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HomeMy Public PortalAbout9843 ESTRELLA AVE_Plumbing__ 96AO" 17 9'49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �p,� COUNTY OF LOS ANGELES P L U M B 0 N 6 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. PLUMBER Belvedere Plumbing Co. RECEIVED BY READY FOR DATEISSUED FIRST INSPECTION ADDRESS 136 S. Palm Ave. (� ^ [] L_ CITY Alhambra TEL NO. AT95O2S ADDREISG 7 E. Estrella � Ca,�'��•� T� jj�� LIOCENSE NO. OO`-'M EXPIRES 6/30/51 LOCALITY Temple City ES NEAR "T PERMIT FEES GROSS ST. Golden West NUMS.R TYPE OFFIXTUREEORSTEM FEE OWNER Mrs. Beatrice Juhl MAIL WATER CLOSET (TOILET) @_0.50 9 �50 ADDRESS 1 BATHTUB 4 O.SO � CITY TEL. NO. SHOWER @ 0.501_ p 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS Z LAVATORY (WASH BASIN) @ O.501 )0 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.501 0 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O.501 0 ANGELES COUNTY LICENSE. OR i AM THE LEGAL OWNER - OUTLETS @ 0.50 � OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM SIGNATURE OF WATER HEATER @ 0.50 0 PERMITTEE SLOP SINK @ D.So INSPECTION RECORD FLOOR SINK @ 0.50 _ FLOOR DRAIN (0S 0.50 DISHWASHER @ 0.501 DRINKING FOUNTAIN q 0.501 URINAL @ 0.50 ,J / HOUSESEWER @ 0.501 Q- Z^t(l-rl �f �'A/I th,41 Z_ MISCELLANEOUS Yf r--ox II F' iJ FSS '111 F(lF2 >/I+r IS - o 4y . TDMaC'Zn._ I� APPROVALS DATE /'INSPEGTOq'S NAME (" ROUGH PLUMBING I^✓I 1A. GAS PIPING 1 ` GAS VENT I/-l1 F 1,r)A/f CESSPOOL @ 1.00i CESSPOOL SEPTIC TANK I SEPTIC TANK DRAIN ( ) PIT ( ) @ I.00 SEWER PERMIT 1.00 GAS TEST // A 2t-_ UTILITY CO. NOTIFIED TOTAL FEE 15 / 150 _ I" VI �� •' ��. FINAL J 933 M v 76AIH' n 3-HO APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER ' FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMITNO. PLU M B ERN M/J/.rfl Y.lC.•f/FifRECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION 2- 'LD / �.R6^� /CY�lLJ/-L_+ _ n�7� s� BUILDING -ten/ /, CITYy/I�i. .E-:J�.FY✓/ TEL. NC�/uL 9 l(J ADDRESS iY�f/� I /4-// pAzO COUNTY LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS 5T. t�/a v NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER (TO R CLOSETILET) 0.50IS ADDRESS BATHTUB Q 0.501 CITY TEL. NO. I SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I 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 AND KITCHENSINK 0.501 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS /THE ABOVE VALID LOS LAUNDRY TUB OR TRAYCt{� 0.501 ANGELES COUNTY LICENSE. OR 'I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. l GAS SYSTEM OUTLETS ® 0.501 l ! SIGNATURE OF WATER HEATER Q 0.501 PERMITTEF1- SLOPSINK 0.501 INSPECTION RECORD i! FLOOR SINK © 0.50 FLOOR DRAIN © 0.501 DISHWASHER Q) 0.50 DRINKING FOUNTAIN @ 0.501 URINAL 0 0.501_ ! J HOUSESEWER C 0.50 IJ D Z MISCELLANEOUS O IrO I I� I I APPROVALS DATE INSPECTOR'S NAME - ROUGH PLUMBING -� GAS PIPING I I GAS VENT CESSPOOL did I.00 I II/U O CESSPOOL SEPTIC TANK: SEPTIC TANK /I DRAIN ( ) PIT ( 1 Q 1.001 1 SEWER PERMIT 1.00 GAS TEST TOTAL FEE �� UTILITY CO. NOTIFIED 5 FINAL 76A667-CE'617 6-67 APPLICATION FOR PLUMB[ GjPERNiIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ABULD"DDRESS JOHN A. LAMBIE. COUNTY ENGINEER ADDRESSAe.44 COLEMAN W. JENKINS. SUPT. OF BUIIDI NG LOCALIT FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM (EACH FEE — OWNER WATER CLOSET E1.25 MAIL BATH SUB 1,251 ADDRES SHOWER 125 CITY TEL. NOI;t LAVATORY 135 CONTRACTOR SINK 135 ADDRESS ( DISHWASHER 1.25 CITYc TEL. NO. 6 STATE LIC LAUNDRY TUB 1.25 LICENSE N CLASS CLOTHES WASHER 135 DISTRICT NO GRO_1,LP ZONE R 5 D By WATER HEATER 1.50 GAS SYSTEM OUTLETS 1'50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD a O U C O H I W d Z APPROVALS DATE INSPECTORSSIGNATURE PERMIT 5 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE, CAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED A5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OW NE OF,PND INTEND T RESIDE IN, THE ABOVE OE IBEO RESIDENT PROPERTY. UTILITY CO. NOTIFIED ' SIGNATURE n / OF PERMITTEE FINAL v LIDATION C JACK R. ALLEN .. (\cn M.o. cases SUPERVISING MECHANICAL ENG-R. - _ j {{;fl2-5 5 8 ,ldd11 5 D 3'.50— t WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT � I •I hereby affirm that I hove a certificate of consent to self 76A667A insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec. 380• , Lab COUNTY OF ANGELES' BUILDING AND SAFETY Policy No.—Comp ny ❑I Ceti copy is hereby furnished. BULLRING r/ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS 7 Certified copy is filed with the building inspec- - don deport en NUMBER FIXTURE OR ITEM m FEE LOCALITY Date /Y/— Apphcam WATER CLOSET - _ NEAREST CERTIFI ATE OF EXEMPTION FROM WORK BATH TUB CROSS ST. BQ COMPENSATION INSURANCE OWNED (This section need not be completed if the work involved by SHOWER JF the ermit.is for one hundred dollars $100 or less. MAIL p ( ) ) LAVATORY 'ADDRESS I certify that in the performance of the work for which this -- permit is issued, I shall not employ,ony person in any manner SINK CITY TEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER - C Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS` 0-4 Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY TEL, NO, LAWN SPRINKLER SYSTEM with comply with such provisions or this permit. shall be STATE �) n LIC. deemed revoked. WATER HEATER LICENSE NO. 1 / d CLASS LICENSED CONTRACTORS DECLARATION D TRICOT NO/ P ESS BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM �6] - (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATION n //"�� DATE �J d License Namber.99 Lic. Clow`^' � O i7y dl Contractor Dote ❑ 0 I am exempt under Sec � U B.BP.C. for this reason W Plan check fee ® (1. Date: C/) PLUMBING PERMIT ISSUING FEE$ O Z Signature • TOTAL FEE •-^' ' 9 ' ' Plan check applicant SINGLE FAMILY s HOME OWNER-BUILDER DECLARATION Name /./�pT- _ ._... I hereby affirm that I am exempt from the Contractor's License Address - AMA-- Low for the following reason (Section 7031.5, Business and ��n L Professions Code): City Tel. No. .7rTJ7""""' - 16°50 ❑ .. .. ................ 1, as owner of the property, will do the work and the � _ � --S--I IC161 structure is not intended or offered for sale (Section ..y.T7�s.. tI. 7044, Business and Professions Code). !, '-'- ��1LLVL1��Iky i6..5�r CONSTRUCTION LENDING AGENCY DECK - 16-50 I hereby affirm that there is a construction lending agency for LCL the performance of the work for which this permit is issued --r---• - brT1175{iL e (Sec. 3097, Civ. C.). - - t Lender's Name Cis 1 6/23/89 Lender's Address - 41w 1 Afl10:10 I certify that I hove read this application and state that the D ' above information is correct. I agree to comply with all County - - - ordinances and State lows regulating Plumbing, and hereby authorize repre motives of this County to enter upon the above-me do ed erty for inspection purposes. nA SEE REVERSE FOR EXPLANATORY LANGUAGE Signalure of Permittee Date x'4 .WORKERS'COMPENSATION BE APPLICATION ® N I� R M M I her�bytt affirm That have a�certificate of'consent to self in- 7A667A 4/87 py�y����' `��®per I�®p'( �L�•o°����y ��'�•^°�� sure, orb certificate of Workers'Compensation Insurance,or a CE 817(REV 8/86) certified copy thereof (Sec. 3800 Lab C.) . _ - • COUNTY OFLOS-ANGELES DEPT. OF PUBLIC WORKS Polity No.o - t Certified copy is furnished.• ,. to FOR APPLICANT TO.FILL,IN(PRINT OR TYPE) BUILDING o � Certified copy is filed with the cduniy`building inspection -ADDRESS O1.I' Estrella A n " '-department. t NUMBER FIXTURE OR ITEM FEE ' LOCALITY s WATER CLOSET(TOILET) Q Tempi Cit - -Date Applicant' � NEAREST _ _ 1 BATH TUB CROSS sr. Baldwin Avenue CERTIFICATE OF EXEMPTION FROM WORKERS"` i COMPENSATION INSURANCE ' - - OWNER ' �i � - (Tbli section need not be completed if the workSHOWER Ernest and Sophia, Johnsoninvolvedby ) MAIL the perm it.is for ono hundred dollars ($100)or less.) ( 1 .LAVATORY b ADDRESS Q843 Pstrplia - - I certify that in the performance of the work foowfiich this per- - mit is issued, I shall not SINK employ any person in any manner so. .CITY Tem le City TEL'.NO:'285-3532 as to become subject to the Workers Compensation Laws.. DISHWASHER l { FY8 _ CONTRACTOR owner/builder Da'te'�`�/ Applicant t CLOTHES WASHER NOTICE TO APPLICANT: If,bfter making this Certificate f Ex- - ADDRESS 84 Estrella Avenue emotion,yon should become subl act-to the Workers'Compen- SWIMMING POOL RECEPTOR sotion'provisions of'the+Labor Cade, you'must fortliwith comp- LAWN SPRINKLER SYSTEM CITY TelRple City TEL. NO. 2853532 ly with such provisions or this permit shall;be deemed revok- _ STATE LIC. - ed. , _ . WATER HEATER' LICENSE NO. CLASS ' ,LICENSED CONTRACTORS DECLARATION - -DIST 16T N PROC ED Lhereby affirm Ihot Tom licensedbnderGAS SYSTEM . OUTLETS provisions.ofChapter � 9(Lomrtiencing with Section 7000)of Division of the.Business OUTLETS OVER and Professions Code, and my license is'in fullforce and:ef- 5 PER SYSTEM- FINAL VAL ATION Fect_ _ .. .DATE IL O License`Number Lic Class.- • ' 'FINS Contractor ' - — Date - - B /� , O F I am exempt under Sec W -B 8P C. for this reason ^ Z Plan check fee -Date: PLUMBING'PERMIT ISSUING FEE$ - 70- D 8 0.Q 9 A . Signature - - - #s i ° ° e 55 TOTAL FEE _ � - SINGLE FAMILY k _ G3�50 HOME OWNERBUILDERDECLARATION Plbn check applicant _ _ Lhereby,affirm that I am exempt from the Comroctor's License Name °'"° 3 Q'5.O Law for the following reason (Section 7031.5, Business and - Professions Code): - Address' 'O 9.2 8-287 I; as owner'of the property, will 'do the work and the City Tel. No: structure is not-intended or offered for.sole(Section 7044, - Business and Professions Code). '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; Clv. C.). Lender's Nome Lender's Address ' I certify that Ihave read this application and state that the aboveinformation is correct:l agree to comply with all County ordinances and State laws regulating,Plumbing,.and hereby authorizerepresentativesof this County to enter upon the above-mentioned property,for inspection'purposes. - �'• ks,.�,K �.K� .2$S,fQ 158 SEE'.REVERSE FOR EXPLANATORY LANGUAGE Sig�'no�of'Permittee - Date COUNTY OF LOS ANGELES TEMPLE CITY - $ 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1111210031 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: - ILEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 16912 LT: 11 1 9843 ESTRELLA AV I IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801417 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15383-023-011 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY CAI 1 . _107 BATHTUBS/SHOWERS 2.00 FIX 32.50 - _ 1 (TENANT: 111 CLOTHESWASHER(S) 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY: 113 DISHWASHER(S) 1.00 FIX 16.30 111/21/11 SR 121 HOSE BIBB(S) 2.00 FIX 32.50 1 (OWNER: TEL. NO. 125 LAVATORIES/SINKS 3.00 FIX 48.80 IFINAL DATE FINAL JIY CODE: YU LI, TAM (626) 203-6362- 145 WATER CLOSET/URINAL 2.00 FIX 32.50 1 1 9843 ESTRELLA 147 WATER HEATER(S) 1.00 WTH 16.30 1 (TEMPLE CITY CA 91780 - 151 LOW PRS GAS 5 OUTLET 1..00 SYS 16.30 IDESC�ON OF WORK 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.30 REPLACE PLUN®ING FOR KITCHEN, TWO BAHTROOMS REMODEL, REPLACE( 111 TOTAL FEES 255.60 IWATER HEATER, GAS LINE AND WATER MAIN APPLICANT: TEL. NO I _ ILEE, RAYMOND (626) 825-2614- 1 - 1 19322 KLINGERMAN ST C I ISPECTAL CONDITIONS: (SOUTH EL MONTE 91733 1 1 III CONTRACTOR: TEL. NO: IAPPROVALS DATE INSPECTOR SIGNATURE 111 RAY LEE CONSTRUCTION, INC. (626) 825-2614- 9322 KLINGERMNN STREET #C LIC. NO (UNDER SLAB WORK 1 SOUTH EL MONTE, CA 91733 729516B ' WATER SERVICE IPLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: - TEL. NO: 111 I IROUGH PLUMBING 1 - LIC. NO: I IGAS PIPING I 111 11 IGAS VENT I I I IHOT WATER HEATER IRE UMBING FIXTURES 111 (LAWN SPRINKLERS IGAS TEST (UTILITY COMPANY NOTIFIED I I 1 Icwv I 1 GRAY WATER SYSTEM x I I I I I I 1 I I I I I I I I I 111 ADDITIONAL DATA ON FILE I IREPORT ID: BPR263 ROUTE T0: BS0508 I I