have built as an r� 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: hftp,//www.leainfo.pa.gov/calaw.htmi. ce gov/calaw html/www leainfo ca gov/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 5 License No. 3 Date(6Contractor Signature WORKERS' COMPENSATION DECLARATION WAf2NING: 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 n tion n i snyre, eer and poli n rub r are: Cartier Policy Number pition 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 Signature ot7q licant Datb f 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 Ill 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 ❑ 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 Address By my signature below, I certify to,each of the following: I am the property owner or authorized to act on the property owners 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 of Pf Owner or Authorized Agent or Authorized Agent Date