HomeMy Public PortalAbout5028 SAUNDERS CIR_PLUMBING_4/27/2017_P17-34100TEMPLE CITY PERMIT NO. P17-34100
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City of Temple City 1 9701 Las Tunas Drive I Temple City, California 91780 1 (626) 285-2171 1 www,tempkcity.us t
Address: 5028 Saunders Circle , Temple City, California 91780 Parcel: 8585-008-022 r
Permit No: P17-34100 Type: Plumbing Subtype: Subtype: Residential
Description: PLUMBING FOR NEW SINGLE FAMILY DWELLING AND CONNECT TO Special
PUBLIC SE W ER Conditions:
Issue Date: 04-27-2017 Expire Date: 10-24-2017 Extension: Extension:
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
Applicant Danny Lee
Contractor
Engineer
Plumbing Details
Backwater 0
Valve
Drinking 0
Fountain
Lavatory/Sink 9
Pool Trap 0
Gas: Low 7
Press
Greywater 0
System
Other: over 3 0
inches
Sewer: 0
Pit/Drainfield
BDCP, LLC 119 La Porte Street, Arcadia, California 91006
(626) 786-9763
2627 Loma Avenue, South EI Monte, California 91733
(626) 4436366
DNC Plumbing 2627 Loma Avenue, South EI Monte, California 91733
(626) 443-6366 969825
JAMES V COANE & ASSOCIATES 30 North Raymond Avenue, Pasadena, California 91103
(626) 5846922
Backflow 1
Device
Floor Drain 0
Miscellaneous 0
Trap Primer 0
Gas: 0
Med/High
Press
Pipe 0
Replacement
Sewer: 1
Connection
Sewer: Pit 0
Extension
Combo
Waste/Vent Earthquake
Shutoff
Fees Total
Plan Check Feu $289.65 Permit Fees $724.12
Plumbing Inspections
ApprovalDate.f
I Ina
/f,
Under Stab
r/�l
fl�
Work
Water Servke}�/'J
/�+�6 --
Plastic Y/N
Metal Y/N
Hot Water
Rough
CWV
Plumbing
�a
Sewer Inspections
Approval
DIns
New House
Fixtures
Sewer
FINAL
Connect Add'I
Septic Tank/Pit
Bathtub/Shower 5
Floor Sink 0
Pressure 0
Regulator
Water Closet 5
Gas Meter 1
Future Branches 0
Sewer: Manhole 0
Sewer: 0
Alteration
Chemical
Waste
Cloth" 1
Washer
Hose Bibb 4
Roof Drain 2
Water I
Heater
Gas 0
Regulator
Other: 1.5 1
inches or
less
Sewer: 0
Addition
Sewer: 0
Tap&Saddle
Rainwater
Approval
Daae/a,- /— In
Approval
Gas Piping
�[[([[� _
Gas Test
Utility Cc Notified
Hot Water
CWV
Heater
�a
Gray Water
Fixturing
�
.J.aiL�
System
Fixtures
FINAL
Lawn Sprinklers
Approval Date
Drywall
Alter/Repair
Deconnect/Plug
Dishwasher I
Interceptor/ Clarifier 0
Solar Water Heater 0
Water Treatment C
Alteration/Repair 0
Other: 2-3 inches
Sewer: Private C
Connection
Greywater
Date Inspector
Inspector Approval Date Inspector
Backfill Tank/PR
Gey Wa[er---s^"`-'�
System
FINAL
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of peq'ury 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 (_) 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 am exempt from licensure under the Contractors' State
License Law for the following reason:
i
By my signature below I acknowledge that, except for my
personal residence in whit I must have resided for at least
one year priorl to completion of the Improvements covered by
this permit, Innot 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 she: http:lfwww.lealnf—o.ca.goy/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 Class C 512__ License No.4 If zc-
Date%/17/1%ContrectorSlgnatured/� —
WO�RrrK�ERS'COMPENSATION DECLARATIO(/N
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION
COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN
EMPLOYER TO CRIMINhJ_ 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
ATTORNEYS. FEES.
I hereby affirm under penalty of perjury one of the following
declaratiorts:
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.
InsuI have and will maintain workers' compensation
rance, 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 carder and policy number are*
Jo7
Carrier g7s $
Policy Number t:xpirationruate
Name of Agent Phone Number
1 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
2
ignat eof Appli nt D t
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 actingon behalf of myself complied and will continue
to comply therewith through the application process.
Applicant (Print Name) Applicant Signature
Company Name Date
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 ❑ N.o ❑ /"
i
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 l20'
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 ,
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.
1 authorize representatives of this county to enter the
above -identified property for inspection purposes.
Sisrtte! of Property ner or Authorized Agent
l_
Date 11-/:ylr7