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Home My Public Portal About6138 ROSEMEAD BLVD_BUILDING_7/18/2018_B18-36551TEMPLE CITY PERMIT NO. B18-36551 a a City of Temple City 1 97011as Tures Drive I Temple City, California 91780 1 (626)285-2171 1 www.templecity.us Address: 6138 Rosemead Boulevard, Temple City, California 91780 Parcel: 5384-006-009 Permit No: 818.36551 Type: Building Subtype: RRResidential Alteration Description: CHANGE CONTRACTOR FOR EXISTING I2 -UNIT Special CONDOMINIUM REPAIR DAMAGED EXISTING GARAGE Conditions: SEE ALSO PERMIT #818-35871 Issue Date: 07-18-2018 Expire Date: 07-18-2019 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. - Contacts Owner Rlchwell Development 2500 East Foothill Boulevard #107, Pasadena, (626) 375-9101 OccupancyGroup: LLC California 91107 0 Applicant Sarkis 0 3301 N San Fernando Rd, Burbank, California 91504 (818)565-3900 Kouyoumdian 0 Rated Shafts Sprinkler Hangars Contractor Tri -Tech Restoration Co., 3301 N San Fernando Rd, Burbank, California 91504 (818) 5653900 501801 Ceilings Inc. Lot Drainage Engineer David U B Associates 1305 San Gabriel Boulevard, Rosemead, California (626)288-1216 Detectors 91770 Building Details Structure l: Attached Garage Construction Type: V -B OccupancyGroup: U Utility, miscellaneous New/Added Area: 0 Remodel/TI Area: 0 New Dwelling Units: 0 Stories: 0 Fees Total Valuation $3000.00 Strong /sbtion Fee $0.50 Building Inspections Approval Date Location/Setbacks Soils Engineer Foundation Forms Slab/Under Floor Raised Floor Framing Underfloor Insulation 1st Floor Sheathing 2nd Floor Sheathing 2: 3: 4: 0 0 0 0 0 0 0 0 0 0 0 0 Plan Check Fees $0.00 Permit Fees 4128.84 SB 1473 Fee 41.00 Parks Dev Fee 40.00 Sewer Const Fee S0.D0 Inspector Approval Date Inspector Approval Roof Sheathing Rated Fire Dept Framing ling Bldg Dept Fram Rated Waing Ratetl Walls Shear Panels Rated Shafts Sprinkler Hangars T -Bar Insulation/Weather Ceilings Strip Lot Drainage Interior Smoke Lath/Drywall Detectors Exterior lath Fire Dept Approval � sj�Lli FINAL Date Impactor 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 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 Contniftor pursuant to the Contractors' State License Law). U 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 whicf I must have resided for at least one year priorlto completion of the improvements covered by this permit, I 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: htto://www.leoinfo.ca.aov/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. Licenssey(o Class 5 License No. So Date -1 Contractor Signatur 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: ,Wj&6I 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 Policy No. aL%� 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}c'trtr and poligy number are: 57is�6r4rcVa lwLJrS Ca,c t_"t7ilS�l 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 subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compen 'e isions of Section 3700 of the Labor Code, I sh N ly with those provisions l l� Si at 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 application process. Applicant (Print Name) Applicant Signature Company Name Date JOB ADDRESS LOCALITY HAZARDOUS MATERIAL DECLARATION WIII 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 ❑ N o ❑ i i 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 ❑ 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 for inspection purposes. Signature of Pro r Authorized Agent �'L�ate