HomeMy Public PortalAbout5714 OAK AVE_Building_11/28/2000_COUNTY OF
LOS ANGELES
TEMPLE CITY
#
0508
BUILDING PERMIT
DEPARTMENT'OF
PUBLIC WORKS
9701 LAS TUNAS
NEW RESIDENTIAL
' BUILDING AND SAFETY'/
LAND DEVELOPMENT
TEMPLE CITY CA 91780
BL 0508 0009180012
PHONE: (626) 285-0488
EXT:
LEGAL ID:
NO. OF
CONST
NEW
BUILDING ADDRESS:
TR: 6561 LT: 727
SQ. FT STORIES TYPE
OCCUP GROUP
5714 OAK AV
STRUCTURE: 3170 2
VN
R3
TEMP CA 917802430
ASSESSOR INFORMATION NUMBER:
GARAGE: 600 2
VN
U1
NEAREST CROSS STREET: LIVE OAK
8587-010-025
OTHER: 32 2
VN
R3
THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
TENANT:
USE ZONE: R-1
ISSUED ON: PROCESSED BY: EXPIRES ON:
11/28/00 UT 05/28/01
OWNER:
WU CHING Y;NING S
TEL. NO:
(818) 285-9036-
BLDGS. NOW ON LOT:
VALUATION:
268,130
FINAL DAIE FIN Y-/} CODE:
�7 n 7 '
5714 OAK AV
_
( C
TEMP 917802430
FEES PAID
ii ORK n
NEW 2 STORY RES[DENC -5 B DROOMS/ .5"BATHROOMS/3 CAR GARAGE
FEE DESCRIPTION:
QUANTITY: UOM:
AMOUNT:
APPLICANT:
TEL. NO:
HUNG YIN CONSTRUCTION INC
(626) 675-8877-
111 PLANCHECK W/ENERGY
268130.00 VAL
2,247.93
1300 E. MAIN ST.
AA BLDG PERMIT ISSUANCE
27.75
SPECIAL CONDITIONS:
ALHAMBRA, CA
AC STRONG MOTION RESID
268130.00 VAL
26.81
82 PERMIT W/ENERGY
268130.00 VAL
2,644.62
TOTAL FEES
4,947.11
CONTRACTOR: TEL. NO:
HUNG YIN CONSTRUCTION (626) 675-8877-
1300 E. MAIN STREET #205 LIC. NO
ALHAMBRA, CA 91803 747902 B
ARCHITECT OR ENGINEER: TEL. NO:
DO, BINH (626) 572-2895-
8221 GARVEY BLVD. #31 LIC. NO:
ROSEMEAD, CA NONE
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:
147H265 L 136 3 01
%lC ih�t
N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
NO 01
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO
REQUIRED TOTAL SETBACK FROM EXIST
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL -
SIDE PL -
REPORT ID: DPR261 ROUTE TO: BS0508
APPROVALS DATE
LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
FOUNDATION/TRENCH FORMS l,okY m
SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
UNDERFLOOR INSULATION
IST LEVEL FLOOR SHEATH
2ND LEVEL FLOOR SHEATH
ROOF SHEATHING
FIRE DEPT. FRAME INSPECT
BLDG DEPT. FRAME INSPECT
SHEA PANELB
INSULAT[0 /NE/AT�lE1�51KIP
INTERIOR LATryJDRWALy
Y
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
Ins>tnl PA
INSPECTOR SIGNATURE
LICENSED CONTRACTOR'S DECLARATION
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 Code, and my license is in full force and effect.
License Class Lic. Na 4� / r b 2
I
/Cpltractors ignature`r tDate f%�
l/
OWNER -BUILDER DECLARATION
Thereby affirm
untler penalty of perjury that I am exempt from the
Contractors License Law for the following reason (Sec. 7031.5. Business
and Professions Code: Any city or county which requires a permit to
construct, alter, improve. demolish. or repair any structure, prior to its
issuance,also requires the applicant for such permit to lila a signed
statement that he or she is licensed pursuant to the provisions of the
Contfactors License Law (Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he or she is
exempt therefrom and the basis for the alleged exemption. Any violation
of Section 7031.5 by any applicant fora penmt subjects the applicant to.a
civil.penally of not more than five hundred dollars ($500).):
❑ 1 am exempt under Sec. , BA P.C. for this reason'
[ Electrical, Plumbing & Sewer Permits Only ]
❑ I; as owner of the properly, will do the work, and the structure is not
intended or offered for sale (Sec 7044, Business and Professions Code'
The Contractors License Law does not apply to an owner of property who
builds or improves thereon, and who does such work himself or herself,
Provided that such improvements are not intended or offered for sale If,
however, the building or improvement is sold within one year of completion,
the.owner-builder will have the burden of proving that he or she did not
build or improve for the purpose of sale.).
[ All Other Permits ]
❑ I.,as owner of the property, or my employees with wages as their sole
compensation, will do the work. and the structure is not intended or offered
for sale (Sea 7044, Business and Professions Code The Contractors
License Law does not apply to an owner of properly who builds or improves
thereon, and who does such work himself or herself or through his or her
own employees, provided that such improvements are not intended or
offered for sale It, however. the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving
tharfie or she did not build or improve for the purpose of sale.).
❑ i, as owner of the property, am exclusively contracting with licensed
contiactors to construct the project (Sec. 7044, Business and Professions
Code The Contractors License Law does not apply to an ownerol property
who builds or improves thereon, and who contracts for such projects with
a contractor(s) licensed pursuant to the Contractors License Law),
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations.
❑ 1 have and will maintain a certificate of consent to self -insure for
workers compensation, as provided for by Section 3700 of the Labor
Code,
for the performance of the work for which this permit is issued.
❑ I have and will maintain workers compensation 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:
Carder —` F",4D
Policy Number /A7779 7—
❑ I certify 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 that it
I should become subject to the worker's compensation provisions of
Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
Applicant Signature Date
WARNING: FAILURE TO SECURE WORKER's COMPENSATION
COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER
TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR /N SECTION 3706
OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LOBBYIST ORDINANCE CERTIFICATION
r Complete this section for permits in
` unincorporated Los Angeles County only I
This is to certify that I, as permit applicant, am familiar with the requirements
of Los Angeles County Code Chapter 2.160 at 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
application process
Applicant (Print Name) Applicant Signature
Owner Signature Date Company Name (if employed by an entity/agency) Date
JOB ADDRESS
LOCALITY
HAZARDOUS MATERIAL DECLARATION
Will the applicant or future building occupant handle a hazardous material
or a mixture containing a hazardous material equal to or greater than the
amount specified on the hazardous materials information guide?
Yes ❑ No ❑
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 ❑ No ❑
I have read the hazardous materials information guide and the SCAOMD
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
ASBESTOS NOTIFICATION
❑ Notification letter sent to SCAOMD or EPA
❑ 1 declare that notification of asbestos removal is not applicable to
addressed project
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending
agency for the performance of the work for which this permit is issued
(Sec. 3097, Civ C.).
Lender's Name
Lenders Addrea<
"OW
/ certify that / have read this application and state
under the penalty of perjury that the above
information is correct. If agree to comply with all City
and County ordinances and State laws relating to
building construction, and hereby authorize
representatives of this County to enter upon the
above-mentioned ropert forinspectionpurposes.
Applicant or Agent Signature ut tte