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Home My Public Portal About9861 VAL ST_Plumbing_7/22/2020_P20-39751TEMPLE CITY PERMIT NO. P20-39751 City of Temple City 19701 Las Tunas Drive I Temple City, California 91780 I (626) 285-2171 1 www.templecity.us Address: 9861 Val Street Unit A& 8, Temple City, California 91780 Parcel: 5383-025-011 Permit No: P20-39751 Description: BATHTUBS/SHOWERS, CLOTHES WASHER, DISHWASHER, HOSE BIBBS, LAVATORIES, SINK, WATER CLOSETS, WATER HEATER, GAS OUTLETS , WATER METER, WATER MAIN AND CONNECT ACCESSORY DWELLING TO PUBLIC SEWER Issue Date: 07-22-2020 Type: Plumbing Subtype: Special Conditions: Expire 07-22-2021 Extension: Date: Subtype: Residentiat 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 Wei Van Applicant Roger Li Contractor Architect Johnny Yu Engineer Plumbing Details Backwater 0 Valve Drinking 0 Fountain Lavatory/Sink 4 Pool Trap 0 Gas: Low 5 Press Greywater 0 System Other: over 3 0 inches Sewer: 0 Pit/Drainfield Combo Waste/Vent 9861 Val Street, Temple City, California 91780 2702 Denton Avenue, Rosemead, California 91770 Roger Li Construction Inc. 2702 Denton Avenue, Rosemead, California 91770 2585 South 10th Avenue, Arcadia, California 91006 WPH Engineering LLC 333 Santa Anita Avenue, Arcadia, California 91006 Backflow 0 Device Floor Drain 0 Miscellaneous 0 Trap Primer 0 Gas: 0 Med/High Press Pipe 0 Replacement Sewer: 1 Connection Sewer: Pit 0 Extension Earthquake Shutoff • Fees Total Plan Check Fees $0.00 Permit Fees 5561.24 Plumbing Inspections Approval D, Under Slab Work Water Service Plastic Y/N Metal Y/N Rough Plumbing • Sewer Inspections Approval ppjn e New House Sewer Connect Add'I Septic Tank/Pit Bathtub/Shower 3 Floor Sink 0 Pressure 0 Regulator Water Closet 3 Gas Meter 1 Future Branches 0 Sewer: Manhole 0 Sewer: 0 Alteration Chemical Waste Clothes 1 Washer Hose Bibb 2 Roof Drain 0 Water Heater 1 Gas 0 Regulator Other:1.5 1 inches or less Sewer: 0 Addition Sewer: 0 Tap&Saddle (626) 716-0621 (626)378-8031 (626) 378-8031 962953 (626) 548-0037 (626)658-7974 Rainwater Dishwasher 1 Interceptor/Clarifier 0 Solar Water Heater 0 Water Treatment 0 Approval Da/It Ins a Approval Gas Piping t ! j�nr�r7 Gas Test Gas Vent Utility Co Notified Hot Water CWV Heater Gray Water Plumbing System Fixtures FINAL Lawn Sprinklers Approval Drywell Alter/Repair Disconnect/Plug Date Inspector Approval Backfill Tank/P Gray Water System FINAL Date Inspector Alteration/Repair 0 Other: 2-3 inches 0 Sewer: Private 0 Connection Greywater In e r WAS OWNER -BUILDER DECLARATION I hereby affirm und er penalty of perjury that I am ex empt from the Contractors' State License Law for the re ason(s) indic ated below by the checkmark(s) I have placed next to the applic abl e ite m(s) (Section 7031.5, Business and Professions Code): Any city or county that requires a permit to construct, alt er, improv e, demolis h, 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 pursua nt to the pro visions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Div ision 3 of the Business and Professions Code ) or that he or she is exempt from licensure and th e b asis fo r the allege d ex emption. Any violation of Section 7031.5 by any a pplicant for a permit subjects the applicant to a civil pe nalty of not more than five hundred dollars ($500).): (J 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 struc ture is not intended or offered for sale (Section 7044, Busine ss and I Professions Code: The Contractors' Sta te License Law does not apply to an owner of property who, through employees' or personal effort, builds or improv es the pro perty, prov ided that theimprovements are not inte nded or offered for sale. If, however, the building or improvement is sold within one yea r of completion, the Owne r - Builder will, have the burden of prov ing tha t it wa s no t built or improved for the purpose of sale. ). (, I, as owner of the pro pe rty, am e xclusive ly contracting with licensed Contractors to c onstruct the project (Section 7044, Business and Professio ns Code: The Contractors' State License Law do es no t apply to an o wner of property who builds or improves thereon, a nd who contracts for the projects with a licensed Contractor pursuant to th e Contractors' State Lice nse La w). I am exempt from lic en sure unde r the Contractors' State License Law for the follo wing reason: By my signature below I acknowledge that, ex cept for my personal residence in which I must hav e resided for at least - one year prior to completion1 of the impro vements cov ered by this permit, I cannot legally sell a structure that I have built as an owner -builder If it has no t been constructed in its entirety by licensed contractors. I understand that a copy of the applicable la w, Section 7044 of the Business and Professions Code, is a vailable upon reque st when this application is submitted or at the follo wing Web site: http://ww w.leoinfo. ca. gov/calaw.html. Date: Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECL ARATI ON I hereby affirm under penalty of perjury that I am licensed under pr ovi si ons of Chapter 9 (commencing with Section 7000) of Di visi on 3 of .the Business and Profes sions );ode, and m lice nse is in full for_ce.and effect . G License CIa�s 'U License No. C ontractor Sig natur ORKERS' CO MPENS ATION DEC ION W ARNI NG: FAILURE TO SECURE WORKERS' CO MPENSATION • CO VERAGE I5 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, D AM AGES AS P ROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS. FEES . I hereby affirm under penalty of p erjury one of the following de cl arati ons: h av e and will m aintain a certificate of consent to self - insure for workers' c ompensation, issued by the Director of Industrial Rel ations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is iss ued. _ Policy No. I have and will maintain workers' comp ens ati on insurance, as required by Section 3700 of..th e Labor Cod e, for the performance of the w rk for which his per mit is issued. My ker ' com satin i uranc g6rd andp plicy number are: licy Number Expiration Date Name of Agent Phone Number I certify that, in the performance of the work for which this permit is issued, I sha ll not employ any person in any manner So as to bec ome subje ct to the workers' comae ation laws of Califo rnia, and agree tha t, f I should been subject to the workers' compensation pro vision s of Se ' 3700 of the Labor Code, I shall forthwith comply with tho °visions) /' Date Signaty,tof Applies LOBBYIST O RDINA NCE CERTIFICATION Complete this section for permits in . Uninco rpora te d Los Ange le s Coun ty only This is to certify tha t I, as permit applicant, am familia r with the requireme nts of Los An ge le s Coun ty Code Chapte r 2.160 et se q., (relating to the Lo s Angele s Coun ty Lo bbyist Ordinance) and that a ll persons a cting on behalf of myself complied and will continue to comply the rewith through the application process. A pplicant (Print Name) Applicant Signature Company Name Date JOB ADDRESS LOCALITY HAZARDOUS M ATERIAL DECL ARATION ill the applic ant or futur e building . occupant handle a hazardous mat erial or a mixture containing a ha vardous material equal to or greater than the amount specified on the hazardous materials inforrnation guide? Yes 0 N o 0 • Will the intended use of the building by the applic ant or future building occupant require a permit for c onstruction or modification from the South Coast Air Quality Man agem ent Di strict (SCAQM D)? See p ermitti ng ch ecklist for guidelines. Yes ❑ N.o ❑ 1 have re ad the hazardous materials information guide and the SC AQMD_ permitting checklist, I understand my requirements under the Los Angeles County Code Title 2, Chapter 220' Sections 220.100 through 220.140 concerning ha zardous m aterial reporting and for obtaining a permit from the SCAQMD . ASBESTOS NOTIFICATI ON 0 Notificati on letter s ent to AQ MD and/or EPA ❑ I decl ar e that n otification of asbestos removal is not applicable to addressed project . DECLARATION REGARDING CONSTRUCTI ON LENDING AGENCY 1 hereby affirm under pen alty of perjury that ther e 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, 1 c ertify.toeach of the following: I am the property own er or authorized to act on the property owner's behalf . I have read this application and the inforrn ation I have pr ovided is c orrect . I agree to comply with all applicable city and county ordinances - and state laws relating to building constructi on. I authorize representatives of this c ounty to enter the above -identified property for inspection purposes . Signature of - +perty. -r or Auth