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HomeMy Public PortalAbout5836 TREE ROSE TERRACE_BUILDING_10/11/2018_B18-36958TEMPLE CITY PERMIT NO. B18-36958 City of Temple City 1 9701 Las Tunas Drive I Temple City,Califomia 91780 1 (626)285-2171 1 www.templecityus Address: 5836 Tree Rose Terrace, San Gabriel, California 91775 Parcel: 5387-007-034 Permit No: B18-36958 Type: Building Subtype: AR Alteration Repair Description: TEAR OFF EXISTING COMPOSITION ROOF ON HOUSE AND Special ATTACHED GARAGE APPLY CLASS'A'COMPOSITION ROOF Conditions: Issue Date: 10-11-2018 Expire Daft: 10-11-2019 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 Danny Zhang Applicant Robert Lansford Contractor Lansford Roofing Inc. Building Details 5836 Tree Rose Terrace, San Gabriel, California 91775 3535 Landfair Road, Pasadena, California 91107 3535 Landfair Road, Pasadena, California 91107 Structure 1: Residential 2: 3: 4: Construction Type: V-8 Occupancy Group: R-3 Residential, one -and two-tamily New/Added Area: 0 0 0 0 RemodelM Area: 24 0 0 0 New Dwelling Units: 0 0 0 0 Stories: 0 0 0 0 Fees Total __..._.._...._..Valuation $6200.00 Strong Motion Fee $0.81 Building Inspections Approval Date Location/Setbacks Soils Engineer Foundation Forms Slab/Under Floor Raised Floor Framing Underfloor Insulation 1st Floor Sheathing 2nd Floor Sheathing Plan Check Fees $0.00 SB 1473 Fee $1.00 Permit Fees $225.12 Packs Dev Fee $0.00 Sewer Const Fee $0.00 Inspector Approval Root Sheathing Fire Dept Framing Bldg Dept Framing Shear Panels Sprinkler Hangars Insulation/Weather Strip Interior Lath/Drywall Exterior Lath (626)817-3340 (626) 390-3480 (626) 390-3480 Rated W Floor/Ceiling Rated Walls Rated Shafts T -Bar Ceilings Lot Drainage Smoke Detectors 775436 Date Inspector Fire Dept It z In Approval FINAL (n W 6 76 M n 9CA1 rn 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 itern(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 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 i_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License taw 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 ContrLCtor pursuant:to the Contractors' State License Law). (_): 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 whicfj I must have resided for at least one year priori to completior) of the improvements covered by this permit, 1 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: htti),/Awww.leginfo.ca.Qovlcalaw.html. Date: I U/ ( J Signature of Pr45erty Ower 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. cense Cla�+" f License No. % -1 Date IDI r 1 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 ATTORNEYS 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 work compe-r.tion insure ce carrier and policynu er are: Cam�5 �.. %a.rrA e— r Policy Number Esc iretion 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 workers' compensation provisions of Section 3700 of the Labor Code, ISbpll forthwith comply with those provisions f v Trti� Signature! of 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 acting on behalf of myself complied and will continue to comply therewith through the applicatio cess. Applipant (Print Na)neLi App nit Signatyr Company NNakne•✓ 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 a to or greater than the amount specified on the haze materials information guide? Yes ❑ No 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 Qua Management District (SCAQMD)? See permitting the st for guidelines. Yes [IN.o 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 permit from the SCAQMD. ASBESTOS NOTIFICATION ❑ Notification letter sent to AQMD and/or EPA adeclare that notification of asbestos removal is not pplicable 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 t6each of the following: I am the property owner or authorized to act on the property owners 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. Signature of Owner or Authorized Agent -CQe