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Home My Public Portal About9556 Las Tunas Dr_Electrical_2/2/2015_t f COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LA_ND DEVELOPMENT LEGAL ID: ITR: 6561 LT: 635 BL: .001 I ASSESSOR INFORMATION NUMBER: 18587-015-017 I TENANT: (WONDER SEAFOOD I OWNER: IMA, DANNY 19556 LAS TUNAS DR TEMPLE CITY CA 91780 APPLICANT: IHSIEH, EDDY 1423 S CALIFORNIA ST ISAN GABRIEL CA 91776 CONTRACTOR: SIGN ART CO. 1423 S CALIFORNIA STREET ISAN GABRIEL CA 91776 I JARCHITECT OR ENGINEER: TEL. NO: (626) 823 -7899 - TEL. NO: (626) 524 -7236 - TEL. NO: (626) 287 -2512 - LIC. NO 757903 TEL. NO: LIC. NO: TEMPLE CITY # 0508 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: FEES PAID FEE DESCRIPTION: QUANTITY: UOM: Al PERMIT ISSUANCE FEE K1 SIGNS, OUTLINE LGT 1.00 SIG K2 ADDITIONAL SIGN CKTS 1.00 CIR TOTAL FEES REPORT ID: DPR265 ROUTE TO: BS0508 AMOUNT: 27.80 38.90 12.90 79.60 I ELECTRICAL PERMIT EL 0508 1502020010 BUILDING ADDRESS: 9556 LAS TUNAS DR TEMP CA 917802106 NEAREST CROSS STREET: THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CAI I ISSUED ON: PROCESSED BY: PLAN BY: 02/02/15 SR FINAL ATE FIN L Y: CODE: D? TP ION OF WORK TWO SETS ILLUMINATED WALL SIGNS ESPECIAL CONDITIONS: APPROVALS TEMPORARY POWER POLE I UNDERGROUND CONDUIT IUFER GROUND ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE IPLASTIC YIN METAL YIN I (UTILITY COMPANY NOTIFIED DATE INSPECTOR SIGNATURE OWNER -BUILDER DECLARATION LICENSED CONTRACTOR'S DECLARATION JOB ADDRESS J I hereby affirm under penalty of perjury that I am exempt from I hereby affirm under penalty of perjury that I am licensed under the Contractors' State License Law for the reason(s) indicated provisions of Chapter 9 (commencing with Section 7000) of below by the checkmark(s) I have placed next to the applicable Division 3 of the Business and Professions Code, and my item(s) (Section 7031.5, Business and Professions Code): Any license is in full force and effect. city or county that requires a permit to construct, alter, improve, �J demolish, or repair any structure, prior to its issuance, also License Class License No. i requires the applicant for the permit to file a p>'Date 4 signed statement 4 g that he or she is licensed pursuant to the revisions of the ontractor Signature Contractors' State License Law (Chapter 9 (commencing with - Section 7000) of Division 3 of the Business and Professions WORKERS' COMPENSATION DECLARATION 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 U 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). II ' [ p 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 completiory 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.00v/calaw.html. Date: Signature of Property Owner or Authorized Agent 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 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 requiremernts 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 insurance, as required by Section 3700 of the Labor Code, for ❑ I declare that notification of asbestos removal is not the performance of the work for which this permit is issued. -My applicable to addressed project. wcompeesatio'nsu(apge c%ri r an policy um era re: 1 / DECLARATION REGARDING CONSTRUCTION LENDING r P is er�(J�/�-tF�cp`ir�atiDat �/7 AGENCY Name of Agent / Phone Num eb r I', z�` `�f hereby affirm under penalty of perjury that there is a Construction I d' fo th d f lend! 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 compl with those provisions Signature of AppM<nt Date r,�L- 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 agency r e pe ormance o 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 off Property vner`uthorize�d Agent ,te COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: ITR: 6561 LT: 632 BL: .001 ASSESSOR INFORMATION NUMBER: 18587-015-015 WANG, LYNN 9564 LAS TUNAS DRIVE TEMPLE CITY CA 91780 I 1APPLICANI: ICHEN, TONY 12213 SASTRE AVENUE IS EL MONTE CA 91733 I I (CONTRACTOR: 1FARGO ADVERTISING, INC. 12213 SASTRE AVENUE ISOUTH EL MONTE CA 91733 (ARCHITECT OR ENGINEER: TEL. NO: (626) 278 -2882 - TEL. NO: (626) 678 -3549 - TEL. NO: (626) 442 -8690 - LIC. NO 932785 TEL. NO: LIC. NO: TEMPLE CITY 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: FEES PAID DESCRIPTION: QUANTITY: DOM: PERMIT ISSUANCE FEE SIGNS, OUTLINE LGT 1.00 SIG TOTAL FEES EXPIRED J3 -ICS -i,3 N 0508 ELECTRICAL PERMIT EL 0508 1312160049 BUILDING ADDRESS: 9566 LAS TUNAS DR AMOUNT:I TEMP CA 917802106 NEAREST CROSS STREET: 27.80 THOMAS PAGE: 596 GRID: J3 LOCALITY: 1 & 0 TEA HOUS 38.90 66.70 ISSUED ON: PROCESSED BY: PLAN BY: 112/16/13 SR FINAL DATE FINAL BY: CODE: iDESCAIPTION OF WORK WALL SIGN ILLUMINATED CHANNEL LETTERS ISPECIAL CONDITIONS: * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 MALS DATE INSPECTOR SIGNATURE iRARY POWER POLE (GROUND CONDUIT GROUND CONDUIT WIRING WATER LINE 'IC YIN METAL YIN .TY COMPANY NOTIFIED( OWNER -BUILDER DECLARATION LICENSED CONTRACTOR'S DECLARATION I 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 Contr6?tor 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 which I must have resided for at least one year priorl 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: 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. 7 q 4L',Icense Class_ License No. a 3 L7Cl .Date Contractor Signature WORKERS' COMPENSATI CLARATION 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. b 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 workers compensation insurance carrier and policy number are: Carrier - 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 Califomia, 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 01 S14 05" 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 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. 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 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 Lenders 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 Pro rly ner or- uthorized Agent Applicant (Print Name) Applicant Signature l9—i7^i Company Name Date