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