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Home My Public Portal About9861 VAL ST_Demolition_7/22/2020_D20-39752TEMPLE CITY PERMIT NO. D20-39752 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, Temple City, California Parcel: 5383-025-011 91780 Permit No: D20-39752 Description: DEMOLISH EXISTING DETACHED GARAGE Issue Date: 07-22-2020 Contacts Type: Demolition Subtype: Subtype: Non - Residential Special Conditions: Expire Date: 07-22-2021 Extension: Extension: 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 Yan 9861 Val Street, Temple City, California 91780 (626) 716-0621 Applicant Roger Li 2702 Denton Avenue, Rosemead, California (626) 378-8031 91770 Contractor Roger U 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 Demolition Details V Demo Inspection Fee Building Area Demolished 400 Units Demolished Structures Demolished 1 (square feet) - Fees Total Plan Check Fees $0.00 Permit Fees $226.44 Demolition Inspections Approval Date Inspector Approval Date Inspector Approval Da a Ins Ped Abandon Pvt FINAL % Protection Disposal Sewer Underground Disconnect Structure Removal & Soil Recompaction OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury th at I am exempt from the Contractors' State Lice ns e Law for the re ason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Se ction 7031.5, Busin ess and Prof es sions Code): Any city or county that requires 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 tha t he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (c ommencing with Section 7000) of Division 3 of the Business and Pr of essi ons Code) or that he or she is e xempt from Iic ensure and the basis for the alleged exemption. An y violation of Section 7031.5 by a ny applican t fo r a permit subjects the applicant to a civil penalty of no t more tha n five hundred dollars ($500) .): o I, as own er of the property, or my employees with w ages as the ir sole compensation, will do Mall of or (J portions of the work, a nd the structure is not intended or offered for sale (Section 7044, Business and • Profe ssio ns Code: The Contractors' State License Law does not apply to an owner of property who, through e mployees' or personal e ffort, builds or improves the property, provided tha t the. improv ements are not intended or offered for sale. If, howe ver, the building or impro vement is so ld within o ne yea r of co mpletion, the Owner - Builder will, hav e the burden of proving that it was not built or impro ved for the purpose of sale. ). U I, as o wner of the property, am exclusiv ely contrac ting with lic ensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contra ctors' State Licen se ' Law does not apply to an owner of pro perty who builds or improves thereon, and who contra cts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). U: 1 am exemplt from Iicensure under the Contractors' State Lice nse Law for the following reason: By my signature be lo w I acknowledge that, except for my pe rsonal residence in which I must have resided for at least - one ye ar prior to completion) of the improvements co vered by this pe rmit, I cannot legally sell a structure that 1 have built as an owner -builder if it has not been constructed in its e ntirety by licensed contractors. I understand that a copy of the applica ble. law, Section 7044 of 'the Business and Profe ssions Code, is available upon request when this a pplication is submitted or at the following Web site: htto://www.le ninfo.ca.gov /calaw.html. Date: Signature of Property Owner or Authorized Age nt LICENSED CONTRACTO R'S DECLARATION 1 hereby affirm under penalty of perjury that I are licensed under provisions of Chapter 9 (commencing with S ecti on 7000) of Division 3 of the Business and Professions C ode, and my license is in full force and effect. License D ate Li ce nse N o. 9 Contractor Sign ature ORKERS' C OMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' CO MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN ALTIES AND CI VIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE C OST OF COMPENS ATION, DA MAGES AS PR OVIDED FOR IN SECTI ON 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S_ FEES . I hereby affirm under pen alty of perjury one of the following declarati ons: I have and will maintain a certificate of consent to self - i nsure 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 p ermit is issued . Policy No. I hav e and will maintain workers' c omp ensati on insurance, as required by Se ctio n 3700 of..the Labor Code, f or the performance of the work for which this permit is issued . My ensatiq insu ce c rierind aalicy number are: n P Cy mber w rk so Carrier Name of Agent Expiration Date Phone Number I c ertify 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 California, and agree tha t, if I should become subject to the workers' compensation prov isions • Section 3700 of the Labor Code, I sha ll forthwith comply w' ose provisions Sig re of ApDate LO BBY IST ORDINANC E C ERTIFICATION Comple te this section for permits in Un incorporated Los An geles County o nly This is to certify that I, as permit applicant, am familiar with the re quire me nts of Los Angeles County Code Chapter 2.160 et seq., (relating to the Los Angeles County Lobbyist Ordinance) and that all persons acting on behalf of myself complied and will continue to comply therewith through the applica tion process . Applicant (Print Name) Applicant Signature Company Name Date JOB ADDRESS LOC ALITY HAZARDOUS MATE RIAL DECLARATION Will th e applica nt or future building. occupant handle a ha zardous material or a mixture containing 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 (SC AQ MD)? See permitting ch ecklist for guideli nes. Yes ❑ N .o 0 I have 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 conceming hazardous material reporting and for obtaining a permit from the SCAQMD. ASBESTOS NOTIFI CATION ❑ N otifi cati on letter sent to AQMD and/or EP A ❑ I declare that notificati on of asbestos removal is not applicable to addressed project. DECLAR ATION REG ARDING C ONSTRUCTION LENDING AGENCY I her eby affirm under pe nalty of perjury that there is a Construction lending agency for the performance of th e w ork for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signatur e below, I certify to each of the following: I am the property owner or authoriz ed to act on the property owner's behalf . I have read this application and the information I have pro vided is correct. I agree to comply with all applicable city and county ordinances • and state laws relating to building construction. I authorize represent atives of this cou nty to enter the above -identified property for inspection purposes. Signature of Pr o.e Owner or Autho . • Agent Date 9 2E9