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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. 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