HomeMy Public PortalAbout9629 CRAIGLEE ST_BUILDING_6/11/2018_TEMPLE CITY PERMIT NO. BIS -36317
City of Temple City 1 97011asTunas Drive I Temple City, California 917801 (626)285-2171 1 www.templecity.us
Address: 9629 Cmiglee Street, Temple City, California 91780 Parcel: 5383-014-012
Permit No: BIS -36317 Type: Building Subtype: ARAlteration
Repair
Description: TEAR OFF EXISTING ROOF ON HOUSE AND INSTALL Special
CLASS 'A" TILCOR SHAKES OVER E)USFrNG SHEATING Conditions:
SKIP
Issue Date: 0611-2018 Expire Date: 06-11-2019 Extension: Extension:
Permit expires on date shown it 1) work does not commence, or 2) work is suspended or abandoned, or 3) applicant fails to obtain code required
inspection.
Contacts
Owner Mike Gillmore 9629 Craiglee Street, Temple City, Califomia 91780 (626)660-5954
Applicant Rob Lansford 3535 Landfair Road, Pasadena, California 91107 (626)390-3480
Contractor Lansford Roofing Inc. 3535 Lardfair Road. Pasadena, California 91107 (626) 390.3480 775436
Building Details
Stmm, 1:
Residential 2:
Construction Type:
V -B
OccupancyGroup:
R-3 Residential, one -and two-family
New/Added Area:
0
Remodel/TI Area:
22
New Dwelling Units:
0
Stories:
0
Fees Total
Valuation $7800.00
Strong Motion Fee $1.01
3: 4:
0 0 0
0 0 0
0 0 0
0 0 0
Plan Check Fees $202.74 Permit Fees $238.51
SB1473Fee $1.00 ParksDev Fee $0.00 Sewer Const Fee $0.00
- Building Inspections
Approval Date Impactor
Location/Setbacks
Soils Engineer
Foundation Forms
Slab/Under Floor
Raised Floor
Framing
Underfloor
Insulation
1st Floor
Sheathing
2nd Floor
Sheathing
Approval Dat, __e -.� Irspe
Approval
Date Inspector
Roof Sheathing �/ /'Y`yr/ul
Rated
Fire Dept Framing
Floof/Ceiling
Bldg Dept Framing
Rated Walls
Shear Panels
Rated Shaft
Sprinkler Hangars
T -Bar
Insulation/Weather
Ceilings
Strip
Lot Drainage
Interior
Smoke
Lath/Drywall
Detectors
Exterior lath
Fire Dept
Approval
FINAL
a
i
el
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
Harris) (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 CortraFtor pursuant to the Contractors' State License
Law).
Us I am exemdt from licensure under the Contractors' State
License Law for the following reason:
By my signature below 1 acknowledge that, except for my
personal residence in whicl I must have resided for at least
one year pdor to completion of the improvements covered by
this permit, I nnot legally s911 a structure that I have built as an
owner -builder f 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:/hvw .leginfo.ca.aov/calaw html
Date:
Signature o pe 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 fulllll force and effect.
License I ss License No.
Dat (y Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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.
Policy No.
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
whon insurance oli�7Al_b
aI
Carder Pol cy 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 the workers' compensation laws of
California, and agree that, if I should become subject to the
work ' compensation provisions of Section 3700 of the Labor
de, I sh I forthwith comply with those provisions
Signatur Applicant Date
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 actingon behalf of myself compiled an will. continue
to comply therewith thro gh the application proc
Applicat (Print Namq Applicant Signature
Company Nitme 61 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 ❑
MMM]
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 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 pernitfrom 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.
Signatur`9rrrgp6 Owner or Authorized Agent
0-0�
Date 6e'� .