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Home My Public Portal About5703 OAK AVE_Plumbing_12/1/2005_s • COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: TEMPLE CITY TR: 6561 LT: 729 ## 0508 ASSESSOR INFORMATION NUMBER: 9701 LAS TUNAS 8587-005-002 TENANT: TEMPLE CITY CA OWNER: TEL. NO: FULCO NORMAN J;DOROTHY J - 5703 OAK AV TEMP 917802431 APPLICANT: TEL. NO: FRANK MARRONE & SONS, INC. (626) 444-2548- 9860 LOWER AZUSA RD O1 EL MONTE, CA 91731 CONTRACTOR: TEL. NO: FRANK MARRONE AND SONS (626) 444-2548- 9860 LOWER AZUSA RD. LIC. NO EL MONTE, CA 91731 397884036 ARCHITECT OR ENGINEER: TEL. NO: JIM H. KUHN (818) 446-7000- 125 WHEELER AVE, SUITE F LIC. NO: ARCADIA, CA 91006 NONE REPORT ID: DPR263 ROUTE TO: BS0508 PLUMBING PERMIT PL 0508 0512010021 BUIL,011YU R1 VRESS: 5703 OAK AV AMOUNT: TEMP CA 917802431 NEAREST CROSS STREET: LIVE OAK 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C 32.40 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 16.20 12/01/05 JK 05/30/06 32.40 48.60 FINAL DATE FINAL BY: CODE: 32.40 �l �� 16.20 .._..>` //_� -` 16.20 DESCRIPTION OF WORK 238.35 PLUMBING FOR ADDITION AND REMODEL SPECIAL CONDITIONS: APPROVALS UNDER SLAB WORK WATER SERVICE PLASTIC YIN METAL YIN ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM DATE INSPECTOR SIGNATURE TEMPLE CITY ## 0508 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: 1'r:'ES rNtu FEE DESCRIPTION: QUANTITY: UOM: O1 PERMIT ISSUANCE FEE 07 BATHTUBS/SHOWERS 2.00 FIX 11 CLOTHESWASHER(S) 1.00 FIX 13 DISHWASHERS) 1.00 FIX 21 HOSE BIBB(S) 2.00 FIX 25 LAVATORIES/SINKS 3.00 FIX 45 WATER CLOSET/URINAL 2.00 FIX 47 WATER HEATER(S) 1.00 WTH 51 LOW PRS GAS 5 OUTLET 1.00 SYS TOTAL FEES REPORT ID: DPR263 ROUTE TO: BS0508 PLUMBING PERMIT PL 0508 0512010021 BUIL,011YU R1 VRESS: 5703 OAK AV AMOUNT: TEMP CA 917802431 NEAREST CROSS STREET: LIVE OAK 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C 32.40 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 16.20 12/01/05 JK 05/30/06 32.40 48.60 FINAL DATE FINAL BY: CODE: 32.40 �l �� 16.20 .._..>` //_� -` 16.20 DESCRIPTION OF WORK 238.35 PLUMBING FOR ADDITION AND REMODEL SPECIAL CONDITIONS: APPROVALS UNDER SLAB WORK WATER SERVICE PLASTIC YIN METAL YIN ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM DATE INSPECTOR SIGNATURE LICENSED CONTRACTOR'S DECLARATION I here6yalfinn underpenalry of perjury that I am licensed underprovislons of Chapter9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and mylicense is in full force and effect. //11 4,-ee�7 ° 3q��Ss�U 6LIasYLiY la: 1 Dal UOWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct.alter, improve, demolish, or repair any strurylum, prior to its issuance, also requires the applicant for such permit to file a signed statement mat he or she is licensed pursuant to the provisions of the Contractors License Caw (Chapter 9 (commencing with Section 7000) of Division 3o the Business and Professions Code) or that he or she Is exempt therefrom 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 live hundred dollars ($500).): ❑ 1 am exempt under Sec. , BA P.C. for this reason: [ Electrical, Plumbing & Sewer Permits Only 1 ❑ I, as owner of the property, will do the work, and the structure is not Intended or offered far sale (See. 7044, Business and Prolesslon Code: The Contractors license Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself, provided that such improvements are not Intended or offered for sale. If, however, the Wilding or improvement is sold within one year of completion, the owner -Wilder will have the burden of proving that he or she did not Wild or improve for the purpose of sale.). [ All Other Permits ] ❑ I, as owner of the property, or my employees with wages as their sole comrienation, will do the work, and the sbuciure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ownerof property who Wilds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. IL however, the building or improvement is sold Within one year of completion, the owner -Wilder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who Wilds or improves thereon, and who contracts for such projects with a contmctor(s) licensed pursuant to the Contractore License Law.). WORKER'S COMPENSATION DECLARATION I hereby af6nn under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers compensation, as provided for by Section 3700 of the Labor Cade, for performance of the work for which this permit is issuetl. have end will maintain workers compensation inumha, as requiretl by Section 3700 of me Labor Code, for the performance of the work for which this permit Is Issued. My workers compensation Insurance carder and policy number are: Carier_CCjA&%)10rVi1_.- (II 1211,,1 Policy Number ❑ 1 certify that in the performance of the work for which this penult is issued, I shall not employ any person In any manner so as to become subject to the workers compensation laws of Cafifpmia, and agree that if I should become subject to th workers enation provisions of Se on 00 f the Labo C e, I shall with comply with those P a Applicant etue Dale 1 _-7----//l1LL� WARNIN :FAILURE TO SECURE WORKER'S COMPENSATION COV IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER 70 CRI 1 AL PENALTIES AND CIVIL FINES UP 70 ONE HUNDRED THOUSA D DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THELABOR CODE, INTEREST, AND ATTORNEY'S FEES. LOBBYIST ORDINANCE CERTIFICATION Complete this section for permits in unincorporated Los Angeles County only, This is to certify that I, as permit applicant, am familiarwith 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 JOB ADDRESS ILOCALDY — 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 Wilding.by the applicant or future Wilding occupant require a permit furcontmction or modification from the.South Coast Air Quality Management District (SCAQMD)? See permitting checklist for guidelines. Yes ❑ No ❑ I have read the hazardous materials information guide and the SCAQMD parmitting checklist,) understand my requirements under the Los Angeles County Code Title 2, Chapter 220 Sections 220.100 through 220.140 conceming hazardous material reporting and for obtaining a permit from the SCAQMD. ASBESTOS NOTIFICATION ❑ Notification letter sent to SCAQMD or EPA ❑ 1 declare that notification of asbestos removal is not applicable to addressed project. CONSTRUCTION LENDING AGENCY I herebyal irm under penalty of perjury that there is a contmction lending agency for lhe.pedormance of the work for which this permit is issued (Sec, 3097, CivC.). Lenders Name Lenders Addre— / certify that / have read this application and state under the penalty of perjury that the above information is correct. l agree to comply with all City and County ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter upon the above-n)pntignedprpperWifispection purposes. Owner Signature Date Company Name (if employed by an entitylagency) Date Applicant or 411'm Signature Date