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Home My Public Portal About9734 WEDGEWOOD ST - BUILDING - 2016-08-10TEMPLE CITY PERMIT NO. B16-32661 City of Temple City 1 9701 Las Tunas Drive I Temple City, California 91780 1 (626) 285-2171 1 www.templecity.us Address: 9734 Wedgewood Street, Temple City, Parcel: 8588-010-001 California 91780 Permit No: B16-32661 Type: Building Subtype: AR Alteration Repair Description: Tear off 1/2" plywood (OSB) if 30 LB felt, Special Cedar Tile install garage attached. Conditions: 1 Issue Date: 08-10-2016 Expire Date: 02-06-2017 Extension: Extension: 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 Quiping 9734 Wedgewood Street, Temple City, Califomia Dong 91780 Applicant Juan Tejeda 12387 Clinton Street, EI Monte, California 91732 (626) 922-2234 Contractor Ato lack 12387 Clinton Street, EI Monte, California 91732 (626) 922-2234 816608 Roofing Building Details Structure 1: Residential 2: 3: 4: Construction Type: V -B Occupancy Group: New/Added Area: 0 0 0 0 Remotlel/TI Area: 40 0 0 0 New Dwelling Units: 0 0 0 0 Stories: 0 0 0 0 Fees Total Valuation $2800.00 Plan Check Fees $0.00 Permit Fees $123.36 Strong Motion Fee $0.00 SS 1473 Fee $1.00 Parks Dev Fee $0.00 Sewer Const Fee $0.00 - Building Inspections Approval Date Inspector Approval Location/Setbacks Shear Panels Soils Engineer Sprinkler Hangars Foundation Forms Insulation/Weather Slab/Under Floor Strip Raised Floor Interior Framing Lath/Drywall Underfloor Exterior Lath Insulation Rated Floor/Ceiling 1st Floor Rated Walls Sheathing Rated Shafts 2nd Floor Sheathing T -Bar Ceilings Lot Drainage Roof Sheathing Smoke Detectors Fire Dept Framing Fre Dept Approval Bldg Dept FINAL Framing Date Inspector 10 1j W 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 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 1, 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 o< improves thereon, and who contracts for the projects with a licensed Contractor pursuant; to the Contractors' State License Law). U 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 I must have resided for at least one year priorlto completion of the improvements covered by 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 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: http•//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, a d my license is in full force and effect. •4icense CI C_2 Li 7bate 0 , Contractor Sign WORKERS' COMPENSAT N E TION WARNING: FAILURE TO SECURE O RS' MPENSATION COVERAGE IS UNLAWFUL, AN SHALL UBJECT 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. under penalty of perjury one of the following I ha and will maintain a certificate of consent to self - re rorkers' compensation, issued by the Director of iustria elations as provided for by Section 3700 of the bor Code, for the performance of the work for which this permit issued. an will maintain workers' compensation quired by Section 3700 of the Labor Code, for of the work for which this ciermit is issued. My ration i uran i r licy nubei are: IT -3 � - 0. 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 orkers' compensation laws of California, and agree if I shotild become subject to the wor ars' compens on provisionsdf Section 3700 of a Labor ode, I shall fo doh comply wi ose provisions/) 1 L04BYIST ORDINANCE CERTIFICATION Cilim.plete this section for penplts In Unincorporated Los Angeles Co my 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 ❑ 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). 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 I have provided is correct. I agree to comply with all applicable ' and county ordinances and state laws relaf g to building construction. / of this e-9fTe_r the Inspection purposes. of Prop4?V Owner or Auth)Srized Agent Jko I_