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Home My Public Portal About10140 OLIVE CT_Building_4/5/2017_ (3)TEMPLE CITY PERMIT NO. B17-33933 City of Temple City 1 9701 Las Tunas Drive I Temple City, California 91780 1 (626) 285-2171 1 www.templecity.us Address: 10140 Olive Street, Temple City, Callfomia 91780 Parcel: 8585-002-014 Permit No: B17-33933 Type: Bulking Subtype: AR Alteration Repair Description: RE -STUCCO DETACHED GARAGE Special Conditions: SEE ALSO PERMIT B17-33903 Issue Date: 04-05-2017 Expire Date: 10-02-2017 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 Chi Wal Hung 10140 Olive Street, Temple City, California 91780 (626) 233-7466 Applicant Derrick Ng 3129 Norwich Avenue, Alhambra, California 91803 (626) 524-0803 Contractor DCN Construction Co Inc. 3129 Norwich Avenue, Alhambra, California 91803 (626) 524-0803 1009661 Building Details Structure 1: Detached garage 2: 3: 4: Construction Type: V -B Parks Dev Fee $0.00 Sewer Const Fee $0.00 Occupancy Group: U Utility, miscellaneous New/Added Area: 0 0 0 0 Remodel/TI Area: 0 0 0 0 New Dwelling Units: 0 0 0 0 Stories: 0 0 0 0 Fees Total Shear Panels Rated Valuation $0.00 Plan Check Fees $0.00 Permit Fees $0.00 Strong Motion Fee $0.00 SB 1473 Fee $0.00 Parks Dev Fee $0.00 Sewer Const Fee $0.00 Building Inspections Approval Data Inspector Approval Date Inspector Approval Date Inspector Locatlon/Setbacks Roof Sheathing Rated Soils Engineer Fire Dept Framing Floor/Ceiling Foundation Forms Bldg Dept Framing Rated Walls Slab/Under Floor Shear Panels Rated Raised Floor Sprinkler Hangars Shafts Framing Insulation/Weather T -Bar Underfloor Strip Ceilings Insulation Interior Lot 1st Floor Lath/Drywall Drainage Sheathing Exterior Lath Smoke 2nd Floor Detectors Sheathing Fire Dept Approval/' FINAL a 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 Contra or pumuant.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 I must have resided for at least one year priori to completion of the improvements covered by this permit, I cannot legally ad]] a structure that I have built as an owner -builder ff 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: hftD7//www.lecinfo.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. . JOB ADDRESS LOCALITY HAZARDOUS MATERIAL DECLARATION ,z� ce,,l1 / /' Will the applicant or future building occupant handle a hazardous J License No. I n[Jl i b ( .........:..:.... - k—.a..,-.. +-Ae l e,...i 4, - _ --'greater than the amount specified on the hazardous materials Date Contractor Signature - --+- information guide? WORKERS' COMPENSATION DEC O Yes ❑ N o ❑ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 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. Polic o. 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 I'ssu d. My wo pomgens' surence carrier and policy( be are: CarrierftfZ Policy Number Expi do Da e 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 Signa! of;ppll�c8nlLBE CERTIFICATION o ate 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 Yes ❑ No ❑ I have read the hazardous materials information guide and the SCAQMD permitting checklist, I understand my requirem nts 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 owners behalf. 1 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. chi ure of Property Owner or A�r`zed Agent Date