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Home My Public Portal About9445 Blackley St_Building_5/20/2019_B19-37909TEMPLE CITY PERMIT NO. B19-37909 City of Temple City 19701 Las Tunas Drive I Temple City, California 91780 I (626)285-2171 I www.templecity.us Address: 9445 Blackley Street, Temple City, California 91780 Parcel: 8590-003-001 Permit No: B19-37909 Type: Building Subtype: AR Alteration Repair Description: TEAR OFF RE ROOF WITH COMPOSITION SHINGLES COLOR Special SIERRA GRAY SEE ALSO PERMIT B19-37631 Conditions: Issue Date: 05-20-2019 Expire Date: 05-19-2020 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 -Builder Owner Zi -Ran Gin 9445 Blackley Street, Temple City, California 91780 Applicant (626) 466-8748 ® Building Details .W� o..._.._�»�..�,..�....._..„, Structure l: Residential 2. 3: 4: Construction Type: V -B Occupancy Group: R-3 Residential, one -and two-family New/Added Area: 0 0 0 0 Remodel/Tl Area: 800 0 0 0 New Dwelling Units; 0 0 0 0 Stories: 1 0 0 0 Fees Total Valuation $3800.00 _ Plan Check Fees $0.00 Permit Fees $156.72~ Strong Motion Fee $0.50 SB 1473 Fee $1.00 Parks Dev Fee $0.00 Sewer Const Fee $0.00 Building Inspections Approval Date Inspector Approval Da In Approval Date Inspector Location/Setbacks Roof Sheathing I 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 Z O 0 W G N GC O Z V G yW W V J m �' aYto mo E Ery�dCE� E%N•E� f' my m r o'o $ LON °`&'M m��0 Z m3 'Srcc - c°�'S d ai cv 01om.cU c 0 dW o c v� as O W C° 8 01 prn ` U M 0 �' LU FUJ-�c «iWaN m�E0 Lo Nc NW ,0mE. 10�0 O U o ° ° EZ�oe0NE 00 N vc orn DEE m 0 Z > 6 a W,Q d!L C� O ~mO ¢ m k=c mo V 0N00El EaU M w yo c '�O 0 sY L M O OC Kcm0 o a ocW o L m Nma O �Eo FF mco m—.m—� ur cp Zwv ME E C O O _ E J 0) W o IS 0 W aa o m 0 j?o� °0 c) E'S ow w umi .°c o `m MN 00 a 3 0n p po`0E oc`co om G c m tOay �cLLO a '100 av m$ W E v m E g .'r7 d` o m m E_ " n.i ,O 0s W c Z E oQ0$ um m� o� 8E$•M c 'EQ $€moo .A vW O !Ewe€ E v mMF$ c°i ¢, xamm ;?o U a �a `m F m a m c mNomoEc O$G ❑ G ��% ❑ W❑L v 4E O. 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LR 19 cE cm0om> a 15 Tm$1 m0Z00 EUEc w °ovWs9 a�aJ dmEoa E$YnW o WMnoomam22aoocma = . t dw ygN U�cm ao u0 cc �o` c 0 qj! o m':_° �vvZLm mox �m wQW odo aoma M ` Won o mo - 'o $ o 0mW an — o f W'Q 0 m }9t o G- 20 0,C - 4 aW�a° cdE-L*1.00 0n�Eam pd°=t�:omn3N$0iMm.g c $=Ma0 Ts � OCO�moNy OWOd ow nmOV $4 m1W °° c a8 8 `Wad;EE�oO0O EQa_5+ m��o=m$EEn? 3�U 0.9_ $o U vaEOFnOE `coo WcW >ncC�- T o Esq COUNTY OF LOS ANGELES Page I of 2 DEPARTMENT OF PUBLIC WORKS """ BUILDING AND SAFETY DIVISION Dear roputy Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at Cl 4 ct S ( ,2,c kl e 7 wr pie (Property Address or As essor HMO') We are providing you with an Owner -Builder Acknowledgement and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each prouipion, signed, and returned this form to us. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior apprpval of the permitting authority. OWNER'S ACKNOl�fLEDGMEN T AN® MIF�IFICATION OF INFORMATION DIRECTI®NS: Read and initial each statement below to signify you understand, or verify this information. T. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that &rroneouslyimplies that the properly owner is providing his or her own labor and material personally. 1, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my prpperty.. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as ane Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. L L 2_ I understand building permits are not required to be signed by property owners unless they are I responsible far tfie consfruction and are not hiring a Californilicensed Contractor fo assume this responsibility. L L & [understand as an "Owner -Builder" I am the responsible party of record on the permit. [understand that 1 may protect myself from potential financial riskby hiring a licensed Contractor and having the L C. permit filed in his or her name instead of my own. 4. ]understand Contractors are required bylaw to be licensed and bonded in CaI(#ornta and to listtheir license numbers on permits and contracts. L L 5. I understand if I employ or otherwise, engage any person(s), other than Califomia licensed Contractor(s), and the total value of my construction Is more than five hundred dollars ($500), including labor and materials, I may be considered an "employer' under State and Federal law. LL 6. 1 understand If I am considered an "employer" under State and Federal law, I must registerwith the State and Federal government, withhold payroll taxes, provide workers' compensation disability Insurance, and contribute to unemployment compensation for each',employee." 1 also understand my failure to abide by these laws may subject me to serious financial risk. NOTICE TO PROPERTY OWNER Page 2 of 2 L 7. 1 understand under California Contractors' State License Law, an Owner-Builderwho builds single- family residential structures cannot legally build them withthe intent to offerthernforsale, unless all work Is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 8. I understand as an Owner -Builder if I sell the propertyfor which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that resuit from any latent construction defects in the workmanship or materials. 9. I understand I may obtain more information regarding my obligations as an "employer' from the Internal Revenue Service, the United States small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321- CSLB (2752) or www.csib.ca,gov for more !(information about licensed contractors. �—L 10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: )'L 11. lagreethat,asthepartylegallyandfinanciallyresponsibleforthfsproposedconstructionactivlty,I will abide by all applicable laws` and requirements that govem Owner -Builders as well as employers. LL 12. 1agreetonotifytheissuerofthisformimmediatelyofanyadditions,deletions,orchangestoanyof the information I have provided on this form. Licensed contractors are regulated bylaws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unableto assistyou with anyfinancial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of thatindividual orfirm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation Insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, 4r other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. YES . NO_ I am the bona fide owner of the single-family dwelling identified above, and it is my principal place of residence. Please be advised, should we become aware that there is a violation of any section of the Contractor's License Law at a construction project within our jurisdiction, the names of those individuals, including the owner and any unlicensed persons Involved in such violations, will be reported Immediately to the Contractor's State License Board forfollow-up action including possible legal actions as allowed by law. Signature of property owner. IA56�4 - ' Dom: C:10ocuments and Setlings\Ilucero\My OocumentslNoflce to Property Owner AM 30 13 a.doc M27/09,