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Home My Public Portal About9406 DAINES DR_PLUMBING_10/1/2018_P18-36877 (2)TEMPLE CITY PERMIT NO. P18-36877 0 Plan Check Fear $0.00 PermRFees $153.72 City of Temple City 197011asTunas Drive I Temple City, California 917801 (626)285-2171 1 www.templecity.us Address: 9406 Daines Drive, Temple City, California 91780 Parcel: 8588-029-022 r Permit No: P18-36877 Type: Plumbing Subtype: Subtype: Residential Description: BATHROOMS AND KITCHEN REMODEL Special Conditions: Issue Date: 10-01-2018 F Ow Data: 10-01-2019 Extension: Extension: Metal Y/N_ / 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 Rough /�'r�j//� required inspection. </'(/ Plumbing - Contacts Owner Thanh 9406 Daines Drive, Temple City, California 91780 (626) 290-0546 Approval Data Inspector Chau New House Applicant Dong Phan 229 W Mission Rd #H, San Gabriel, California (626) 284-2382 Connect Add'I Disconnect/Plug 91776 Contractor Calfloor 88 Inc. DBA Cal 229 W Mission Rd #H, San Gabriel, California (626) 284-2382 953475 Construction 91776 Plumbing Details Backwater 0 Baddlow 0 Valve Device Drinking 0 Poor Drain 0 Fountain lavatory/Sink 3 Miscellaneous 0 Pool Trap 0 Gas: Low 0 Press Greywater 0 System Other. over 3 0 inches Sewer: 0 Pt/Drainfield Trap Primer 0 Gas: 0 Med/High Press Pipe 0 Replacement Sewer: 0 Connection Sewer: Pit 0 Extension Bathtub/Shower 2 Floor Sink 0 Pressure 0 Regulator Water Closet 2 Gas Meter 0 Future Branches 0 Sewer: Manhole 0 Sewer: 0 Alteration Combo Waste/Vent Earthquake Chemical Shutoff Waste Clothes 0 Washer Hose Bibb 0 Roof Drain 0 Water 0 Heater Gas 0 Regulator Other: 1.5 0 inches or less Sewer: 0 Addition Sewer: 0 Tap&Saddle Fees Total 0 Plan Check Fear $0.00 PermRFees $153.72 0 Plumbing Inspections 0 Approval Date Inspector Approval Date Inspector Under Slab Gas Piping Work Gas Vent Water Service Hot Water Plastic Y/N Heater Metal Y/N_ / Rough /�'r�j//� Plumbing </'(/ Plumbing Fixtures Lawn Sprinklers - Sewer Inspections S A /%Jpljq 1411,1 Approval Data Inspector Approval Date Inspector New House Drywall Sewer Alter/Repair Connect Add'I Disconnect/Plug Septic Tank/Pit Rainwater Dishwasher 0 Interceptor/Clarifier 0 Solar Water Heater 0 Water Treatment 0 Alteration/Repair 0 Other: 2-3 inches 0 Sewer: Private 0 Connection Greywater Approval Date Inspector Gas Test Utility Cc Notified CWV Gray Water System FINAL Approval Data Inspector 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 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 Contraor pursuant to the Contractors' State License Law). (_): 1 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 whlcl I must have resided for at least one year priorl to completion of the improvements covered by this permit, Icgnnot legally sail 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.aov/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. .JOB ADDRESS LOCALITY z HAZARDOUS MATERIAL DECLARATION License Class License No. > Will the applicant or future building occupant handle a hazardous material or a mixture containing a hazardous material equal to or Date o-1 - Contractor Signature greater than the amount specified on the hazardous materials information guide? WORKERS' COMPENSATIO C TION Yes ❑ No ❑ WARNING: FAILURE TO SECURE WORKERS' OMPENSATION Will the intended use of the building by the applicant or future COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN building occupant require a permit for construction or EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO modification from the South Coast Air Quality Management ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION District (SCAQMD)? See permitting checklist for guidelines. 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 declaratlo�s: 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 ar Policy N SIO O' l - Ca((rriier�' Policy Number Expiration Da e 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 that, If I should become subject to the workers' compensation provisions of Section 3700 of the Labor -Cade. I shaIIJarfiw0i cetnply with those provisions / 0 _ /-/�- Date �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 Date Yes ❑ N.o ❑ / I have read the hazardous materials Information guide and the SCAQMD_ permitting checklist, I understand my requirem nts under the Los Angeles County Code Title 2, Chapter 0' 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 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-identfieedd property for inspection purposes. Slgaa4we ofP'mp pd r�rleykAuthodzed Ont Date I