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Home My Public Portal About5720 OAK AVE_Building_4/22/2002_COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT 'LEGAL ID: TR: 6561 LT: 727 UN: .002 ASSESSOR INFORMATION NUMBER: 8587-010-024 TENANT: OWNER: TEL. NO: BATEMAN ROBERT E;PATRICIA A (626) 579-8589- 5720 OAK AV TEMP 917802430 APPLICANT: TEL. NO: RANDY SAWN (909) 680-1978- 3187 LOCUST ST RIVERSIDE 92501 CONTRACTOR: TEL. NO: HAVEN GROUP, INC. (909) 592-2161- 1173 N. DIXIE DRIVE, STE 204 LIC. NO SAN DIMAS, CA 91773 638143 B ARCHITECT OR ENGINEER: TEL. NO: LIC. NO: MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 3 01 NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 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 - TEMPLE CITY 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT NO. OF CONST SQ. FT STORIES TYPE STRUCTURE: 524 1 VN GARAGE: OTHER: EXIST BLDG USE: EXIST OCC GRP: BLDGS. NOW ON LOT: 2 FEE DESCRIPTION: D1 PLANCHECK W/O EN -HC AA BLDG PERMIT ISSUANCE AC STRONG MOTION RESID D2 PERMIT W/O EN -HC REPORT ID: DPR261 # 0508 BUILDING PERMIT RESIDENTIAL ADD/ALT/REP BL 0508 0112110035 NEW BUILDING ADDRESS: OCCUP GROUP 5720 OAK AV R3 TEMP CA 917802430 NEAREST CROSS STREET: LAS TUNAS THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY USE ZONE: ISSUED ON: PROCESSED MY: EXPIRt5 ON: 04/22/02 VG 10/19/02 VALUATION: FINAL DATf FINAL BY: CODE: 20,000 •�J. .�L FEES PAID QUANTITY: UOM: 20000.00 VAL 20000.00 VAL 20000.00 VAL TOTAL FEES ROUTE TO: BS0508 DESL IPT ION OF WORK 524SF GARAGE ADDITION, CONVERT 120SF OF EXISTI RAGE TO AMOUNT: CHANGE RM/BATHRM FOR POOL 326.91 27.75 SPECIAL CONDITIONS: 2.00 384.60 741.26 APPROVALS DATE INSPECTOR SIGNATURE LOCATION AND SETBACKS SOILS ENGINEER APPROVAL FOUNDATION/TRENCH FORMS ✓%�� SLAB/UNDER FLOOR �ZJ RAISED FLOOR FRAMING UNDERFLOOR INSULATION IST LEVEL FLOOR SHEATH ZND LEVEL FLOOR SHEATH ROOF SHEATHING Wl-a- FIRE DEPT. FRAME INSPECT 66''[[ r BLDG DEPT. FRAME INSPECT!J/ SHEAR PANELS ':��JG�I INSULATION/WEATHER STRI(' INTERIOR LATH/DRYWALL 7 EXTERIOR LATH `/jam /,L_ n -. LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL 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. No. ontractor%,'Signature Date OWNER -BUILDER DECLARATION I hereby affirm under 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 file a signed statement that he or she is licensed pursuant to the provisions of the Contractors 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1 am exempt under Sec. , B.& P.C. for this reason [ Electrical, Plumbing & Sewer Permits Only ] ❑ I, as owner of the property, 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 (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 or through his or her own employees, 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.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 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 worker's compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. b/i have and will maintain worker's compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Carrier / a� Policy Number (r O ❑ 1 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 worker's compensation laws of California, and agree that if I should become subject to the worker's compensation provisions of Section 3700 of the Labor Cod , 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 IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LOBBYIST ORDINANCE CERTIFICATION [' Complete this section for permits in 7 ` unincorporated Los Angeles County only J This is to certify that I, as permit applicant, am familiar 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 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 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. ASBESTOS NOTIFICATION ❑ Notification letter sent to SCAQMD 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.). Lenders Name Lender's Address "Qq? 1 certify that 1 have read this application and state under the penalty of perjury that the above information is correct. l 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 property for inspection purposes. fpPlican't or Agent Signature Date