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Home My Public Portal About9571 KENNERLY ST_Building_7/8/2015_,� �. COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: JTR: 19316 LT: 10 ASSESSOR INFORMATION NUMBER: 18590-013-002 1 TENANT: OWNER: YUAN, SARAH 9571 KENNERLY ST TEMP 917803838 APPLICANT: IKERR, LYNN 1980 HOPPER AVENUE SANTA ROSA CA 95403 1 1 CONTRACTOR: THD AT HOME SERVICES, INC. 110900 183RD ST. SUITE 310 ICERRITOS, CA 90703 (ARCHITECT OR ENGINEER: TEL. NO TEL. NO: (707) 527 -7727 - TEL. NO: (562) 298 -1426 - LIC. NO 836021 B TEL. NO: LIC. NO: MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 3 00 INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO ;RMIT EXPIRES 180 DAYS IF WORK DOES NOT COMMENCE, OR WORK IS SUSPENDED OR ABANDONED, OR FAILS TO OBTAIN CODE REQUIRED INSPECTION TEMPLE CITY # 0508 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: NO. OF CONST SQ. FT STORIES TYPE STRUCTURE: V -B EXIST BLDG USE: RESID EXIST OCC GRP: BLDGS. NOW ON LOT: FEE DESCRIPTION: AA BLDG PERMIT ISSUANCE AB STATE GREEN BLDG FEE AC STRONG MOTION RESID D1 PLANCHECK W/O EN -HC D2 PERMIT W/O EN -HC REPORT ID: DPR261 BUILDING PERMIT ALTERATION/REPAIR BL 0508 1507080053 BUILDING ADDRESS: 9571 KENNERLY ST TEMP CA 917803838 NEAREST CROSS STREET: LA ROSA THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY CAI ROUTE TO: BS0508 LOCATION AND SETBACKS [SOILS ENGINEER APPROVAL IFQUNDATION/TRENCH FORMS SLAB/UNDER FLOOR RAISED FLOOR FRAMING UNDERFLOOR INSULATION FLOOR SHEATHING ROOF SHEATHING SHEAR PANELS FRAME INSPECTION FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS IT -BAR CEILINGS ILOT DRAINAGE USE ZONE: R-1 JISSUED ON: PROCESSED BY: 07/08/15 SR VALUATION: �F DATE FINAL BY: CODE: 850 (� i FEES PAID ID SCyON OF WORK REPLACE (1) LIVING ROOM WINDOW W/VINYL RETRO -FIT QUANTITY: UOM: AMOUNT:IINSTALLATION 27.80 850.00 VAL 1.00 ISPECIAL CONDITIONS: 850.00 VAL 0.50 850.00 VAL 82.10 850.00 VAL 65.40 TOTAL FEES 176.80 JAPPROVALS DATE INSPECTOR SIGNATURE ROUTE TO: BS0508 LOCATION AND SETBACKS [SOILS ENGINEER APPROVAL IFQUNDATION/TRENCH FORMS SLAB/UNDER FLOOR RAISED FLOOR FRAMING UNDERFLOOR INSULATION FLOOR SHEATHING ROOF SHEATHING SHEAR PANELS FRAME INSPECTION FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS IT -BAR CEILINGS ILOT DRAINAGE 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 items) (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.). (_) 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). U 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 whictj I must have resided for at least one year priorito 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://w .lecinfo.ca.Dov/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. License Class C t_7 License No. 3 3 6 0 a' I Date Contractor Signature/ WO KERS' COMPENSATI N 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 ATTORNEYS 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 work rs' compensation in ura(nce Zirner and CpolliEnuber r a r uaton Da te 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 Wslallh vi ' ns of Section 3700 of the Labor with those provisions /�6 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 rt9'will c nti e to co ply therew��ithrough the app lication ro s 11(ie f� Applic t (P ' tAp cant Tyne mpany Name Date JOB ADDRESS Q.r5-71 Ke vi,)e (! U S�, 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 oc,�L_ 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 permittinecklist for guidelines. Yes ❑ No ❑ j i I have read the hazardous materials information guide and the SCAQMD permitting checklist, I understand my requiremants 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). Lenders 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 repre ntatives of this county to enter the above-identified,11inopertylor igspection purposes. / Y J Authorized Agent