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