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HomeMy Public PortalAbout5346 Fratus Dr_Building_4/10/2014_' COUNTY OF LOS ANGtLES DEPARTMENT OF'•PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: TR: 11492 IT: 1 BL: B ASSESSOR INFORMATION NUMBER: 8590-002-001 TENANT OWNER: TRAN, ANDY 5346 FRATUS DR TEMP 917803118 APPLICANT: LAI, KAMEN 8748 E VALLEY BLVD ROSEMEAD CA 91770 CONTRACTOR: E G BUILDER 1801 S 2ND AVENUE ARCADIA CA 91006 ARCHITECT OR ENGINEER: LEE, PETER B748 E VALLEY BLVD SUITE L ROSEMEAD CA 91770 TEL. NO: (626) 614 -7304 - TEL. NO: (626) 288 -2651 - TEL. NO: (626) 246 -4871 - LIC. NO 746346 TEL. NO: (626) 280 -9000 - LIC. NO: 746346 MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 147H265 L 109 3 oil NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 NO 01 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO k, SLUGS. NOW ON LOT: FEE DESCRIPTION B1 PLANCHECK W/ENERGY 4A BLDG PERMIT ISSUANCE SB STATE GREEN BLDG FEE 4C STRONG MOTION REBID 32 PERMIT W/ENERGY 08 CERTIF OF OCCUPANCY R ADDITIONAL DATA ON FILE ID: DPR261 04/10/14 SR I VALUATION: [FINAL DATE FI AL BY: CODE: 433,220 FEES PAID �D$SCRI TION OF WORK (NEW 2 -STORY SFD 4 BEDRMS, 4 BATHRMS, 1 POWDER, W/ATTACHED QUANTITY: UOM: AMOUNT:I2 CAR GARAGE, COVERED PATIO, COVERED PORCH 58 SF, LIVING RM, IFAMILY RM, DINING RM, KITCHEN AND LAUNDRY RM 415660.00 VAL 3,155.00 1 27.80 ISPECIAL CONDITIONS: 433220.00 VAL 18.00 IFIRE SPRINKLERS REQUIRED 433220.00 VAL 43.30 - 433220.00 VAL 3,842.50 101.40 JAPPROVALS DATE INSPECTOR SIGNATURE TOTAL FEES 7,188.00 ILOCATION AND SETBACKS (SOILS ENGINEER APPROVAL (FOUNDATION/TRENCH FORMS,///{/// SLAB/UNDER FLOOR IRAISED FLOOR FRAMING 2ND LEVEL FLOOR SHEATH tYi ROOF SHEATHING � I FIRE DEPT. FRAME INSPECT BLDG DEPT. FRAME INS PEC SHEAR PANELS INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVA ROUTE TO: BS0508 I I � TEMPLE CITY # 0508 BUILDING PERMIT 9701 LAS TUNAS NEW RESIDENTIAL TEMPLE CITY CA 91780 BL 0508 1302270007 PHONE: (626) 285-0488 EXT: NO. OF CONST NEW BUILDING ADDRESS: SQ. FT STORIES TYPE OCCUP GROUPI 5346 FRATUS DR UCTURE: 3034 2 V -B R3 I TEMP CA 917803118 GARAGE: 482 1 V -B U I NEAREST CROSS STREET: OTHER: 114 1 V -B U I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY CP USE ZONE: R-1 JISSUED ON: PROCESSED BY: SLUGS. NOW ON LOT: FEE DESCRIPTION B1 PLANCHECK W/ENERGY 4A BLDG PERMIT ISSUANCE SB STATE GREEN BLDG FEE 4C STRONG MOTION REBID 32 PERMIT W/ENERGY 08 CERTIF OF OCCUPANCY R ADDITIONAL DATA ON FILE ID: DPR261 04/10/14 SR I VALUATION: [FINAL DATE FI AL BY: CODE: 433,220 FEES PAID �D$SCRI TION OF WORK (NEW 2 -STORY SFD 4 BEDRMS, 4 BATHRMS, 1 POWDER, W/ATTACHED QUANTITY: UOM: AMOUNT:I2 CAR GARAGE, COVERED PATIO, COVERED PORCH 58 SF, LIVING RM, IFAMILY RM, DINING RM, KITCHEN AND LAUNDRY RM 415660.00 VAL 3,155.00 1 27.80 ISPECIAL CONDITIONS: 433220.00 VAL 18.00 IFIRE SPRINKLERS REQUIRED 433220.00 VAL 43.30 - 433220.00 VAL 3,842.50 101.40 JAPPROVALS DATE INSPECTOR SIGNATURE TOTAL FEES 7,188.00 ILOCATION AND SETBACKS (SOILS ENGINEER APPROVAL (FOUNDATION/TRENCH FORMS,///{/// SLAB/UNDER FLOOR IRAISED FLOOR FRAMING 2ND LEVEL FLOOR SHEATH tYi ROOF SHEATHING � I FIRE DEPT. FRAME INSPECT BLDG DEPT. FRAME INS PEC SHEAR PANELS INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVA ROUTE TO: BS0508 I I � OWNER -BUILDER DECLARATION LICENSED CONTRACTOR'S DECLARATION JOB ADDRESS . 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 L) 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.). L) 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 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: htto://www.leainfo.ca.aov/calaw.html. Date: Signature of Property Owner or Authorized Agent 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. �—! 44 ��Frb Date Contractor Signature G 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? WORKERS' COMPENSATION DECLA TION Yes ❑ 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 work rs&1=surance carder and polic um e re: Carrier Policy Number xpiration 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 Signature Vicant Da 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 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. 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 Prope Owne or Authorized Agent /I Date t COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: TR: 11492 LT: 1 BL: B ASSESSOR INFORMATION NUMBER: 8590-002-001 THAN, ANDY 5346 FRATUS DR TEMP 917803118 ZENG, FRANK 1119 WESTMINSTER AVE ALHAMBRA CA 91803 F AND H FIRE PROTECTION INC. 1119 WESTMINSTER AVE ALHAMBRA CA 91803 ARCHITECT OR ENGINEER: TEMPLE CITY # 0508 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0468 EXT: NUMBER OF ADDED/RELOCATED SQ. ET SPRINKLER HEADS 28 (STRUCTURE: 3516 EXIST BLDG USE: EXIST OCC GRP: TEL. NO: BLOG S. NOW ON LOT: VALUATION: (626) 614-7304- TEL. NO: (626) 340 -3797 - TEL. NO: (626) 705 -4338 - LIG NO 584319 TEL. NO: LIC. NO: NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 00 OF FAMILIES: DWELLING UNITS: APT/COM: STAT CLASS: NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO ID: DPR261 ROUTE TO: BS0508 BUILDING PERMIT FIRE SPRINKLER BL 0508 1501210086 BUILDING ADDRESS: 5346 FRATUS DR TEMP CA 917803118 NEAREST CROSS STREET: THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY ISSUED ON: PROCESSED BY: 01/21/15 SR FI AL DATE� FINAL CODE: I3TION OF WORK INSTALLATION OF FIRE SPRINKLERS SPECIAL CONDITIONS: APPROVALS DATE INSPECTOR SIGNATURE FIRE DEPARTMENT INSPECT FIRE SPRINKLER HANGERS FIRE DEPARTMENT APPROVAL( 3,900 FEES PAID FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: AA BLDG PERMIT ISSUANCE 27.80 AB STATE GREEN BLDG FEE 3900.00 VAL 1.00 DO FIRE SPRINKLER PC 3900.00 VAL 98.40 D2 PERMIT W/O EN -HC 3900.00 VAL 115.80 TOTAL FEES 243.00 ID: DPR261 ROUTE TO: BS0508 BUILDING PERMIT FIRE SPRINKLER BL 0508 1501210086 BUILDING ADDRESS: 5346 FRATUS DR TEMP CA 917803118 NEAREST CROSS STREET: THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY ISSUED ON: PROCESSED BY: 01/21/15 SR FI AL DATE� FINAL CODE: I3TION OF WORK INSTALLATION OF FIRE SPRINKLERS SPECIAL CONDITIONS: APPROVALS DATE INSPECTOR SIGNATURE FIRE DEPARTMENT INSPECT FIRE SPRINKLER HANGERS FIRE DEPARTMENT APPROVAL( OWNER -BUILDER DECLARATION LICENSED CONTRACTOR'S DECLARATION JOB ADDRESS I hereby affirm under penalty of perjury that 1 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 L) 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.). L) 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 Contra?tor pursuant .to the Contractors' State License Law). L): 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: httn://www.leainfo.ca.aov/calaw.htm1. Date: Signature of Property Owner or Authorized Agent I hereby affirm under penalty of perjury that 1 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 f A (U License No. 31 �{ Date G Zl Contractor Signature -71" 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. cI 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)�rkers' gompens4t!9i) insurance carrier and policy number are: Carrier —1 _ _ - Policy Numbde T - -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 Av I S 'jam %xu-�/� 7 Signatre 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 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 ❑ N.o ❑ i 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 Lender's Address By my signature below, I certify toeach 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 Property Owner or Authorized Agent e fi 1 h