HomeMy Public PortalAbout9828 ESTRELLA AVE_Plumbing__ 7BA557 Des 19 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
D S R
FOR APPLICANT TO FILL INJ--79'j .)
4 LINE`
PLUMBER / RECEIVED 0READY FOR TE ISSUED TNSPECTION4S6� FIRS
ADDRESS
ADOREBB �ya� �d7r �AAJt'U�E�J
COUNTY LOCALITY
LICENSE NO. EXPIRES /
NEAREST
PERMIT FEES ceDes ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Y\ FSI// /— .(/✓+'+�
MAIL
WATER CLOSET(TOILET) Q 0.50 S ADDRESS
BATH TUB Q 0.50
CITU / � � TEL. No.
SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK a O.So AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM-OUTLETS ® 0.50 SIGNATURE OF
WATER HEATER 0.50 PERMITTE
SLOP BINK O.so INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN Q 0.50
DISHWASHER Q 0.50
DRINKING FOUNTAIN 0.50
URINAL ns O.So
Q
HOUSE SEWER ® 0.50 ?
_
MISCELLANEOUS C3
O
i APPROVALS
I DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
/ CESSPOOL @ 1.00 CESSPOOL N
/I/ c /nA IA
SEPTIC TANK: SEPTIC TANK // h�tJ I I n flu I
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I.OD GAB TEST
TOTAL FEE 5 UTILITY CO. NOTIFIED
FINAL
7GA667 n 5-SO 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRT NO. GROUP ZONE I OPERMIT
PLUMBERRECEIVED BY READY FOR DV/A(T/OE ISSUED
(`�I,�I
'O '.-M FIRST INSPECTION
ADDRESS
�_.o �AL7&AZA -lt4 V\lry
LeaJ�.� I 1
CITY 1 �K.. TEL. NO. BUILDING
L L) �O IQ ADD ESS /q
L CENSE NO. 6 '-/ EXPIRES dJ J LOCALITY / ��.../p T..�./ l A
NEAREST
PERMIT FEES CROSSST l
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER YJ
MAIL
WATER CLOSET (TOILET) Q 0.50 S s- ADDRESS
BATH TUB Q 0.50 5d CITY TEL. NO.
SHOWER @ 0.50 SO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 c APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK Q 0.50 CSS I CERTIFY THAT 1 POSSESS THE A OVE VALID LOS
LAUNDRY TUB OR TRAY Q 0.501 V ANGELES COUNTY LICENSE, OR I AM E LEGAL OWNER
r OF THE RESIDENTIAL P TY SC ED ABOVE.
GAS SYSTEM-,Z-OUTLETS @ 0.501 v O SIGNATURE OF
WATER HEATER Q O.SOI PERMITTE
SLOP SINK Q O.So INSPECTION RECORD
FLOOR SINK Q 0.501
FLOOR DRAIN r 0.501
DISHWASHER Q 0.501
DRINKING FOUNTAIN Q 0.501
URINAL Q 0.501J
HOUSESEWER Q 0.501_1 Q
MISCELLANEOUS
I o
I
I I
I�
I
APPROVALS
11,,DATET INNS�P�ECCTOR'S.NAME
ROUGH PLUMBING' (y- -[ 1 /",r/Ip,�/
' GAS PIPING
GAS VENT /!7
CESSPOOL Q 1.001 CESSPOOL
SEPTIC TANK: 1 SEPTIC TANK
I DRAIN ( I PIT ( Q 1.001 1 SEWER
PERMIT . . I 1.00 GAS TEST
TOTAL FEE S O O S UTILITY CO. NOTIFIED I ,
FINAL
WORKERS'COMPENSATION DECLARATION 7GA667A '
1 hereby affirm that I have acertificate of consent to self ceslriz-B0). APPLICATION FOR PLUMBING PERMIT
insure, or a certificate of Workers'Compensation Insurance,or City of Temple City
a certified copy thereof(Sec. 3900,Lab.C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No.201916 Company SCIF 7851
Certified copy is hereby furnished. ' ' FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
ADDRESS
® Certified copy k filed with the county building inspection NUMBER FIXTURE OR ITEM O FEE
`1 a t. LOCALITY
Tpmplp City
General Tnctall WATER CLOSET NEAREST.
Date Applicant -- - —
BATH TUB CROSS ST.
Baldwin Aizp-
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE SHOWER OWNER Carl Neary
LAVATORY MAIL
(This section need not be completed if the work involved ADDRESS Ave-
by
l d
by the permit is for one hundred dollars (5100) or less.) SINK OU
clTv !— 5-3492
I certify that in the performance of the work for which this DISHWASHER
permit is issued, 1 shall not employ any person in any manner CONTRACTOR General installation CoQ
so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADDRESS ~
Date Applicant SWIMMING�POOL RECEPTOR
6558 West Blvd. w
1
NOTICE TO APPLICANT: If, after making this Certificate of CITYLas Angele L.N 1 to
Exemption, you should become subject to the Workers' LAWN SPRI LER SYSTEM STATE Z
Compensation provisions of the Labor Code, you must forth- LICE SE NO. 151839 CLASS C36
with comply with such provisions or this permit 'shall be WATER HEAT
deemed revoked. GAS SYSTEM UTLETS DISTRICT NVO.. PROCESSED B
LICENSED CONTRACTORS DECLARATION OUTLETS OVER .A f�/
A hereby affirm that I am licensed under provisions of Chapter B PER SYSTEM
9 (commencing with Section 7000) of Division 3 of the Busi- ABY
INAL l% VALI ICN
ness and Professions Code, and my license is in full force and ATE
effect.
INAL
License Number 151834 Lie.Class C!36 � c _
ContractorW A_ P=r i n Date 4189
DI am exempt from the licensing requirements as I am a Plan check fee
licensed architect or a registered professional engineer 1
PLUMBING PERMIT ISSUING FEE$
acting in my professional capacity (Section 7051, Bus- -
iness and Professions Code). TOTAL FEE
Lie.or Reg.No. Dat¢ Plan check applicant
HOME OWNER-BUILDER DECLARATION Name 2 0 9 Q 0 A
I hereby affirm that I am exempt from the Contractor's Address
License Law for the following reason (Section,7031.5, Busi- City Tel.No.
ness and Professions Code):
I, as owner of the property, am exclusively contracting
with licensed contractors to construct the project
(Section 7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY -116506
I hereby affirm that there is a construction lending agency
for the performance of the work for which this permit is 1 0.1.2 8 8
issued(Sec.3097.Civ.C.).
Lender's Name F
I
Lender's Address ,
I certify that I have read this application and state that the
above information is correct.1 agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE
ordinances and State laws re •ting Plumbing, and hereby
authorize'representatives this county to enter upon the
above-menti n d pr er yl
f insp ction purposesI. /
Signature of Permit Date O
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0403040006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: F55S PAID UIL ING ADDRESS:
TR: 16712 LT: 15 9828 ESTRELLA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801416
ASSESSOR N ORMATION UMBER: NEAREST CROSS STREET: BALDWIN
5383-021-001 01 PERMIT ISSUANCE FEE - 27.75 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, C
13 DISHWASHER(S) 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN B-'(-. - EXPIRES-ON-
60 DWV REPAIR OR ALTER 1.00 SYS 16.20 03/04/04 VG 08/31/04
TOTAL FEES 76.35
OWNER: TEL. NU: FIN DAT FINA�BY: CODE:
MOLLES DION M;LORENA D (626) 286-5310-
9828 ESTRELLA AV
TEMP 917801416 DESCRIPTION OF WORK
PLUMBING FOR KITCHEN REMODEL
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
i
ARCHITECT OR ENGINEER: TEL. N0: PLASTIC Y/N METAL Y/N
-
LIC. N0: ROUGH PLUMBING
' GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: OPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 /�Pptttltl Bf*Q-PERMTT�
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS �PCB588-9970040037
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID LALNG- SS)
TR: 16712 LT: 15 828 ESTRELLgrAV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: -9'17801416
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5383-021-001 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED B_ LAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 10/06/99 UT 04/03/00
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
OWNER: TEL. NO: TOTAL FEES 92.55 FINAL DATE FINAL BY: CODE:
MOLLES DION M;LORENA D (626) 286-5310- /� 7 J/
9828 ESTRELLA AV �ll�l
TEMP 917801416 EIC SCRt� IO�F�OR�
ADDITION OF BEDROOM, BATHROOM AND EXTEND LIVING ROOM
APPLICANT: EL. .
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0:
Ph1GELES coAPPROVALS DATE INSPECTOR SIGNATURE
�O�j y
SAME AS OWNER - 112
LIC. NODER rR 0_
/
WAIUR LLE UV
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH BING
. . LIG. N0: / 1111111
L GAS P GLl
�I1I I�1I '(JI `/�_ \1\ ���(/�j GAS V
GEWr-
'M � NO fV( IT 111103 HEAT R
�J PLUMBING FIXTURES.
( 8 u
LAWN SPRINKLERS
O 0 x A1;
GAS T S
� UTILITY CO PAN 0 IFI ED ,
cuv
Service Thai GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508