The URL can be used to link to this page

Home My Public Portal About9861 VAL ST_Electrical_5/5/2021_E21-40918TEMPLE CITY PERMIT NO. E21-40918 City of Temple City 1 9701 Las Tunas Drive 1 Temple City, California 91780 1 (626)285-2171 1 www.templecity.us Address: 9861 Val Street Unit A -B, Temple City, Parcel: California 91780 Permit No: E21-40918 Description: UPGRADE MAIN PANEL TO 400 AMP SERVICE PANEL AND 200 SUB -PANEL 5383-025-011 Type: Electrical Subtype: Subtype: Residential Special Conditions: Issue Date: 05-05-2021 Expire Date: 05-05-2022 Extension: Extension: Contacts 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. Owner Wei 9861 Val Street, Temple City, California 91780 (626) 716-0621 Yan Applicant Roger 2702 Denton Avenue, Rosemead, California (626) 378-8031 Li 91770 Contractor Roger Li Construction 2702 Denton Avenue, Rosemead, California (626) 378-8031 962953 Inc. 91770 Engineer WPH Engineering LLC 333 Santa Anita Avenue Suite 3, Arcadia, (626) 658-7974 California 91006 Electrical Details New Multifamily 0 New Single- 0 New Swimming 0 Spa, Hot Tub, 0 Carnival Ride: 0 Family/Duplex Pool Alteration Electric Carnival Ride: 0 Carnival Lighting 0 Temporary 0 Temporary 0 Branch 0 Mechanical System Power Pole Power System Circuit: Outlets Branch Circuit: 0 Receptacle, 0 Light Fixture 0 Light Fixture: 0 Light Fixture: 0 Lights Switch, Lighting Pole Mount Theatrical Outlets Residential 0 Non -Residential 0 Power 0 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- 1 Over 100 HP 400 Amps 1000 Amps Service: Over 0 1000 Amps Miscellaneous 0 Fees Total Plan Check Fees $113.82 Permit Fees $162.60 Electrical Inspections Approval Date Inspector Approval Date Inspector Temp Pole Conduit 8 / Underground Wiring (\ Ufer Ground Water Ground Approval D Utility 2 Release FINAL r OWNER -BUILDER DECLA RATION 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, Busi nes s and Professions Code): Any city or co un ty that requir es a p ermit to c onstruct, alter, improve, . demolish, or repair any structure, prior to its issu ance, 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 ex empt from licensure and the basis for the alleged exemption. Any violation of S ection 7031 .5 by any applica nt fo r a pe rmit s ubje cts the applicant to a ci vil penalty of not more than five hun dred dollars ($500) .): L) 1, as owner of the pro pe rty, or my e mployees with wag es as their sole compensation, will do (✓) all of or L) portions of the work, a nd 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 a re not intended or offered for sale. If, ho wever, the building or improveme nt is so ld within one yea r of comple tion, the O wne r - Builder will hav e the burden of prov ing that it was not built or impro ved fo r the purpose of sale. ). L) 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 Contractor pursuant to the Contracto rs' State License La w). (J; I am ex empt from lice ns ure unde r the Contractors' State License La w fo r the following re ason: By my signature below I a cknowledge that, exce pt for my pe rso na l res idence in whic h I must ha ve resided for at least one yea r prio r) to co mpletions of the impro ve ments cov ered by this permit, I canno t le ga lly sell a structu re tha t I hav e built as an owner -builder 1 it has not been constructed in its entirety by lice nsed 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: http://www.leoinfo. ca.00v/calaw. html. Da te: Signature of Property Owne r or A uthorized Agent LICENSED CONTR ACT OR'S DECL ARATION 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 C ode, and my license is in full force and effect. // (("" ,-; 41.i cense Class License No. 'c?y; Contractor Signature WORKERS' C OMPENSATION DECLARATI ON WARNI NG: FAILURE TO SECURE WORKERS' COMPENS ATION C OVER AGE IS UNLAWFUL, AND SHALL SUBJECT AN E MPLOYER TO CRIMINAL PEN ALTIES AND CI VIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF CO MPENS ATI ON, DA MAGES AS PRO VIDED 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, f or the performance of the work for which this permit is issued. . Policy N o. _ I h ave and will mai nt ain workers' compens ati on 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: Ca rrier Policy Number Expiration Date Name of Agent Phone Number I certify tha t, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of Cali fornia, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisio ns Signature of A pplicant Date LOBBYIST ORDINANCE CERTIFICATION Complete this s ection for permits in . Unin co rporated Los Angeles County only This is to certify that 1, as permit applicant, am familiar with the requirements, of Los Angeles County Code Chapter 2.160 et seq., (relating to the Los Angeles County Lobbyist Ordinan ce) and tha t all persons acting on behalf of myself complied and will co ntinue to comply there with through the application pro ces s. Applicant (Print Name) Applicant Sign ature Company Name Date JOB ADDRESS LOCALITY HAZARDOUS MATERI AL DECLAR ATION Will th e applicant or future building occup ant h andle a ha zard ous m ateri al or a mixture containi ng 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 (SCAQ MD)? See permitting checklist for guidelines. Yes ❑ N.o ❑ I ha ve read th e haz ard ous m at erials informati on guide and th e SCAQMD permitting checklist, I understand my requir ements under the Los Angeles County Code Title 2, Chapter 220' Sections 220.100 through 220.140 concerning haz ardous material reporting and for obtaining a permit from the SCAQMD . ASBESTOS NOTIFICATION 0 Notifi cati on l ett er s ent to AQMD and/or EP A ❑ I declare that notification of asbestos removal is not applicable to address ed proje ct. DECLARATION RE GARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of p erjury that there is a C onstructi on lending agency for th e perf orm ance of th e w ork f or 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 the property owner or authoriz ed to act on the prop erty ow ner's b ehalf. I have read this application and the information 1 have pr ovided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction . I authorize repr esentati ves of this county to enter the ab ove -identified property for i nspecti on purpose s. Signature of Property Owner or Auth orized Agent