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Home My Public Portal About5721 OAK AVE_Building_11/26/2003_COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL IU: TR: 6561 LT: 730 UN: .002 AgS-FS'SM INFORMATION NUMBER: 8587-005-005 TENANT: OWNER: TEL. NO: PORTER SCOTT 5721 OAK AV TEMP 917802431 APPLICANT: TEL. NO: MASTER REMODELERS (626) 960-2951- 2149 GARVEY AV NORTH WEST COVINA 91790 CONTRACTOR: TEL. NO: MASTER REMODELERS (626) 960-2951- 2149 W. GARVEY AVE NORTH LIC. NO WEST COVINA, CA 91790 622749 HIC ARCHITECT OR ENGINEER: TEL. NO: LIC. NO: MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 3 01 NO. OF FAMILIES: DWELLING UNITS: APT/COND: 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 # 0508 BUILDING PERMIT 9701 LAS TUNAS RESIDENTIAL ADD TEMPLE CITY CA 91780 BL 0508 0311260011 PHONE: (626) 285-0488 EXT: N0. OF CONST NEN BUILDING ADDRESS: / SD. FT STORIES TYPE OCCUP GROUP 5721 OAK AV STRUCTURE: 189 1 VN R3 TEMP CA 917802431 GARAGE: NEAREST CROSS STREET: LIVE OAK OTHER: THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/26/03 JK 11/20/04 BLDGS. NOW ON LOT: VALUATION: FINAL DAJE FINAL BY: CODE: 14,000 FEES PAID ESCR PT/PTIION OF WOK � ADD BEDROOM FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 14000.00 VAL 1.40 SPECIAL CONDITIONS: B1 PLANCHECK W/ENERGY 14000.00 VAL 265.35 B2 PERMIT W/ENERGY 14000.00 VAL 312.18 TOTAL FEES 606.68 APPROVALS DATE INSPECTOR SIGNATURE LOCATION AND SETBACKS SOILS ENGINEER APPROVAL FOUNDATION/TRENCH FORMS r' G SLAB/UNDER FLOOR � RAISED FLOOR FRAMING * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: SS0508 UNDERFLOOR INSULATION 1ST LEVEL FLOOR SHEATH 2ND LEVEL FLOOR SHEATH ROOF SHEATHING 7I e _ FIRE DEPT. FRAME INSPECT BLDG DEPT. FRAME INSPECT SHEAR PANELS INSULATION/WEATHER STRI INTERIOR LATH/DRYWALL /ZAt7lJ _ EXTERIOR LATH 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. Li:IracVr§ nse lass ic. W - ..Is o� C gn re 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 lila 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 therefromantl 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. It, however, the building or improvement is sold within one year el 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 tloes 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. II, 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 contmclor(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 sell -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 compensalio insurance carrier and policy number are: 1 Carder r� / >ti��— �L/✓� Policy Number d 00 44 3 5 J ❑ t 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 if I should become subject to the workers 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 IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LOBBYIST ORDINANCE CERTIFICATION (' Complete this section for permits in L unincorporated Los Angeles County only 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 (SCAOMD)? 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 far the performance of the work for which this permit is issued (Sec. 3097, Civ.C.). Lenders Name LendersAddre— T0Z? I certify that I have read this application and state under the penalty of perjury that the above information is correct. I 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- nti' d ropertyfor inspection purposes. Appliciint or Agent Signature bate