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Home My Public Portal About6253 ENCINITA AVE_Building_8/5/2014_COUNTY OF LOS ANGELES TEMPLE CITY k 0508 DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 LEGAL ID: TR: 5904 LT: 279 ASSESSOR INFORMATION NUMBER: 5384-011-017 OWNER: ZHAO, JOEY 6253 ENCINITA AV TEMP 917801640 APPLICANT: LAI, KAMEN 8748 E VALLEY BLVD K ROSEMEAD CA 91770 CONTRACTOR: KINGDOM CONSTRUCTION, INC 2589 DAYTONA AVENUE HACIENDA HEIGHTS CA 91745 ARCHITECT OR ENGINEER - W, HAROLD P 1168 SAN GABRIEL BLVD SUITE N ROSEMEAD CA 91770 PHONE: (626) 285-0488 EXT: BUILDING PERMIT NEW RESIDENTIAL BL 0508 1307110102 IFEE DESCRIPTION: TEL. NO: 1 (626) 288-2651- B1 PLANCHECK W/ENERGY ID9 PC EXTENSION FEE AA BLDG PERMIT ISSUANCE IAB STATE GREEN BLDG FEE IAC STRONG MOTION RESID TEL. N0: IB2 PERMIT W/ENERGY (626) 912-8795- 108 CERTIF OF OCCUPANCY LIC. NO NONE TEL. NO: (626) 288 -0708 - LIC. NO: NONE MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 3 02 NO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: 2 YES 02A SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO • ADDITIONAL DATA ON FILE FEES PAID VS I� I NO. OF CONST NEW I BUILDING ADDRESS: SQ. FT STORIES TYPE OCCUP GROUP 6253 ENCINITA AV STRUCTURE: 624 1 V -B R-3 I TEMP CA 917801640 GARAGE: 456 1 V -B U I NEAREST CROSS STREET: OTHER: 110 1 V -B U 1 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY Ci IFIRE SPRINKLERS - COVENANT RECORDED 107810.00 USE ZONE: R-1 JISSUED ON: PROCESSED BY: 1 107810.00 VAL 108/05/14 SR TEL. N0: NOW ON LOT: 107810.00 VALUATION: FII�AL_HY: CODE: IBLDGS. (626) 688-2307- � (APPROVALS DATE INSPECTOR SIGNATURE 107,810 iFINALpATEE CC((EE//'',,✓�'/X'/''//''//ll '/v„`I{/U/( IFEE DESCRIPTION: TEL. NO: 1 (626) 288-2651- B1 PLANCHECK W/ENERGY ID9 PC EXTENSION FEE AA BLDG PERMIT ISSUANCE IAB STATE GREEN BLDG FEE IAC STRONG MOTION RESID TEL. N0: IB2 PERMIT W/ENERGY (626) 912-8795- 108 CERTIF OF OCCUPANCY LIC. NO NONE TEL. NO: (626) 288 -0708 - LIC. NO: NONE MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 3 02 NO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: 2 YES 02A SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO • ADDITIONAL DATA ON FILE FEES PAID VS I� I D SCRI PTZON OF WORK NEW 2ND: UNIT 2 BEDROOMS, 1 BATHROOM, WITH ATTACHED 2 CAR QUANTITY: DOM: AMOUNT:JGARAGE WITH LAUNDRY SPACE, COVERED PORCH AND COVERED PATIO 107810.00 VAL 1,254.40 313.60 DOL 313.60 ISPECIAL CONDITIONS: 27.80 IFIRE SPRINKLERS - COVENANT RECORDED 107810.00 VAL 5.00 1 107810.00 VAL 10.80 1 107810.00 VAL 1,475.80 (APPROVALS DATE INSPECTOR SIGNATURE 101.40 1 TOTAL FEES 3,188.80 (LOCATION AND SETBACKS �(_/ /[) � LJ, y REPORT ZD: DPR261 ROUTE TO: BS0508 SOILS ENGINEER APPROVAL FOUNDATION/TRENCH FORMS SLAB/UNDER FLUOR RAISED FLOOR FRAMING •x/ UNDERFLOOR INSULATION IST LEVEL FLOOR SHEATH 2ND LEVEL FLOOR SHEATH I ROOF SHEATHING FIRE DEPT. FRAME INSPECT( BLDG DEPT. FRAME INSPECTII SHEAR PANELS INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL /i EXTERIOR LATH 1 WT DRAINAGE SMOKE DETECTION DEVICES 1 ?IRE DEPARTMENT APPROVAL!` 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 (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 Contractor pursuant to the Contractors' State License Law). I_): 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 priorlto completiogl 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: hfD://www.leainfo.ca.aov/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 lass License No. 7s1 Z / /' Date Contractor Signature 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 irfsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My rs cam asafiqn insuUince carrier and policy be a e: Canner Icy hfum er 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 �forthh comply w' ose provisions �ioatur of 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. 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 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 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 ins Ion purposes. Signature of�� rtyG t ft or utl'iorized Agent Date COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT L ID: 5904 IT: 279 SSOR INFORMATION NUMBER: -011-017 JOEY ENCINITA AV 917801640 TEL. NO: (626) 688-2307- 'PLICANT: TEL. NO: ING, FRANK (626) 255-0242- 19 WESTMISTER AVE FIRE SPRINKLER HAMBRA CA 91803 91780 NTRACTOR: TEL. NO: AND H FIRE PROTECTION INC. (626) 705-4338- 19 WESTMINSTER AVE BUILDING ADDRESS: LIC. NO HAMBRA CA 91803 9 584319 OR ENGINEER. TEL. NO: LIC. NO: NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: DO OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 20 SCHOOL WITHIN HAZARDOUS QUALITY: 1000 FEET MATERIALS NO NO NO TEMPLE CITY W 0508 BUILDING PERMIT 9701 LAS TUNAS FIRE SPRINKLER TEMPLE CITY CA 91780 BL 0508 1503090063 PHONE: (626) 285-0488 EXT: NUMBER OF ADDED/RELOCATED BUILDING ADDRESS: SQ. FT SPRINKLER HEADS 9 6253 ENCINITA AV STRUCTURE: 1080 TEMP CA 917801640 NEAREST CROSS STREET: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY C7 EXIST BLDG USE: JISSUED ON: PROCESSED BY: EXIST OCC GRP: 103/09/15 SR SLUGS. NOW ON LOT: VALUATION: I IF7,NAL DATE_ FI: CODE: 1,000 1 FEES PAID MCRIPTION OF WORK 2ND: UNIT INSTALL FIRE SPRI LEAS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 AA BLDG PERMIT ISSUANCE 27.80 AB STATE GREEN BLDG FEE 1000.00 VAI, 1.00 ISPECIAL CONDITIONS: DO FIRE SPRINKLER PC 1000.00 VAL 82.10 D2 PERMIT W/0 EN -HC 1000.00 VAL 65.40 TOTAL FEES 176.30 APPROVALS DATE INSPECTOR SIGNATURE IFIRE DEPARTMENT INSPECT IFIRE SPRINKLER HANGERS 1 IFIRE DEPARTMENT APPROVAL REPORT ID- DPR261 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 (,/) 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). U: 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 whicf1i 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.gov/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._,b) 14, 3 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 here y affirm under penalty of perjury one of the following d:nelbtions: 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 orkers' po•mpensafon insurance carq r 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, 1 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 )(IAnt pplicar/��.. lgnature ofK 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 ❑ 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 ❑ 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 of Property Owner r thorized Agent Date