HomeMy Public PortalAbout9153 LAS TUNAS DR_BUILDING_6/29/2017_TEMPLE CITY PERMIT NO. B17-34478
Contacts
Owner York
City of Temple City 1 9701 Las Tunas Drive I Temple City, California 91780
1 (626) 285-2171 1 www.templecity.us
Address:
9153 East Las Tunas Drive, Temple City, California
Parcel:
5387-016-038
Huang
91780
Permit No:
B17-34478
Type:
Building Subtype: SI
Sign Art
423 South California
Street, San Gabriel,
Sign
Description:
ONE SET OF ILLUMINATED CHANNEL LETTERS WALL
Special
Co
SIGN
Conditions:
Issue Date:
06-29-2017
Expire Date:
12-26-2017 Extension: Extension:
Street, San Gabriel,
Permit expires on date shown if: 1) work does not commence,
or 2) work is suspended
or abandoned, or 3) applicant fails to obtain
code required inspection.
Contacts
Owner York
9153 East Las Tunas
Drive, Temple City,
California 91780
(626) 383-0390
Huang
Applicant
Sign Art
423 South California
Street, San Gabriel,
California 91776
(626) 287-2512
75790
Co
3
Contractor
Sign Art
423 South California
Street, San Gabriel,
California 91776
(626) 287-2512
75790
Co
3
Fees Total
Valuation $1600.00 Plan Check Fees $88.49 Pennit Fees $104.10
Strong Notion Fee $0.00 SB 1473 Fee $1.00 Parks Dev Fee $0.00 Sewer Const Fee $0.00
Sign Inspections
Approval Date Inspector Approval Date Inspector Approval Date r I sp
Location/Setbacks Foundation FINAL
Soils Engineer Engineer Forms
Support
Structure
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 filea 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 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 Contrbt for pursuant to the Contractors' State License
Law).
(fir I am exe4 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 whicf I must have resided for at least
one year priorlto complefloq of the improvements covered by
this permit, I c4nnot 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.lei3info.ca.aovlcalaw.htmi.
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 end m
. JOB ADDRESS
LOCALITY
Y
license is in full force and effect. '7 HAZARDOUS MATERIAL DECLARATION
License Class C 4 License No. Q d % Will the applicant or future building occupant handle a hazardous
- material or a mixture containing a hazardous material equal to or
y` Date Cpntractor Signature _ greater than the amount specified on the hazardous materials
information guide?
WORKERS' COMPENSATION DECLARATION 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
derJar' tiav :
/�_-e and will maintain a certificate of consent to self -
in -lure for workers' compensation, issued by the Director of
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 requirenlgnts
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.
Industrial Relations as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit ASBESTOS NOTIFICATION
is issued.
ZP y No. E] Notification letter sent to AQMD and/or EPA
I have and will maintain workers' compensation
i - ur anNo.
as required by Section 3700 of the Labor Code, for ❑ 1 declare that notification of asbestos removal is not
the performance of the work for which this permit is Issued. My applicable to addressed project.
w <ers' com ensatl n Insu d policy umbar are:
ence
0 DECLARATION REGARDING CONSTRUCTION LENDING
arierr.mber FDt i on Dat
-ry AGENCY
Name Phone Num er
_ 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
x ��U
Signature of Applicant Date I r
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 coTmmppjlyy ttherewith through the application process.
APplimfl r C t N ,fr!e) ��� Applicant Signa re
�l r [rf�
CompAny me Date
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 Owper or Authorized Agent
Data -=f 7