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HomeMy Public PortalAbout9147 EMPEROR AVE_Plumbing__ B DBS-171APPLICATION ®®LICAT■ON FOR PLUMBING LUBING ® RMIT DIVISION _ 1 _ OF BUILDING AND SAFETY �. Deportment of County Engineer County of Los Angeles rBUILDING SS9147 Emperor St JOHN A. LAMBIE, COUNTY ENGINEERCASSATT D..GRIFFIN,SUPT OF BUILDINGOCALITY Temple City Calif FOR APPLICANT TO FILL IN NEARESTCROSS . Loma Oak OWNER Beckner DISTRICT NO. GROUP ZONE READY FOR INSPECTION MAIL ADDRESS 9147 Emperor St CITY Temple City Calif INDUSTRIAL EL. NO. � WASTE APPROVAL PLUMBER J H McDonough INSPECTION RECORD ADDRESS ZjffJ=4 3795 2nd Ave CITY Los Angeles 18 TEL. NO. 14MM Ax 4 74. LICENSE NO. 140431 NUMBER TYPE OF FIXTURE OR ITEM - FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 1 SHOWER @ $1.00 1 0011 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 @ S1.00 r APPROVALS ' DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ 1 O0 ROUGH PLUMBING '(��I .'•�• GAS PIPING TOTAL FEE 2 00 GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED ASREQUIREDBY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RES[DENT[AI.-PgPPERTY. SIGNATURE OF PERMITTE - FINAL 'l OiS�C,'� 4f ooL•'Gfl..f-��, .r JOHN A. LAMBIE, COUNTY ENGINEER LIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR CK. M.0. CASH �'�o7 9 0 01-0 JUL 5 3 2.0 0 �' CAM.17 asM GETS 1-48 APPLICATION FOR PERMIT DEPARTMENT OF DUII.DING AND SAFETY �����'�� COUNTY OF LOS ANGELES y WM.J. FOX,CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. OUp / ZONE }�P�jp PERMITNO. ROUGH FIXTURES COMPLETE e� -v "" / �+ /3 HEATER CESSPOOL I-I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED G'4 1 FIRST INSPECTION AS MISCELLANK2US 4 APPLICANT FILL IN,°HEAVILY OUTLINED PORTION ONLY C NAME RADBDRESS qiqJ R, AOIA ,P,,44 ADDRESS // ,��i� dJ. LOCALITY l N fi.NEAREST . d CITY p � TEL.No. CROSS ST. yr CO U NTYJ CERT.NO. �� EXPIRES 0 NAME A Y C� LOCATION- SEPTIC TANK OR CESSPOOL a MAIL 3 ADDRESS NORTH O U J q CITYiI ii.C! J �fT. �� No. �....N 1 AM THE LEGAL �O�SESSOR O� THE AHOV6 LOS ANGELES COUNTY CERIN ,VCA OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIB D ABOVE. WHER CORRECTIO SOUTH J DESCRIPTION OF WORK Z BATH TUB FURNACE Is Q' o SHOWER DISHWASHER O �L -LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP GLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I i METER GAS SODA FOUNTAIN OUTL GAS PIPING CTAS VENT I I CESSPOOL I I TOTAL NUMBER OF FIXTURES SEPTIC TANK I i CESSPOOL SEPTIC TANK SEWER I ! $ UTILITY CO.NOTIFIED TOTAL FEE FINAL WJRKERS' COMPENSATION DECLARATION Ar 20-0026 DPW 4/87 APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 76A667A sure,or o'certificate of Workers'CorrKQpnsation Insurance, or a CE 817(REV. 8/86) certified copy thereof (Sec. 8800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No.. 11 00�n4Company CNA Tns_ Cn- Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN (PRINT OR TYPE) 914 7 Emperor Ave. Certified copy is filed with the countyADDRESS building inspection P department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Temple Cit / WATER CLOSET(TOILET) Date 9-29-819 Applicant f)wen Rrpg _ P1 h� NEAREST ' BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER Rosemead Construction COMPENSATION INSURANCE SHOWER (This section need not be completed if-the work involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS 1816 San Gabriel Blvd. I certify that in the performance of the work for which this per- SINK CITY L. NO. mit is issued, I shall not employ any person in any manner so San Gabriel, C 573-4110 . as to become subject to the Workers' Compensation Laws. DISHWASHER CONTRACTOR Owen Bros. Plumbing, Inc. _ Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS 4265 N. Baldwin Ave. em tion, you should become subject to the Workers'Com en- SWIMMING POOL RECEPTOR P y I P CITY TEL. NO. sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM El Monte 443-0078 ly with such provisions or,this permit shall'be deemed revok- STATE LIC. ed. WATER HEATER } LICENSE NO. 2.31 741 CLASS C36-20 LICENSED CONTRACTORS DECLARATION DISTRICTNO. PROCESSED BY. I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER �( <I / and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL � � �j VALID ON >_feet. DATE ��J 9L 4 License Number 931 741 Lic. Class C36-20 U F I lid Contractor Owen' Bros- --PIhDate 5-25—RR. O ❑ I am exempt under Sec. La B.BP.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ 50 SignatureTOTAL FEE- SINGLE FAMILY •HOME OWNER-BUILDER DECLARATION Plan check applicant o 201 7,7A I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and #'o o o 0 0 5 Professions Code): Address I, as owner of the property, will do the work and the City Tel. No. ) 0 2 2 5 0 structure is not intended or offered for sale(Section 7044, Business and Professions Code). ONO. 0,0 6225 0=v CONSTRUCTION LENDING AGENCY o7, 1 3-88 1 hereby.offirm 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 11110,above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby a\jthorize representatives of this County to enter upon the a ov -menti prop rty r inspection purposes. i�, 5_25-88. SEE REVERSE FOR EXPLANATORY LANGUAGE Si n ture of Permitte Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1205240024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: 1TR: 11990 LT: 10 9147 EMPEROR AV IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 SGAB CA 917752018 (ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET: 1 15382-012-031 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY, Cl 1 113 DISHWASHER(S) 1.00 FIX 16.20 I 1 ITENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: 1 I TOTAL FEES 60.20 105/24/12 SR 10WNER: TEL. NO: 1 IFINAL DATE FINAL BY: CODE: I 1CHEN, STEVEN - I 19147 EMPEROR AV I I 1 ISGAB 917752018 1 IDESCRIPTION OF WORK 1 I 1 IKITCHEN REMODEL DISHWASHER AND SINK 1 (APPLICANT: TEL. NO: I I I IWU, JACK (626) 523-5819- SPECIAL CONDITIONS: 1650 W. HCA 91007 AV EXPIRED5';�1ARCADIA CA 91007 1 1 ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IPACIFIC STONEGATE INC. (626) 523-5819- 1 1 1650 W. HUNTINGTON DRIVE #206 LIC. NO 1 1UNDER SLAB WORK 1 1ARCADIA, CA 91007 965340 B I I 1 1 I 1 IWATER SERVICE I - I IPLASTIC YIN METAL YIN 1 I (ARCHITECT OR ENGINEER: TEL. NO: 1 I I 1 - 1 IROUGH PLUMBING LIC. NO: I I 1 I 1 IGAS PIPING 1 I 1 1 1 IGAS VENT 1 1 1 I IHOT WATER HEATER 1 I IPLUMBING FIXTURES I 1 I 1 1 ILAWN SPRINKLERS 1 1 I 1 1 IGAS TEST I I I 1 I 1UTILITY COMPANY NOTIFIEDI 1 I I ICwv I I I I 1 (GRAY WATER SYSTEM 1 I 1 1 I I I I I I I I I I I 1 1 I I I I I I I I I i I I I I I I I I I I I I 1 IREPORT ID: DPR263 ROUTE TO: BS0508 I I 1 I I I I I I I