HomeMy Public PortalAbout9805 LA ROSA DR_BUILDING_3/26/2019_B19-37677 (2)TEMPLE CITY PERMIT NO. B19-37677
City of Temple City 19701 Las Tunas Drive I Temple City, California 91780 1 (626)285-2171 1 www.templecity.us
Address: 98051a Rosa Drive, Temple City, California 91780 Parcel: 8589-006-011
Permit No: B19-37677 Type; Building Subtype: AR
Alteration
Repair
Description: TILE RESET- INSTALLATION OF NEWTILE UNDERLAYMENT FOR Special
GARAGE. REMOVAL OF EXITING ROOF AND INSTALL NEW COOL Conditions:
ROOF SHINGLE TITLE 24 COMPUANT 24 SOFT TILE RESETS
SO.FT. TORCH DOWN.
Issue Date: 03-262019 Expire 03-25-2020 Extension: Extension:
Date:
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 Allenand Jean 98051a Rosa Drive, Temple City, California 91780 (626)2876396
Snow
Applicant Hector Torres 276 West Howard Street, Pasadena, California 91103 (626) 3169756
Contractor Trusted Path Roofing 276 West Howard Street, Pasadena, California 91103 (626) 3169756 1039857
Inc.
Building Details
Structure 1:
Residential
2:
3: 4:
Construction Type:
V -B
OccupancyGmup:
R-3 Residential, one- and two-family
Floor/Ceiling
New/Added Area:
0
0
0 0
Remodel/TI Area:
29
0
0 0
New Dwelling Units:
0
O
0 0
Stories:
0
0
0 0
Fees Total
Strip
Lot Drainage
Valuation $5800.00 Plan Check Fees $0.00 Permitfees $202.32
Strong Motion Fee $0.75 SB1473Fee $1.00 Parks Dev Fee $0.00 Sewer Const Fee $0.00
Building Inspections
�catlon/Setbacks Date Inspector
Date Inspect
Approval
Data Inspector
Rloo"c"s' ng
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
1st Floor
Lath/Drywall
Detectors
Sheathing
2nd Floor
Exterior Lath
Fire Dept
Approval
Sheathing
FINAL
41 q1i
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),(Sectlon 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 complebon, 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 Con pursuant to the Contractors' State License
Law). II
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 whicl I must have resided for at least
one year prior to compleflolry of the Improvements covered by
this permit, I cannot legally sdll a structure that I have built as an
owner -builder f 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: h!tg:/Iwww,leginfo.ca.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
Division 3 of the - Business and Professions Code, and my
/%/license Is In full force and effect.
XLICense Class C3 C, License No. 16 97V
7'�Bate3 jq Contractor Signature
WORKERS' COMPENSATION DECLARATION
WAANING: 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 pernit Is issued. My
workers' o ensation ns rant gam7_7,nd policy num u .t
S Z f!
Carrier Policy Number Expire on ate
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
Callforhia, and agree that, If I should become subject to the
workers' compensation provisions of Section 3700 of the Labor.
Code, I shall f with comply with those provisions
Ap Iicent to C c
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 compiled and will continue
to comply therewith through the application process.
Applicant (Print Name) Applicant Signature
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 specked 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 have read the hazardous materials Information guide and the
SCAQMD permitting checklist, 1 understand my requirem nts
under the Los Angeles County Code Tltie 2, Chapter 0'
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 forthe 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 certjfy 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.
1 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 Prop Owner or Authorized Agent
to