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