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Home My Public Portal About9408 EMPEROR AVE_BUILDING_3/10/2016_I I ... - . — __'_a( o JEM�jPERO�t COUNTY OF LOS ANGELES TEMPLE CITY p 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW RESIDENTIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1509300047 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST NEW D TR: 4314 IT: 9 UN: .002 SQ. FT STORIES TYPE OCCUP GROUPI 9408EEMPEROR RAVS• STRUCTURE: 2202 2 V -B R-3 TEMP CA 917801301 ASSESSOR INFORMATION NUMBER: I GARAGE: 450 1 V -S U NEAREST CROSS STREET: 5382-010-056 OTHER: 177 1 V -B U THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY CA TENANT: USE ZONE: R-1 ISSVED ON: PROCESSED BY: 103/10/16 SR (OWNER: TEL. N0: IBLDOS. NOW ON LOT: VALUATION: FINAL D TE 19408 EMPEROR AV FI B CODE: �RADADIA VRAJLAL;BHANUBEN 321,910 1 `� TEMP 917801301 FEES PAID 10ESCRIPTION OF WORK NEW 2 -STORY SFO: 4 BEDROOMS, 3 BATHROOMS WITH ATTACHED 2 CARI FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( GARAGE, FRONT PORCH AND REAR PATIO 100 SF. APPLICANT: TEL. NO: LEI, WAYNE (626) 715-7222- IB1 PLANCHECK W/ENERGY 321910.00 VAL 2,575.00 1 245 E MAIN STREET AA BLDG PERMIT ISSUANCE 34.40 ISPECIAL CONDITIONS: IALHAMBRA CA 91801 IAB STATE GREEN BLDG FEE 321910.00 VAL 13.00 IFIRE SPRINKLERS REQUIRED JAC STRONG MOTION REBID 321910.00 VAL 41.90 IB2 PERMIT W/ENERGY 321910.00 VAL 3,790.50 CONTRACTOR: TEL. N0: ID? ADDNL PLAN CHECK FEE 4.00 HOU 545.20 (APPROVALS DATE INSPECTOR SIGNATOR£ IBOOMERANG ENGINEERING, INC. (626) 780-6694- IFS INV WORK W/O PERMIT 3790.50 DOL 3,790.50 11227 W. VALLEY BLVD. LIC. NO 108 CERTIF OF OCCUPANCY 125.80 1LOCATION AND SETBACKS ALHAMBRA, CA 91803 861501 B - TOTAL FEES 10,916.30 1 Fc4_ ISOILS ENGINEER APPROVAL IHOUNG,EPA OR ENGINEER: TEL. N0: I r �''C^�"/✓ ^ " C/GLP'G(%I� Iti/� �� s 1FOUNDATION/TRENCH FORMS HOVNGr PAUL (626) 271-4654- 1 ��p�I, 16505 EMBER GLEN ROAD LIC. NO: ^' �/� 3/12,1!(- i/-" ISLAB/UNDER FLOOR HACIENDA HEIGHTS, CA 91745 36602 C 9' 5'tn4,r 'tA1� D�5 RWAJ , (int }r�,qu "/ � RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 Zrl,�l(` (M z UNDERFLOOR INSULATION 1ST LfiVEL FLOOR SHEATH IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 NO 01 112ND LEVEL FLOOR SHEATH I L SCHOOL WITHIN HAZARDOUS I I I N, AIR QUALITY: 1000 FEET MATERIALS IROOF SHEATHING , NO NO NO IFIRE DEPT. FRAME INSPECT( (BLDG DEPT. FRAME INSPECT ISHEAR PANELS INSULATION/WSATHER STRIP INTERIOR LATH/DRYWALL lO (EXTERIOR LATH 1g L D LOT PfiRMIT EXPIRES 180 DAYS IF DRAINAGE 3) WORK DOES NOT COMMENCE, OR I (SMOKE DETECTION DEVICES 12) WORK IS SUSPENDED OR ABANDONED, OR 3) FAILS TO OBTAIN CODE REQUIRED INSPECTION (FIRE DEPARTMENT APPROVAL �� ^+ N� 1- ADDITIONAL DATA ON FILE lJ CL I � I � (REPORT ID: DPR261 ROUTE TO: BS0508 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 penally 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 (_) 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 Contraor pursuant to the Contractors' State License Law). ' U; I am exem{it 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 prion to completion, of the improvements covered by this permit, I cannot 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: http://www.leainfo.ca.cov/dalaw 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. Licens C s License No. Date d �� Contractor Signat e WORKERS' COMPEN CLARATION WAIkNING: 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: 1 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. 4— 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of a work for which this permit is issued. My wort compensa' n insurancecar 'er and polic nu are: / " ro Camel / r A Ic u tier xpirati 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, ree that, H I should become subject to the workers' tion provisions of Section 3700 of the Labor Code he h comply with those provisions ignatu A licent at 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 complied and will continue to comply therewith through the application process. Applicant (Print Name) Applicant Signature Company Name 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 ❑ 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 ❑ N o ❑ 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). 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 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 r tives of this county to enter the above -id rope ty for inspection purposes. 14 Authorized Agent