HomeMy Public PortalAbout10140 OLIVE CT_Building_4/5/2017_TEMPLE CITY PERMIT NO. B17-33903
City of Temple City 1 9701 Las Tunas Drive I Temple City, California 91780 1 (626) 285-2171 1 www.templeclty.us
Address: 10140 Olive Street, Temple City, California 91780 Parcel: 8585-002-014
Permit No: B17-33903 Type: Building Subtype: RR
Residential
Alteration
Description: (1) ADD THREE POST FENCE AT FRONT YARD (CONCRETE & METAL) (2) Special
CHANGE EXISTING NORTH SIDE HOUSE SIDING WALL TO BE NEW Conditions:
STUCCO STONE VENEER, RESTUCCO HOUSE EAST SIDE, WEST SIDE,
SOUTH SIDE (3) ADD DECK AT REAR YARD 498 SQ.FT.
Issue Date: 04-05-2017 Expire 10-02-2017 Extension: Extension
Date:
Permit expires on date shown if: 1) work does not commence, or 2) work is suspended or abandoned, or 3) applicant fails to obtain code required
inspection,
Contacts
Owner Chi Wal Hung 10140 Olive Street, Temple City, California 91780 (626) 233-7466
Applicant Jenny Xu 615 Las Tunas Drive, Arcadia, California 91007 (626) 3884919
Contractor DCN Construction Co Inc. 3129 Norwich Avenue, Alhambra, California 91803 (626) 524-0803 1009661
Building Details
Structure 1:
Residential
Construction Type:
V -B
Occupancy Group:
R-3 Residential, one -and two-family
New/Added Area:
0
Remodel/TI Area:
0
New Dwelling Units:
0
Stories:
0
2: 3: 4:
0 0 0
0 0 0
0 0 0
0 0 0
Fees Total
Valuation $35,000.00 Plan Check Fees $646.89 Permit Fees $761.04
Strong Motion Fee $0.00 SB 1473 Fee $2.00 Parks Dev Fee $0.00 Sewer Const Fee $0.00
• Building Inspections
Approval Date Inspector
Approval Date
Location/Setbacks
Roof Sheathing
Soils EngineerFire
Dept Framing _
Foundation, Forms
Bldg Dept Framing _
Slab/Under Floor
Shear Panels _
Raised Floor
Sprinkler Hangars
Framing
Insu lation/weather
Underfloor
Strip
Insulation
Interior _
1st Floor
Lath/Drywall
Sheathing
Exterior Lath _
2nd Floor
Sheathing
Inspector
Approval Date
Rated
Floor/Ceiling
Rated Walls
Rated _
Shafts
T -Bar _
Ceilings
Lot _
Drainage
Smoke
Detectors
Fir D
Inspector
e apt
Approval
FINAL
V
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of pe0'ury 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 Contra 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.
JOB ADDRESS
LOCALITY
pHAZARDOUS MATERIAL DECLARATION
License Class Lic se No. �� 1 Will the applicant or future building occupant handle a hazardous
@vse material or a mixture containing a hazardous material equal to or
_—greater than the amount specified on the hazardous materials
Data S/f 1 Contractor Signature InR..Iinn ni irle?
WORKERS' COMPENSATION DEC AT Yes ElN o ❑
WARNING: FAILURE TO SECURE WOR-LOMPENSATION Will the intended use of the building by the applicant or future
COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN building occupant require a permit for construction or
EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO modification from the South Coast Air Quality Management
ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION District (SCAQMD)? See permitting checklist for guidelines.
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. -
Poli ;u
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
wor (ers' compensatioInsurance carder and policy n mb r are:
CEfrrier Policy Number Expi do Date
Name of Agent Phone Number
(_): 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
workers' compensation provisions of Section 3700 of the Labor
By my signature below I acknowledge that, except for my
Code, I shall forthwith comply with those provisions
personal residence in which I must have resided for at least
one year priorlto
this I cannot
completiory of the Improvements covered by
legally sell a structure that I have built as an�q
_ / /1
I
permit,
owner -builder
If it has not been constructed in its entirety byS
_
ure of Applicant Date
licensed contractors. I understand that a copy of the applicable
law, Section 7044 of'the Business and Professions Code, is
L ST ORDINANCE CERTIFICATION
available upon request when this application is submitted or at
the following Web site: http7l/www.leginfo.ca.gov/calaw.htm].
Complete this section for permits In
Unincorporated Los Angeles County only
This is to certify that I, as permit applicant, am familiar with the
Date:
requirements of Los Angeles County Code Chapter 2.160 at seq.,
(relating to the Los Angeles County Lobbyist Ordinance) and that
Signature of Property Owner or Authorized Agent
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
Yes ❑ No ❑
I have read the hazardous materials information guide and the
SCAQMD permitting checklist, I understand my requiremQnts
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 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.
�I natureofof Property Owne rAut ant
Date