The URL can be used to link to this page

Home My Public Portal About9525 GIDLEY ST_Building_8/28/2014_f.� " • COLB'TY OF WS ANGELES TEMPLE CITY p 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW COMMERCIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1311070058 PHONE: (626) 285-0488 EXT: LEGAL ID: TR: 12998 IT: 56 ASSESSOR INFORMATION NUMBER: 8592-002-057 OWNER: TEL. NO: HONG JIE PAN (626) 823-8968- 2209 KINGSBRIDGE CT ;,A,3b SAN DIMAS CA SQ. FT APPLICANT: TEL. NO: CHEN, DAVID (626) 575-8880- 9531 GIDLEY STREET 2 TEMPLE CITY CA 91780 TEMP CA 917804214 CONTRACTOR: TEL. NO: III VIA HOME INC. (626) 575-8882- 2275 HUNTINGTON DR. #559 LIC. NO SAN MARING CA 91108 972462 ARCHITECT OR ENGINEER: TEL. NO: LEE, PETER (626) 280-9000- 8746 E VALLEY BLVD SUITE L LIC. NO: ROSEMEAD CA 91770 972462 MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 3 081 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 0 NO 10 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FEE DESCRIPTION Al PLANCHECK W/EN-HC AA BLDG PERMIT ISSUANCE AS STATE GREEN BLDG FEE AE STRONG MOTION OTHER A2 PERMIT W/ENERGY-HC D7 ADDNL PLAN CHECK FEE 08 CERTIF OF OCCUPANCY FEES PAID QUANTITY: DOM: 350000.00 VAL 350000.00 VAL 350000.00 VAL 350000.00 VAL 4.00 HOU TOTAL FEES X4(4 (q NO. OF CONST NEW I BUILDING ADDRESS: ;,A,3b ` SQ. FT STORIES TYPE OCCUP GROUP 9525 GIDLEY ST STRUCTURE: 4000 2 III B TEMP CA 917804214 NEAREST CROSS STREET: TEMPLE CITY THOMAS PAGE: 597 GRID: AS LOCALITY: TEMPLE CITY CA EXIST BLDG USE: USE ZONE: M-1 ISSUED ON: PROCESSED BY: EXIST OCC GRP: 08/28/14 SR A BLDGS. NOW ON LOT: VALUATION:FINAL 350,000 ATE FINAL. BY: CODE: FEE DESCRIPTION Al PLANCHECK W/EN-HC AA BLDG PERMIT ISSUANCE AS STATE GREEN BLDG FEE AE STRONG MOTION OTHER A2 PERMIT W/ENERGY-HC D7 ADDNL PLAN CHECK FEE 08 CERTIF OF OCCUPANCY FEES PAID QUANTITY: DOM: 350000.00 VAL 350000.00 VAL 350000.00 VAL 350000.00 VAL 4.00 HOU TOTAL FEES X4(4 (q 6' l' F f C'.S-( moi ;,A,3b ` 0 DE PT 3671 p WORK I/ NEW WAREHOUSE 3000 SF./OFFICE SPACE 1000 SF. AMOUNT:I 2,872.70 27.80 JSPECIAL CONDITIONS: 14.00 73.50 3,379.60 437.60 JAPPROVALS DATE INSPECTOR SIGNATOR£ 101.40 1I 6,906.60 ILOCATION AND SETBACKS * ADDITIONAL DATA ON FILE ID: DPR261 ROUTE TO: BSOSOB SOILS ENGINEER APPROVAL FOUNDATION/TRENCH FORMS SLAB/UNDER FLOOR RAISED FLOOR FRAMING' V UNDERFLOOR INSULATION FLOOR SHEATHING ROOF SHEATHING SHEAR PANELS FRAME INSPECTION FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIP INTERIOR LA Ty1 �P/ S�'ALli J rl� EXTERIOR LATI(H RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS P -BAR CEILINGS -� IAT DRAINAGE 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 (J) 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 Li Law does not apply to an owner of property who buil o improves thereon, and who contracts for the projects with licensed Contrb?tor pursuant .to the Contractors' State License Law). (_) 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 priori to completion: of the improvements covered by this permit, I cgnnot 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.leoinfo.ra.cov/celaw.html. Date: Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I JOB ADDRESS I hereby affirm under penalty of perjury that I am licensed under LOCALITY provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full forc nd effect. HAZARDOUS MATERIAL DECLARATION Will the applicant or future building occupant handle a hazardous Lic�Cass License No. n dal cr a mixture containing a hazardous material equal to or �ggreater than the amount specifed on the hazardous materials tractor Signature�j(/ information guide? WORKERS' COMPENSATION DECLARATION Yes ❑ No ❑ 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 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 i sued. Po icy sued 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 issue M Torker 'come ati s ran�licy nu are�er�� n 1�Pjtw �' piratio Dtdg"of�gent I 1�hone�mbar 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 Calif and agree that, if I should become subject to the weirers compensation or isio f Section 37,0000 of the Labor o e, I shall forthwith comp wi th se provi� Si ature of App scant 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 Dale 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. 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 Lenders Address ,KBy 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 autho' e representatives of this county to enter the abpve=(zntified propertAor inpWtion purposes. __ Sigr a re of Property Owner dthe ' e d Agent entOU'A p er: I nAC-1, Date r.�p�A ; /