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Home My Public Portal About5951 CLOVERLY AVE_Building_10/20/2014_.• COUNTY OF WS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: TR: 6561 LT: 314 ASSESSOR INFORMATION NUMBER: 8587-008-009 TEMPLE CITY 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: NO. OF CONST SQ. FT STORIES TYPE STRUCTURE: 1826 2 V -B GARAGE: 440 1 V -B OTHER: # 0508 BUILDING PERMIT NEW RESIDENTIAL BL 0508 1307110082 NEW BUILDING ADDRESS: OCCUP GROUPI 5951 CLOVERLY AV R-3 ] TEMP CA 917802019 U ] NEAREST CROSS STREET: WOODRUFF ] THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl 'TENANT: —] USE ZONE: R-3 TISSUED ON: PROCESSED BY: 110/20/14 SR OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL D TE F;NALCODE: EASY WAY INVESTMENT LLC (626) 825-2614- 1 265,660 iq — /l / 155 W MARSHALL ST k8 L!J SAN GABRIEL CA 91776 FEES PAID DESCR I -OF WORK / NEW 2 -STORY 3BR/3.5BA DETACHED CONDO W/ATTACHED 2 CAR GARAC ]FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: APPLICANT: TEL. NO: AVANT GARDE DESIGN, MICHAEL (323) 263-2484- ]Bl PLANCHECK W/ENERGY 265660.00 VAL 2,229.40 1 2063 S. ATLANTIC BL. ]AA BLDG PERMIT ISSUANCE 27.80 ]SPECIAL CONDITIONS: MONTEREY PARK 91754 IAB STATE GREEN BLDG FEE 265660.00 VAL 11.00 (FIRE SPRINKLERS REQUIRED IAC STRONG MOTION RESID 265660.00 VAL 26.60 IB2 PERMIT W/ENERGY 265660.00 VAL 2,622.80 1 CONTRACTOR: TEL. NO: 106 CERTIF OF OCCUPANCY 101.40 (APPROVALS DATE INSPECTOR SIGNATURE L RAY LEE CONSTRUCTION, INC. (626) 825-2614- 1 TOTAL FEES 5,019.00 1 9322 KLINGERMAN ST. ^oC LIC. NO ] ILOCATION AND SETBACKS SOUTH EL MONTE, CA 91733 729516 1 1 1 ] ]SOILS ENGINEER APPROVAL V ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS /�� f� LEE, PETER (626) 280-9000- Ii 8748 E VALLEY BLVD SUITE L LIC. NO: i iSI.AB/UNDER FLOOR �� AOSEMEAD CA 91770 729516 + RAISED FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( JUNDERFLOOR INSULATION 15OH265 L 154 3 021 1 11ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: I ] 6 YES 04C I 12ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ]ROOF SHEATHING 1 AIR QUALITY: 1000 FEET MATERIALS NO NO NO IFIRE DEPT. FRAME INSPECTI BLDG DEPT. FRAME INSPECT A ]SHEAR PANELS�'— ] 11NSUL.ATION/WEA THER STRIP ] 11NTERIOR LATH/DRYWALL ]EXTERIOR LATH I ILOT DRAINAGE SMOKE DETECTION DEVICES ] ,C ` // ] p/n M .�✓) I- ADDITIONAL DATA ON FILE IFIRE DEPARTMENT APPROVALi LV 1(� 70 1 ]REPORT ID: DPR261 ROUTE TO: RS0508 1 1 h\ 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).): L) I, as owner of the property, or my employees with wages as their sole compensation, will do (✓) all of or L) 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.). L) 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 Contractor pursuant to the Contractors' State License Law). L). I am exempt 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 priorlto completion; of the improvements covered by this permit, I c nnot legally sell a structure that I have built as an owner -builder �f 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: httD://www.leoinfo.ca.00v/calaw.html. Date: Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION 1 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. --r Cy License lass l� License No. 7;?- 5 Date �� ntrector Signature \��KJJ "� WORKERS' COMPENSATIONAECLARATION 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 ions: el 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 erformance of the work for which this permit is issued. My w rs' nsation insure carter and policy n m rare: (b L J e\�=nL _ { Cartier Policy Number Exprratorl bate Name of Agent Phone Number I certify that, in the performance of the work for which this permit is issued, 1 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 f�'�2 Signature f Applicant Dat 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 ❑ N o ❑ 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 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). Lenders 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. Sig re of Property Owner or Authorized Agent i D to /� y'