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HomeMy Public PortalAbout10636 BOGUE ST_Plumbing__ 76A66-7 DBS-17 10-55 APPLICATION F®RP L U W B I N G PERMIT DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BU'L_-NG JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS !!I � CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY ��,,,y� FOR APPLICANT TO FILL IN NEAREST CROSS ST. OWNER G� DISTRICT NO. GROUP I ZONE I READY FOR INSPECTION MAIL ADDRESS //J' INDUSTRIAL CITY TEL. N04 .�fq9 WASTEAPPROVAL PLUMBER INSPECTION RECORD ADDRESS CITY TEL. NO, LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER @ $1.00 v LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK ROUGH PLUMBING PERMIT S I 1 00 GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES /,�' (/� ost IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL OPERTY. SIGNATURE OF PERMITT FINAL JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR CK, d.O. ASH 2.00 M 4 .2125 sP10 3 DBS-17,0.99 APPLICATION FOR PLUMBING PERMIT -•.� DBS-17 DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles ABUILDING DDRESS 1063 6Y Bo'Ue t JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D,GRIFFIN,SUP'T OF BUILDING LOCALITY TA-mple City FOR APPLICANT- TO FILL IN I CROSSS T. E1 Monte Ave* OWNER Miller •& Pri ce-=- - DISTRICT NO. GROUP ZONE READY FOR INSPECTION ADDRESS - - Blvd• I • / INDUSTRIAL CITY TEL, NO. WASTE APPROVAL PLUMBER Standard Plumbing Co. INSPECTION RECORD ADDRESS 4333 E. Florence Ave*. CITY TEL. NO7-1124 ' P .LICENSE NO. 39 943' �� I NUMBER TYPE OF FIXTURE OR ITEM FEE 2 WATER CLOSET (TOILET) @ $1.00 $ 2 OO BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 3. KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 �Q GAS'SYSTEM @ $1.00 APPROVALS DATE pp INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ T OO ROUGH PLUMBING12 GAS PIPING ` A'11 /f TOTAL FEE 11 OO GAS VENT _ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER •' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 7. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED S ANGELES C QTY STATE OF CALIFORNIA OR THAT LEG W /THE AB E UTILITY CO. NOTIFIED DESCRIBED RESIDENT R TY ✓ SIGNATURE OF PERM ER OF PERMITTE FINAL JOHN-A. LAMBIE. COUNTY ENGINEER `VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR q CK. N.O: CASH Lot 3 LG2. 0-'9 .:w Nat, , '7 3 1 1 .0 0 in WORKERS'COMPENSATION DECLARATION 76A667A hereby affirm that I have a certificate of consent to self ce 917 (2-90) APPLICATION FOR 'PLUMBING PERMIT insure, or a certificate of Workers'Compensation Insurance,or certified copy/�thereof(Sec. 3800,Lab. C.) ,'„/_ COUNTY OF,LOS ANGELES `'� BUILDING AND SAFETY Policy 4/" `�`''Company �� Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING � ADDRESS OGj L/, Certified copy is filed wi eco ty buil ng' spec n NUMBER FIXTURE OR ITEM • FEE ait LOCALITY WATER CLOSET15 Dat "pplicant NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WO ERS' COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved LAVATORY MAIL ADDRESS by the permit is for one hundred dollars ($100) or less.) } SINK CIT �• T 9f NO II certify that in the performance of the work for which this DISHWASHER 1 ' U permit is issued, I shall not employ any person in any manner CONTRACTOR ��� - so as to become subject to the Workers' Compensation Laws., CLOTHES WASHER ADDRESS O Date Applicant SWIMMING POOL RECEPTORU OTICE TO APPLICANT: If, after making this Certificate of CITY 44E L. N f W Exemption, you should become subject to the Workers' LAWN•SPRINKLER SYSTEM STATE may/ /pr LIC. /� 0- Compensation provisions of the Labor Code, you must forth- LICENSE NO. A T O CLASS` 5T Z with comply with such provisions or this permit shall be WATER HEATER _ deemed revoked. GAS SYSTEM OUTLETS, DISTRICT NO. PROCESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER r -Q hereby affirm that I am licensed under provisions of Chapter' 5 PER SYSTEM (commencing with Section 7000) of Division 3 of the Busi- FINAL VALIDATION less and Professions Code, and my license is in full force and t� DATE r �iffect. //,f2 iceuse Num C5 ic.Classy `�� FINAL iontracto Date I am exempt fro the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer 63 u f acting in my professional capacity (Section 7051, Bus- PLUMBING PERMIT ISSUING FEE$ r iness and Professions Code). TOTAL FEE /D ic.or Reg.No. Date Plan check applicant • z425&A # 0 0 0 0 0.5 HOME OWNER-BUILDER DECLARATION Name hereby affirm that I am exempt from the Contractor's Address 2 0,00 License Law for the following reason (Section 7031.5, Busi- City Tel.No. 0 e 0 1 Q,Q Q l ess and Professions Code): I, as owher of the property, am exclusively contracting 02 2 7—8.1 - with licensed contractors to construct the project (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY hereby-affirm that there is a construction lending agency {or the performance of the work for which this permit is Ssued(Sec. 3097;Civ.C.). I ender's Name Lender's Address certify that I have read this application and state that the ibove information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby 9uthor' represen /th'� County to enter upon the me Ione,�, , pectionpurposes. C:;2 'gnature of Permit Date i`�NORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I herfb *aif irm that I have a certificate of consent to self 20-0026 DPW 6/87 insyre, or a certificate of Workers' Compensation Insurance, 76A667A - or a certified copy thereof (Sec. 3800, Lab.. C )� COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No Aft ompany,02&/f-417 Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 10636 rn r 7/_ C JL, tr Certified copy is filed with the county building inspec- ADDRESS V�O Jl0 C tion department NUMBER FIXTURE OR ITEM @ FEE LOCALITY r r , ,/�i�/,� � WATER CLOSET NEAREST C C CL 'Date Applicant� ' CERICATE OF EXEMPTION FROM WORKERS' BATHTUB CROSS ST TIF COMPENSATION INSURANCEOWNER' h I (This section need not be completed if the work involved by SHOWER MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS S V51FI11Ci I certify that in the performance of the work for which this SINK CITY !� TEL NO n permit is'issued, I shall not employ any person in any manner / '/ ` so as to become subject to the Workers'Compensation Laws DISHWASHER CONTRACTOR S �» .�(�•�Jlcci Date Applicant CLOTHES WASHER NOTICE TO APPLICANT- If, after making this Certificate of ADDRESS �S. �tn J� Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR /� Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY TEL. NO !! ? with comply with such provisions or this permit shall be STATE t / ZCJ910'1 0- LIC 't 0 D deemed revoked. WATER HEATER 750 LICENSE NO, �� CLASS LICENSED CONTRACTORS DECLARATION I . DISTRICT NO ROC D,BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS Pi, ar (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL tt-•�.�`` ��++��� DATE V LID ON License Number S _! 14 Lic Cl C—% c b U. "11__ FINAL Contractor k tII1rP.I�(1 Date BY O, ❑ I am exempt under Sec. W, B.BP C."for this reasonPlan check fee �� Date- PLUMBING PERMIT ISSUING FEE•$ • Signature TOTAL FEE Plan check applicant 5' SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Namea s I hereby'affirm that I am exempt from the Contractor's License Address "� ci' Law for the following reason (SectioH 7031.5, Business and .x 07 2105(i Professions Code): City Tel No. tr EMS I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section T(IT AL 20.50 7044, Business and Professions Code) r CONSTRUCTION LENDING AGENCY t I fE !! ,,,0, Il 1 hereby affirm that there is a construction lending agency for CHANGE .00 the performance of the work for which this permit is issued (Sec. 3097, Civ C.). 0010113-0131011 4/24/90 Lender's Name 1 ASI. 9=4S Lender's Address 1 certify that I have read this application and state that the above information is correct I agree to comply with all County polo ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentione r rty for ins ect,on purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of ermIttee Date • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1311190030 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: I ITR: 17158 LT: 3 1 10636 BOGUE ST 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802818 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18586-010-003 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY CAI I 107 BATHTUBS/SHOWERS , _.,,, 1.00 FIX 16.20 1 (TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: 1 1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 111/19/13 SR TOTAL FEES 76 40 1 10WNER: TEL. NO: I IFINAL DATE FI BY: CODE: IXU YI BING - 110636 BOGUE ST 1 ITEMP 917802818 1 ID CRIPTION OF WORK 1 IBATHTUB/SHOWER, LAVATORIE AND WATER CLOSET (APPLICANT: TEL. NO: 1 I IHUO, HOWARD (626) 757-8025- 1 12555 HUNTINGTON DR 1 ISPECIAL CONDITIONS: 1 ISAN MARINO CA 91108 I - ICONTRACTOR TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 IHUO CALIFORNIA INC (626) 757-8025- I 1 FF 12555 HUNTINGTON DR #C LIC. NO 1 (UNDER SLAB WORK 1 ISAN MARINO CA 91108 739583 I 1 IWATER SERVICE IPLASTIC Y/N METAL Y/N (ARCHITECT OR ENGINEER: TEL. NO. I I^ I IROUGH PLUMBING 1 1 LIC. NO: 1 I I - IGAS PIPING I IGAS VENT I IHOT WATER HEATER 1 1 I IPLUMBING FIXTURES I I I 1LAWN SPRINKLERS I 1 I I I IGAS TEST I I I (UTILITY COMPANY NOTIFIEDI II I I _ IcWV I I I I I I I GRAY WATER SYSTEM I I I I I I I I I I I I I I I I i I I f I I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I I