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Home My Public Portal About9846 ESTRELLA AVE_Building_8/20/2012_COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: ITR: 16712 LT: 18 I (ASSESSOR INFORMATION NUMBER: 15383-021-005 1 (TENANT: DOWNER: (FANG, SAM & JOYCE 19846 ESTRELLA AV ITEMP 917801416 i I (APPLICANT: IXU, JENNY 16260 TEMPLE CITY BL. TEMPLE CITY CA 91780 CONTRACTOR: FANG, SAM JOYCE S FANG 9846 ESTRELLA AVENUE TEMPLE CITY, CA 91780 ARCHITECT OR ENGINEER: TEL. NO: (626) 716 -4874 - TEL. NO: (626) 388 -4919 - TEL. NO: (626) 716 -4874 - LIC. NO NONE TEL. NO: LIC. NO: MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 3 00 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 0 NO 21 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO TEMPLE CITY 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT NO. OF CONST SQ. FT STORIES TYPE STRUCTURE: 487 1 V -B GARAGE: OTHER: EXIST BLDG USE: EXIST OCC GRP: BLDGS. NOW ON LOT: # 0508 BUILDING PERMIT RESIDENTIAL ADD BL 0508 1208130043 NEW I BUILDING ADDRESS: OCCUP GROUPI 9846 ESTRELLA AV R-3 I TEMP CA 917801416 NEAREST CROSS STREET: J THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, C I USE ZONE: (ISSUED ON: PROCESSED BY: 108/20/12 SR I VALUATION: IFINAL DTE FINAL CODE: 72,190 1 FEES PAID FEE DESCRIPTION: QUANTITY: UOM: B1 PLANCHECK W/ENERGY 86550.00 VAL AA BLDG PERMIT ISSUANCE AB STATE GREEN BLDG FEE 72190.00 VAL AC STRONG MOTION RESID 72190.00 VAL B2 PERMIT W/ENERGY 72190.00 VAL I I- 1111(o IDESCRIPTION OF WORK ILEGALIZE MASTER BEDROOM, BATHROOM AND CONVERT PATIO INTO AMOUNT: I FAMILY ROOM, ADD LAUNDRY ROOM, DRYWALL ON GARAGE, REPLACE Ill WINDOWS AND OPEN A DOOR FROM DINING ROOM TO GARAGE 1,091.30 1 27.80 ISPECIAL CONDITIONS: 3.00 ICOVENANT RECORDED 7.20 I 1,001.90 I __ FR INV WORK W/O PERMIT 342.20 DOL 342.20 (APPROVALS DATE INSPECTOR SIGNATURE 08 CERTIF OF OCCUPANCY 101.40 1 TOTAL FEES 2,574.80 ILOCATION AND SETBACKS I I I I ISOILS ENGINEER APPROVAL I I IFOUNDATION/TRENCH FORMS I I 3 J ,-I SLAB/UNDER FLOOR RAISED FLOOR FRAMING UNDERFLOOR INSULATION r K v' 11ST LEVEL FLOOR SHEATH 12ND LEVEL FLOOR SHEATH IROOF SHEATHING �IFIRE DEPT. FRAME INSPEC' (BLDG DEPT. FRAME INSPEC' � I I SHEAR PANELS 411 / INSULATION WEATHER STRI. (INTERIOR LATH/DRYWALL t'` E � �'` F .o'er`• 6,. ; -- I EXTERIOR LATH ILOT DRAINAGE t ! ISMOKE DETECTION DEVICES (FIRE DEPARTMENT APPROVA: REPORT ID: DPR261 ROUTE TO: BS0508 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).): UI, 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 Contractor 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 1 acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion 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: Ihtfw./ .P fo_ca_mvicalaw-himL Date: 31-kol , Signature of Property Owner or Authorized Agent 9cJ" ' U 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. License Class License No. Date 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. 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 issued. Policy No. I have and will maintill workers' compensation insurance, as required by Sectidf 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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, I shall forthwith coTply with those provisj.9 s Signature of Aplicadt Date LOBBYIST ORDINANCE CERTIFICATION Complete this section for permits in Unincorporated Los Angeles County only This is to certify that 1, 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. �rC, a 7*A,t7 � 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 ❑ No ❑ I have read the hazardous materials information guide and the SCAQMD permitting checklist, 1 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 SCAQMD 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 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 1 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 Date cy/;.oliv