HomeMy Public PortalAbout5929 ROWLAND AVE_BUILDING_2/8/2018_B18-35680TEMPLE CITY PERMIT NO. B18-35680
City of Temple City 19701 Las Tunas Drive I Temple City, California 91780 I (626)285-2171 I www.templecity.us
Address: 5929 Rowland Avenue, Temple City, California 91780
Parcel: 8587-031-007
Permit No: B18-35680
Type: Building Subtype: ARAlteration
Construction Type:
Repair
Description: REAR HOUSE REMOVEEXISTING ROOF& INSTALL
Special
COMPOSITION SHINGLES
Conditions:
Issue Date: 02-08-2018
Expire Date: 02-08-2019 Extension: Extension:
Permit expires on date shown iF. l) work does not commence, or 2) work is suspended or abandoned, or 3) applicant fails to obtain code required
inspection.
New/Added Area:
Contacts
0
Owner Jeffrey Su/Grace
5927 Rowland Avenue, Temple City, California (626)437-5518
Tan
91780
Applicant SalvadorTArreola
3808 East 57th Street, Maywood, California 90270 (323)854-2207
Contractor Siena Grande Roofing
3808 East 57th Street, Maywood, California 90270 3 (238) 524-2207 730123
Inc.
0
Engineer
792204
Building Details
Structure l:
Residential
2:
3:
4:
Construction Type:
V -B
Fire Dept Framing
Floor/Ceiling
Foundation Forms
OccupancyGroup:
R-3 Residential, one, and two-family
Slab/Under Floor
Shear Panels
Rated Shafts
New/Added Area:
Sprinkler Hangars
0
0
0
Remodel/n Area:
2300
0
0
0
New Dwelling Units:
0
0
0
0
Stories:
0
0
0
0
- Fees Total
Valuation $6000.00 Plan Check Fees $165.45
Strong Motion Fee $0.78 SB 1473 Fee $1.00
Building Inspections
Permtt Fees $194.65
Parks Dev Fee $0.00 Sewer Const Free $0.00
Approval Date
Inspector Approval t
Approval Date Inspector
Location/Setbacks
Roof Sheathing 8
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
Ist Floor
Lath/Drywall
Detectors
Sheathing
2nd Floor
Exterior lath
� �• r
Fire Dept
Approval
Sheathing'
�i1'�(tz((��'
FINAL
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
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 C_) 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 Contrbc or pursuant.to the Contractors' State License
Law).
(_): 1 am exempt 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 whicq I must have resided for at least
one year pdorl to completion of the improvements covered by
this permit, Icannot legally sdll 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, ia'
available upon request when this application is submitted or at
the following Web site: hfD•//www.leginfo.ra.goy/calaw.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
D' .. 3 f th B s and Professions Code and m
JOB ADDRESS
LOCALITY
v sI o e us mes y
license Is in full force and effect. HAZARDOUS MATERIAL DECLARATION
License CI ss License No. Will the applicant or future building occupant handle a hazardous
material or a mixture containing a hazardous material equal to or
Date. Z ontrector SI nature greater than the amount specified on the hazardous materials
9 information guide?
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
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
workers' compensation insurance carder and policy number are:
Carder Policy Number Expiration 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
Califo ' ,and agree that If I should become subject to the
work compensation provisions of Section 3700 of the Labor
Co shall forthwith comply with those provisions
•
&ana6re of ADDllcant 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 compli and will continue
to comply therewith thro h the application p cess.
r c yR
,Applicant (Print vn �. Ap p Vin/ dre /
Company Name Date
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 Quality Management
District (SCAQMD)? See permitting checklist for guidelines.
Yes ❑ N ❑
i
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 conceming 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-iden ' property for inspection purposes.
Signa of Property Owner or Armed Agent
Date