HomeMy Public PortalAbout9861 ESTRELLA AVE_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MISCELLANEOUS PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS MP 0505 0601310001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91750
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 16712 LT: 8 SQ. FT STORIES TYPE OCCUP GROUP 9861 ESTRELLA AV
STRUCTURE: 1 VN C TEMP CA 917801417
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
5383-023-008 EXIST BLDG USE: THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY
EXIST OCC GRP: USE ZONE:
TENANT: ISSUED ON: PROCESSED BY: EXPIRES ON:
BLDGS. NOW ON LOT: VALUATION: 01/31/06 JK 07/30/06
1,000
OWNER: TEL. NO: FINF.L DATE PI_NAL BY CODE:
CAMP RONALD J;KATHLEEN G (626) 286-1595- LIST ITEMS:
9861 ESTRELLA91780141 AV
TEMP 917801417 DESCRIPTION OF WORK
TO FINALIZED BL 0110030064, HL 025130064, ME 0205130012
OCCUP LOAD EXIST: PL 206050009
APPLICANT: TEL. NO: OCCUP LOAD NEW:
RON SEVERA (626) 796-2256-
3848 E. COLORADO BL PARKING SPACES REQUIRED: SPECIAL CONDITIONS:
PASADENA, CA 91107 PARKING SPACES PROVIDED:
EXIT HARDWARE:
CONTRACTOR: TEL. NO: LIMITED TIME USE
ROSEMEAD CONSTRUCTION (626) 796-2256- NBR OF EXITS: FROM TO
3845 E. COLORADO BLVD. LIC. NO
PASADENA, CA 91107 221544/B • FEES PAID
APPROVALS DATE INSPECTOR SIGNATURE
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:
ARCHITECT OR ENGINEER: TEL. NO: TRAILER USE
MOTT, THOMAS 1626) 403-0844- OA PERMIT ISSUANCE 27.75
1508 MISSION ST LIC. NO: 01 R/M OCC/USE INSPECT 145.95 SAFETY PERMIT
SO. PASADENA NONE TOTAL FEES 173.70 -
TEMP. STRUCT. APPROVED
MAP NO: SEWER MAP HOOK: PAGE: FIRE ZONE: CMP: TEM'. STRUCT. REMOVED
N0. OP FAMILIES: DWELLING UNITS: APT COND: STAT CLASS:
NO
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO
REQUIRED TOTAL SETBACK FROM EXIST
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL-
SIDE PL-
ADDITIONAL DATA ON FIL£
REPORT ID: DPR267 ROUTE TO: BSO508
^6A667 (tE-8171 - 5/73 Y'f'' K
APPLICATION IkOR- PL BING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING �, t
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75
5 .
MAIL
BATH TUB 7,75 ADDRESS
SHOWER 1.75CITY TEL. NO.
[� CONTRACTO t
LAVATORY 1.75 7
SINK 1.75 ADDRESS ` 'e-
DISHWASHER 1.75 'CITY a (� ( STEL. NO.
CLOTHES WASHER 1.75 1 STATE ASS-
LIC.
L
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLC
DISTRICT�IO. "Gg01J? ZONE ROC SSED Y
LAWN SPRINKLER SYSTEM 1.75 � O [/ I
WATER HEATER 1.75 s' INDUSTRIAL —I� Y
WASTE APPROVAL
GASSYSTEM OUTLETS 1.75 - INSPECTION RECORD CD
OUTLETS OVER
5 PER SYSTEM '30 O
H
U
W
CL
[n
_ Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE C
APPROVALS - DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB'WORK �T
Name ROUGH PLUMBING 17. •+_ cl.� 7
Address GAS PIPING �' T
City Tel. No. GAS VENT
HOT WATER'HEATER
HEREBY THAT
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION y
AND STATE THAT THE ABOVE IS CORRECT AND AGREE E COMPLY PLUMBING FIXTURES �• ��' W. *4 A-,J
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED 'BT LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OA AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED R SIDE TIAL P QeER TT FINAL
SIGNATURE l,{' A/
OP PERMITTEE L✓L
- ., _._. PERMIT VALIDATION CCK O. CASH
PLAN CHECK VALIDATION CK. M.D. CASH
5z n� FEB 3 5 U '.2'5 enc
\\
TeABBf 1> a-eo to APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR
�cAPPLICANT TO FILL IN DISTRICSNO. GROUP—ZONE PERMITNO.
PLUMBER✓ Y"Y Lt! IV yED
RECEIVED BY READY FOR GATE ISSUED
mm�00 � FIRST�ECTION 3
ADDRESS / jADDRESS �/ t..���� J 1
BUILDING
CITY�� �'A.� TEL NO1///:TEL. NO1///:� ADDRESS .(X
COUNTY - O � • Q
r
LOCALITY, lig- . n Y ait
LICENSE NO. EXPIRES
NEAREST ✓
PERMIT FEES CROSS ST. �
OWNERiQ/^L>YOr�/Q
NUMBER TYPE OF FIXTURE OR ITEM FEE
MAIL
I WATER CLOSET (TOILET) Ca O.SOLS I ADDRESS
BATH TUB 1 0.50 CITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) (0) 0.501 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.
I CERTIFY THAT 1 POSE 4' THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O.SOI ANGELES COUNTY LICENSq. i AM THE LEGAL OWNER
OF THE RESIDENTIAL PROP R DESCRIBED ABOVE.
GAS SYSTEM OUTLETS O O.SO SIGNATURE OF •t Y /�/J
WATER HEATER Q 0.501 PERMITTEE W^ 7�� �
SLOP SINK 0 0.50 INSPECTION RECORD
FLOOR SINK Q 0.501
FLOOR DRAIN @ 0.501
DISHWASHER cu 0.501
DRINKING FOUNTAIN
URINAL
HOUSESEWER @ 0.501 O Q
MISCELLANEOUS
0
(� B:
O
I
Y
I
APPROVALS
DATE INSPECTOR'$ NAME
-� ROUGH PLUMBING
1 I� GAS PIPING
GAS VENT
CESSPOOL v @ 1.001 4 CESSPOOL
1 SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.001 SEWER
PERMIT . 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE 5
161 FINAL 3 BIZ^J
BAG" n $•$O APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY e
COUNTY OF LOS ANGELES U
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMITNO.
PLUMBER Belvedere Plumb>_na Co. ftECE1YED BY READY
FOR
OCTION DATE ISSUED
FIRST ADDRESS 136 S. Palm Ave, s-v
f�
n BUILDING 2455 Estrella
CITY Alhambra TEL. NO. ATg902q ADDRESS
COUNTYLOCALITY
!+ !� Arcadia
LICENSE NO. AnATll EXPIRES r✓j 1'31 1 /rit
NEAREST
PERMIT FEES CROSS ST. Baldwin Ave.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER J.E. Ronstad
MAIL
NF
WATER CLOSET (TOILET) Q 0.50 .1[EI Sn ADDRESS
BATHTUB a 0.50 Sn CITY TEL. NO.
SHOWER Q 0.50 .1 4(1 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
1' LAVATORY (WASH BASIN) (@ 0.50 .15(� APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK 0.50 sn I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
.-.1 LAUNDRYTUBORTRAV n 0.50 .1_ ANGELES COUNTY LICENSE. OR i AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS Q 0.50 ._ (�
SIGNATURE OF
' WATER HEATER Q 0.5011 1 tmPERMITTE /
1' .1:SY6P:B1NK $?ndix 6 O.So 5_o INSPECTION RECORD
FLOOR SINK Q 0.501
I FLOOR DRAIN Ca 0.501
DISHWASHER GU 0.501l
DRINKING FOUNTAIN (a 0.501FNA N //-1 t? M a/1'
URINAL Q 0.50 I J
HOUSE SEW ER Q 0.50 f 1 Q
MISCELLANEOUS I K
o
I - SK-q'I I C(-P) d SEWFP_- t7pL
WFlr-A( PMT Qcrin
.1� Z -R=7P /ht(, P/^//4; PI-R6 O?l F XC
M0 !A/R-7 FJCR HrJe Jn/ VI.- T-.
2q, APPROVALS
DATE INSPapEl/CTTOR'$ NAME
ROUGH PLUMBING
GAS PIPING /
GAS VENT
CESSPOOL (a I.Do CESSPOOL
SEPTIC TANK: �� SEPTIC TANK
1
DRAIN ( ) PIT ( 1 Q 1.001 SEWER
PERMIT . 1,00 GAS TEST ` //'9 r l�,�F (—/,2-t
UTILITY CO. NOTIFIED w✓tt'f/S'_�-' �l2 /�✓ '7 !l�
TOTAL FEE $ 5 50 FINAL
710 M
WORKERS'COMPENSATION DECLARATION _ APPLICATION FOR PLUMBING PERMIT
I hereby affirm that I have a certificate.of consent to self 20-0026 DPW 6187
insure, or a certificate of Workers' Compensation Insurance, 76A667A
-or'b certified copy thereof (Sec. 3800, Lab. C.) - COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
Policy No. Company
❑ Certified copy is hereby furnished. BUILDING c /
❑ FOR APPLICANTTO FILL IN(PRINT OR TYPE) ADDRESS LQ' 5 --LL
Certified copy is filed with the county building inspec-
FIXTURE OR ITEM @ FEE
tion department. NUMBER LOCALITY C
WATER CLOSET
Date Applicant NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' BATHTUB V CROSS Si.
COMPENSATION INSURANCE }V
(This section need not be completed if the work Involved by SHOWER V
the permit is for one hundred dollars ($100)or less.) LAVATORY MAIL
ADDRESS ((rp G
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO.
so as to became subject to the Workers'Compensation ows. DISHWASHER
:�'11 ONTRACTOR �^
Date " a�Y D Applicant CLOTHES WASHER ADDRESS 11
NOTICE TO APPLICANT: If, after making This a tificcite of £' �n/'rte �✓
Exemption, you should become subject to Workers' SWIMMING POOL RECEPTOR I
Compensation provisions of the Labor Code, you most forth- LAWN SPRINKLER SYSTEM CITY@Gr 1'H TEL NO.
with comply with such provisions or this permit shall be STATELIC. t
deemed revoked. WATER HEATER LICENSE NO. 5-9/5 ACLASS D
LICENSED CONTRACTORS DECLARATION DISTRICT NO, PROCSSED BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS �I
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER ^ },
and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL. A !,1 ALIDATION
("Cil / DATE !V F
License Number 7 U D Lic Class V,
R \-1Lts2 BY AL
Contractor �n•JLJL1 i1 ';I J Date
❑ O
am exempt under Sec.
W'
B.BP.C. for this reason ILI
Plan check fee > m
Dat Z'
PLUMBING PERMIT ISSUING FEE$ '
Signature a
TOTAL FEE 0 O
Plan check applicant
SINGLE FAMILY 5
HOME OWNER-BUILDER DECLARATION Name `t
I hereby affirm that I am exempt from the Contractor's License
Address
AL'C'T'T
Law for the following reason (Section 7031.5, Business and
Professions Code): City Tel. No. 3307 58.011
❑ I, as owner of the property, will do the work and the 1 ITEMS
structure is not intended or offered for sale (Section _
7044, Business and Professions Code). TOTAL 58 a 00
CONSTRUCTION LENDING AGENCY CHECK 58.OLD
I hereby affirm that there is a construction lending agency for
she performance of the work for which this permit is,issued CHANGE .00
(Sec. 3097, Civ, C.).
Lender's Name I]Q00-1]1]01 3/30/90
Lender's Address
I certify that I have read this application and state that the ® 4824 1 AM11%40
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 elne 'pro rt for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE .t
3,30-21)
Signal a of Permy/E Date
• L`COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0206050009
BUILDING'AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL FEES PAID BUILDING ADDRESS:
TR-: 16712 LT: 8 9861 ESTRELLA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801417
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
5383-023-008 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENHN 1I: 11 GLOTHESWASHER(S) 1.00 FIX 16.20 ISSUEU ON: PROCESSED BY: LAN BY: EXPIRES ON:
21 HOSE SIBB(S) 2.00 FIX 32.40 06/05/02 JK 12/02/02
25 LAVATORIES/SINKS 4.00 FIX 64.80
OWNER: I'EL. N0: 2'! PRESS REG DEVICE(S) 1.00 DEV 16.20 FINAL DplE FINAL BY: CODE:
CAMP RONALD J;KATHLEEN G (626) 286-1595- 45 WATER CLOSET/URINAL 2.00 FIX 32.40
9861 ESTRELLA AV 47 WATER HEATER(S) 1.00 WTH 16.20
TEMP 917801417 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 DESCRIPTION 0 WORK
63 WATER PIPING BR/FIX 4.00 FIX 27.00 PLUMBING FOR ADDITION/REMODEL
64 WATER P1PNG r_ 1 1/2 1.00 LIN 16.20
APPLICANT: TEL. NO: TOTAL FEES 281.55
RON SEVERA (626) 573-4110-
1818 SAN GABRIEL BLV SPECIAL CONDITIONS:
SAN GABRIEL 91776
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR 5[ NATURE
ROSEMEAD CONSTRUCTION (626) 573-4110-
1818 S. SAN GABRIEL BLVD. LIC. NO � � UNDER SL
n3 AB WORK
SAN GABRIEL, CA 91776 221544/8 * - G 6
WATER SERVICE
PLASTIC Y/N MET "Y N
ARCHITECT OR ENGINEER: L. NO: / � I1-,�-
NOTT, THOMAS (626) 403-0844- / •i _ I , ROUGH PLUMBING
1508 MISSION ST L[C. N0: ' (moi - -- - �(
S0. PASADENA NONE ( i GA—SP IP
S VENT
HOT WATER HEATER
PLUMBING F R S
\ AWN SPRINKLERS �},
`\\ • •/ GAS TEST
UTILITY COMPANY NOTIFIEDi
cwV
GRAY TER SYSTEM
' ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: SS0508