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Home My Public Portal About9074 Emperor Ave_Photovoltaic_8/12/2015_COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: TR: 12504 LT: 35 ASSESSOR INFORMATION NUMBER: 5382-018-023 TENANT: OWNER: LIN WILLIAM W;WEN-HUI 9074 EMPEROR AV SGAB 917752066 APPLICANT: 1VUONG, RAYMOND 11211 CENTER COURT DR ICOVINA CA 91724 CONTRACTOR: PACIFIC STONEGATE, INC. 11211 CENTER COURT DR ICOVINA CA 965340 I (ARCHITECT OR ENGINEER: ISUN STRONG ENGINEERING 11400 PATHFINDER ROAD #220 IDIAMOND BAR CA 91724 TEL. NO: TEL. NO: (626) 239 -1698 - TEL. NO: (626) 239-1698- LIC. NO 965340 TEL. NO: (626) 643-3403- LIC. NO: 70784 TEMPLE CITY 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: NO. OF CONST SQ. FT STORIES TYPE STRUCTURE: 434 2 V -B I GARAGE: I OTHER: EXIST BLDG USE: PHOTO EXIST OCC GRP: IBLDGS. NOW ON LOT: I # 0508 PHOTOVOLTAIC PERMIT CB 0508 1505190023 NEW BUILDING ADDRESS: OCCUP GROUP 9074 EMPEROR AV I SGAB CA 917752066 NEAREST CROSS STREET: LOMA I THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY CAI ISSUED ON: PROCESSED BY: 108/12/15 SR VALUATION: IFINALAT FIPAL Y; CODE: 27,000 I in � L/'.' � I .�V��✓ FEES PAID IFEE DESCRIPTION: QUANTITY: UOM IP4 PV PC RES ROOF<15KW IAB STATE GREEN BLDG FEE 27000.00 VAL IAE STRONG MOTION OTHER 27000.00 VAL IP5 PV PRMT RES ROOF<15K 102 PERMIT ISSUANCE FEE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I 3 001 I I NO. OF FAMILIES: DWELLLING UNITS: APN/COND: STAT CLASS: O 20 SCHOOL WITHIN HAZARDOUS I (AIR QUALITY: 1000 FEET MATERIALS I NO NO NO 1 1 TALL GROUNDING AND BONDING OF THE PV SYSTEM SHALL COMPLYI IWITH LOS ANGELES COUNTY REQUIREMENTS. NOTE: WEEB PLATESI 1, WASHERS, AND SIMILAR DEVICES ARE NOT ACCEPTED. I PERMIT EXPIRES 180 DAYS IF 1) WORK DOES NOT COMMENCE, OR 2) WORK IS SUSPENDED OR ABANDONED, OR 3) FAILS TO OBTAIN CODE REQUIRED INSPECTION I I IREPORT ID: DPR261 I TOTAL FEES ROUTE TO: BS0508 1 I DESCi( PTON OF WORK ROOF TOP RESIDENTIAL PHOTOVALTAIC 6.51 KW, 21 MODULES, 2 AMOUNT:IINVERTERS. NO PANEL UPGRADE. 223.80 2.00 ISPECIAL CONDITIONS: 7.60 181.10 28.60 1 443.10 JAPPROVALS DATE INSPECTOR SIGNATURE I LOCATION AND SETBACKS ISOILS ENGINEER APPROVAL I IFOUNDATION/TRENCH FORMS I I ISLAB/UNDER FLOOR I I I IRAISED FLOOR FRAMING 1 I I (UNDERFLOOR INSULATION I IFLOOR SHEATHING 1 IROOF SHEATHING 1 I ISHEAR PANELS 1 I IFRAME INSPECTION 1 IFIRE SPRINKLER HANGERS I 11NSULATION/WEATHER STRIPI I I (INTERIOR LATH/DRYWALL I I 1EXTERIOR LATH I I IRATED FLOOR/CEIL ASSEM. I I I IRATED WALL ASSEMBLIES I I I IRATED SHAFTS/OPENINGS I I IT -BAR CEILINGS I I I ILOT DRAINAGE I I I I I 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).): (_) 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.). (_) 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 exem fit 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 completior�� 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: httr)://www.leciinfo.ca.00v/calaw.htmi. 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 15,1 License No.4b'5�c0 Date Contractor Signature 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. 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 wo /ersc ip sa 'on insur ce carrier and otic number are: arrier 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 Z_/ 16 Sig a t u r Appli�c cfrn t 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 ❑ No ❑ I have read the hazardous materials information guide and the SCAQMD permitting checklist, I understand my requirem nts 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. Signature of P perty her or Authorized Agent Date l� COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: TR: 12504 LT: 35 ASSESSOR INFORMATION NUMBER: 5382-018-023 TENANT: IOWNER: ILIN WILLIAM W;WEN-HUI 19074 EMPEROR AV ISGAB 917752066 I I (APPLICANT: JVUONG, RAYMOND 11211 CENTER COURT DR ICOVINA CA 91724 TEL. NO: TEMPLE CITY 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: I NO. OF CONST SQ. FT STORIES TYPE ISTRUCTURE: 144' 2 V -B I GARAGE: I OTHER: I (EXIST BLDG USE: PHOTO (EXIST OCC GRP: I JBLDGS. NOW ON LOT: I # 0508 PHOTOVOLTAIC PERMIT CB 0508 1508120011 NEW I BUILDING ADDRESS: OCCUP GROUPI 9074 EMPEROR AV I SGAB CA 917752066 NEAREST CROSS STREET: LOMA THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY CA' (ISSUED ON: PROCESSED BY: 108/12/15 SR VALUATION: I FINAL pAT FI pI, CODE: 8,000 I DIIJ '(I /V//,V� FEES PAID FEE DESCRIPTION: QUANTITY: UOM TEL. NO: 1 (626) 239-1698- JAB STATE GREEN BLDG FEE 8000.00 VAL JAE STRONG MOTION OTHER 8000.00 VAL JP4 PV PC RES ROOF<15KW Ips PV PRMT RES ROOF<15K 102 PERMIT ISSUANCE FEE CONTRACTOR: TEL. NO: PACIFIC STONEGATE, INC. (626) 239-1698- 1 1211 CENTER COURT DR LIC. NO COVINA CA 965340 965340 J JARCHITECT OR ENGINEER: TEL. NO: ISUN STRONG ENGINEERING (626) 643-3403- 1 11400 PATHFINDER ROAD #220 LIC. NO: I DIAMOND BAR CA 91724 70784 1 I I IMAP NO: SEWER MAP BOOK: PAGE: .I FIRE ZONE: CMP:I 3 001 INO. OF FAMILIES: DWELLING UNITS: .1 APT/GOND: STAT CLASS: J 0 NO 20 J SCHOOL WITHIN HAZARDOUS 1 JAIR QUALITY: 1000 FEET MATERIALS NO NO NO I JALL GROUNDING AND BONDING OF THE PV SYSTEM SHALL COMPLYI IWITH LOS ANGELES COUNTY REQUIREMENTS. NOTE: WEEB PLATESI i, WASHERS, AND SIMILAR DEVICES ARE NOT ACCEPTED. I I J I I I I IPERMIT EXPIRES 180 DAYS IF I 11) WORK DOES NOT COMMENCE, OR 12) WORK IS SUSPENDED OR ABANDONED, OR 1 13) FAILS TO OBTAIN CODE REQUIRED INSPECTION J REPORT ID: DPR261 TOTAL FEES ROUTE TO: BS0508 JDESCRIPT�bN OF WORK IROOFTOP RESIDENTIAL PHOTOVOLTAIC 6.51 KW. 7 MODULES AND 1 AMOUNT:JINVERTER ON THE PATIO I 1.00 2.20 ISPECIAL CONDITIONS: 223.80 1 181.10 1 28.60 1 436.70 JAPPROVALS DATE INSPECTOR SIGNATURE (LOCATION AND SETBACKS 1 I ISOILS ENGINEER APPROVAL 1 I IFOUNDATION/TRENCH FORMS 1 I I I I SLAB/UNDER FLOOR I I IRAISED FLOOR FRAMING I I JUNDERFLOOR INSULATION I I IFLOOR SHEATHING I I IROOF SHEATHING I I ISHEAR PANELS I I IFRAME INSPECTION I I I I FIRE SPRINKLER HANGERS I I JINSULATION/WEATHER STRIPI I JINTERIOR LATH/DRYWALL I I 1EXTERIOR LATH I I IRATED FLOOR/CELL ASSEM. J I I I I RATED WALL ASSEMBLIES ( I IRATED SHAFTS/OPENINGS ( I IT -BAR CEILINGS I I ILOT DRAINAGE 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).): (_) 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 Contrbrtor pursuant to the Contractors' State License Law). (_) 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 whicq I must have resided for at least one year prior) to completion; of the improvements covered by this permit, I cqnnot 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: http://www.leoinfo.ca.00v/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 5 License No. Of6's-540 Date Contractor Signature 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. 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 r cQm/�e_;W2 insur c2tZe caS ?Err r and po 'c umber re: Carrier Policy Number Expira on 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 forth 'th comply with those provisions T1111/1 SR5nat of Applican 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 ❑ 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 ❑ 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 ❑ 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. Signature f Property Owner or A orized Agent Dat