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Home My Public Portal About9861 VAL ST_Miscellaneous_7/22/2020_Misc20-39753TEMPLE CITY PERMIT NO. MISC20-39753 City of Temple City 1 9701 las Tunas Drive Temple City, California 91780 I (626)285-2171 1 www.templecity.us Address: 9861 Val Street, Temple City, Parcel: 5383-025-011 California 91780 Permit No: MISC20-39753 Description: COMPACTED BACK FILL SWIMMING POOL Issue Date: 07-22-2020 Type: Miscellaneous Subtype: Subtype: 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. Contacts Owner Wei Yan Applicant Roger Li Contractor Roger Li Construction Inc. Architect Johnny Yu Engineer WPH Engineering LLC Miscellaneous Details Address Assignment 0 V/ Pool Back Fill Fees Total Plan Check Fees 30.00 Misc Inspections 9861 Val Street, Temple City, California (626) 716-0621 91780 2702 Denton Avenue, Rosemead, California (626) 378-8031 91770 2702 Denton Avenue, Rosemead, California (626) 378-8031 962953 91770 2585 South 10th Avenue, Arcadia, California (626) 548-0037 91006 333 Santa Anita Avenue, Arcadia, California (626) 658-7974 91006 Permit Fees 3226.44 Approval Date Inspector Approval Date Inspector Approval l p r Trailer Temp FINAL Use Structure Safety Approved Permit Seed 71gf!%'7D Structure Removed OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) i ndicat ed belo w by the checkmark(s) 1 ha ve placed next to the applicable item(s) (Section 7031.5, Business and Professions C od e): Any city or co unty that requires a permit to construct , alt er, improve, demolish, or repair any structure, prior to its issuance, als o require s the applicant for the permit to file a sign ed statement that he or she is licensed pursu ant to the pro visions of the Contractors' State Lice nse Law (Chapter 9 (commencing with Sectio n 7000) of Divisio n 3 of the Business and Professions Co de) or that he or she is exempt from licensure and th e basis for the alle ged e xemption. Any violation of Sectio n 7031.5 by a ny applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): (_) 1, as owner of the property, or my employees with wages as the ir sole compensation, will do Mall of or (� portio ns of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law doe s not apply to an owner of property who, through employe es' or personal effort, builds or improves the property, provide d that the. improvements are not intended or offered for sale. If, however, the building or improv eme nt is so ld within one year of comple tion, the Owner - Builder willhav e the burden of proving that it was not built or improved for the purpose of sale. ). U I, as owner of the property, am e xclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Co de: The Contractors' State License Law does not apply to an o wner of property who builds or improves there on, and who contracts for the projec ts with a license d Contra or pursuant .to the Contractors' State License Law). 0:I am exempt from licensure under the Contracto rs ' State License Law for the following rea son: By my signature below I acknowledge that, except for my personal residence in which I must have resided fo r at lea st - one year prior to completiory of the impro ve me nts cov ered by this permit, 1 cannot legally sell a structure that I ha ve built as an owner -builder If it has not bee n con structed in its entirety by licensed contractors. I understand that a copy of the applicable. law, Section 7044 of the Busine ss and Professions Code, is available upon reque st when this application is submitted or at the following Web site: http://www. leoinfo.ca.gov/calaw.html. Date : Signature of Property Owner or Authorize d Agent LICENSED CONTRACTOR'S DECL ARATION I hereby affirm und er pen alty of perjury that I am licensed under provisio ns of Chapter 9 (commencing with Section 7000) of Di vi sion 3 of the Business and Professions Code, and my license is in full f orce and effect. License CI ss License No . Dat ontractor Sign atq RICERS' COMPENSATI ON DECLA RATION WARNI NG: FAILURE TO SECURE WORKERS' COMPENSATI ON • COVERAGE IS UNLAWFUL, AND SH ALL SUBJECT AN EMPLOYER TO C RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, D AM AGES AS PROVIDED FOR IN SECTION 3706 OF THE L AB OR CODE, INTEREST, AND ATTORNEY'S_ FEES. I hereby affirm under p enalty of perjury on e of th e following declarations: have and will maintain a c ertificate of consent to self - insur e for workers' compen sation, issued by the Director of Industrial Relations as pro vided for by Section 3700 of the Labor C od e, f or the p erf ormance of the work for which this permit is issued. - Policy No . I have and will maintain workers' comp ensation insurance, as required by Section 3700 of..th e Lab or C od e, for the performance of work for which this p erthit is issued. My ker ' co ens 'o i nsuran frier policy number are: C ler 20,0 olicy Numbe Expiration Date Name of Agent Phone Number I certify tha t, in the performan ce of the work for which this permit is issued, I sha ll not employ any p ers on in any manner So as to beco me su bject to the workers' compensation laws of California, and agree tha t, if 1 should become subject to the workers' c ompensatio n prov isions of ection 3700 of tie L abor Code, I shall fo rthwith comply with provisions aT/ Signature of A ppliDate LOBBYIST ORDINANCE CERTIFICATION Complete this section for permits in . Unincorpo rate d Lo s Angele s Co un ty on ly This is to certify that I, as pe rmit applicant, am fa miliar with the requirements of Los Angele s Co un ty Code Chapter 2.160 et seq., (relating to the Los A nge 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. Applicant (Print Name) Applica nt Signa ture Company Name Da te . JOB ADDRESS LOCALITY HAZARDOUS MATERI AL DE CLAR ATION Will the applica nt or future buildi ng occupant handle a ha zardous m aterial 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 buildi ng by the applicant or future building occupant r equire a p ermit for constr uction or modification fr om the South Coast Air Quality M anag ement District (SC AQ MD)? S ee p ermitting ch ecklist for guid elines. Yes ❑ N. o ❑ r I -have read the hazardous m aterials 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. ASBEST OS NOTIFI CATI ON ❑ Notific ation letter sent to AQMD and/or EPA ❑ I declare that n otification of asbestos remo val is not applicable to addressed project. DECLAR ATION REG ARDING C ONSTRUCTION LENDING AGENCY I h ereby affirm under penalty of perjury that there is a Constructi on 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 signatur e below, I certify.to;each of the following: I am th e property own er or authori zed to act on the property owner's behalf . I ha ve read this application and the information I have provided is c orrect. I agree to comply with all applicable city and county ordinances • and state laws relating to building construction . - I authori ze representatives of this county to ent er the above -identified property for inspection pu .oses . Signature of Pro Date