The URL can be used to link to this page

Home My Public Portal About6132 AVON AVE_Building_4/1/2015_ (7)COUNTY OF IAS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT EGAL ID: R: 5903 LT: 47 UN: .002 SSESSOR INFORMATION NUMBER: 386-009-039 IR: TEL. NO: MICHAEL (626) 600-8809- S FAIR OAKS AVE DENA CA 91105 APPLICANT: TEL. NO: KONG, KAM (626) 570-9969 809 S ATLANTIC BLVD MONTEREY PARK 91754 CONTRACTOR: TEL. NO: MCWONG HOLDING CO. (626) 570-9969- 809 S ATLANTIC BLVD, STE 201 LIC. NO MONTEREY PARK CA 91754 685220 ARCHITECT OR ENGINEER: TEL. NO: LEE, PETER (626) 280-9000- 8748 E VALLEY BLVD SUITE L LItT NO: ROSEMEAD CA 91770 685220 TEMPLE CITY # 0508 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: FEES PAID FEE DESCRIPTION: QUANTITY: DOM: AMOUNT 01 PERMIT ISSUANCE FEE 27.80 07 BATHTUBS/SHOWERS 6.00 FIX 97.20 11 CLOTHESWASHER(S) 1.00 FIX 16.20 13 DISHWASHER(S) 1.00 FIX 16.20 21 HOSE BIBB(S) 4.00 FIX 64.80 25 LAVATORIES/SINKS 11.00 FIX 178.20 27 PRESS REG DEVICE(S) 1.00 DEV 16.20 45 WATER CLOSET/URINAL 6.00 FIX 97.20 47 WATER HEATERS) 2.00 WTH 32.40 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 S2 ADDN OUTLETS > 5 2.00 OUT 8.40 55 GAS METER (PRIVATE) 1.00 MET 16.20 64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 TOTAL FEES 603.20 0001U�-W HVAWIWI2�s .� I ADDITIONAL DATA ON FILE ID: DPR263 ROUTE TO: BS0508 PLUMBING PERMIT PL 0508 1504010011 BUILDING ADDRESS: 6132 AVON AV SGAB CA 917752606 NEAREST CROSS STREET: GARIBALDI THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY ISSUED ON: PROCESSED BY: PLAN BY: 04/01/15 SR FINAL DAT• FI / YV CODE: JES CRI Pi ON W AK PLUMBING FOR A NEW SINGLE FAMILY DWELLING SPECIAL CONDITIONS: APPROVALS DATE INSPECTOR SIGNATURE UNDER SLAB WORK 1 'XI Jl WATER SEUV"ICE ate. PLASTIC/z/N METAL 19N � ROUGH PLUMBING IUMBING V GAS PIPING GAS VENT I I a HOT WATER HEATER PLUMBING FIXTURES I LAWN SPRINKLERS I I GAS TEST UTILITY COMPANY NOTIFIED[ CWV OWNER -BUILDER DECLARATION by affirm under penalty of perjury that I am exempt from mtractors' State License Law for the reason(s) indicated by the checkmark(s) I have placed next to the applicable (Section 7031.5, Business and Professions Code): Any county that requires a permit to construct, alter, improve, ish, or repair any structure, prior to its issuance, also as the applicant for the permit to file a signed statement e or she is licensed pursuant to the provisions of the actors' State License Law (Chapter 9 (commencing with. n 7000) of Division 3 of the Business and Professions or that he or she is exempt from licensure and the basis r alleged exemption. Any violation of Section 7031.5 by pplicant for a permit subjects the applicant to a civil V of not more than five hundred dollars ($500).): is owner of the property, or my employees with wages as ole compensation, will do (4) all of or (_) portions of the and the structure is not intended or offered for sale to 7044, Business and Professions Code: The iotors' State License Law does not apply to an owner of ty who, through employees' or personal effort, builds or ,as the property, provided that the improvements are not ed or offered for sale. If, however, the building or ,ement is sold within one year of completion, the Owner - r will have the burden of proving that it was not built or ,ed for the purpose of sale.). is owner of the property, am exclusively contracting with )d Contractors to construct the project (Section 7044, !ss and Professions Code: The Contractors' State License oes not apply to an owner of property who builds or res thereon, and who contracts for the projects with a :d Contr9�tor pursuant to the Contractors' State License in exempt from licensure under the Contractors' State ie Law for the following reason: signature below I acknowledge that, except for my ial residence in which I must have resided for at least oar priorlto completiortl of the improvements covered by rmit, I cannot legally sell a structure that I have built as an -builder if it has not been constructed in its entirety by id contractors. I understand that a copy of the applicable action 7044 of'the Business and Professions Code, is ole upon request when this application is submitted or at owing Web site: httD://www.leoinfo.ca.aov/calaw.html. ure 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 ��I'Class License No.7Oi Date q.11 1 f,SContractor Signature WORKERS' COMPENSATION DECLARATION 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 work rs' compensation ins r ier and policy n b ar : Comer o icv umber E o ti n Dat.. 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 Code, I shall forthwith comply with those provisions Signature of Applicant Date 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 y I. 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 -mob/ 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 ❑ - No V 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 U� 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 owners 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. Sig ature of Props Owner or Authorized Agent CD Date