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Home My Public Portal About6135 SULTANA AVE_BUILDING_5/23/2018_B18-36198TEMPLE CITY PERMIT NO. B18-36198 City of Temple City 19701 Las Tunas Drive I Temple City, California 91780 1 (626)285-2171 i www.templecity.us Address: 61355uhana Avenue, Temple City, California parcel: 5384-006025 91780 Permit No: 87636198 Type: Building Subtype: ARAlteration Repair Description: VOLUNFARY BOLTING (E) FOUNDATION PER Special LR Z Als Conditions: Issue Date: 05-23-2018 Expire Date: 05-23-2019 Extension: Extension: Permit expires on date shown 8:1) work does not commence, or 2) work is suspended or abandoned, or 3) applicant fails to obtain code required inspection. Contacts Owner Cliff Huoh Applicant Nat Brotman Contractor Julian Construction Buildina Details 6135 Sultana Ave, Temple City, California 91780 14545 W Victory Blvd, Van Nuys, California 91411 2900 W Jefferson Avenue, Los Angeles, California Structurel: Residential Construction Type: V -B Occupancy Group: R-3 Residential, one- and two-family New/Added Area: 0 Remodel/Tl Area: 0 New Dwelling Units: 0 Stories: 0 2: 3: 4: 0 0 0 0 0 0 0 0 0 0 0 0 (626) 588-8572 (818)987-7277 (323) 733-3377 788526 Fees Total Valuation $4400.00 Plan Chedt Fees $146.80 PermNFees $m.71 Strong Motion Fee $0.57 SB1473Fw $1.00 Parks Dev Fee $0.00 Sewer Const Fee $0.00 Building Inspections Approval Date Inspector Approval Oat. Inspector Approval Date Inspector Looting/Setbacks Roof Sheathing Rated Soils Engineer Fire Dept Forming Floor/Ceiling Forms Fo¢ Bldg Dept Framirg Rated Walls Slab/Under Flow Shear Panels Rated Shafts Raised Floor Sprinkler Hangars T -Bar Framing Insulabon/Weather Ceilings Underfloor Strip Lot Drainage Insulation Interior Smoke 1st Floor Lath/Drywall Detectors Sheathing Exterior lath Fire Dept 2nd Floor Approval Sheathing 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).): (_) I, 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 Contra ctor 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 which I must have resided for at least one year priorl to completion of the improvements covered by this permit, Innot 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: htto://www.IeQinfb.ca.aov/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 Division 3 of the Business and Professions Code, di II I I license is In full force and effect. License Class � License No Date '1 ontractor Signature yr 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. R y No. I have and will maintain workers' compensation I surance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My work mpensation Insure certier d policy number are: Cartier 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 su to the workers' compensation laws of California, and agree t, if I should become subject to the workers' compensate visions of Section 3700 of the Labor Code, I shall forthwith ply with those provisions 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 ith the requirements of Los Angeles County Code Chapter 2.1 t seq., (relating to the Los Angeles County Lobbyist Ordinance a that all person cling on behalf of myself complied and wf tinue to comply th it the application process. Applicant (P ame \\� Applicant Sign tura,,,, Company Name'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 equal to or greater than the amount specified on the hazardous 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 Quality Management District (SCAQMD)? See permitting checklist for guidelines. Yes ❑ No ❑ I have read the hazardous materials information guide and the SCAOMD permitting checklist, I understand my requirements 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 ❑ 1 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 I authorizeere ntatives of this county to enter the above-identi a roperty for inspection purposes. Signature of $40prty Owner or Authorized Agent Date