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Home My Public Portal About9861 VAL ST_Electrical_7/22/2020_E20-39749TEMPLE CITY PERMIT NO. E20-39749 City of Temple City 1 9701 Las Tunas Drive 1 Temple City, California 917801 (626) 285-2171 1 www.templecity.us Address; 9861 Val Street Unit A & 8 , Temple City, Parcel: 5383-025-011 California 91780 Permit No: E20-39749 Description: 30 OUTLETS, 20 LIGHT FIXTURES, EAU/AC UNITS, GARBAGE DISPOSAL, DISHWASHER, RANGE HOOD, WASHING MACHINE, EXHAUST FAN AND 100 AMP SUB -PANEL Issue Date: 07-22-2020 Type: Electrical Subtype: Subtype: Residential Special Conditions: Expire 07-22-2021 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 Wei Yan 9861 Val Street, Temple City, California 91780 (626) 716-0621 Applicant Roger U 2702 Denton Avenue, Rosemead, California (626) 378-8031 91770 Contractor Roger Li Construction 2702 Denton Avenue, Rosemead, California (626) 378-8031 962953 Inc. 91770 Architect Johnny 2585 South 10th Avenue, Arcadia, California (626) 548-0037 Yu 91006 Engineer WPH Engineering LLC 333 Santa Anita Avenue, Arcadia, California (626) 658-7974 91006 -• Electrical Details New Multifamily 0 New Single- 999 New Swimming 0 Spa, Hot Tub, 0 Family/Duplex Pool Alteration Carnival Ride: 0 Carnival Lighting 0 Mechanical System Temporary 0 Temporary 0 Power Pole Power System Branch Circuit: 0 Receptacle, 30 Light Fixture 20 Lights Switch, Lighting Outlets Carnival Ride: 0 Electric Branch 0 Circuit: Outlets Light Fixture: 0 Light Fixture: 0 Pole Mount Theatrical Residential 7 Non -Residential 0 Power 1 Power 0 Power 0 Appliance: 3 HP Appliance: 3 HP or Apparatus: 3- Apparatus: 10- Apparatus: or less less 10 HP 50 HP 50-100 HP Power Apparatus: 0 Busway 0 Sign 0 Service: Under 1 Service: 400- 0 400 Amps 1000 Amps Over 100 HP Service: Over 0 1000 Amps Fees Total Miscellaneous 0 Plan Check Fees $0.00 Permit Fees $565.08 Electrical Inspections Approval Date Inspect r Approval Date Temp Pole Conduit Underground Wiring Ufer Ground Water Ground Approval Da Utility Release FINAL OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am ex empt fr om the Contractors' State License Law for the r easo n(s) indicated below by the checkmark(s) I havepla ced next to the applicable ite m(s) (Section 7031.5, Busin ess and Professions Code): Any city or co unty that requir es a permit to construct, alter, improve, . demolish, or re pair 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 pro visions of the Contractors' State License Law (Chapter 9 (c omm encing with Section 7000) of Divisio n 3 of the Busin ess and Pr of essions Code) or tha t he or she is ex empt from licensure and the basis for the alle ged exemptio n. Any violation of Section 7031 .5 by a ny a pplicant for a permit subjects the applicant to a civil pen alty of not more than five hundred dollars ($500) .): (� I, as own er of the property, or my employees with wages as the ir sole compensation, will do (✓ ) all of or U portions of the work, and the structure is not intended or offered for s ale (Section 7044, Business and Profe ssions Code: The Contractors' State License Law does not a pply to an owner of property who, through e mployees' or personal e ffort, builds or improves the property, provided that the improve ments are not intended or offered for sale. If, however, the building or improve me nt is sold within o ne year of completion, the Owner - Builder will, have the burden of proving that it was not built or improv ed for the purpose of sale.). U I, as owner of the property, am exclusiv ely co ntracting with licensed Contractors to construct the project (Sectio n 7044, Business and Professions Code: The Contra ctors' State License Law does n ot apply to an owne r of property who builds or improves thereon, and who contracts for the projects with a license d Co ntractor pursuant to the Contractors' State License La w). (0: I am exempt from licensure under the Co ntractors' Sta te 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 completiorq of the improvemen ts cove red by this permit, I cannot legally sell a structure that I hav e built as an owner -builder if it has not been constructed in its entire ty by licensed contractors. I understand tha t a copy of the applicable law, Section 7044 of 'the Business and Professions Code, is av ailable upon re quest when this a pplica tion is submitted or at the following Web site: http:/Iwww.leainfo.ca.cov/calaw.html. Date: Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATI ON 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$wee and eff ect. License Clas License No. D ate ntractor Signature OR KERS' COMPENSATIOrECLARECfION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SH ALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENS ATION, DAM AGES AS PR OVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S_ FEES. I hereby affirm under penalty of perjury one of the following d eclarati ons: I have and will maintain a certificate of consent to self - insur e 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 hav e and will maintain work ers' comp ens ati on insurance, as requir ed by Sectio n 3700 of.the Labor Code, f or the performance of the wo for which this permit is issued. My ion inaLltancs,catrkrein ¢f'poli/umber are: xpira D Name of Agent Phone Number I certify tha t, in the performance of the work for which this permit is issue d, 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' compensation provisions of Section 3700 of the bor Code, I shall forthwith comply with those ovisions Signature of Applic9FlF� — Date LOBBYIST OR DINANCE CERTIFICATION Complete this sec tion fo r permits in Uninc orpo rate d Los Angeles County only This is to certify that I, as permit applicant, am familiar with the require me nts of Los Angele s County Code Chapter 2.160 et seq., (relating to the Lo s An ge le s County Lobbyist Ordinance) and that all persons acting on behalf of myself complied and will continue to comply therewith through the application process. A pplicant (Print Name) Applican t Signa ture Company Name Date , JOB ADDRESS LOCALITY HAZARD OUS MATERI AL DECLARATI ON Will th e applicant or future building . oc cup ant handl e a hazardous materi al or a mixtur e co ntai ni ng a h azard ous mat eri al equ al 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 (SC AQ MD)? Se e permitting ch ecklist for guidelines. Yes ❑ N.o ❑ I .have read the ha zardous materials information guide and th e SCAQMD, permitting checklist, 1 understand my requir em ents under the Los Angeles County Code Title 2, Chapter 220' Sections 220.100 through 220 .140 conceming hazardous material reporting and for obtaining a permit from the SCAQMD. ASBESTOS NOTIFIC ATION D Notification l ett er sent to AQMD and/or EPA 0 I declare that notific ati on of asbestos removal is not applicable to addressed project . DECLAR ATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a Constructi on lending ag ency f orthe performance of th e work for which this permit is issued (Secti on 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify .to;each of the followi ng: I am the pr operty owner or authorized to act on the property owner's behalf. I hav e r ead this application and the informati on I h ave pr ovid ed is correct. I agr ee 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 ppgy =s. S Agent