HomeMy Public PortalAbout10732 ARROWOOD ST_Plumbing__ ^ COUNTY OF LOS ANGELES
APPLYCATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer PLUMBINU
FOR APPLICANT TO FILL IN DISTRI: NO. GROUP ZONE �2IT .�`�
PLUMBER VALLEY F011I FVARn PI ilmlmr, rn RECEIVED��BY READY FOR DATE ISSUED
- -- l�Vv�••- FIRST INSPECTION
ADDRESS 8300 EAST V I. 1 PY RI VnBUILDING
/
nc t �Gi' / c!� Gyy-o�T�O'�'
CITY RtJJtI1rIEA� TEL Na. � 9-271Q ADDRESS
COUNTY
LICENSE NO. 93M EXPIRES 6-30- LOCALITY
NEAREST
PERMIT FEES CROSS ST.
rNUMSER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) o.50 s ADDRESS
BATH TUB @ 0.50 _CITY TEL. No.
SHOWER 0 0.50 1 HEREBY ACKNOWLEDGE THAT I 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 Cts 0.50 AND STATE LAWS REGULATING PLUMBING.
• 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LDS
LAUNDRY TUB OR TRAY Cgs 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL ROPERTY DESCRIBED ABOVE.
GAS SYSTEM-6—OUTLETS 0.50
SIGNATURE OF
WATER HEATER 0.50 PERMITTEE r
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK 0.513
FLOOR DRAIN 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN Q 0.50
URINAL 0.50 J
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS E9
a
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING / glj/�
.s�
GAS VENT —7
CESSPOOL Q 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER /
PERMIT . . 1.130 GAS TEST p _�
UTILITY CO. NOTIFIED 7
TOTAL FEE
a G
FINAL
76A667 DBS#17 6-52
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT �. �
A
PLUMBER RECEIVED BY READY FOR DATE ISSUED
6JU0 EAS I VALLEY BLVD. f� FIRST INSPECTION
ADDRESS Allm
I=V1EAE) 2-2719 BUILDING
CITY TEL No. ADDRESS
COUNTY -6U_ LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMfIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 111 ADDRESS
BATH TUB 0.50 CITY TEL. NO.
SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O.SO APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES .
KITCHEN SINK Q O'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 I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
OAS SYSTEM__OUTLETS 0.50
SIGNATURE OF
WATER HEATER 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK 0 0.50
FLOOR DRAIN @ 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 Q
HOUSE SEWER (9 0.SO _Z
MISCELLANEOUS
0
APPROV S
ATE INSPECTOR'S NAME
ROUGH PLUMBING
—mac
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
_ DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . . . . 1.00 GAS TEST /
J
/ UTILITY CO. NOTIFIED
TOTAL FEE
FINAL
76A667 DBS##17 6-52 `vJ \
WORKERS' COMPENSATION DECLARATION
20-0026 DPW 4187. ' till Il IS�C tial Il �O II V FOR Il� L U I1 V ll 0'�ll'V.V P 15 R V ll�T
Lh)ereby, affirm that I have a certificate ofconsent to self in- 76A667A
'sure,or a certificate`of Workers'Compensation In'surance;'ora CE 817'(REV,8/86)
cerylfjp ,thereof Sec. 3800;,Lab C ), -.
rlaa�J COUNTY*OF LOS ANGELES DEPT. OF PUBLIC WORKS Z
Ifl
PolicyCompanYAQ,
Certified copy is hereby'furnished
FOR.APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING l ^�
Certified copy isfiled�vithtHe'county:buildin'g:inspi�,ctionADDRESS / /;3 22w CJ �Oee
d parimenL NUMBER - FIXTURE OR ITEM @ FEE r
f� .. - - .,
LOCALITY
Date ` ✓/ Applicant '2 ;/✓/� WATER CLOSET(TOILET)
NEARE:CERTIFICATE"OF EXEMPTION FROM WORKERS'. BATH TUB. ; CROSS OF
COMPENSATION INSURANCE; OWNER
(This section need not'be completed if,the-work involved by_ r SHOWER MAIL ,1
the permit is for-one hundred dollars ($100)or less.) LAVATORY ADDRESS CC) /�!VL(/ G(.Jt>Q
I'ce-r;hy that in the performance of the v✓ork for which this per-
SINK",
.. '. i�,L TEL' NO: ! ! q
mit is issued, I shall not employ any person in any manner soCITY C/
e;subject to the Workers'Compensation Laws.'" r
as to.becom _ - DISHWASHER / �-
'- CONTRACTOR 14-11/L •��� 0�✓.
Date' Applicant - CLOTHES WASHER. ' i
r-
NOTICE TO APPLICANT: If, after making this Certif.icate'of Ex- /`.
ADDRESS 9
emption,you should became subject to,the Workers',Comperi- SWIMMING•POOL RECEPTOR "
�� ��`�- TELsation provisions of the Labor Code; you must forthwith:comp- LAWN•SPRINKLER SYSTEM•1 CITY .
ly,with such provisions or,thispermit shall.,be deemed revok-. STATE _,UC NO.
ed. ' ;: WATER HEATERLICENSE NO, U 3 CLASS SC' V 1
LICENSED CONTRACTORS,DECLARATION DISTRICT NO. PRO SSED BY
" ffirm that I am licensed uhder provisions of Chapter
9(commar
GAS SYSTEM 'OUTLETS' �f
I hereby affirm
with-Section 7000)of Divisi6n Sof.the Business' OUTLETS OVER,
S V�
and.Professions.Code, and my license is in full force:and e'f- 5 PER SYSTEM FINAL , .�
feet.', DATEIf J 0
f f VALID TIO
License Number Lic. Class
FINAL t0 .
Contractdr. BY t
I am'exempt under"Seca W
CL
B.-&P.C. forthis reason -
:Plan check fee .i
- Date:-
D
PLUMBING.PERMIT ISSUING FEE
n
$, :
.'Signature
TOTAL FEE' 37
SINGLE'FAMILY:
HOME OWNER-BUILDER'DECL`ARATION Plan check;apphcant
I hereby affirm that I dm exempt from the Contractor's License Name
'1 Q
Law for.the'.following reason,:(Section 7031:5 Business and *
Professions Code):' ;: ^Address o 0 0l0 5 .
�:
I, as owner.of the 'property, wrll do'the work land the City t( ,o of 6,.5 Q
TeL No.
structure is not intended or offered for sa_le(Section 7044;
Business and Professions Code) o o,o �• Qc=�"
b'
CONSTRUCTION•LENDING AGENCY
I hereby affirm that there is a construction lending`agency.for a 7 8 i'�8
the performance of the work for which this permit is issued
(Sec:3097, Civ. C.).
Lender's-Name
Lender's Address
I certify that I have read"this application and state that.the
above'informotion is correct."I agree to comply•with'all County D '
ordinances-and.State laws regulating Plumbing, and hereby
authorize representatives of this County. to enter upon the
above- entioned'property for 'nspechon purposes.
SEE (REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1112220033
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA. 91780 _
*PHONE: (626) 285-0488 EXT:
ILEGAL ID: 1. - FEES PAID 1 BUILDING ADDRESS: 1
ITR: 17867 LT: 37 1 1 10732 ARROWOOD ST 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803403 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18574-002-013 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 2.00 FIX 32.50 I 1
(TENANT: 113 DISHWASHER(S) -1.00 FIX 16.30 11SSUEDON: PROCESSED BY: PLAN BY: 1
1 125 LAVATORIES/SINKS 3.00 FIX 48.80 112/22/11 SR 1
145 WATER CLOSET/URINAL 2.00 FIX 32.50 1
10WNER: TEL. NO: I TOTAL FEES 157.90 IFINAL DATE FINAL BY: CODE: 1
1HUA, IDAL P (626) 705-4763- 1
110732 ARROWOOD ST - I IV
Z 1
ITEMP 917803403 1 11JESCRIPTION OF WORK - 1
I I IPLUMBING FOR KITCHEN AND 2 BATHROOMS REMODEL
I
1APPLICANT: TEL. NO: 1 I
ISAME AS OWNER - I 'I
II ISPECIAL CONDITIONS:
_ I
I I I I
1CONTRACTOR: , TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
- ISAME AS OWNER II
I LIC. NO I 1UNDER SLAB WORK I
I IWATER SERVICE
I. IPLASTIC YIN METAL YIN I I I
1ARCHITECT OR ENGINEER: TEL. NO: I I
- IROUGH PLUMBING I 1
1 LIC. NO:
I IGAS PIPING 1
I I I I I
IGAS VENT I I I
I IHOT �AATER HEATER I .
I I I
I I 1PLUMBING FIXTURES I I
I I I I I I
1 (LAWN SPRINKLERS
I I I I I
I I
I I IGAS TEST
I I1 11
I
1UTILITY COMPANY NOTIFIEDI II
1 11
I i CWV
II I
I IGRAY WATER SYSTEM
I I I I 1 I
YVV
I I I I I I
I I I I I I
4rdt
'I.��:w2.F� .tr� i4�`�1; a..+_.� _ ��ti.�L�-� � v�3.,.,r #� ' '� �""�� .�y..^.�+r�r"'.`� �'j'd. ' .:ice =�'C' ..•z ..?y" .:9'�?3 ,:1 .ps�k:Gi- .�
! (REPORT ID: DPR263 ROUTE TO: BS0508. I I
I I I I I I