HomeMy Public PortalAbout9202 WEDGEWOOD ST_BUILDING_11/30/2016_B16-11137TEMPLE CITY PERMIT NO. B16-11137
City Of Tam pie City 1 9701 Las Tunas Drive I Temple City, California 91780 1 (626) 285-2171 1 www.tempkOty.us
Address: 9202 WEDGEWOOD ST, TEMPLE CITY, California 91780 Parcel: 8588-002-034
Permit No: 616-11137 Type: Building Subtype: NR New
Residential
Description: NEW 2 -STORY SFD: 4 BE DROOOMS, 4.5 BATHROOMS, WITH Special FIRE SPRINKLERS REQUIRED
ATTACHED 2 CAR GARAGE AND COVERED PATIO Conditions:
Issue Date: I1-30-2016 Expire Date: 05-29-2017 Extension: 03-09-2017 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 cote required
inspection.
Contacts
Owner Ever Best Home LLC 9080 Tebtar Avenue, EI Monte, California 91731 (
Applicant Benjamin Zhu -
Contractor Landtec Development Inc. 1010 Park Avenue, Arcadia, California 91007 (626) 280-8358 629763
Engineer APEC GROUP INC. 111 Walnut Grove Avenue, San Gabriel, California 91776
Building Details
Structure 1: New Single Family Dwelling 2: Attached 2 Car garage 3: Covered Patio 4:
Construction Type: V -B V -B V -B
Occupancy Group: R-3 Residential, one- and two-family U Utility, miscellaneous U Utility, miscellaneous
New/Added Area: 3719 437 401 0
Remodel/TI Area: 0 0 0 0
New Dwelling Units: 1 0 0 0
Stories: 0 0 0 0
Fees Total
----_---- ------------------------
Valuation $527,560.00 Plan Check Fees $0.00 Permit Fees $5661.88
Strong Motion Fee $68.58 SB 1473 Fee $22.00 Parks Dev Fee $500,00 Sewer Const Fee $0.00
Building Inspections
Approval
D�a� Insp�e�c�t/q/�
LOCation/Setbacks
Solls Engineer
Foundation Fortes
Slab/Under Floor
Raised Floor
-
Framing
Underfloor
Insulation
19 Floor
Sheathing
2nd Floor
-_—
Sheathing
Approval Dat ]ns cto Approval Date Inspector
5he
Roof Dept Fr m 1 _ Rate
Fire Dept Framing '� pte f`l /Ceding �Y-
Bldg Dep[ Framing
Shear Panels -✓--.—___-_—. __
Sprinkler Hangars .. _ Shafts
Insulation/Weather -` i -Bar
Strip Ceilings
Interior /j{ Lot
rywa
Lath/Dll`,
Drainage
Exterior Lath Smoke
Deteat
ors
Fire Dap
Approval
FINAL
3
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 penult 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 1, as owner of the property, or my employees with wages as
their sole compensation, will do (✓) all of or (_) 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 Contredor 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 whict1 I must have resided for at least
one year priorl to completioq of the improvements covered by
this permit, Innot legally sdll a structure that I have built as an
If owns r-builtlef it has not been constructed in Its entirety by
licensed contractors. I understand that a copy of the applicable
law, Section 7044 oflhe Business and Professions Code, is
available upon request when this application is submitted or at
the following Web site: hftp,//www.leciinfo.ca.ciov/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,. and my
license is in full force and effect.
/ Licen/a Cla License N
--TTT tT `/ 3
0/1 Contractor Signatu
T! WORKERS' COMPENSATION DECLARATION
WA4NING: 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 carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone Number
II certify that, in the performance of the work for which this
nit 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' co e0.�atlon provisions of Section 3700 of the Labor
CodFshaitf hvn"thcompl)r with those provisions
30 �1
Signature of Applicanf 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
a ',
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 ❑ 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 ❑ j
i
I have read the hazardous materials information guide and the
SCAQMD permitting checklist, I understand my raqulmm 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
❑ I declare that nofificetion 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 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 authorizk representatives of this county to enter the
above-iden ted property for inspection purposes.
Authorized Agent