HomeMy Public PortalAboutENCINITA AVE___ (28)TEMPLE CITY PERMIT NO. B17-34788
City of Temple City 1 9701 Las Tunas Drive I Temple City, California 91780 1 (626) 285-2171 1 www.templecity. us
Address: 6166 Enclnita Avenue, Temple City, California Parcel: 5385-002-002
91780
Permit No: B17-34788 Type: Building Subtype: C8 Combo
Building
Description: INSTALL 23 PV PANELS SYSTEM SIZE 7.73 KW Special
(DC) Conditions:
Issue Date: 08-24-2017 Expire Date: 02-20-2018 Extension: Extension:
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 Kelly A
6166 Encinitas Avenue, Temple City, California 91780
Into
Roof Sheathing
Applicant Mal Ly Solar Solutions 4 U
1990 Rosemead Boulevard, South EI Monte, (714) 686-1023
Foundation Forms &
California 91733
Contractor Solar Solutions 4 U Inc. DBA H L V
247 West Gladstone Street, San Dimas, California (909) 762-3668 910748
Electric Co.
91773
->: 'r CIU Rooftop Solar Details
System Qty t At" 403 Stories 1
Fees Total
Valuation $15,000.00 Plan Check Fees $238.42
Strong Motion Fee $0.00 581473 Fee $1.00
Bwldin,q Inspections
Permit Fees $280.50
Perks Dew Fee $0.00 Sewer Const Fee $0.00
Approval D to Itapo r
Approval Date Inspector
Locabon/Setbacks
Roof Sheathing
Soils Engineer
Fire Dept Framing
Foundation Forms &
Bldg Dept Framing
Slab/Under Floor
Shear Panels
Raised Floor
Sprinkler Hangars
Framing
Insulation/Weather
Underfloor
Strip
Insulation
Interior
1st Floor
Lath/Drywall
Sheathing
2nd Floor
Ex[eriy Listh
Sheathing
Fire Dept
Approval
Date Inspector
Rated
Floor/Ceiling
Rated Walls
Rated
Shafts
T -Bar
Ceilings
Lot
Drainage
Smoke
Detectors
Fire Dept
Approval
FINAL
FINAL
!
I
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) 1 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 (J) 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 taw 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 Contraor pursuant to the Contractors' State License
Law). Ft i
L): I am exempt from licensure under the Contractors' State
License Law for the following reason:
i
By my signature below 1 acknowledge that, except for my
personal residence in which I must have resided for at least
one year pdorlto oompletioq of the Improvements covered by
this permit, I c�nnot 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: htto://www.leginfo.ca.goy/calaw.html.
Date:
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION JOB ADDRESS
I hereby affirm under penalty of perjury that I am licensed under LOCALITY
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. HAZARDOUS MATERIAL DECLARATION
I Will the applicant or future building occupant handle a hazardous
. .icense Class License No. ateMal or a mixture containing a hazardous material equal to or
706/2ate,qjont}actor Si nature greater than the amount specified on the hazardous materials
�9 information guide?
WORK RS' COMPENSATION DEC N Yes ❑ No ❑
WARNING: FAILURE TO SECURE WORKERS' CO SATION 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 Yes ❑ N.o ❑
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 wo for which this permit is Issued. My
wo coi ens tion i s ante Carrie llcy izur j era
Cartier Poli Numb�pi to o? 7
Name of Agent one Nu ber
_ 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 tabor
Code, 1 shall forthwith comply with those provisions
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
Lenders Address
J� JtL/t By my signature below, I certify to each of the following:
ignatu:;;,ompletel
pli Date ' f am the property owner or authorized to act on the
property owner's behalf.
I have read this application and the information I have
ORDINANCE CERTIFICATION provided is correct.
his section for permits In I agree to comply with all applicable city and county
Unincorporated Los Angeles County only ordinances and state laws relating to building
This is to certify that I, as permit applicant, am familiar with the construction.
requirements of Los Angeles County Code Chapter 2.160 at seq., I authorize representatives of this county to enter the
(relating to the Los Angeles County Lobbyist Ordinance) and that
all persons acting on behalf of myself complied and will continue above -identified property for inspection purposes.
to comply therewith through the application process.
(I, Signature of arty Owner or Authorized gerR
Applicant rint Name) Applicant Signature I / Ye
Co any Name to -Det
_
I .