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Home My Public Portal About10520 LIVE OAK AVE. - BUILDING_BUILDING__TEMPLE CITY PERMIT NO. B17-34972 City of Temple City 1 9701 las Tunas Drive I Temple City, California 91780 1 (626) 285-2171 1 www.templecity.us Address: 10520 E Live Oak Ave, Temple City, California Parcel: 8586-012-018 91780 Permit 14m B37-34972 Type: Building Subtype: AN Alteration Repair Description: TEAR OFF INSTALL 30 YEAR SHINGLES Special Conditions: Issue Date: 10-02-2017 Expire Date: 03-31-2018 Extension: Extension: Permit expires on date shown if: 1) work does not commence, Or 2) work is suspended or abandoned, or 3) applicant falls to Obtain code required inspection. Contacts Owner Vincent 10518 E Live Oak Ave, Temple City, California 91780 Applicant )uan Teleda 12387 Clinton Street, EI Monte, California 91732 (626) 922-2234 Contractor Ato Jack Ruching 12387 Clinton Street, EI Monte, California 91732 (626) 922-2234 816608 Building Details Structure 1: Residential Construction Type: V -S Occupancy Group: R-3 Residential, one- and two-family New/Added Area: 0 Remodel/TI Area: 2300 New Dwelling Units: 0 Stories: 0 f ees Total Valuation $8900.00 Plan Check Fees $221.38 Strong Motion Fee $1.16 SB 1473 Fee $1.00 Budding Inspections 2: 3: 4: 0 0 0 0 0 0 0 0 0 0 0 0 Permit Fees $260.45 Parks Dev Fee $0.00 Sewer Const Fes $0.00 Approval Data Inspector Approval 0 to/�- neo or Location/Setbacks Roof Sheathing Solis Engineer Fire Dept Framing foundation Forms Bldg Dept Framing Slab/Under Floor Shear Panels Raised Floor Sprinkler Hangars Framing Insulation/Weather Undernoor Strip Insulation Interior 1st Floor LatNDrywall Sheathing Exterior Lath 2nd Floor Sheathing Approval Date Inspector Rated Floor/Gelling Rated Walls Rated Shafts T -Bar Ceilings Lot Drainage Smoke Detectors FDep[ Approval FINAL AL 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 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 7144, 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 Contrhdor 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 personal residence in whicf1 I must have resided for at lest one year priorrto completion of the Improvements covered b this permit, I c nnot legally sell a structure that I have built as an owner -builder 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: htto://`www.leginfo.ca.aov/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 Classel License No^#1 I L L 6% 6 Datelp- Z-0 Contractor Signah WORKERS' COMPENSATION WARNING: FAILURE TO SECURE WOR S' COM SATION COVERAGE IS UNLAWFUL, AND ALL SU JECT AN EMPLOYER TO CRIMINAL PENALTIES A D CIVIL FI ES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), INDDITION TO THE COST OF COMPENSATION, DAMAGES AS PR VIDED 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 workers' compensation insurance carrier and policy number are: Caller Policy Number Expiration Date of Agent Phone Number _ I certify that, in the performance of the work for which this permit is issued, I shall not em person in any manner so as to become subject t e worker compensation laws of California, and agree t , if 1 shoul scome subject to the workers' compensat provision Section 3700 of the Labor Code, I shall forth com- those provisions Date V Ld"YIST 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. y Applicant (Print Name) Applicant Signature Company Name Date JOB ADDRESS ' LOCALITY AZARDOUS MAT [AL DECLARATION 2or icant or future building occupant handle a hazardous mixture containing a hazardous material equal to or the amount specified on the hazardous materials rnation 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. 1 agree to comply with alla ble city and county ordinances and state ws re ting to building construction. I authorize repre ntative is county to enter the aNve-identifie for inspection purposes. Owner or Authorized Agent Date II_ to -O'L - Q