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Home My Public Portal About9218 LAS TUNAS DR_BUILDING_10/26/2015_ (2)q;LIS 4►q5 -ruprq 5 COQQNN'T�'1�' OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPAW'jR+tEN'f OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 RL 0508 1508310051 PRONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ITS: 6561 LT: 769 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP] 9218 LAS TUNAS DR STRUCTURE: 1644 1 V-B M ] TEMP CA 91780 ]ASSESSOR INFORMATION NUMBER: ] NEAREST CROSS STREET: 18587-002-011 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CAI ITENANT: IEXIST BLDG USE: COMME USE ZONE: TISSUED ON: PROCESSED BY: ] ]EASY LIFE KITCHEN S BATH IEXIST OCC GRP: M 110/26/15 SR I TOWNER: TEL. N0: SLDGS. NOW ON LOT: VALUATION: (FINAL TE F SIAL Y: CODE: ISHEN, LUCY 16012 LOMA AVE ] 75,360 1 117 ITEMP 917801907 I FEES PAID DESCR PT ON�I�OF WORK I IT.I. FOR THE RETAIL SHOWROOM 1 ]FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: (APPLICANT: TEL. NO: I ISHIH, ALVIN (909) 802-6888- JAI PLANCHECK W/EN-HC 75360.00 VAL 1,034.50 19218 LAS TUNAS DR JAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: ITEMPLE CITY CA 91780 AS STATE GREEN BLDG FEE 75360.00 VAL 4.00 ] • JAC STRONG MOTION REBID 75360.00 VAL 9.80 ] IA2 PERMIT W/ENERGY-HC 75360.00 VAL 1,217.00 ] (CONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 101.40 ]APPROVALS DATE INSPECTOR SIGNATURE IEVIES INTERNATIONAL INC. (909) 503-2223- 1 TOTAL FEES 2,394.50 I 1665 BRONCO WAY LIC. NO I ]LOCATION AND SETBACKS IWALNUT CA 91789 9245328 I II 1 1SOILS ENGINEER APPROVAL ]ARCHITECT OR ENGINEER: TEL. NO: 1FOUNDATION/TRENCH FORMS LIC. NO: JSLAB/UNDER FLOOR I I I I ]RAISED FLOOR FRAMING I I I JMAP NO: SEWER MAP HOOK: PAGE: FIRE ZONE: CMP:] IUNDERFLOOR INSULATION I I I J 3 001 1 J ] IFLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1-1- 0 NO 22 1 IROOF SHEATHING I I ] SCHOOL WITHIN HAZARDOUS T TSHEAR PANELS ] I ]AIR QUALITY: 1000 FEET MATERIALS ] 1 1 NO NO NO I JFRAME INSPECTION Ag IFIRE SPRINKLER HANGERS JINSULA TION/ WEA THEN STRIPI I I I I I I ] IINTERIOR LAT ORY[•D1I.L I I ] ] (EXTERIOR LATH ] I RATED FLOOR/CEIL ASSEM. ] ]RATED WALL ASSEMBLIES I I PERMIT EXPIRES 180 DAYS IF 1) WORK DOES NOT COMMENCE, OR ]RATED SHAFTS/OPENINGS ] ] ] 12) WORK IS SUSPENDED OR ABANDONED, OR I i ]3) FAILS TO OBTAIN CODE REQUIRED INSPECTION 1T-BAR CEILINGS I I ILOT DRAINAGE I I IREPORT ID: DPR261 ROUTE TO: BS0508 ] I I I I I OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 L) 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.). L) 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). L) 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, Icannot 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.IeQinfo.ca.gov/calaw.htmi. 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 ClaspLicense Ny Date o. �ontractor Signature W COMPENSATION DECLARATION WAFNING: 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. No. Poldc7 1 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' compensation in uranc c ler nd licy nu r m Arte v ' � Podd 461fiber x ire Name of Agent Ph ne 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 o�� Dat 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 compiled and will continue to comply therewith through the application process. Applicant (Print Name) Applicant Signature Company Name Date JOB ADDRESS - 1 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 ❑ N o ❑ 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 SCAOMD permitting checklist, I understand my requirements under the Los Angeles County Code Title 2, Chapter 220' Sections 220.100 through 220.140 conceming 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. Signature of Property Owner or Authorized Agent Date