HomeMy Public PortalAbout5402 PARMERTON AVE_PLUMBING_11/15/2018_P18-36978 bathroom fixturesCity of Temple City 19701 Las Tunas Drive I Temple City, California 917801 (626)285-2171 1 www.templecity.us
Date Inspector
Address: 5402 Parmerton Avenue, Temple City, California 91780
Parcel: 8573-007-009
Work
Permit No: P18-36978
Type: Plumbing Subtype;
Subtype; Residential
Description: BATHTUB/SHOWERS, LAVATORIES, WATER CLOSET AND
Special
Rough
DRAINAGE/VENT
Conditions:
Issue Date: 10.15-2018
Expire Date: 10-15-2019 Extertoon;
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.
Drywell
Contacts
Disconnect/Plug
Owner Celine Juan
5402 Parmerton Avenue, Temple City, California
(
91780
Applicant Peter Pun
2714 Stingle Avenue, Rosemead, California
(626)572-9181
91770
Contractor JPService DBAJPConstruction
2714 Stingle Avenue, Rosemead, California
(626)572-9181 642751
CO.
91770
Engineer Humberto Contreras,
10614 Parise Drive, Whittier, California 90604
(562) 552-5954
P.E.
- Plumbing Details
_
Badtwater 0 Backflow 0 BathWb/Shower 3 Clothes 0
Dishwasher 0
Valve Device
Washer
Drinking 0 Floor Drain 0
Floor Sink 0 Hose Bibb 0
Interceptor/Clarifier 0
Fountain
Lavatory/Sink 3 Miscellaneous 0
Pool Trap 0
Gas: Low 0
Press
Greywater 0
System
Other: over 0
inches
Sewer: 0
Pit/Drainfield
Combo
Waste/Vent
Trap Primer 0
Gas: 0
Med/High
Press
Pipe 0
Replacement
Sewer. 0
Connection
Sewer. Ph 0
Extension
Earthquake
Shutoff
Fees Total _
Plan Check Feas $0.00 PermitPees $219.60
Plumbing Inspections
Approval
Date Inspector
Under Slab
0
Work
Water Service
Plastic V/N
Metal Y/N
0
Rough
0
Plumbing
Sewer Inspections
Approval Date Inspector
New House
Sewer
Conned Add'I
Septic Tank/Pit
Pressure 0
Regulator
Water Closet
Gas Meter 0
Future Branches 0
Sewer: Manhole
Sewer: 0
Alteration
Chemical
Waste
Approval Date
Inspeclor
Gas Piping
0
Gas Vent
Hot Water
Healer
0
Plumbing
0
Fixtures
LawnS-priintklers
I
5'tvt✓�l /�p_aftQ
0
Approval Date
Inspector
Drywell
Alter/Repair
Disconnect/Plug
Rainwater
Roof Drain 0
Water Heater 0
Gas 0
Regulator
Solar Water Heater 0
Water Treatment 0
Akeration/Repair I
Other. 1.5
0
Other: 2-3 inches
0
Inches or less
Sewer:
0
Sewer: Private
0
Addition
Connection
Sewer:
0
Tap&Saddle
Rainwater
Greywater
Approval
Gas Test
Utility Co Notified
CWV
Gray Water
System
FINAL
Date Inspector
Approval Date
Backfill Tank/Pit
Gray Water
System
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 (_) 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 Contrbor pursuant to the Contractors' State License
Law). III
L): I am exempt 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 which I must have resided for at least
one year priori to completiogl 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: hftp,/Iwww.leginfo.ce.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.
(30101-3(0 //
License Class Qt License No. G 15
Date 4&
( &ntractor Signature
WORKERS' COMPENSATIO D CLARATION
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 Ins n carver an poi number re:
3 -TME pFuN) l�7 ` 1 _.�f��q
Carrier olicy Number Expiration ate
Name of Agent Phone Number
I certify that, in the performance of the work for which this
pertnit 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' compens n provisions of Section 3700 of the Labor
Code, I shall fo i comply with those provisions
/o s
Signature of r
nt Datp
/ 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
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 ❑ 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 ❑ N o ❑
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
❑ 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
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 representativ" of this county to enter the
above -identified propert (Ar inspection purposes.
Signature of Property WneP65)uthorized Agent
Date l0-/