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Home My Public Portal About10720 ARROWOOD ST_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT T❑ FILL IN ISTRI:CT NO. r.R, ON P t'�;t_f F_Y C 0'�L�'�"�?0 PLlJ��31�iG CO. � -,rs PLUMBER ED BY READY FOR RECEIVDATE ISSUED [� 11pp FIRST INSPECTION ADDRESS 8300 EASE ALLEY 1!LWD. A ��L��e / 7�`' ING CITY ROSEM6pEAD TEL No. AT. 2-2717 ADDRESS AO d-6 COUNTY 93M 6-30- LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. ® I _ NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) 0.50 $ ADDRESS BATH TUB @ O:SO CITY TEL. No. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.50 ' SIGNATURE WATER HEATER @ 0.90 PERMITTEE E BLOP SINK @ o.sD INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ O.SO URINAL @ 0:50 -J a HOUSE SEWER @ O.BO _Z MISCELLANEOUS 0 0 APPROVA,'S �D�ATE INSPECTOR'S NAME ROUGH PLUMBING �7'� .., r�..�� c-ACO GAS PIPING ` GAS VENT CESSPOOL @ 1,00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT ' . . . I t.Do GAS TEST /w ,( UTILITY CO.NOTIFIED TOTAL FEE � � a d FINAL ✓ dK � `�' �� 76A667 DBS$ 17 6-52 1, COUNTY OF LOS ANGELES. APPLICATION FOR PERMIT Department of County Engineer q DIVISION OF BUILDING & SAFETY 13114 i C1 WILLIAM J. FOX, County Engineer DISTRICT ND. GROUP ZONEPERMIT N13 FOR APPLICANT TO FILL IN 'e— z 7 "-J, PLUMBER VALLEY Bow..FyARn PI IIIADIN[r% nn RECEIVED BY READY FOR DATE ISSUED p ••••-• _ vv. /�_ FIRST INSPECTION ADDRESS 8300 E,^.S-f /,^-.! ; ="V PIy_n K7_ oO n f�rr�� BUILDING Z CITY 11VSEPri E1�SJ TEL.NO.. /�T 7 ,n ADDRESS COUNTY �-y?gg LICENSE NO. 7JIY1 EXPIRES _2(�_ " LOCALITY 6 NEAREST PERMIT FEES CROSS ST. , e e fJL d NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER ///'��C.�.�✓V _ MAIL WATER CLOSET(TOILET) 0.50 $ ADDRESS BATH TUB fQ7 0.50 CITY TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER GAS SYSTEM__3_OUT'LETS @ 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOV / SIGNATURE OF WATER HEATER @ 0.50 PERMITTEE SLOP SINK ' @ o.sD INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.60 DRINKING FOUNTAIN @ 0.30 URINAL @ 0.50 Q HOUSE SEWER @ 0.90 _Z MISCELLANEOUS O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING j GAS PIPING �J��y� (p — v � GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT • 1.00 GAS TEST UTILITY CO.NOTIFIED / TOTAL FEE FINAL 76A667 DBS. 17 6-52 76A667-CE*817 4-67 _ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER. BUILDING AND SAFETY DIVISION aADDRESS G JOHN A. LAMBIE: COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDINGFOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET ,s`U MAIL AA° BATH TUB 1.25 ADDRESS -I-- SHOWER 1.25 CITY S TEL. NO. LAVATORY .25 CONTRACTOR SINK 1.25 ADDRESS 7— DISHWASHER 1.25 CITY �� U TEL. NO-,E& GI STATE LIC LAUNDRY TUB 1.25 LICENSE NO. Q 6.3 CLASS CLOTHES WASHER No- DISTRICT N GROUP ZONE P CE S D BY WATER HEATER 1.50 Q /J r GAS SYSTEM OUTLETS 1.50 INDUSTRIAL U WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD � O H F V W d N Z APPROVALS DATE INSF�E�TOR'S SIGNATURE PERMIT $ 2 00 o UNDER SLAB WORK // ne A4 ROUGH PLUMBING faLv �� TOTAL FEE C1 d e GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER • I J PLUMBING. . 1 HEREBY CERTIFYr THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF s CALIFORNIA OR THAT I AM THE LEGAL OWNER'OF,AND INTEND TO GAS TEST RESIDE IN,THE AB VE DESCRIBED RESIDE IAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL ' AT-119ATION JACK R. ALLEN CK. M.0. CASH SUPERVISING MECHANICAL ENG'R. I O.2 4 4 JAN 8 5 D 8:o O N WORKERS'COMPENSATION DECLARATION 76AG67A I hereby affirm that I have a certificate of consent to self CE 617 (7-90) �If- P L IC_AT I O N FOR PLUMBING PERMIT insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.) COUNTY OF LOS ANtLES BUILDING AND SAFETY Policy Nz7+ 0 W5499,l Fr mon nd mnity Coo" Certified copy is hereby furnished. r FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS 10720 Arrowood Strret Certified copy is filed with t e u y bui in i s i UMBER FIXTURE OR ITEM O FEE ie rt n t. LOCALITY WATER CLOSET Date-3 Applicant NEAREST BATH TUB CROSS ST. Persimmon CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER LAVATORY MAIL. } (This section need not be completed if the work involved ADDRESS 10720 Arrowood Street a by the permit is' for one hundred dollars ($100) or less.) SINK ' CITY mle City TEL.NO. U I certify that in the performanceof the work for which this DISHWASHER permit is issued, I shall not employ any person in any manner CONTRACTOR D & A PlumUng. Inc o so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER' ADDRESS 6-37 Fast MancbPq1l__P'r A1740 IU Date Applicant SWIMMING POOL RECEPTORCL NOTICE TO APPLICANT: 1'= If, after making this Certificate of CITY Los An eles TEL. N0.75722 N Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Compensation provisions of the Labor Code, you must forth- LICENSE NO. 266544 CLA S C-36 with comply with such provisions or this permit shall be WATER HEATER deemed revoked. 1 GAS SYSTEM OUTLETS DISTRICT NO. P CESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER C�/G .l I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL s'a VALIDA ISN ness and Professions Code, and my license is in full force and DATE 6' f effect. 2665.4 C-36 B;NAL License Nu Lie.Class Contracto to 3116/81 I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lie.or Reg.No. Date Plan check applicant -- HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section.7031.5, Busi- City Tel.No. ness and Professions Code): I, as owner of the property, am exclusively contracting U G 9.5 A with licensed contractors to construct the project (Section 7044, Business and Professions Code). # o D o o o 5 CONSTRUCTION LENDING AGENCY2 0 0 1.000 I hereby affirm that there is a construction lending agency ' for the performance of the work for which thisermit is x issued(Sec. 3097,Civ.C.). p o 0 0 0 0 0 Lender's Name 0323—V - Lender's Address I certify that I have read this app ' ation and state that the above information is correct.I agr o comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws reg u ing- Plumbing, and hereby author' epresentatives o th' County to enter upo the abov t' ed propert pecti n purposes. Signature of Permittee Date WORKERS'COMPENSATION DECLARATION 7ewee7w I hereby affirm that I have a certificate of consest..to self. ce aid r� o �a a®� ®� PLUMBING PERMIT insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) 7,� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy NDZ 80 C5AQFremont Indemnit YCO® Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING- ADDRESS 10 720 Arro o d Street ® Certified copy is filed with the o t building i s ti NUMBER FIXTURE OR ITEM O FEE LOCALITY ty DatJ-=9 Applicant 1 WATER CLOSET 3 00 NEAREST a Ci 1 BATH TUB 3 00 CROSS ST,. CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER �,�I, COMPENSATION INSURANCE SHOWER Blue Ribbon Builders LAVATORY MAIL. (This section need not be completed if the work involved 1 3 ADDRESS } by the permit is for one hundred dollars ($100) or less.) SINKa CITY Temple CityTEL.NO. O I certify,that in the performance of the work for which this DISHWASHERU permit is issued, I shall not'employ any person in any manner CONTRACTOR Do Se Ae Plumbin In 0 so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADDRESS e O 637 East Manchester Ave P Date Applicant SWIMMING POOL RECEPTOR NOTICE TO APPLICANT:•If, after making this Certificate of CITY Los Ari eleS TEL. NO. 751= subject ' K 72 Exemption, you should become ect to the WorkersLAWN SPRINKLER SYSTEM p J STATE LIC. �. Compensation provisions of the Labor Code, you must forth- LICENSE NO. 266544 CLASS C=36 with comply with such provisions or this permit shall be WATER HEATER — , deemed revoked. GAS SYSTEM OUTLETS DIS CT NO. OCESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER �� I hereby affirm that I am licensed under provisions of Chapter 15 PER SYSTEM. 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL ness and Professions Code, and my license is in full force and DATE VALID ION effect. 2669a4 Lie.Class 6 FINAL ( i� License Number t C=3 BY Contractor D o & A, Pluffl�ing 2125/sI, V� I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lie.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that J am exempt from the Contractor's Address y License Law for the following reason (Section.7031.5, Busi- City Tel.No. " ness and Professions Code): ❑ 1, as owner of the property, am exclusively contracting with licensed contractors,to construct the project (Section 7044,Business and Professions Code). 24.29,-6A CONSTRUCTION LENDING AGENCY I hereby affirm. that there is a construction lending agency .#,.0. # o 0;0 0 0 rj for the performance of the work for which this permit is issued(Sec. 3097,Civ.C.). 2.-,°'l 6,0 0 Lender's Name ;0 0 0 � �00c=i Lender's Address • 03.04-81 I certify that I have read this application and state that the above information is correct. I agr to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws reg ting Plumbing, and hereby authoriz resentatives o t s County to enter upon the above-: e o propert a tion purpose s. Signa ure of Perniffifee Date r� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0806110013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: 1 ITR: 17867 LT: 39 1 10720 ARROWOOD ST I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803403 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: PERSIMMON I 18574-002-015 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl 147 WATER HEATER(S) 1.00 WTH 16.20 I 1 (TENANT: 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 192 NO PERMIT OWNER-BLDR 128.50 DOL 128.50 106/11/08 SR 12/08/08 1 I 1 TOTAL FEES 188.65 1 (OWNER: TEL. NO: I 1FINAL DAT F BY: CODE: 1 ISAWADA YOSHIMI;TAEKO (626) 350-0604- 1 110720 ARROWOOD ST I ITEMP 917803403 1 IDESCRIPTION OF-WOR IREPIPING, WATER MAIN AND WATERLESS HEATER TANK I (APPLICANT: TEL. NO: I I I ISAME AS OWNER I ,1 ISPECIAL CONDITIONS: 1 I I I I iICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - 1 I I I LIC. NO 1 (UNDER SLAB WORK I IWATER SERVICE I -I IPLASTIC Y/N METAL Y/N (ARCHITECT OR ENGINEER: TEL. NO: I I I - I IROUGH PLUMBING 1 1 LIC. NO: I I IGAS PIPING IGAS VENT I I IHOT WATER HEATER I I I I I IPLUMBING FIXTURES I I ILAWN SPRINKLERS I I 1 IGAS TEST 1 1UTILITY COMPANY NOTIFIEDI I I CWV I I I I I I I I (GRAY WATER SYSTEM 1 1 I I I I I I I I I I I I I I I I i I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 1 1 I I I I I I I I