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HomeMy Public PortalAbout5514 MCCULLOCH AVE_Building_8/5/2019_B19-37961TEMPLE CITY PERMIT NO. B19-37961. City of Temple City 1 9701 Las Tunas Drive ( Temple City, California 91780 1 (626) 285-2171 1 www,templecity.us Address: Permit No: Description: Issue Date: ® Contacts 5514 Mcculloch Avenue, Temple City, California 91780 819-37961 NEW PERGOLA Parcel: 8573-013-038 Type: Building Special Conditions: Subtype: OT Other 08-05-2019 Expire Date: 08-04-2020 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 Michele Chimienti Applicant Alex Sordo Contractor Engineer Building Details Alexander Sordo Brian Arthur Noteware Architect Structure 1: Construction Type: Occupancy Group: New/Added Area: Remodel/TI Area: New Dwelling Units: Stories: Fees Total Pergola V-8 U Utility, miscellaneous 207 0 0 0 2: 0 0 0 0 5514 Mcculloch Avenue, Temple City, California 91780 (562) 477-9385 13708 Boston Court, Fontana, California 92336 13708 Boston Court, Fontana, California 92336 2850 Ocean Park Boulevard #315, Santa Monica, California 90405 3: 4: 0 0 0 0 0 0 0 0 Valuation $8000.00 Plan Check Fees $210,73 Permit Fees $247.92 Strong Motion Fee $0.00 SB 1473 Fee $1.00 Parks Dev Fee W.00 Sewer Const Fee $0.00 Building Inspections Approval Date Inspector Location/Setbacks Soils Engineer Foundation Forms Slab/Under Floor Raised Floor Framing Underfloor insulation 1st Floor Sheathing 2nd Floor Sheathing (310) 930-3269 {310) 930-3269 673274 (310) 452-6500 Approval Date Inspector Approval Date Inspector Roof Sheathing Rated Floor/Ceiling Rated Walls Rated Shafts T -Bar Ceilings Lot Drainage Smoke Dotoctors Fire Dept Approval FINAL Fire Dept Framing Bldg Dept Framing Shear Panels Sprinkler Hangars Insulation/Weather Strip interior Lath/Drywall Exterior Lath OWNER -BUILDER DECLAR ATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' St ate License Law for the re ason(s) indicat ed below by the checkmark(s) i have placed next to the applicable item(s) (Section 7031.5, Business and Professions C ode): 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 p ermit to file a sig ned stat ement that he or she is licensed pursua nt 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 exempt from lic ensure and the basis for the alleged exemption. Any violation of Section 7031 .5 by any applicant for a permit s ubjects the applicant to a civil penalty of not more than five hundred dollars ($500) .): (J I, as owner of the property, or my employees with wages as their sole compensation, will do (, r) ail of or (...) portio ns of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contra ctors' State License Law does not a pply to an owner of property who, through employees' or personal effort, builds or improves the property, prov ided that the improv ements are not intended or offered for sale. If, howev er, the building or impro veme nt is sold within one year of co mpletion, the Owner - Builde r will have the burden of proving that it was not built or improved for the purpose of sale. ). (_) I, as owner of the property, am exclusively contra cting with licensed Contrac tors to construct the project (Se ction 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 Contra I for pursuant .to the Contractors' State License Law). L): I am ex emlit from licensure under the Contractors' State License Law for the following reason: By my signature below 1 acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior) to completion of the improvements cov ered by this permit, I cannot legally sell a structure that 1 have built as an owner -builder if it has not been constructed in its entirety by lice nse d con tractors. I understand that a copy of the applicable law, Section 7044 of 'the Business an d Profe ssions Code, is ava ilable upon request when this application is submitted or at the following Web site: http://www.ieginfo_ca.govlca law.html. Date : Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am lic ensed und er provisions of Chapt er 9 (commen cing with Section 7000) of Di visi on 3 of th e Business and Professions Code, and Jmy license is in full force and effect. Li cense Class 'J License No. R .L Cf } j. Date S; . Contractor Signature WORKERS' COMPENSATIO/ t* DECLAR ATI ON WARNING: FAILURE TO SECURE WORKERS' COMPENSATI ON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN AL PENALTIES AND CI VIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENS ATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S . FEES. I hereby affi rm under penalty of perjury o ne of the following declarations: 1 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 th e Labor Code, for the performance of the work for which this permit is issued . Policy No. I have and will maintain workers' compensation insurance, as required by S ection 3700 of.the Labor Code, for the performance of the work for which this permit is issued. My workers' �r��acompens ation insurance carrier and policy nu beZr re: e, 7 f Carrier Policy Number Expire ion ate Name of Agent Phone Number I certify that, 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 t6 the workers' compensation l aws of Califo rnia, and agree that, if.1 should become subject to the workers' compensa tion provisions of Section 3700 of the Labor Code, 1 shall forthwith; comply with those provisions -Signat rre of App�fcant Date LOBBYIST ORDINANCE CERTIFICATION Complete this sec tion for permits in Uninco rporated Los Angeles County o nly This is to certify that I, as permit applicant, am fa miliar with the requirements of Los Angeles County Code Chapter 2.160 et seq., (relating to the Los Angeles County Lobbyist Ordinance) and that all persons acting on beha lf of myself co mplied and will continue to comply there with through the application process. Applicant (Print Name) Applicant Signature JOB ADDRESS LOCALITY HAZA RD OUS MATERIAL DE CL ARATI ON Will the applicant or future building occupant handle a ha zardous m aterial or a mixture co ntaining a hazardous material equal to or greater than the amount specified on the hazardous materials information guide '? Yes ❑ N o ❑ Will the int ended use of the building by the applica nt or future building occup ant require a permit for construction or modification from the South Coast Air Quality Management District (SC AQMD)? See permitting ch ecklist for guidelines. Yes ❑ N.o ❑ I have read th e ha zardous materials information guide and the SCAQ MD, 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 S CAQ MD . ASBESTOS NOTIFICATI ON ❑ Notification letter sent to AQMD and/or EPA ❑ l declare that notification of asbestos remo val is not applicable to addressed project. DECLAR ATION REGARDING C ONSTRUCTION LENDING AGENCY i hereby 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 (Se ction 3097, Civil Code). Lender's Nam e Lender's Addr ess By my signatur e below, l certify to,each of the following: .1 am the property owner or authorized to act on the property owner's beh alf. 1 have read this application and the information l have provided is correct. I agree to comply with ail; applicable city and county ordinances • and state :'laws relating to building construction. I authori ze representatives of this county to enter the above -identified property for inspection purposes. Sig nature of. Property0 ©r-Authori zedAgent Date 'c? /x,15 Company Na me . Date