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Home My Public Portal About9165 BIDWELL ST_Building_1/12/2012_t COUNTY OF *LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: JTR: 12977 LT: 18 BL: .001 ASSESSOR INFORMATION NUMBER: 5387-017-034 1 TENANT: (OWNER: IGARCIA SANDY 19165 BIDWELL ST TEMP 917802447 APPLICANT: ISASSON BEZALEL 224 S. TOWER DR. #A BEVERLY HILLS 90211 [CONTRACTOR: PARADISE BUILDERS 1137 N. LARCHMONT BLVD. #691 (LOS ANGELES, CA 90004 ARCHITECT OR ENGINEER: TEL. NO TEL. NO: (310) 433 -2066 - TEMPLE CITY 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: NO. OF CONST SQ. FT STORIES TYPE STRUCTURE: 39 1 V -B GARAGE: OTHER: # 0508 BUILDING PERMIT RESIDENTIAL ADD BL 0508 1201120017 NEW BUILDING ADDRESS: OCCUP GROUP 9165 BIDWELL ST R-3 TEMP CA 917802447 NEAREST CROSS STREET: THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl EXIST BLDG USE: USE ZONE: JISSUED ON: PROCESSED BY: EXIST OCC GRP: 01/12/12 SR IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: FEE DESCRIPTION: JAA BLDG PERMIT ISSUANCE JAB STATE GREEN BLDG FEE JAC STRONG MOTION RESID JB2 PERMIT W/ENERGY ID7 ADDNL PLANCHECK FEE TEL. NO: (800) 710 -4237 - LIC. NO 583918 TEL. NO: LIC. NO: I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 3 00 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 0 NO 21 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS I NO NO NO I REPORT ID: DPR261 ROUTE TO: BS0508 LOCATION AND SETBACKS SOILS ENGINEER APPROVAL FOUNDATION/TRENCH FORMS SLAB/UNDER FLOOR RAISED FLOOR FRAMING UNDERFLOOR INSULATION 1ST LEVEL FLOOR SHEATH 12ND LEVEL FLOOR SHEATH ROOF SHEATHING FIRE DEPT. FRAME INSPECT BLDG DEPT. FRAME INSPECT SHEAR PANELS INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE llPARTMENT APPROVAL 5,780 FEES PAID IDESCRIPTION OF WORK REVISED PLAN TO ADD 39 SQ.FT. TO BEDROOM AND BATHROOM SEE QUANTITY: UOM: AMOUNT:JALSO BL 111026029 27.80 5780.00 VAL 1.00 ISPECIAL CONDITIONS: 5780.00 VAL 0.60 ICOVENANT RECORDED 5780.00 VAL 164.70 1.00 HOU 109.40 TOTAL FEES 303.50 1APPROVALS DATE INSPECTOR SIGNATURE ROUTE TO: BS0508 LOCATION AND SETBACKS SOILS ENGINEER APPROVAL FOUNDATION/TRENCH FORMS SLAB/UNDER FLOOR RAISED FLOOR FRAMING UNDERFLOOR INSULATION 1ST LEVEL FLOOR SHEATH 12ND LEVEL FLOOR SHEATH ROOF SHEATHING FIRE DEPT. FRAME INSPECT BLDG DEPT. FRAME INSPECT SHEAR PANELS INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE llPARTMENT APPROVAL OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 rive hundred dollars ($500).): (_)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.). (_) 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.). LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally 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.71, �f License Class_ License No. Dat onlractor Signature ��i``��''�-=?" WORKERS' COMPENSATU3jV.`i�EELARATION 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 penally 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 JOB ADDRESS LLOCALITY 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. Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit ASBESTOS NOTIFICATION is issued. Policy No. ❑ Notification letter sent to SCAQMD or EPA I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for ❑ I declare that notification of asbestos removal is not the performance of the work for which this permit is issued. My applicable to addressed project. work rs' 6mp cation Insurance carrier and policy-Cnu_mmbberrr are: J �1 _? �ECLARATION REGARDING CONSTRUCTION LENDING arner o umber —Expiration Dale AGENCY Name of Agent Phone Number (_) I am exempt from licensure under the Contractors' State I certify that, in the performance of the work for which this License Law for the following reason: 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 33ggreq that, if I should become subject to the By my signature below I acknowledge that, except for my workers' compAnsat4on'provisions of Section 3700 of the Labor personal residence in which I must have resided for at least code, I �Ibgl!ihpffi comply with those provisions one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an - tur�c(Applicant /mate owner -builder if it has not been constructed in its entirely 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: hllp:f/www.fertntfo.ca.00v/calaw.hlmL Date: Signature of Property Owner or Authorized Agent 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 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 (Prin44�e� App icant��natute Company Name Date I hereby affirm under penally 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 owners 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 Property Owner or Authorized Agent �.8ate