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Home My Public Portal About5708 ROSEMEAD BLVD UNIT_BUILDING_7/18/2018_B18-36555TEMPLE CITY PERMIT NO. B18-36555 - Contacts Owner ChrPeiJ 322 Genoa Street Unit B, Arcadia, California 91006 (626)8641170 Liu Applicant TerryTo 1438 Santa Anita Avenue, South El Monte, California (626)443-3333 91733 Contractor Signs Express Mfg. 1438 Santa Anita Avenue, South El Monte, California (626)443-3333 552097 Co. 91733 - Fees Total Valuation $7900.00 Plan Check Fares $223.02 Permit Fees $262.38 Strong Motion Fee $2.21 SB 1473 Fee $1.00 Parks Dev Fee $0.00 Sewer Const Fee $0.00 Sign Inspections Approval Dpe Approval Date Inspector Approval a spe J Location/Setbacks e Foundation FINAL Soils Engineer Forms Support Structure City of Temple City 1 9701 IasTunas Drive I Temple City, California 917801 (626)285-2171 1 www.templecity.us Address: 5708 Rosemead Boulevard Unit 105, San Gabriel, Parcel: 5387-013-031 California 91775 Permit No: B18-36555 Type: Building Subtype: Sl Sign Description: (2) ILLUMINATED WALL SIGNS(L.E.D) Special Conditions: Issue Date: 07-18-2018 Expire Date: 07-18-2019 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 ChrPeiJ 322 Genoa Street Unit B, Arcadia, California 91006 (626)8641170 Liu Applicant TerryTo 1438 Santa Anita Avenue, South El Monte, California (626)443-3333 91733 Contractor Signs Express Mfg. 1438 Santa Anita Avenue, South El Monte, California (626)443-3333 552097 Co. 91733 - Fees Total Valuation $7900.00 Plan Check Fares $223.02 Permit Fees $262.38 Strong Motion Fee $2.21 SB 1473 Fee $1.00 Parks Dev Fee $0.00 Sewer Const Fee $0.00 Sign Inspections Approval Dpe Approval Date Inspector Approval a spe J Location/Setbacks e Foundation FINAL Soils Engineer Forms Support Structure OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exem om the Contractors' State License Law for the reason(,) iceted below by the checkmark(s) I have placed next to the pplicable item(,) (Section 7031.5, Business and Professions ode): Any city or county that requires a permit to cons uct,, improve, demolish, or repair any structure, prior to its I= nce, also requires the applicant for the permit to file a sl ed statement that he or she is licensed pursuant to the 91iovisions of the Contractors' State License Law (Chapter 9 Jbornmencing with Section 7000) of Division 3 of the Busineeil and Professions Code) or that he or she is exempt from II sure and the basis for the alleged exemption. Any violation fif Section 7031.5 by any applicant for a permit subjects applicant to a civil penalty of not more than five hundred do ars ($500).): U I, as ownerof the property, or my mployees with wages as their sole compensation, will do (✓) I of or i_) portions of the work, and the structure is not i ended or offered for sale (Section 7044, Business end Professions Code: The Contractors' State License Law d es not apply to an owner of property who, through employee or personal effort, builds or improves the property, provided hat the improvements are not intended or offered for sale If, however, the building or Improvement is sold within onf year of completion, the Owner - Builder will have the burden j5f proving that it was not built or Improved for the purpose of Ie.). U I, as owner of the prop rty, am exclusively contracting with licensed Contractors to nstruct the project (Section 7044, Business and Professions ode: The Contractors' State License Law does not apply to n owner of property who builds or improves thereon, and ho contracts for the projects with a licensed Contrtictor pu uant So the Contractors' State License Law). U: I am exemdt fro/0111owing icensure under the Contractors' State License Law for the reason: i By my signature below I acknowledge that, except for my personal reside a in which I must have resided for at least one year prior) completioq of the Improvements covered by this permit, I capnot legally ad]] a structure that I have built as an owner -builder 7 it has not been constructed in its entirety by licensed contr, dors. I understand that a copy of the applicable law, Section 044 of the Business and Professions Code, is available u n request when this application is submitted or at the followin Web site: htto://www.leoinfo.ra.00v/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 Class 4:f40 License No.�'-� Date,%WAontractor Signature � e , W RKERS' 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 yokepensellpea insurance cameend ipolicy numb are, et" Carrier Policy Number Expi tion a Cr 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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwi comply with those provisions 7 SigagFure of AppN6nt Da 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 thro a application pro e Applicant (Print Na) A Iicent Tt re Company Name 1 [!B 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 2,20' 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). 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 fpr inspection purposes. Signature of Property Date