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Home My Public Portal About5949 CLOVERLY AVE_Building_10/20/2014_fi COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: TR: 6561 LT: 314 ASSESSOR INFORMATION NUMBER: 8587-008-009 TENANT OWNER: EASYWAY INVESTMENT LLC 155 W MARSHALL ST. B SAN GABRIEL CA 91776 APPLICANT: AVANT GARDE DESIGN, MICHAEL 2063 S. ATLANTIC BL. MONTEREY PARK 91754 CONTRACTOR: RAY LEE CONSTRUCTION, INC 9322 KLINGERMAN ST. $C SOUTH EL MONTE, CA 91733 TECT OR ENGINEER: PETER E VALLEY BLVD SUITE L BAD CA 91770 TEMPLE CITY 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: NO. OF CONST SQ. FT STORIES TYPE STRUCTURE: 1978 2 V -B GARAGE: 430 1 V -B OTHER: TEL. NO: SLUGS. NOW ON LOT: (626) 825-2614- 1 IFEE DESCRIPTION: TEL. NO: 1 (323) 263-2484- 1B1 PLANCHECK W/ENERGY ID7 ADDNL PLANCHECK FEE AA BLDG PERMIT ISSUANCE IAB STATE GREEN BLDG FEE IAC STRONG MOTION RESID TEL. NO: IB2 PERMIT W/ENERGY (626) 825-2614- 108 CERTIF OF OCCUPANCY LIC. NO I 729516 I TEL. NO: (626) 280 -9000 - LIC. NO: 729516 NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 265 L 154 3 02 OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: 6 YES 04C SCHOOL WITHIN HAZARDOUS QUALITY: 1000 FEET MATERIALS NO NO NO ADDITIONAL DATA ON FILE REPORT ID: DPR261 # 0508 NEW OCCUP GROUP R-3 U USE ZONE: R-3 VALUATION 285, :632 FEES PAID QUANTITY: DOM: 285632.00 VAL 2.00 HOU 285632.00 VAL 285632.00 VAL 285632.00 VAL TOTAL FEES ROUTE TO: SS0508 BUILDING PERMIT NEW RESIDENTIAL BL 0508 1307110081 BUILDING ADDRESS: 5949 CLOVERLY AV TEMP CA 917802019 NEAREST CROSS STREET: WOODRUFF THOMAS PAGE: 596 GRID: S3 LOCALITY: TEMPLE CITY, C ISSUED ON: PROCESSED SY: 10/20/14 SR FINAL q 'A E, `// FI �!� // CODE: q/4DESCR ION OF RK NEW 2 -STORY 4SR/4BA DETACHED CONDO W/ATTACHED 2 CAR GARAGE AMOUNT:( 2,352.80 218.80 ISPECIAL CONDITIONS: 27.80 IFIRE SPRINKLERS REQUIRED 12.00 28.60 1 2,768.00 (APPROVALS 101.40 1 5,509.40 ILOCATION AND SETBACKS I_ ISOILS ENGINEER APPROVAL FOUNDATION/TRENCH FORMS SLAB/UNDER FLOOR RAISED FLOOR FRAMING 1UNDERFLOOR INSULATION 1ST LEVEL FLOOR SHEATH 12ND LEVEL FLOOR SHEATH ROOF SHEATHING IFIRE DEPT. FRAME INSPECT 1BLDG DEPT. FRAME INSPECT ISHEAR PANELS 11NSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL IEXTERIOR LATH LOT DRAINAGE ISMOKE DETECTION DEVICES IFIRE DEPARTMENT APPROVAL DATE INSPECTOR SIGNATURE �� A 2 x� 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 1, as owner of the property, or my employees with wages as their sole compensation, will do (✓) all of or U 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 Contrkgtor pursuant to the Contractors' State License Law). U I am exemiJt 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 whicY I must have resided for at least one year priorlto completioq of the Improvements covered by this permit, I cannot 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.lecinfo.ca.00v/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. p� License Class ^f3 License No. Date � contractor Signature_ WORKERS' COMPENSATION IDC:IATIII 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. I hereby affirm under penalty of perjury one of the following decl ons: 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. Policy No. 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 wo a corn en ti insu nce carder and pol(c u beLare: r'P,., 1z(�Z7L imp artier Policy Number Expiration 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, 1 shall forthwith comply with those provisions lam_ (13 Signature fApplicant 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 ❑ 1 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 ❑ 1 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 Lenders 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. Sig re of erty Owner or Authorized Agent Date b�9J8�l�