HomeMy Public PortalAbout8814 Las Tunas Dr_Building_6/3/2015_v.
COUNTY OF 7.05 ANGELES
DEPARTMENT OF PUBLIC WORKS
BUILDING AND SAFETY / LAND DEVELOPMENT
LEGAL ID:
TR: 3623 LT: 134
ASSESSOR INFORMATION NUMBER:
5387-030-027
TENANT
OWNER: TEL. NO:
ADAM CHAN/SAM4Y YU
2341 HUNTINGTON DR.
SAN MARINO CA 91108
APPLICANT:
TEL. NO:
CHEN, HOWARD
(626) 288-9199-
8932 E MISSION DR.
9701 LAS TUNAS
ROSEMEAD CA 91770
CONTRACTOR:
TEL. NO:
LEE, FELIX T
-
15717 OLD HICKORY LANE
LIC. NO
CHINO HILLS CA 91709
718674
ARCHITECT OR ENGINEER:
TEL. NO:
JWDA MS ARCHITECTS
(626) 288-9199-
8932 E MISSION DR
LIC. NO:
#101
NONE
ROSEMEAD, CA 91770
V -B
MAP NO: SEWER MAP BOOK: PAGE:
FIRE ZONE: CMP:
BLDG USE: COMME
3 00
NO. OF FAMILIES: DWELLING UNITS:
APT/COND: STAT CLASS:
0
NO 22
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET
MATERIALS
NO NO
NO
THIS PERMIT EXPIRES 6 MONTHS
FROM DATE OF ISSUANCE OR
FROM DATE OF LAST VALID INSPECTION.
FEE DESCRIPTION
AA BLDG PERMIT ISSUANCE
AS STATE GREEN BLDG FEE
AE STRONG MOTION OTHER
A2 PERMIT W/ENERGY-HC
I
REPORT ID: DPR261
FEES PAID
QUANTITY: DOM
30000.00 VAL
30000.00 VAL
30000.00 VAL
TOTAL FEES
ROUTE TO: BS050B
AMOUNT:
27.80
2.00
6.30
617.60
653.70
BUILDING PERMIT
TENANT IMPROVEMENT
BL 0508 1504200015
BUILDING ADDRESS:
8814 LAS TUNAS DR E
SGAB CA 917761708
NEAREST CROSS STREET: MUSCATEL
THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY C
ISSUED ON: PROCESSED BY:
06/03/15 SR
FINAL �'AJ/T�I FIN BY: CODE:
D SCR TI '�' WORK !�
TENANT IMP OVEMENT FOR OFFICE
CONDITIONS:
ON AND SETBACKS
ENGINEER APPROVAL
.TION/TRENCH FORMS
SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
UNDERFLOOR INSULATION
FLOOR SHEATHING
ROOF SHEATHING
SHEAR PANELS
FRAME INSPECTION
FIRE SPRINKLER HANGERS j
INSULATION/WEATHER STRIP•
INTERIOR LATH/DRYWALL
RATED FLOOR/CELL ASSEM.
RATED WALL ASSEMBLIES
T -BAR CEILINGS
SLOT DRAINAGE
DATE INSPECTOR SIGNATURE
RATED
TEMPLE CITY
# 0508
9701 LAS TUNAS
TEMPLE CITY CA 91780
PHONE: (626) 285-0488
EXT:
NO. OF
CONST
NEW
SQ. FT STORIES
TYPE
OCCUP GROUP
STRUCTURE: 1160 1
V -B
B
EXIST
BLDG USE: COMME
USE
ZONE:
EXIST
OCC GRP: B
BLDGS.
NOW ON LOT:
VALUATION:
30,000
FEE DESCRIPTION
AA BLDG PERMIT ISSUANCE
AS STATE GREEN BLDG FEE
AE STRONG MOTION OTHER
A2 PERMIT W/ENERGY-HC
I
REPORT ID: DPR261
FEES PAID
QUANTITY: DOM
30000.00 VAL
30000.00 VAL
30000.00 VAL
TOTAL FEES
ROUTE TO: BS050B
AMOUNT:
27.80
2.00
6.30
617.60
653.70
BUILDING PERMIT
TENANT IMPROVEMENT
BL 0508 1504200015
BUILDING ADDRESS:
8814 LAS TUNAS DR E
SGAB CA 917761708
NEAREST CROSS STREET: MUSCATEL
THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY C
ISSUED ON: PROCESSED BY:
06/03/15 SR
FINAL �'AJ/T�I FIN BY: CODE:
D SCR TI '�' WORK !�
TENANT IMP OVEMENT FOR OFFICE
CONDITIONS:
ON AND SETBACKS
ENGINEER APPROVAL
.TION/TRENCH FORMS
SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
UNDERFLOOR INSULATION
FLOOR SHEATHING
ROOF SHEATHING
SHEAR PANELS
FRAME INSPECTION
FIRE SPRINKLER HANGERS j
INSULATION/WEATHER STRIP•
INTERIOR LATH/DRYWALL
RATED FLOOR/CELL ASSEM.
RATED WALL ASSEMBLIES
T -BAR CEILINGS
SLOT DRAINAGE
DATE INSPECTOR SIGNATURE
RATED
OWNER -BUILDER DECLARATION LICENSED CONTRACTOR'S DECLARATION I. JOB ADDRESS e .
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 (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 Contr'ador 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 whicl 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 entirely 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
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 _A3_ License No. 71 74 -
Date 6m6conlractor Signature
WORKERS' COMPENSATION D LARATION
WARNING: FAILURE TO SECURE KERS' 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
wfagkers' compo satiorinsurance ca i r an policy u Mai:
Carrier -Fl Policy Num er Exp rat' n ate
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' coTpepsation provisions of Section 3700 of the Labor
Code, I shat fo vgth comply with those provisions
/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 ❑ No ❑ %
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 rty Owner or Authorized Agent
Date(rj�/
1 ♦ ,
L_ •COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1508050065
PHONE: (626) 285-0488 EXT:
LEGAL ID:
TR: 3623 IT: 134
ASSESSOR INFORMATION NUMBER
5387-030-027
I00 -AN,
OWNER:
CHANG, ADAM
8812-8814 LAS TUNAS
TEMPLE CITY CA 91780
APPLICANT:
SIGNS EXPRESS, TERRY
1438 SANTA ANITA AVE
SOUTH EL MONTE CA
CONTRACTOR:
SIGNS EXPRESS MANUFACTURING
143B SANTA ANITA AVENUE
50. EL MONTE, CA 91733
ARCHITECT OR ENGINEER
TEL. NO
TEL. NO:
(625) 6BB-9199-
TEL. NO:
(626) 443 -3333 -
LIC. NO
552097C45
TEL. NO:
LIC. NO:
NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:
00
OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS:
NO 20
SCHOOL WITHIN HAZARDOUS
QUALITY: 1000 FEET MATERIALS
NO NO NO
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
NUMBER OF SIGNS: 1
SIGN DESCRIPTION: ILLUMINATED WALL SIGNS
ST BLDG USE
ST OCC GRP:
SGS. NOW ON LOT:
VALUATION:
5,300
FEES PAID
DESCRIPTION:
QUANTITY:
DOM:
AMOUNT:
BLDG PERMIT ISSUANCE
27.80
STATE GREEN BLDG FEE
5300.00
VAL
1.00
STRONG MOTION RESID
5300.00
VAL
0.70
PLANCHECK W/O EN -HC
5300.00
VAL
127.00
PERMIT W/O EN -HC
5300.00
VAL
149.40
TOTAL FEES
305.90
REPORT ID: DPR261 ROUTE T0: BS0508
BUILDING ADDRESS:
8814 LAS TUNAS DR E
SGAB CA 917761708
NEAREST CROSS STREET: MUSCATEL
THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY CA
SUED ON: PROCESSED BY:
/05/15 SR
NAL DAT FINAL CODE:
AI►IIQQ����
SCRIPTIbN OF WORK
E SET OF ILLUMINATED WALL SIGN
CONDITIONS:
ON AND SETBACKS
ENGINEER APPROVAL
.TION/TRENCH FORMS
'.T STRUCTURE
DATE INSPECTOR SIGNATURE
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 (_) 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 Contractor pursuant .to the Contractors' State License
Law).
(_): I am exeml t 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.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 C�� License No.
Date O 'Contractor Signature J �%
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
w rkers' compensation insurance carr r an policy num r e:
Carver Policy Number Expir tio# 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 forthw' h comply with those provisions
- 1__�
Signature of Ap /nt Da
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 ❑ N.o ❑
have read the hazardous materials information guide and the
SCAQMD permitting checklist, I understand my requiremnts
under the Los Angeles County Code Title 2, Chapter T20'
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 ofis county to enter the
above -identified property Wns ction purposes.
Signature of Property OWFtfr oVA0Prizp4 Agent
Date �� r