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Home My Public Portal About4863 Golden West Ave_Building_2/27/2014_COUNTY Jr LOS ANGELES 9EPARTMENT OF PUBLIC WORKS 80ILDING AND SAFETY / LAND DEVELOPMENT L ID: 5342 IT: 6 SSOR INFORMATION NUMBER: -019-005 OWNER: MINGTA CHIN 4863 GOLDEN WEST AV TEMP 917803936 APPLICANT: ZHU, BENJAMIN 111 S WALNUT GROVE SAN GABRIEL CA 91776 v 1 AND J JGROUP CONSTRUCTION, INC 9040 STEEL STREET ROSEMEAD CA 91770 ARCHITECT OR ENGINEER: T AND W CONSULTING ENGINEERS 1168 N. SAN GABRIEL BLVD. #N ROSEMEAD, CA 91770 TEMPLE CITY # 0508 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: TEL. NO: (626) 374 -9061 - TEL. NO: (626) 294 -9639 - TEL. NO: (626) 757 -8033 - LIC. NO 958027 TEL. NO: (626) 288 -0708 - LIC. NO: 35693 MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP 3 0: 90. OF FAMILIES: DWEELLING UNITS: APT/COND: STAT CLASS: 1 NO 01 SCHOOL WITHIN HAZARDOUS 4IR QUALITY: 1000 FEET MATERIALS NO NO NO NOW ON LOT: FEE DESCRIPTION B1 PLANCHECK W/ENERGY AA BLDG PERMIT ISSUANCE AB STATE GREEN BLDG FEE AC STRONG MOTION RESID B2 PERMIT W/ENERGY O8 CERTIF OF OCCUPANCY REPORT ID: DPR261 VALUATION: 551,510 FEES PAID QUANTITY: UOM: 551510.00 VAL 551510.00 VAL 551510.00 VAL 551510.00 VAL TOTAL FEES ROUTE TO: BS0508 AMOUNT 3,994.30 27.80 23.00 55.20 4,699.20 101.40 8,900.90 BUILDING PERMIT NEW RESIDENTIAL BL 0508 1311130107 BUILDING ADDRESS: 4863 GOLDEN WEST AV TEMP CA 917803936 NEAREST CROSS STREET: THOMAS PAGE: 597 GRID: AS LOCALITY: TEMPLE CITY ISSUED ON: PROCESSED BY: 02/27/14 // SR FINAL D pX,TE FINAL BY: CODE: US OF WORK V NEW 2 -STORY SFD 5 BEDROOMS, 5.5 BATHROOMS, WITH ATTACHED 3 CAR GARAGE AND PORCH AL CONDITIONS: SPRINKLERS REQUIRED APPROVALS DATE INSPECTOR SIGNATURE n LOCATION AND SETBACKS SOILS ENGINEER APPROVAL v FOUNDATION/TRENCH FORMS �.jl]✓ 1A{I/ %/�J"/l,\'f\/�f��/ SLAB/UNDER FLOOR RAISED FLOOR FRAMING UNDERFLOOR INSULATION IST LEVEL FLOOR SHEATH 2ND LEVEL FLOOR SHEATH�� ROOF SHEATHING _A q FIRE DEPT. FRAME INSPECT[ �� BLDG DEPT. FRAME ZNSPEC SHEAR PANELS INSULATION/WEATHER STRI INTERIOR LATH/DRYWALL 1 4 EXTERIOR LATH i IAT DRAINAGE �# SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL NO. OF CONST NEW UN: .008 SQ. FT STORIES TYPE OCCUP GROUP STRUCTURE: 3811 2 V -S R-3 GARAGE: 682 1 V -B U OTHER: 418 1 V -B U USE ZONE: R-1 TEL. NO: (626) 374 -9061 - TEL. NO: (626) 294 -9639 - TEL. NO: (626) 757 -8033 - LIC. NO 958027 TEL. NO: (626) 288 -0708 - LIC. NO: 35693 MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP 3 0: 90. OF FAMILIES: DWEELLING UNITS: APT/COND: STAT CLASS: 1 NO 01 SCHOOL WITHIN HAZARDOUS 4IR QUALITY: 1000 FEET MATERIALS NO NO NO NOW ON LOT: FEE DESCRIPTION B1 PLANCHECK W/ENERGY AA BLDG PERMIT ISSUANCE AB STATE GREEN BLDG FEE AC STRONG MOTION RESID B2 PERMIT W/ENERGY O8 CERTIF OF OCCUPANCY REPORT ID: DPR261 VALUATION: 551,510 FEES PAID QUANTITY: UOM: 551510.00 VAL 551510.00 VAL 551510.00 VAL 551510.00 VAL TOTAL FEES ROUTE TO: BS0508 AMOUNT 3,994.30 27.80 23.00 55.20 4,699.20 101.40 8,900.90 BUILDING PERMIT NEW RESIDENTIAL BL 0508 1311130107 BUILDING ADDRESS: 4863 GOLDEN WEST AV TEMP CA 917803936 NEAREST CROSS STREET: THOMAS PAGE: 597 GRID: AS LOCALITY: TEMPLE CITY ISSUED ON: PROCESSED BY: 02/27/14 // SR FINAL D pX,TE FINAL BY: CODE: US OF WORK V NEW 2 -STORY SFD 5 BEDROOMS, 5.5 BATHROOMS, WITH ATTACHED 3 CAR GARAGE AND PORCH AL CONDITIONS: SPRINKLERS REQUIRED APPROVALS DATE INSPECTOR SIGNATURE n LOCATION AND SETBACKS SOILS ENGINEER APPROVAL v FOUNDATION/TRENCH FORMS �.jl]✓ 1A{I/ %/�J"/l,\'f\/�f��/ SLAB/UNDER FLOOR RAISED FLOOR FRAMING UNDERFLOOR INSULATION IST LEVEL FLOOR SHEATH 2ND LEVEL FLOOR SHEATH�� ROOF SHEATHING _A q FIRE DEPT. FRAME INSPECT[ �� BLDG DEPT. FRAME ZNSPEC SHEAR PANELS INSULATION/WEATHER STRI INTERIOR LATH/DRYWALL 1 4 EXTERIOR LATH i IAT DRAINAGE �# SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL 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 (_) 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 Contrbu for 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 priori to completiory 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: hftD://www.laoinfo.ca.aov/calaw.htmi. 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 License No. qq Z 7 Date Z 0ntractor Signature WORKE S' 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 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 workers' compensation insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone Number ZI 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 forthwitlaNcomply with those provisions (� S _ ur fAn icantfA / C,/ 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 ❑ 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 ❑ r 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 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. Sign re of PropieroSwner or Authorized Agent to / COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: # 0508 TR: 5342 LT: 6 UN: .008 ASSESSOR INFORMATION NUMBER: FIRE SPRINKLER TEMPLE CITY CA 8589-019-005 BL 0508 1503260042 TENANT: EXT: OWNER: TEL. NO: MINGTA CHIN (626) 374-9061- 4863 GOLDEN WEST AV 4863 GOLDEN WEST AV STRUCTURE: 4493 TEMP 917803936 TEMP CA 917803936 APPLICANT: TEL. NO: ZENG, FRANK (626) 255-0242- 11109 WESTMISTER AVE THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY CA ALHAMBRA CA 91803 CONTRACTOR: TEL. NO: F AND H FIRE PROTECTION INC. (626) 705-4338- 1119 WESTMINSTER AVE IFINAL DATE FINAL BY: CODE: LIC. NO ALHAMBRA CA 91803 4,800 584319 ARCHITECT OR ENGINEER: TEL. NO: LIC. NO: MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:l 001 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO TEMPLE CITY # 0508 BUILDING PERMIT 9701 LAS TUNAS FIRE SPRINKLER TEMPLE CITY CA 91780 BL 0508 1503260042 PHONE: (626) 285-0488 EXT: NUMBER OF ADDED/RELOCATED BUILDING ADDRESS: SQ. FT SPRINKLER HEADS 39 4863 GOLDEN WEST AV STRUCTURE: 4493 TEMP CA 917803936 NEAREST CROSS STREET: THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY CA EXIST BLDG USE: JISSUED ON: PROCESSED BY: EXIST OCC GRP: 103/26/15 SR BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: 4,800 i•�/� �� FEES PAID C. DtSCRIPTION OF WORK INSTALL FIRE SPRINKLERS IN SFD FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:l AA BLDG PERMIT ISSUANCE 27.80 AB STATE GREEN BLDG FEE 4800.00 VAL 1.00 ISPECIAL CONDITIONS: DO FIRE SPRINKLER PC 4800.00 VAL 112.70 D2 PERMIT W/O EN -HC 4800.00 VAL 132.60 TOTAL FEES 274.10 I REPORT ID: DPR261 ROUTE TO: BS0508 APPROVALS I FIRE DEPARTMENT INSPECT I IFIRE SPRINKLER HANGERS AFIRE DEPARTMENT APPROVAL DATE INSPECTOR SIGNATURE OWNER -BUILDER DECLARATION LICENSED CONTRACTOR'S DECLARATION I JOB ADDRESS I hereby affirm under penalty of perjury that I am exempt from I hereby affirm under penalty of perjury that I am licensed under the Contractors' State License Law for the reason(s) indicated provisions of Chapter 9 (commencing with Section 7000) of below by the checkmark(s) I have placed next to the applicable Division 3 of the Business and Professions Code, and my item(s) (Section 7031.5, Business and Professions Code): Any license is in full force and effect. city or county that requires a permit pr _ construct, alter, improve, / demolish, or repair any structure, prior to its issuance, also 7`ticense Class - 1 n License No. requires the applicant for the permit to file a signed statement -� 1 that he or she is licensed pursuant to the provisions of the � Date Contractor Signature Contractors' State License Law (Chapter 9 (commencing with / Section 7000) of Division 3 of the Business and Professions WORKERS' COMPENSATION DECLARATION 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 License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contm?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 prior) to completion of the improvements covered by this permit, I c nnot 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.leainfo.ca.aov/r law.htmi. Date: Signature of Property Owner or Authorized Agent 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 ATTORNEYS 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 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 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, 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 Sig ature of Applic�' Date ? y/ 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 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 ❑ Ko ❑ i I have read the hazardous materials information guide and the SCAQMD permitting checklist, I understand my requiremgnts 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 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 of PropertyOw r or Authorized Agent ate � jl�