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HomeMy Public PortalAbout9511 Blackley St_Building_1/15/2015_FIRE SPRINKLER RANGERS INSULATION/WEATHER STRIP INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES IAT DRAINAGE ID: DPR261 ROUTE TO: BS0508 f COUNTY OF LOS ANGELES TEMPLE CITY q 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1412240035 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: T ITR: 17190 LT: 7 I SQ. FT STORIES TYPE OCCUP GROUP 9511 BL.ACKLEY ST T I ISTRUCTURE: 180 1 V-B R-3 I TEMP CA 917803143 T (ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: T 18590-005-009 I OTHER: THOMAS PAGE: 596 GRID: J4 IACALITY: TEMPLE CITY CAI TENANT: I (EXIST BLDG USE: RESID TISSUED ON: PROCESSED BY: 1 OCC GRP: R-3 101/15/15 SR TOWNER: I ZHANG, SAM TEL. NO: - (EXIST TBLDGS. NOW ON LOT: VALUATION: 6,800 IFIpNA�L .�DATJE, FIN CODE: 1 I1N 19511 BLACKLEY ST Iff ��Illl l ITEMP 917803143 T FEES PAID DESCRIPTION OF WORK 13.06 KW PV SYS- 12 MODULES - NO MPU T IFEE DESCRIPTION: QUANTITY: GUM: AMOUNT:1 (APPLICANT: TEL. NO: I I I (MORA, STEPHANIE (310) 955-6576- IDI PLANCHECK W/O EN-HC 6800.00 VAL 141.30 1 13055 CLEARVIEW WAY IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: I MATEO CA 94402 TAB. STATE GREEN BLDG FEE 6800.00 VAL 1.00 [SAN IP2 INSPCT RES PV <10KW 138.00 1 1 TOTAL FEES 308.10 1 [CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE T ISOLARCITY CORP (650) 963-5630- 1 1 13055 CLEARVIEW WAY LIC. NO [LOCATION AND SETBACKS I ISAN MATEO, CA 94402 688104 1 1 ISOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I II I - LIC. NO: I [SLAB/UNDER FLOOR I I I i RAISED FLOOR FRAMING I TMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:T 1 (UNDERFLOOR INSULATION I1 3 001 1 1 I 1 IFLOOR SHEATHING 1 INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I 1 NO 20 SHEATHING I T SCHOOL WITHIN HAZARDOUS i I [ROOF ISHEAR PANELS �I I I TAIR QUALITY: 1000 FEET MATERIALS T I 1 1 I NO NO NO _1 [FRAME INSPECTION [ [ [ FIRE SPRINKLER RANGERS INSULATION/WEATHER STRIP INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES IAT DRAINAGE 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).): 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 Contr'arjtor pursuant.to the Contractors' State License Law). ' U I am exemdt 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.lecinfo.ca.cov/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. cG ,.,/ License Class Ci