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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