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Home My Public Portal About6308 ENCINITA AVE_BUILDING_10/16/2017_TEMPLE CITY PERMIT NO. B17-35048 City of Temple City 1 9701 las Tunas Drive I Temple City, California 91780 1 (626) 285-2171 1 www.templecity.us Address: 6308 Encimta Ave, Temple City, California 91780 Parcel: 5382-017-046 Permit No: B17 -35M Type: Building Subtype: CS Combo Building Description: PV 5.400 KW. ROOF MOUNT RES. 18 MODULES 1 Special STRING. NO PANEL UPGRADE Conditions: Issue Date: 10-16-2017 Expire Date: 04-14-2018 Extension: Extension: Permit expires on date shown if: 1) work does not commence, or 2) work is suspended or abandoned, or 3) applicant tails to obtain code required inspectlon. Contacts Owner Ian Lao Applicant Megan Freedom Solar Martin Roof Sheatung Contractor F,eedrUm Sala, Services DBA Freedom Foundation Fonns Solar Electric Combo Rooftop Solar Details System Qty 1 Area 336.65 Stories 2 Fees Total Insulation/Weather 6308 Encinita Ave, Temple City, California 91780 25819 Jefferson Ave, Unit 110, Minnow, California 92562 25879 Jefferson Ave #110 , Murneta, California 92562 Valuation $18,000.00 Plan Check Fees $238.42 Permit Fees $280 50 Strong Motion Pea $0.00 SB 1473 Fee $1.00 Parks Dev Fee $0.00 Sewer Const Fee $0.00 Buildln2lnn�ectlons Approval D to nsp t Approval Location/Setbacks _ - Roof Sheatung Soils Engineer Fire Dept Framing Foundation Fonns Bldg Dept Framing Stab/Under Floor Shear Panels Raised Floor _ _Sprinkler Hangars Framing Insulation/Weather Underfloor Strip InsuWtlon Interior 1st Floor _ _ lath/Drywall Sheathing Exterior Lath 2nd Floor Sheathing Date Inspector A AA (626)823-8121 (951)264-6819 (951) 264-6849 State Compensation Approval Date Inspector Rated Floor/Cereng Rated Walls Rated Shafts T -Bar Ceilings Lot Drainage Smoke Detectors Fire Dept Approval FINAL 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 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 Contr9ctor pursuant to the Contractors' State License Law). U: 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 whic.� I must have resided for at least one year priorl to completion of the Improvements covered by this permit, Icannot 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: htto://www.lecinfo.ca.cov/calaw.html. Date: Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION JOB ADDRESS I hereby affirm under penalty of perjury that I am licensed under LOCALITY 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. /i HAZARDOUS MATERIAL DECLARATION %o q ill the applicant or future building occupant handle a hazardous �icense Class "�JJ License No. v ci material or a mixture containing a hazardous material equal to or '7�Date b' qb greater than the amount specified on the hazardous materials n actor Signature information guide? WORK.ERS'COMPENSATION ECLARATION Yes ❑ No ❑ 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 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: Carver 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 California, and agree at, if I s Id become subject to the workers' compensati provisio of Section 3700 of the Labor Code, I ;!hall forthwi comply col ose provisions X/0 -/0-g 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 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 ❑ Ko ❑ i I have read the hazardous materials information guide and the SCAQMD permitting checklist, I understand my requirements under the Los Angeles County Code Tide 2, Chapter 320' 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 Address By my signature below, I certify to each of the following: I am the property owner or authorized to ad on the property owners 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 t nter the above-idgntified property iWiinspection pur sep. Authorized