HomeMy Public PortalAbout5531 EL MONTE AVE_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS P_L_0508_961227.0001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUI-L-DI.NG_ADDRESS.:
BK: 242 PG: 86 PC: 2 [:5,53.1-EL MONTE AV J
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA-07802832
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK
8586-010-064 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.35
TENANT: 21 HOSE BIBB(S) 1.00 FIX 16.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
25 LAVATORIES/SINKS 1.00 FIX 16.35 12/27/96 TC 12/27/ 7,
45 WATER CLOSET/URINAL 1.00 FIX 16.35
OWNER: TEL._NO: 47 WATER HEATER(S) 1.00 WTH 16.35 FINAL DATE FINAL BY: ODE:
CHEN, HENRY C (818) 285-4580- TOTAL FEES 109.50
5531 EL MONTE AVE., J
TEMPLE CITY, CA DESCRIPTION OF WORK
��� 8 a d i} p PGUEST LUMBING
APPLICANT:
SQ. FT.-NO KITCHEN A D NOT FOR RENTAL USE
APPLICANT: TEL. NO: �/ O�
SAME AS OWNER - ��`S ^�
VO SPECIAL CONDITIONS:
�J O
CONTRACTOR: TEL. N0: ❑ APPROVALS DATE INSPECTOR SIGNATURE
� ,,�• 0 � �
SAME AS OWNER \, ' ` J 'O( O
LIC. NO ✓ 1 ,N C UNDER SLAB WORK Ir
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0: �U J``J U lI`�� L li OJ /`'
f
--'--- ---"-- --_ - ROUGH PLUMBING
2-
LIC. N0: tJ
GAS PIPING
J GAS VENT
�7
G
HOT WATER HEATER -
��% PLUMBING FIXTURES 6
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
/VORICER�'COMPENSATION DECLARATION PW 490 AFFT CATPO N FOR PLVMG PERRPT
a€imhatl have a certificate of consent to self in-I'herbr20-0026 DPW
sure,or a certificate of Workers'Compensation Insurance,-ora
certified copy Thereof (Sec. 3800,.Lab. C.)
Polic No. Company COUNTY OF LOS ANGELES' DEPT-.-OF- WOLRKS
Fj Certified copy is hereby furnished. BUILDING
FOR APPLICANT TO.FILL IN(PRINT OR TYPE)
Certified copy is filed with the county building inspection - ADDRESS J�—�,
department.. NUMBER FIXTURE OR ITEM Ca FEE
" LOCALITY
Date Applicant Z WATER_CLOSET(TOILET) �. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST.
I
COMPENSATION INSURANCE / SHOWER OWNER
(This section need not be completed if the work involved by MAIL
the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS
I certify that in the performance of the work for which this per- SINK .
mit is issued, I shall not employ any person in any manner so l CITY TEL. NO.
as to become subject to the Workers'Compensation Laws. DISHWASHER
NTRACTOR L 6
Date. ✓ 1�pplicant - f! CLOTHES WASHER
NOTICE TO APPLICANT: If, after making this Certificate of'Ex- ADDRESS
em tion,you should become subject to the Workers'Com en- SWIMMING POOL RECEPTOR''
P Y I P . CITY TEL. NO. u>
sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER.SYSTEMS J
ZA
lywith such provisions or this permit shall.be deemed reIvok- STATE / LIC. !e
ed. WATER.HEATER LICENSE NO. - �/F��P7 CLASS Cr Lc
LICENSED CONTRACTORS DECLARATION. DISTRICT NO. PROCESSED BY
I hereby.affirm.that I am licensed under provisions.of Chapter GAS SYSTEM OUTLETS
9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER
and Professions Code, and my license is in full f 5 PER SYSTEM.orce and ef- FINAL VALIDATION
feet. . / / HOSE BIB DATE
License Number SOrlZO� Lic. Class C-3p. �'�'��
FINAL
V
Contractor Date BY IZ
e O
.r
I am exempt under Seca D s V
B.&P.C. for this reason d At•�•Tng LU
r��` Plan check fee 3303 268.80 y
Date: PLUMBING PERMIT ISSUING FEE$ p ITEMr� g
Signature
SINGLE FAMILY / (� �/
TOTAL FEE (- !J o TOTAL, 268 - 90
HOME OWNER-BUILDER DECLARATION Plan check applicant1. Et•{�i 268.80
I hereby affirm that I am exempt from the Contractor's License Name.
Law for the following reason (Section 7031.5, Business and CHANGE
Professions Code): Address-
1, as owner of theproperty, will do the'work and the Cit Tel. No. 6/13/96
FT
Y j�L7OC!'CILIOI .
structure is not intended or offered for sale,(Section 7044;
Business and Professions Code). 83 1 Ali $a49
CONSTRUCTION LENDING AGENCY "
I hereby affirm that there is a construction lending agency for
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 information is correct. I agree to comply with all County
ordinances and State laws regulating Plumbing,-and hereby
authorize representatives of this County to enter upon the
abov -m ntione erty for inspection purposes..
_ SEE REVERSE FOR EXPLANATORY LANGUAGE
X,Si ature of-Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9610140002
BUILDING.AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING
UI DINGMADDDRESS:
BK: 242 PG: 86 PC: 2
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802832
ASSESSOR INFORMATION NU BER: NEAREST CROSS STREET-
8586-010-064 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
05 BACKFLOW DEVICE(S) 1.00 DEV 16.35
TENANT: TOTAL FEES 44.10 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
10/14/96 TC 10/14/97
OWNER: TEL NO: FINAL DATE FINAL CODE:
KNIPSCHEER DAVID L (818) 355-4018-
407 PLEASANT HILL LN Z`
SIER 910241335 _ DESCRIPTION OF WORK
SPRINKLER SYSTEM FOR NEW RESI ENCE
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: - ���- �Oo APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER ("J� (✓/
LIC. NO � UNDER SLAB WORK
UWATER SERVICE
ARCHITECT OR ENGINEER: TEL. N0: �/ � r �
PLASTIC Y/N METAL Y/N
ROUGH PLUMBING
LIC. NO: -`
GAS PIPING
I J� U�C��L C_� %r7
O
GAS VENT
`'-- HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
17
�\ 4.,.,• GAS TEST
UTILITY COMPANY NOTIFIED
CWV
v GRAY WATER SYSTEM
�aA.l�►�R��.UI'Y�
Vie,
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 9612270001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
BK: 242 PG: 86 PC: 2 5531 EL MONTE AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802832
;ASSESSOR :INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK
8586-010-064 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.35
TENANii 21 HOSE BIBB(S) 1.00 FIX 16.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
25 LAVATORIES/SINKS 1.00 FIX 16.35 12/27/96 TC 12/27/97
45 WATER CLOSET/URINAL 1.00 FIX 16.35
OWNER: TEL. NO: 47 WATER HEATER(S) 1.00 WTH 16.35 FINAL DATE FINAL BY: CODE:
1CHEN, HENRY C (818) 285-4580- TOTAL FEES 109.50 04/23/97 R.FEILEN
5531 EL MONTE AVE.,
TEMPLE CITY, CA DESCRIPTION OF WORK
PLUMBING FOR 630 SQ. FT. GUEST HOUSE NOT FOR RENTAL USE
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
ARCHITECT OR ENGINEER: TEL. NO: PLASTIC Y/N METAL Y/N
ROUGH PLUMBING
LIC. NO:
GAS PIPING
l
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
i CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508