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Home My Public Portal About5818 ENCINITA AVE_Building_3/25/2015_TSA INVESTMENT 77 W LAS TUNAS DR ARCADIA CA 91006 APPLICANT: TRAY, ALLEN 126 W WISTERIA AVE ARCADIA CA 91007 wwlxnc rvn: EDMOND HANK KWONG 360 E FIRST STREET #500 TUSTIN CA 92780 ARCHITECT OR ENGINEER: DABS, PRAVEEN 1931 NEWPORT BLVD. COSTA MESA CA 92626 TEL. NO: JBLDGS. NOW ON LOT: VALUATION: (626) 379-6939- 1 414,687 FEES PAID (PEE DESCRIPTION: QUANTITY: UOM: TEL. NO: I (626) 322-8389- IBI PLANCHECK W/ENERGY 414887.00 VAL IAA BLDG PERMIT ISSUANCE JAE STATE GREEN BLDG FEE 414887.00 VAL IAC STRONG MOTION REBID 414887 00 ��((((((A:. 1 COUNTY OF -LOS ANGELES CEL. NO: TEMPLE CITY I08 CERTIF OF OCCUPANCY # 0508 �C //�� F./�1 TOTAL FFE(EESG(^/ 1I DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS I V_00"0/PiA)0#A6M �/An. W LIC. NO: ' BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL DD: NO. OF CONST NEW TR: 6561 LT: 775 BL: .001 SQ. FT STORIES TYPE OCCUP (STRUCTURE: 2815 2 V -B R-3 ASSESSOR _ INFORMATION NUMBER: ( GARAGE: 638 1 V -B U 8587-002-022 OTHER: 161 1 V -B U TENANT: USE ZONE: R-2 TSA INVESTMENT 77 W LAS TUNAS DR ARCADIA CA 91006 APPLICANT: TRAY, ALLEN 126 W WISTERIA AVE ARCADIA CA 91007 wwlxnc rvn: EDMOND HANK KWONG 360 E FIRST STREET #500 TUSTIN CA 92780 ARCHITECT OR ENGINEER: DABS, PRAVEEN 1931 NEWPORT BLVD. COSTA MESA CA 92626 TEL. NO: JBLDGS. NOW ON LOT: VALUATION: (626) 379-6939- 1 414,687 FEES PAID (PEE DESCRIPTION: QUANTITY: UOM: TEL. NO: I (626) 322-8389- IBI PLANCHECK W/ENERGY 414887.00 VAL MAP NO: SEWER VAP BOOK: PAGE: FIRE ZONE: CMP: 3 01 NO. OF FAMILIES: DWELLING U14ITS: APT/COND: STAT CLASS: i NO 01 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO BUILDING PERMIT NEW RESIDENTIAL BL 0508 1412110081 BUILDING ADDRESS: 5818 ENCINITA AV TEMP CA 917802420 NEAREST CROSS STREET: THOMAS PAGE: 596 GRID: S3 ISSUED ON: PROCESSED BY: 03/25/15 SR LOCALITY: TEMPLE CITY CODE: �uc��u raLwv vc ry n - [NEW 2 -STORY SFD: 5 BEDROOMS, 5 BATHROOMS WITH ATTACHED 3 AMOUNT:JCAR GARAGE, FRONT PORCH AND REAR PATIO 218 SF. 3,148.90 27.80 SPECIAL CONDITIONS: 17.00 IFIRE SPRINKLERS REQUIRED / COVENANT RECORDED 41.50 3,704.60 218.80 JAPPROVALS DATE INSPECTOR SIGNATURE 101.40 /^�/ YL7,260.00 LOCATION AND SETRACK ] n2 ISOILS ENGII APPR .. L. 1A- eOUNDATION/TRENCH FORMS ,i ( /!1 t -r 1 DER FLOOR FLOOR FRAMING � UN UCNC LUVH LiV.]V1,F111Vq J15T LEVEL FLOOR SHEATH '\ 12M LEVEL FLOOR SHEATH ROOF SHEATHING �. IFIRE DEPT. FRAME INSPECTI� (BLDG DEPT. FRAME INSPECI'� I (SHEAR PANELS I I (INSULATION/WEATHER STRIP. (INTERIOR LATH/DRYWALL ^qrI 'EXTERIOR LATH LOT DRAINAGE (� SMOKE DETECTION DEVICES 1_ IFIRE DEPARTMENT APPROVALV � I [fes II (w7w REPORT ID: DPR261 ROUTE TO: BS0508 I 1 IAA BLDG PERMIT ISSUANCE JAE STATE GREEN BLDG FEE 414887.00 VAL IAC STRONG MOTION REBID 414887 00 ��((((((A:. IB2 PERMIT W/ENERGY 414887 00 CEL. NO: ID7 ADDNL PLANCHECK FEE 2.00 H U �L (714) 293-1576- I08 CERTIF OF OCCUPANCY 7567800 �C //�� F./�1 TOTAL FFE(EESG(^/ 1I EL (949)N0295-7943- I V_00"0/PiA)0#A6M �/An. W LIC. NO: j 74200 MAP NO: SEWER VAP BOOK: PAGE: FIRE ZONE: CMP: 3 01 NO. OF FAMILIES: DWELLING U14ITS: APT/COND: STAT CLASS: i NO 01 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO BUILDING PERMIT NEW RESIDENTIAL BL 0508 1412110081 BUILDING ADDRESS: 5818 ENCINITA AV TEMP CA 917802420 NEAREST CROSS STREET: THOMAS PAGE: 596 GRID: S3 ISSUED ON: PROCESSED BY: 03/25/15 SR LOCALITY: TEMPLE CITY CODE: �uc��u raLwv vc ry n - [NEW 2 -STORY SFD: 5 BEDROOMS, 5 BATHROOMS WITH ATTACHED 3 AMOUNT:JCAR GARAGE, FRONT PORCH AND REAR PATIO 218 SF. 3,148.90 27.80 SPECIAL CONDITIONS: 17.00 IFIRE SPRINKLERS REQUIRED / COVENANT RECORDED 41.50 3,704.60 218.80 JAPPROVALS DATE INSPECTOR SIGNATURE 101.40 /^�/ YL7,260.00 LOCATION AND SETRACK ] n2 ISOILS ENGII APPR .. L. 1A- eOUNDATION/TRENCH FORMS ,i ( /!1 t -r 1 DER FLOOR FLOOR FRAMING � UN UCNC LUVH LiV.]V1,F111Vq J15T LEVEL FLOOR SHEATH '\ 12M LEVEL FLOOR SHEATH ROOF SHEATHING �. IFIRE DEPT. FRAME INSPECTI� (BLDG DEPT. FRAME INSPECI'� I (SHEAR PANELS I I (INSULATION/WEATHER STRIP. (INTERIOR LATH/DRYWALL ^qrI 'EXTERIOR LATH LOT DRAINAGE (� SMOKE DETECTION DEVICES 1_ IFIRE DEPARTMENT APPROVALV � I [fes II (w7w REPORT ID: DPR261 ROUTE TO: BS0508 I 1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code): Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant 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 licensure 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).): U I, as owner of the property, or my employees with wages as their sole compensation, will do (✓) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the 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 it was not built or improved for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 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 Contrh?tor pursuant to the Contractors' State License Law). U I am exemdt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior) to completiory of the improvements covered by this permit, I, cq'nnot legally sell a structure that I have built as an owner -builder If it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: htto://www.leainfo.ca.aov/calaw.html. Date: Signature of Property Owner or Authorized Agent 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. .0 License Class (�> License No. Date3 as (Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' 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. 1 hereby affirm under penalty of perjury one of the following declarations: I 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 the Labor Code, for the performance of the work for which this permit is issued. Picy No. 1 I have and will _ maintain workers' compensation insurance, as required bySection3700 of'the Yabof Code, for the performance of the work for which this permit is issued. My wor s' c mpe do 'in rance r and policy number are: i A/ / Comer o1 rpiratlEx 'on Date Name of Agent Phone Number 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, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code,2eof forthwith comply with those provisions SApplicant Date LOBBYIST ORDINANCE CERTIFICATION Complete this section for permits In 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 Company Name 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 ❑ N o ❑ % i 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 AQMD and/or EPA ❑ I declare that notification of asbestos removal is not applicable to addressed project. DECLARATION REGARDING 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 (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to, each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this county to enter the above -identified property for inspection purposes. Signature of�Pro erty Owner or Authorized Agent Date 3/-_):5h—s