HomeMy Public PortalAbout6137 IVAR AVE_Building_9/22/2014_' COUNTY OF LOS ANGELES
DEPARTMENT OF PUBLIC WORKS
BUILDING AND SAFETY / LAND DEVELOPMENT
LEGAL ID:
TR: 5904 LT: 19 UN: .002
ASSESSOR INFORMATION NUMBER:
5386-010-063
TENANT:
OWNER:
TEL. NO:
YANG, GEORGE
(626) 203-9142-
6137 IVAR AV
TEMP 917801524
APPLICANT:
TEL. NO:
CHEN, JONATHAN
(626) 428-9981-
126 W WISTERIA AVE
ARCADIA CA 91007
CONTRACTOR:
TEL. NO:
EDMOND HANK KWONG
(626) 926-4876-
360 E FIRST STREET 8500
LIC. NO
TUSTIN CA 92780
756780
ARCHITECT OR ENGINEER:
TEL. NO:
CHU, CHENG MING
(626) 922-5550-
18276 SENTENO ST
LIC. NO:
ROWLAND HEIGHTS CA 91748
NONE
III
MAP NO: SEWER MAP BOOK: PAGE:
FIRE ZONE: CMP:
3 01
NO. OF FAMILIES: DWELLING UNITS:
APT/COND: STAT CLASS:
1
NO 01
SCHOOL WITHIN
HAZARDOUS
AIR QUALITY: 1000 FEET
MATERIALS
NO NO
NO
TEMPLE CITY 8 0508 BUILDING PERMIT
9701 LAS TUNAS NEW RESIDENTIAL
TEMPLE CITY CA 91780 BL 0508 1407230069
PHONE: (626) 285-0488 EXT:
NO. OF CONST NEW BUILDING ADDRESS:
SQ. FT STORIES TYPE OCCUP GROUPI 6137 IVAR AV
STRUCTURE: 3264 2 V -B R-3 TEMP CA 917801524
GARAGE: 650 1 V -S U NEAREST CROSS STREET: GARIBALDI
OTHER: 185 1 V -B U THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
USE ZONE: R-1 ISSUED ON: PROCESSED BY:
09/22/14 SR
BLDGS. NOW ON LOT:
VALUATION:
474,190
FEES PAID
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT
B1 PLANCHECK W/ENERGY 474190.00 VAL 3,519.10
AA BLDG PERMIT ISSUANCE 27.80
AS STATE GREEN BLDG FEE 474190.00 VAL 19.00
AC STRONG MOTION RESID 474190.00 VAL 47.40
B2 PERMIT W/ENERGY 474190.00 VAL 4,140.20
08 CERTIF OF OCCUPANCY 101.40
UTAL FEES 7,854.90
I
IEPORT ID: DPR261 /l .\ / IR ?IE&OUTv'. N ll!:.IBS0508
FINAL r-vl FIN CODE:
DESCRI/11IOA�OF W0
.NEW 2 -STORY SFD: 4 BEDROOMS, 4.5 BATHROOMS WITH ATTACHED 3
CAR GARAGE, FRONT PORCH AND REAR PATIO 110 SF.
SPECIAL CONDITIONS:
FIRE SPRINKLERS REQUIRED
APPROVALS DATE INSPECTOR SIGNATURE
LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
FOUNDATION/TRENCH FORMS I
SLAB/UNDER FLOOR / y
RAISED FLOOR FRAMING
2ND LEVEL FLOOR SHEATH
ROOF SHEATHING
FIRE DEPT. FRAME INSPECT ' �`I LI�/.7/
BLDG DEPT. FRAME INSPECT
SHEAR PANELS 7
INSULATION/WEATHER STRIP ' L
INTERIOR LATH/DRYWALL l
EXTERIOR LATH7I Y ( 4 \
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
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 (d) all of or L) 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.).
L) 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). '
L). I am exemi4t 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.leginfo.ra.aov/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 _ License No. �S
Date 122( I Contractor Signature
WORKERS' COMPENSATION DECLARATIO
:�y
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. s _
Policy No.
. 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
@rke)ts1 c� n n in ur nce carr' _and olicy nulnZ r alej
Carrier Policy Wumber 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
Signature of Appli 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 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
1 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:
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 o� rty Owner or Authorized Agent
Date
1
COUNTY OF LOS ANGELES
DEPARTMENT OF PUBLIC WORKS
BUILDING AND SAFETY / LAND DEVELOPMENT
ILEGAL ID:
ITR: 5904 LT: 19 UN: .002
ASSESSOR INFORMATION NUMBER:
15386-010-063
I
TENANT:
OWNER:
TEL. NO:
YANG, GEORGE
NEAREST CROSS STREET: GARIBALDI
16137 IVAR AV
TEMP 917801524
THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CA
APPLICANT:
TEL. NO:
ISCHANKERMAN, AARON
(626) 357-4045-
1123 E. CENTRAL AVE.
MONROVIA CA 91016
109/29/15 SR
CONTRACTOR:
TEL. NO:
CRAIG FIRE PREVENTION CO.
(626) 712-8862-
141341 AVENIDA LA CRESTA
LIC. NO
IMURRIETA, CA 92562
692823
I
(ARCHITECT OR ENGINEER:
I
TEL. NO:
I
-
LIC. NO:
I
I
IMAP NO: SEWER MAP BOOK: PAGE:
FIRE ZONE: CMP:
I
00
I
INO. OF FAMILIES: DWELLING UNITS:
APT/GOND: STAT CLASS:
NO 20
SCHOOL WITHIN HAZARDOUS
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO
I
I
I
I
I
I
I
I
I
I
I
I
IPERMIT EXPIRES 180 DAYS IF
11) WORK DOES NOT COMMENCE, OR
12) WORK IS SUSPENDED OR ABANDONED, OR
13) FAILS TO OBTAIN CODE REQUIRED INSPECTION
TEMPLE CITY # 0508
9701 LAS TUNAS
TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
NUMBER OF ADDED/RELOCATED
SQ. FT SPRINKLER HEADS 38
STRUCTURE: 3914
EXIST BLDG USE:
EXIST OCC GRP:
I
IBLDGS. NOW ON LOT:
I
FEE DESCRIPTION:
I
1AA BLDG PERMIT ISSUANCE
IAB STATE GREEN BLDG FEE
IDO FIRE SPRINKLER PC
ID2 PERMIT W/O EN -HC
I
I
I
I
I
I
I
IREPORT ID: DPR261
I
BUILDING PERMIT
FIRE SPRINKLER
BL 0508 1509290005
BUILDING ADDRESS:
6137 IVAR AV
TEMP CA 917801524
ROUTE TO: BS0508
NEAREST CROSS STREET: GARIBALDI
THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CA
ISSUED ON: PROCESSED BY:
109/29/15 SR
VALUATION:
I
IFINAL qATE FIN L B CODE:
4,000
Daq +�
FEES
PAID
1
IDESCR TION OF WORK
RESIDENTIAL FIRE SPRINKLER INSTALLATION
QUANTITY:
UOM:
AMOUNT
27.80
4000.00
VAL
1.00
ISPECIAL CONDITIONS:
4000.00
VAL
98.40
4000.00
VAL
115.80
TOTAL FEES
243.00
APPROVALS DATE INSPECTOR SIGNATURE
I
FIRE DEPARTMENT INSPECT I
IFIRE SPRINKLER HANGERS
I
IFIRE DEPARTMENT APPROVAL( I
1 1
ROUTE TO: BS0508
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 (,i) 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
(_) 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 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: http://www.leainfo.ca.ctov/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 Clas (s- I License No.
V?,?Date �c Contractor SignatureWORKERS' 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.
_ c 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 ' su . My
worker ' compen tion insurance carrier and policy n be are:
Carr1 r Policy Number Exliirati n 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 sha I forthwith comply with those provisions
/te:, Signat of �plicant D
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 I contin e
to comply therewith through the application process.
<,,Z j�ek*2�1 AA
Alicant (Print Name) Applicant Sigmture
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 ❑
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
❑ 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.
Signatureroperty ner or Authorized Agent
ff !
Date L