The URL can be used to link to this page

Home My Public Portal About5062 1/2 SERENO DR_PLUMBING_6/8/2017_TEMPLE CITY PERMIT NO. P17-34354 City of Temple City 1 9701 uas Tunas Drive I Temple City, California 91780 1 (626) 285-2171 1 www.templeaty. us Address: 5062 1/2 Sereno Drive, Temple City, California 91780 Parcel: 5388-012-002 Permit No: P37-34354 Type: Plumbing Subtype: Subtype: Residential Description: BATHTUB/SHOWER, LAVATORIE, SINK AND WATER CLOSET Special Conditions: Issue Date: 06-08-2017 Expire Date: 12-05-2017 Extension: Extension: Permit expires on date shown if: 1) work does not commence, or 2) work is suspended or abandoned, or 3) appimant fails to obtmn code required inspection. Owner Hing Ling Chu Applicant Hing Ung Chu Contractor Plumbing Details Backwater 0 Valve Drinking 0 Fountain Lavatory/Sink 2 Pool Trap 0 Gas: Low 0 Press Greywater 0 System Other: over 3 0 inches Sewer: 0 PB/Drainfield Combo Waste/Vent Fees iota! Approval 566 Willow Springs Lane, Glendora, California 91741 (562) 552-7288 Approval Data Inspector Under Slab Work 566 Willow Springs lane, Glendora, California 92741 (562) 552-7288 Gey Water System Wells Development and Construction 6727 North Muscatel Avenue, San Gabriel, California (626) 926-1689 700198 Inc. Drywall 91775 Inspector New House Sewer Gray Water system Conned Addl Backflow 0 Bathtub/Shower 1 Clothes 0 Dishwasher 0 Device Washer Floor Drain 0 Floor Sink 0 Hose Bibb _ Interceptor/Clarifier 0 Miscellaneous 0 Pressure 0 Roof Drain C Solar Water Heater 0 Regulator Trap Primer 0 Water Closet 1 Water 0 Water Treatment 0 Heater Gas: 0 Gas Meter 0 Gas 0 Alterafion/Repair 0 Med/Hiph Regulator Press Pipe 0 Future Branches 0 Other: 1.5 0 Other: 2-3 inches 0 Replacement inches or less Sewer: 0 Sewer: Manhole 0 Sewer: 0 Sewer: Private D Connection Addition Connection Sewer: Pit 0 Sewer: 0 Sewer: 0 Extension Alteration Tap&Saddle Earthquake Chemical Rainwater Greywater Shutoff Waste Fees iota! Approval Plan Check Fees $113.60 Permit Fees $82.01 omg Inspections Approval Data Inspector Under Slab Work Hot Water Heater / Water Semite Plastic Y/N Gey Water System Metal Y/N Sprnklerss�L�y�'rj�%��c lawn Sprinklers Rough Numbing • Sewer Inspections Approval Date Impostor Drywall Approval Data Inspector New House Sewer Gray Water system Conned Addl DeconneCUPlug Septic Tank/Pit Approval Date Inspector Approval Data Inspector Gas Piping Gas Test Gas Ven[ Utility Co Notified Hot Water Heater / CWV Plumbing Gey Water System Sprnklerss�L�y�'rj�%��c lawn Sprinklers FINAL Approval Date Inspector Approval Date Impostor Drywall Backfill Tank/Pit Atter/Repair Gray Water system DeconneCUPlug 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 (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 Con"` or pursuant.to the Contractors' State License Law). (_)_ 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`1 I must have resided for at least one year prion to 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: htto://www.leginfo.ca.gov/calaw.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, and my license Is in full force and effect. JDCLA!RATION;;�� n L,canne,C)aAs u�c License NDate II 11/ContractorSignature S'COMPENSATI 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.->3��0'� 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' compensatign ins r nceaner and Wlicy num rare : Cam Poli Number Ex iration ate Name of Agent hone 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 shall forthwith comply with those provisions i,/ 9 /- Date V BBYIST 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 JOB ADDRESS ' 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 Cl 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). Lenders Name Lenders 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 or Authorized Agent Date