HomeMy Public PortalAbout4909 FRATUS DR_BUILDING_5/10/2018_rr
TEMPLE CITY PERMIT NO. B16-36129
City of Temple City 19701 Las Tunas Drive I Temple City, California 91780 i (626)285-2171 l www.templacity.us
Address: 4909 Fratus Drive, Temple City, California Parcel: 8590-030-034
91780
Permit No: B18-36129 Type: Building Subtype:
ARAlteration
Repair
Description: RE -ROOF IN) ASPHALT SHINGLES NO Special
SHEATING Conditions:
Issue Date: 05-10-2018 expire Date: 05-1&2019 Extension:
Extension:
Permit expires on date shown ih l) work does not commence, or 2) work is suspended or abandoned,
or 3)applicant
falls to obtain code required
inspection.
Contacts
Owner Richard &Mary 4909 Fratus Drive, Temple City, California 91780
'
Flores
Applicant Nora Hernandez 1128 North Monterey Street#A, Alhambra, California
(213)479-5765
91801
Contractor Sanz Construction 2724 West Main Street, Alhambra, California 91801
(626)872-2150 896113
Inc.
- Building Details
Structure l: Residential 2: 3: 4:
Conshuction Type: V -B
OccupancyGroup: R-3 Residential, one -and two-family
New/Added Area: 0 0 0 0
Remodel/Tl Area: 2800 0 0 0
New Dwelling Units: 0 0 0 0
Stories: O 0 0 0
- Fees Total
Valuation $14,400.00 Plan Check Fees $333.24 Permit Fees S392.05
Strong Motion Fee $1.87 SB 1473 Fee $1.00 Parks Dav Fee $0.00 Sewer Const Fee
$0.00
- Building Inspections
Approval Date Inspector Approval Pate Inspe r
Approval
Date Inspector
Location/Setbacks Roof Sheathing(
Rated
Soils Engineer Fire Dept Framing
Floor/Ceiling
Foundation Forms Bldg Dept Framing
Rated Walls
Slab/Under Floor Shear Panels
Rated Shafts
Raised Floor Sprinkler Hangars
T -Bar
Framing Insulation/Weather
Ceilings
Underfloor Strip
Lot Drainage
Insulation Interior
Smoke
1st Floor Lath/Drywall
Detectors
Sheathing Exterior lath
Fire Dept
2nd Floor
Approval
Sheathing
FINAL
No
7
CP
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 penult subjects the applicant to a civil
penalty of not more than five hundred dollars ($500).):
U 1, 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 Contrti?Wr pursuant to the Contractors' State License
Law).
U: I am exemdt 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 whlcf I must have resided for at least
one yearpnor�to complebory of the Improvements covered by
this permit, I c nnot legally sill 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: hth)://www.locinfo.Ge,goy/ralaw.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. P
License Class G i nee �t
/ O �J
Date 1 �orYtractor Signatu
WORKERS' COMPENSATI ECLARATION
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.
Polity No.
DC 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
V7,V7,41
r ars' pomp satin Insurance carder and policy n be are:
Cgroer 1`� f _ _, ,-,_ 1_1Poltcy Number F_xrsti _ a —
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
Cal le, and agree that, If I should become subject to. the
wor s' compensation provisiohtf Section 3700 of the Labor
Co I shell forj(iwith comply withtljbse provisions
S Z) /,
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 acting on behalf of myself co and will continue
to comply therewith through the applicati pro ess.
�%(ii-P�l I nil 12G(.l�C
Applicant(Pdrltt� `)m, C 0)11 r6
Company Name Yt, i ry / L Date
JOB ADDRESS
LOCALITY J
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
WIII the Intended use of the build) g 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
I have read the hazardous materials information guide and the
SCAQMD permitting checklist, I understand my requlrem nts
under the Los Angeles County Code Title 2, Chapter 2,20'
Sections 220.100 through 220.140 concerning hazardous
material reporting and for obtaining a permit from the SCAQMD.
ASBESTOS NOTIFICATION
❑ Notdiration 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 Inof
a representatives of this county to enter the
antified property for inspection purposes.
fj�%o 9rt 4 c orized Agent