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HomeMy Public PortalAbout9601 LAS TUNAS DR_Building_8/26/2009_BL 0508 0904060037COUNTY OF LOS ANGELES DEPA RTMENT OF PUBLIC WORKS B UILDI NG A ND SAFET Y / LA ND DEVE LOPMENT TE MPLE CITY 9701 LAS T UN AS TE MPLE CITY CA 91780 PHO NE: (626) 285-0488 EX T: n 0508 BUILDING PERMIT TEN ANT I MPRO VE ME NT BL 0508 0904060037 L EGAL ID: TR: 6561 LT: 185 ASSESSOR INFORMA TION NUMBE R: 8587-019-019 T ENANT : O WNER: HSBC BAN K USA 10 EAST 40TH ST. N EW YORK, NY 10018 TE L. NO: (818) 386 -1712 - A PPLICANT: CALLISON ARCHITECTS P.C. 1053 3RD. PROMENA CK SANTA M ONICA 90401 TEL. NO: (310) 394 -8460 - CO NTRACTOR: A RM STRONG CONSTRUCTION 840 W. FRONT STREET COVINA CA 91722 T EL. N O: (626) 403-7855- LIC. NO 771784 B ARCHITECT OR ENGINEER: CAL LISON AR CHETECTS PC 1453 3R D. STREET PROM ENAD E SU ITE 400 SA NTA M ONICA, CA 90401. T EL. N O: (310) 394-8460- LIC. N O: NONE MA P NO: SEWER MAP BOOK: PAGE: FIR E ZON E: 3 CMP: 04 N O. OF FAM ILIES: DWELLING UN IT S: A PT/CON D: ST AT CL ASS: NO 22 A IR QUA LITY: NO SCHOOL WITHIN 1000 FEET NO HA ZA RDOUS M ATER IALS NO NO . OF SQ . FT STO RIES ST RUCTURE: 3290 1 CO NST TYPE V -B NE W OCCUP GRO UP B EXIST BL DG USE: COM E EXIST OCC GRP: B USE ZONE: BLDGS. NOW ON LOT: V ALU ATION: 200,000 FEE DESC RIPTIO N: Al PLANCHECK W/EN-HC AA BLDG PER MI T ISS UANCE AB STATE GREE N BL DG FE E AE ST RO NG MO TIO N OTHER A2 PERMI T W/ENERGY-HC * ADDIT IONAL DAT A ON FILE R EPORT ID : D PR261 FEES PAID Q UANTIT Y: UOM: 115150 .00 VAL 200000.00 VAL 200000 .00 VAL 200000 .00 VAL TOTAL FEES R OUTE TO: BS0508 AMOUNT: 1,363.03 27.75 8.00 42.00 2,241.12 3,681.90 BUILDING ADDRESS: 9601 LAS TUN AS DR TE MP CA 917802109 NEAREST CROSS STREET: TE MPLE CITY THOMAS PAGE: 596 GRID: J3 LOCA LITY: TE MPLE CIT Y, C ISS UED O N: 08/26/09 P ROCESSED B Y: SR FINAL BY: CODE: ESCRIPTIO N OF WORK REMO DEL 3 (E) TE NA NT SPACES' TO 1 TE NANT SPAC E A ND AD D 55 SQ FT; CO NVE RT TO BA NK; RE MO VE BE ARI NG WALL & PAR TITIO NS, ADD * SPECI AL CO NDI TIONS: APPRO VALS D ATE INSPECTOR SIG NA TURE LOCATIO N AND SETBAC KS SOILS E NGINEER APP ROVAL FO UNDATIO N/TRE NCH FOR MS SLAB/U NDE R F LOO R R AISED FLOO R FRAMI NG U NDERFL OO R I NS ULATION FLOOR SHE ATHING ROOF SHE ATHI NG SHEA R PANELS FRAME I NSPEC TIO N FI RE SPRI NKLE R HANGERS INSULA TION/ WEATHE R ST RIP INTERIO R LA TH/DR YWALL E XTERIOR LA TH RATED F LOOR/CEIL ASSE M. R ATED WALL ASSE MB LIES RATED S HAFTS/OPE NINGS T -BAR CEILINGS LOT DR AINAGE OWNER -BUILDER DECLARA TION I hereby affi rm unde r penalty of pe rjury that I am e xe mpt from the Contractors' State License Law for the reason(s) indicate d below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031. 5, Business and Profe ssions 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 prov isions of the Contractors' State License Law (Chapter 9 (commencing with Se ction 7000) of Division 3 of the Business and Professions Code ) or that he or she is ex empt 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). ): (JI, 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 hav e the burden of prov ing that it was not built or improved for the purpose of sale. ). L) I, as owner of the property, am exclusively contracting with licensed Contracto rs to co nstruct the project (Section 7044, Business and Profe ssions Code: The Contracto rs' State License Law does not apply to an owner of property who builds or improves the reon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). (_) I 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 which I must have resided for at least one year prior to 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 be en constructe d 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: lilttp:Avvvw.! cR6ou p_gq?lcaktux_higg.. Date : Signature of Property Owner or Authoriz ed Age nt LICENSED CONTRA CTOR'S DECLA RA TION I hereby affirm under penalty of perjury that I am licensed under provisions of Cha pter 9 (commenc ing with Sec tio n 7000) of Div ision 3 of the Business and Profe ssions Co de , and my license is in full force a nd effec t. License Class Dat License No. ontractor Signature WORKERS' COMPENSATION DECLARA TION WA RNING: FAILURE TO SECURE WORKERS' COM PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EM PLOYER 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 pena lty 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 Re la tions as provided for by Section 3700 of the Labor Code, for the pe rformance 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 pe rmit is issued. My w cgrs' mpe do insura nce carrie r and policy lu ber are - ✓lc' O/.3 ODon5'V/ Vlnd/-/o Polic y Numbe r Expiration Date Carrier Name of Agent Phone Number I certify that, in the performance of the work for which this pe rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' comp ensation laws of California, and agree that, if I should be come subject to the workers' omp- t_ation p isions of Section 3700 of the Labor Code, II f� with ply with those provisio Sig • atur- of Applicant LOBBYIST ORDINANCE CERTIFICATION Complete this sectio n f or permits in Uninc orporated Los Angeles Cou nty only This is to certify that I, as permit applicant, am familiar with the requirements of Los Angeles County Code Chapter 2 .160 et seq., (relating to th e Los Angeles County Lobbyist Ordinance) and th at 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 LO CA LITY HAZAR DOUS MATERIA L DECLARATION Will the applicant or future building occupant handle a hazardous materia l or a mixture containing a hazardous material equal to or greater than the amount specified on the hazardous materials information guide? Yes El 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 El N o El I hav e 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 concerning hazardous material reporting and for obtaining a permit from the SCAQMD . ASBESTOS NOTIFICATION ❑ Notification letter sent to SCAQMD or EPA El I declare that n otification of asbestos r emoval is not applicable to addressed project. DECLA RATI ON RE GARDING CONSTRUCTION LENDIN G 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 th e property owner or a uthorized to act on the property owner's behalf . I have read this application and the information I ha ve 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 cou nty to ent er th e above -identified prop erty for inspection purposes. Signature f r' LO Authorized Agent Date