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Home My Public Portal About9861 VAL ST_Mechanical_7/22/2020_M20-39750TEMPLE CITY PERMIT NO. M20-39750 City of Temple City 19701 Las Tunas Drive 1 Temple City, Cal Address: 9861 Val Street Unit A & 8 , Temple City, California 91780 Permit No: M20-39750 Description: INSTALL AIR CONDITIONING AND HEATING SYSTEM Issue Date: 07-22-2020 Permit expires on date shown if code required inspection. - Contacts Owner Applicant Contractor Architect Engineer Wei Yan Roger Li Johnny Yu ornia 91780 1 (626) 285-2171 1 www.templecity.us Parcel: 5383-025-011 Type: Mechanical Special Conditions: Expire Date: Subtype: 07-22-2021 Extension: Subtype: Residential Extension: ork does not commence, or 2) work is suspended or abandoned, or 3) applicant fails to obtain 9861 Val Street, Temple City, California 91780 2702 Denton Avenue, Rosemead, California 91770 Roger Li Construction Inc. 2702 Denton Avenue, Rosemead, California 91770 2585 South 10th Avenue, Arcadia, California 91006 WPH Engineering LLC 333 Santa Anita Avenue, Arcadia, California 91006 Mechanical Details Compressor/Furnace/Etc 0 Compressor/Furnace/Etc 2 up to 100k BTU 100-500k BTU Appliance Vent 2 Air Handler up to 2,000 0 CFM CFM Ventilation Fan 3 Fireplace 0 Fees Total Plan Check Fees $0.00 Compressor/Furnace/Etc 0 over 500k BTU Alr Handler 2-10,000 0 Ventilation System 0 Kitchen Hood/Spray 0 Booth Permit Fees $294.36 Mechanical Inspections Approval D t)A e' In;p¢t:[ok Approval D to FAU/Wall Furnace 4.408‘. to AC/Compressor e Combustion Air Thermostat _ Openings 'u/pt� � P.Y /Fire Dampers Duct Work t\,10 cw ( (626)716-0621 (626) 378-8031 (626) 378-8031 962953 (626) 548-0037 (626) 658-7974 Air 8 Inlet/Outlet Oty Alr Handler 0 over 10,000 CFM Fire 0 Damper OR Floor 0 Area Evaporative 0 Cooler Duct 0 Alteration Approval 0' to� Insp Smoke "1 T'' 24 Detectors Commercial Hood FINAL OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am ex empt from the Contractors' State Licens e Law for the reas on(s) i ndi cated below by the checkmark(s) I have placed ne xt to the applicable item(s) (Section 7031 .5, Busin ess and Prof essions Code): Any city or county that requires a permit to construct, alter, improve, . demolish, or repair any stru cture, 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 Contracto rs' State License Law (Chapter 9 (commencing with Se ction 7000) of Division 3 of the Business and Prof essions Code) or that he or she is exempt from lic ensur e and th e b asis for the alleged exemption. An y violation of Se ction 7031.5 by any applicant for a permit su bjects the applicant to a civil penalty of not more than five hundre d dollars ($500).): (_) I, as owner of the pro perty, or my e mployees with wages as the ir sole compensa tion, will do (/) all of or (_) 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 La w 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, however, the building or improvement is so ld within one yea r of comple tion, the Owner - Builder will. have the bu rden of pro ving that it was not built or improve d fo r the purpose of sa le.). (_,) 1, as o wn er of the property, am exclusively contracting with license d Contractors to construct the project (Section 7044, Business and Professions Code: The Contracto rs' State License • La w does not apply to an owner of property who builds or improves thereon, and who contracts fo r the pro jects with a licensed Contractor pursuant to the Contra ctors' State License Law). U: I am e xempt from lice nsure under the Contractors' State License Law for the following reason: By my signature below I ackno wledge that, except for my personal reside nce in which I must have resided for at least, one yea r prior to c ompletiony of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder f it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable. law, Section 7044 of 'the Busine ss and Profe ssions Code, is av ailable upon request when this applica tion is submitted or at the following Web site: http://www.leoinfo-ca. gov /calaw.html. Date: Signature of Property Owner or Authorized A gent Name of Agent LICENSED CONTRACTOR'S DECLARATION I her eby affirm und er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti on 7000) of Division 3 of .the Business and Professions Cod e, and my license is in full force and effect . C/f License Clas Licens e No. Date ontract or Signet ORKERS' COMPENSA'frON DE CLARATI ON W AR NING: FAILURE TO SECURE WORKERS' CO MPENSATION 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 C OST OF CO MPENS ATI ON, DAM AGES AS PR OVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS. FEES . I h er eby affirm u nd er pen alty of perjury one of the following d ecl arations: 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 L abor Code, for the performance of the work for which this permit is issued. . Policy No. I have and will m aintain w orkers' c omp en sation insurance, as required by Section 3700 of.the L abor Cod e, f or the performance of th e w.rk for which his per mit is issued . My n satio i- ur ance ar ` r an olicy number are: 2 S3 Expiration Date Phone Number I certify tha t, in the performance of the work for which this permit is issued, I shall n ot employ any person in any manner so as to bec ome subject to the workers' compensation laws of California , a nd a gree that, if I should become subject to the workers' c ompe nsa tion provisions of Se 'on 3700 of the -bor Code, I sha ll fo rthwith comply with t e rovisions Signa ture of Applicant Date LOBBYIST ORDINANCE CER TIFICATION Complete this sec tio n fo r permits in . Uninc orporate d Los An gele s Co unty on ly T his is to c ertify that I, as permit applicant, am familiar with the requirements of Los A ngeles Co unty Co de Chapter 2.160 et seq., (re lating to the Lo s An ge les 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 Signature Compa ny Name Date JOB ADDRESS LOCALITY HAZARDOUS MATERIAL DE CLARATION Will th e applica nt or futur e building. occupant handl e a ha zard ou s m aterial or a mi xtur e c ontaining a hazardous material equ al to or greater than the amount specified on the hazardous materials information guide? Yes 0 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 0 N.o 0 I .hav e r ead the hazardous materials inform ation guide and the SCAQMD. permitting checklist, I understand my requirem ernts under the Los Angeles County Code Title 2, Chapter 220' Sections 220.100 through 220 .140 concerning hazardous materi al reporting and for obtaining a permit from the SCA QMD . ASBESTOS NOTIFICATION 0 N otification letter sent to AQ MD and/or EP A 0 I declare that notification of asbestos rem oval is not applicable to addressed project. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I h ereby affirm under penalty of perjury that there is a Construction lending agen cy f or the performance of the work f or which this permit is issu ed (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify .to,each of the following: I am the prop erty own er or a uthori zed to act on the property owner's behalf. I hav e read this applicati on and the information I have pr ovid ed is correct. I agr ee to comply with all applicable city and county ordinances and state laws relating to building construction. - 1 authorize representati ves of this county to enter the above -identified property for inspection purposes . Signatur e of Prgent Date