HomeMy Public PortalAbout9855 ESTRELLA AVE_Plumbing__ vaAaaT n a•ao APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY p
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICTNO. GROUP ZONE PERMIT NO.
PLUMBER Belvedere Plumbino CO. RECEI BY READY FOR DATE ISSUED
SO FIRST INSPECTION /0^�/� �Q
ADDRESS 136 S. Palm Ave.
ADD EBUILDING
SS _24r< Estrella Ave. Zu Q4
CITY Alhambra TEL. NO. AT9S025 ,
COUNTYLICENSE NO. 808M EXPIRES 6/30/%1 LOCALITY /1,T`CAfj-1 A , '
NEAREST Baldwin
PERMIT FEES CROSS ST. T
NUTER TYPE OF FIXTURE ON ITEM FEE OWNER U .E. Ronstad
MAIL
NUT
WATER CLOSET (TOILET) Q 0.50 S 1150 ADDRESS
1 I BATHTUB 01 0.50I)50
L CITY TEL. NO.
I SHOWER Q 0.501 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
1 LAVATORY (WASH BASIN) rt 0.501APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK q 0.50O STATE LAWS REGULATING PLUMBING.
I_ CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
1 I GAS SYSTEM-LI—OUTLETS Q 0.50O
L SIGNATURE OF
1 WATER HEATER Q O.SO JO PERMITTEE
�_IzscnP�rrw Bendix 6) 0.5011 50 INSPECTION RECORD -
FLOOR SINK Q 0.501
FLOOR DRAIN Q 0.501
_ ISH WASHER Q 0.501 �w "- / �� //1-,?Q
DRINKING FOUNTAIN (6 0.501_ �/1��1✓ ���"' .tGil
IURINAL Q 0.501 _I
p
HOUSESEWER Q O.SOI �Z � 11 fee Z
MISCELLANEOUS ( jJ fV2 T (-I I, l it - 0
rfc'. +J'lT 0
LI C1?2'i APPROVAL3•s 8T)�1—
DATEI ('INSPECTOR'S NAME..
ROUGH PLUMBING /
V4:V'1
GAS PIPING R.T
GAS VENT
CESSPOOL Q I.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
I DRAIN ( ) PIT ( Q 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED L�• �,..E'i /' r MFc -!//�!
TOTAL FEE $
00 FINAL
717M
76AS67 n 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN GROUP_PONE PERMIITTNO.
PLUMBER `! / - RECEIVED BY READY FOR 9
FIRST 1 jESCT10N DATE ISSUED
ADDRESS
BUILDING
CITY ! TEL. N04 ADDRESS .Q
COUNTY LOCALITY-a" LCL/% v C11,�-•.,
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER a--
MAIL
WATER CLOSET (TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRYTUB ORTRAY @ 0.50ANGELES 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 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.501
DISHWASHER @ 0.50
DRINKING FOUNTAIN < O.SO _
URINAL @ 0.50 _I J
HOUSESEWER @ 0.50 Q
Z
MISCELLANEOUS
JO
I I
APPROVALS
DATE INSPECTOR'* NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 I. U CESSPOOL _
SEPTIC TANK: I_I SEPTIC TANK 3_l*
DRAIN ( 1 PIT ( ) @ 1.00 SEWER
PERMIT 1,00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE
FINAL
LI���p FOR
PLUMBING
ip II pppL� SII(+ L�I�L�p(�
,. WORKERS'COMPENSATION DECLARATION APPLICATION 11�OR I�LL4111tlBBI YG PERMIT
bhereby affirm that I have a certificate of consent to self J6A667A rs
insure, or a certificate of Workers' Compensation surance, CE 817(REV. )0/81)
ar a certi��f[[//.ggd opy thereof (Sac. 3800 It. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy Nof /2�any—f/—�' L
Certified copy-is hereby furnished.
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ��
d4 Certified copy is filed with the county building inspec- ADDRESS J^ (/
�sW tion deport m 1. NUMBER FIXTURE OR ITEM @ FEE LOCALITY �- /
Daley _?� Applicant WATER CLOSET . NEAREST ka
CERTIFICATE OF EXEMPTION FROM WORKERS'
BATH TUB CROSS ST. )
COMPENSATION INSURANCE SHOWER OWNERrs
(This section need not be completed if the work involved by
the permit is for one hundred dollars ($100)or less.) LAVATORY MAIL /j��.
ADDRESS�-/6 C /
I certify that in the performance of the work for which this
permit is issued, 1 shall not employ any person is any manner SINK CITTEL.NO. S
so as to become subject to the Workers Compensation Laws. DISHWASHER .-
CONTRACTOR � r
Date - Applicant CLOTHES WASHER
NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS
SWIMMING POOL RECEPTOR r ^/�
Exemption, you should become subject to the Workers' CITY TEL. NO
Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit shall be STATE / LIC.
deemed revoked. WATER HEATER y�LICENSE NO.0 4 CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS --�
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER 1
.and Professions Code,and my l/iUr�/�nse is in full force and effect. 5 PER SYSTEM FINAL VALIDATION O
License NumberjS/J�LJ Lic. Class— ✓0 P / DATE �Q V
K
n`'' /( FIN O
'Contract cY{Ono( .�'}- �r'Y ate � - B W
Ell am exempt under Sec. d
to
B.BP.C. for this reason D 2
Plan check fee
Date: PLUMBING PERMIT ISSUING FEE S
Signature
TOTAL FEE
Plan check applicant
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor's License Address
Law for the following reason (Section 7031 c'
Business and
Professions Code): City Tel. No. __ 06 9. it A
❑ 1, as owner of the property, will do the work and the :.'o . . . 5
structure is not intended or offered for sale (Section
7044, Business and Professions Code). Dt a o `v 6,4 0
CONSTRUCTION LENDING AGENCY O Y
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued C a 2 z _ F 4
(Sec. 3097, Civ. C.).
Lender's Name—
Lender's
ame Lender's Address
1 certify that I have read this application and state that the D
above information is correct. I agree to comply with all County -
ordinances and Stale laws regulating Plumbing, and hereby
authorize representatives of this County to enter upon the
aIn -mens' ne property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
7
Signature of flermittee �Date
—IFV
DECL
WORKERS;COMPENSATION.te'of consent
" APPLICATION. FOR PLUMBING PERMIT
I suTION
re
ereb ci'cer rm that have a s'Compensation
o icote'o do ns su to self n 20-0026 6A PW 4/87 n
sure;o overt if icate of Workers'Lom pensotion,lnsura nce;ora .y CE 817(REV. 8/86)cop
-
ce ifie8 eo y,L r^g a
(Se3800, Lob t -
4o.
6 er COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
alicy Company. -
O Certified copy is hereby'furnis`hed. -
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
Certified copy is filed with the cou niy'buildinq ins tiod ADDRESS
If'�-'department.-. ' NUMBER FIXTURE OR ITEM Cd" FEE, -
LOCALITY /A .
/�); WATER CLOSET (TOILET) l -
Date�q-7.- 9/Applicant✓� NEAREST If
.CERTIFICATE OF.EXEMP`rlm ROM W RKER BATH TUB CROSS ST.
COMPENSATION INSURANCE-,, OWNERt b S
SHOWER
(This section need not be completed,if'the work'involved kj MAIL
i
the permit is for.ono hundred dollars ($100) or less.) LAVATORY - ADDRESS,
Lcertify that in the performance of the work'for which this per-
mit is issued, I shall not employ any person in any.manner so SINK' TEL'
_ CITE'
. . os-to become subject to the Workers Compensation Laws.` `DISHWASHER CONTRALTO
.: Date Applicant CLOTHES WASHER ^ ADDRESS /
'} NOTICE TO APPLICANT;if, after making'this Certificate'of Ex- I
ern lion,you should become sub ect to th"e Workers`Com en- SWIMMING POOL RECEPTOR
P Y P CITY06A // TEL NO.
lotion provisions atone.Labor C permit sh must forthwith comp- LAWN SPRINKLER SYSTEM ! C—
Iy with such provisions or th is'perm it shall be deemed revok- STATE —['/-
ed. •'" � � WATER BEATER LICENSE NO. �((�/�� CLASS
LICENSED CONTRACTORS DECLARATION' , - DISTRICT NO. PROCESSED BY
I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM;- OUTLETS
9�(commenr ing with Section 7000)of.D v Sion 3 of the Business OUTLETS OVER a _
grid Profe4exempt
, grid�Iiens is infull forcerand ef_ 'S PER SYSTEMFINALVALIDATIONfDATE dLicense Nc_ Class c � }-}t 4/J�J U
Contract Dote '
BY AV ei J/�' _ O
I H
I dmder. Wa
B.BP.C. for this reason _ 4 Plan Check fee
-Date' , - PLUMBING'PERMIT'ISSUING FEE$ ' !ll'7
.' Signature r - - -
. . - FEE .
r-' SINGLE FAMILY ` s• Plan check applicant
HOME OWNER-BUILDER-DECLARATION
I hereby affirm,thoLl omexempt from the Contractor's License Name
Lowforthe following reason (Section 7031.5, Business and s
4 t"i.g
Professions Code):. Address
I, as owner of the property, will do the work'.and the City - -. Tel. No. -
,.structure isnot intendedor offered,for sale(Section 7044,
Busine's's and Professions Code). - -
,.
E CONSTRUCTION LENDING AGENCY - D• tl� -1 1
�
hereby affirm that there is a construction lending agency for - • - - DC'''
the performance of the•work for which this permit is issued - `t^ Eli �!
CHI
..per;,
' (Sec 3097, Civ. C,),
- '
Lender's Name
Lender`s Address
I-certify that I have read this application and state that the ^ -. Y 1 �Ui1.tr
above information is correct. I agree to comply with all County
nd.Stote
ordinances olows regu ing Plumbing, and hereby
authorize repr ' es.of thi ounty toenter upon the- _ .t
Bove-mentio d prose for in action purposes. /
` I ! SEE REVERSE FOR EXPLANATORY LANGUAGE
ig tura of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0204150016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE: (626) 285-0488 EXT:
_ LEGAL D: S G ADDRESS:
TR: 16712 -' LT: 9 - -"-`- -"_ _. - . ---`9855 ESTREL LA SAV
_FEE DESCRIPTION: _ _QUANTI_TY: UOM: _ _ AMOUNT:_ _ TEMP CA 917801417
ASSESSOR INFORMATIONNUMBER: - - - NEAREST CROSS STREET: LONGDEN__
5383-023-009 01 PERMIT-ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: EXP IR N:
47 WATER HEATER(S) 1.00 WTH 16.20 04/15/02 JK 10/12/02
49 WATER TREATING EQUIP 1.00 SYS 16.20
OWNER: TEL. NO: 64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 FINAL DATE FINAL BY: CODE:
YIN HOU C;JU Y _ (626) 300-8733- _ TOTAL FEES 108.75 //�
9855 ESTRELLA AV fo �n�d ?�
TEMP 917801417 DES�CR p'TTON R
PLUMBING FO AD ITION
APPLICANT: L. .
TSENG'S CONSTRUCTION -
SPECIAL CONDITIONS:
CONTRA TOR: TEL. N0: OS PNGE LE S C' APPROVALS DATE INSPECTOR SIGNATURE
TSENG'S CONSTRUCTION (626) 378-8570- )-
12029 SAN RIO ST LIC. NO UNDER SLAB WORK
EL MONTE CA91732 458578 B
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: L. NO:
ROUGH PLUM ING _
LIC. N0: 1111111 --
� P G
GAS VENT
uIPUBO C WOKS
HOT WATER
PLUMBING X S
LAWN.SPRI KL R
GAS TEST
UTILITY C014PANYNOTIFIED
- - - ' - - 46/ - ❑ --
v.1° cuv
7O Service Thai
-`- GRAY WATER SYSTEM
r
REPORT ID: DPR263 ROUTE TO: BS0508