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Home My Public Portal About9614 BROADWAY_Building_1/27/2014_` • COUNTY�'JP IAS LNGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: ON FILE ASSESSOR INFORMATION NUMBER: 8588-023-017 TENANT OWNER: TEL. NO: GENIE HOU, YIU CHUNG NO (626) 319-5605- 9614 BROADWAY TEMP 917803210 APPLICANT: TEL. NO: KHAINE, JOE (626) 570-1809- 1300 E MAIN ST #109 ALHAMBRA CA 91801 CONTRACTOR: TEL. NO: TEEM BUILDERS AND CO. INC. (818) 389-1663- 1300 E MAIN ST STE 109 LIC. NO ALHAMBRA CA 91801 813234 ' ARCHITECT OR ENGINEER: 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: 854 1 V -B GARAGE: 486 1 V -B OTHER: EXIST BLDG USE: EXIST OCC GRP: BLDGS. NOW ON LOT: FEE DESCRIPTION E31 PLANCHECK W/ENERGY AA BLDG PERMIT ISSUANCE AB STATE GREEN BLDG FEE AC STRONG MOTION REBID B2 PERMIT W/ENERGY 08 CERTIF OF OCCUPANCY ' ADDITIONAL DATA ON FILE REPORT ID: DPR261 # 0508 BUILDING PERMIT RESIDENTIAL ADD/ALT/REP BL 0508 1310090047 NEW I BUILDING ADDRESS: OCCUP GROUPI 9614 BROADWAY R-3 I TEMP CA 917803210 U I NEAREST CROSS STREET: TEMPLE CITY THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CA USE ZONE: ISSUED ON: PROCESSED BY: 101/27/14 SR I VALUATION:FI]AL DAT 1l FINFjL �y�: CODE: 142,140 I V/tS/�/) FEES PAID QUANTITY: UOM: 142140.00 VAL 142140.00 VAL 142140.00 VAL 142140.00 VAL TOTAL FEES DE N OF WORK 11 -STORY ADDITION 2 BEDROOMS, 2 BATHROOMS, WALK-IN CLOSETS, AMOUNT:IFAMILY ROOM, ATTACHED 2 CAR GARAGE WITH LAUNDRY SPACE AND (EXISTING HOUSE HALLWAY, RECONFIGURATION OF EXISTING KITCHEN 1,470.40 1 27.80 SPECIAL CONDITIONS: 6.00 14.20 1,729.90 ] 101.40 ]APPROVALS DATE INSPECTOR SIGNATURE 3,349.70 ] LOCATION AND SETBACKS tl ' (4) ^ � ISOILS ENGINEER APPROVAL }J�� I I FOUNDATION/TRENCH FORMS /I lHl SLAB/UNDER FLOOR I I 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 mI f( (, 11NSULATION/WEATHER STRIP 1 ], I I INTERIOR LATH/DRYWALL I EXTERIOR LATH (LOT DRAINAGE I SMOKE DETECTION DEVICES I FIRE DEPARTMENT APPROVAL I I I ROUTE T0: HSO508 ] I I I 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 (,r) 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). U 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 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: httD://www.leoinfo.ca.aov/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. License Class T7 License No.el?1111 Date Yz#_Ltctor SignatureI C� 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. _,:�S- 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 w s' mpe ation sur ca ier d,policy umber 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 comply with those provisions Si ure of Applicant Dia e 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 (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 ti 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 ❑ 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 ❑ 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 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 atured�roPe-Wer or Authorized Agent IN Date 41 / f COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: ON FILE ASSESSOR INFORMATION NUMBER: 8588-023-017 TENANT: OWNER: GENIE HOU, YIU CHUNG HO 9614 BROADWAY TEMP 917803210 CORTEZ, FIDEL 45 WESTBROOK IN POMONA CA 91766 CONTRACTOR: CORTEZ ROOFING 1308 E GREENVILLE DR WEST COVINA CA 91790 OR ENGINEER: TEL. NO: (626) 319 -5605 - TEL. NO: (626) 786 -1307 - TEL. NO: (626) 918 -1007 - LIC. NO 762520 TEL. NO: LIC. NO: NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 3 00 OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 SCHOOL WITHIN HAZARDOUS QUALITY: 1000 FEET MATERIALS NO NO NO TEMPLE CITY # 0508 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: NO. OF CONST SQ. FT STORIES TYPE STRUCTURE: 6 V -B EXIST BLDG USE: RESID USE ZONE: R-1 EXIST OCC GRP: SLUGS. NOW ON LOT: VALUATION: 1,100 FEES PAID FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: AA BLDG PERMIT ISSUANCE 27.80 AN STATE GREEN BLDG FEE 1100.00 VAL 1.00 AC STRONG MOTION RESID 1100.00 VAL 0.50 D2 PERMIT W/O EN -HC 1100.00 VAL 82.20 TOTAL FEES 111.50 • ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE T0: BS0508 BUILDING PERMIT ALTERATION/REPAIR BL 0508 1404210041 BUILDING ADDRESS: 9614 BROADWAY TEMP CA 917803210 NEAREST CROSS STREET: TEMPLE CITY THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CA ISSUED ON: PROCESSED BY: 04/21/14 SR F ANAL DAT � FjNAL_HY: CODE: PTION'OF WORK !//,`��/��[/J�/ T REROOF WITH 30 YRS CLASS A COMPOSITION TO MATCH NEW ADDITION CONDITIONS: APPROVALS DATE INSPECTOR SIGNATURE LOCATION AND SETBACKS SOILS ENGINEER APPROVAL FOUNDATION/TRENCH FORMS SLAB/UNDER FLOOR RAISED FLOOR FRAMING UNDERFLOOR INSULATION FLOOR SHEATHING ROOF SHEATHING SHEAR PANELS FRAME INSPECTION FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSERIDLIES RATED SHAFTS/OPENINGS T -BAR CEILINGS LOT 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 (✓) 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 Contredor pursuanLto the Contractors' State License Law). U. 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 whicY I must have resided for at least one year prion to wmpletioq 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.leoinfo.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. ?-License Class �� ` r License No. �je i at'e � /Contractor Signature �Yr! r WORKERS' COMPENSATION DECLARATION WAAMNG: 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. X 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 works person i sura a rrier and policy number are: Ca—Frlbr Policy Number ' Expiration bate 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 shat forthwith comply with those provisions 7,-�/% 9-/-/ V 'Signature'of Applicant 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 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 ugh the application process. pelican not Nah1e) 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 ❑ No ❑ r I have read the hazardous materials information guide and the SCAQMD permitting checklist, I understand my requirem7ts 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. Signature////o�,f/gjo�rt zwnerr or Authorized Agent Date_I y-