HomeMy Public PortalAbout9506 FLAHERTY ST_Plumbing__ 1 76A667 Das 17 11 50 APPLICATION FOR PERMIT
s DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
DISTRICT N13 GROUP I ZONE PERMIT NEI
FOR APPLICANT TO FILL IN C_ 01.37 ,./I
PLUMBER (. I OM I INC. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION 7o v^
ADDRESS ALHAIVBRA CALIFORNIA
BUILDING
CITY TEL No ADDRESS 95.06 FLAHERTY ST.
COUNTY LOCALITY
LICENSE NO illG EXPIRES
PERMIT FEES M CROSO BT Tj�aft.a Pit" o4q p
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
M
MAIL A�.
WATER CLOSET(TOILET) 056 111 ADDRESS wile rap t 4ott a {E%,-
BATH TUB @ O 50 CITY TEL. No
SHOWER @ O 50 1 HEREBY AC NOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ O 50 AND STATE LAWS REGULATING PLUMBING
1 I CERTIFY THAT 1 IPOSEWSS THE A OVE VALID LOS
LAUNDRY TUB OR TRAY (dI 050 ANGEL COU TY L NS R I E LEG�e4
QA9 SYSTEM OUTLETS O 50 OF T TI PR LA
El St OF
WATER HEATER 050 PERMITTEE-.---
SLOP
ERMITTE SLOP SINK @ O 50 SPECTION RECORD
FLOOR SINK @ 0513
FLOOR DRAIN @ 050
DISHWASHER _ Q 050
DRINKING FOUNTAIN Q O SO
URINAL 050 J
HOUSE HEWER O BO l ikAm 'F(IV HA 4 Lb r,mc- Z
MISCELLANEOUS C1
O
x.
APPROVALS
DATE INSPECTOR S,NAME
ROUGH PLUMBING �I ry
GAS PIPING h /�py�
~ GAS VENT , !1�''< (`r'l41 f11F►
CESSPOOL @ 1 (313 CESSPOOL Y
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 OO HEWER
* 3�b PERMIT 1 DD GAS TEST F!ffA L 10 -10
+i UTILITY CO NOTIFIED I) SIA' ✓
TOTAL FEE
FINAL
i
76A667 CES17 6 60
APPLICATION FO PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS �5/ 0 Fla, b "t�
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY I& Cl �
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM OWNESI/f .5 L
WATER CLOSET MAIL
ADDRESS s� 10—/.
BATH TUB
SHOWER CITY c u'I C J TEL NO �, F
LAVATORY CONTRACTOR
SING ADDRESS ��� `? /I O /�/✓-G /
DISHWASHER CITY e r/✓ TEL NO �%e?
CONTRACTOR SSTATE,... STATE
LAUNDRY TUB REGISTRATION NO ( ,3 '. COUNTY
CLOTHES WASHER F
NO GROUP ZONE P CESSED BY
WATER HEATERC�GAS SYSTEM ROVAL
INSPECTION RECORD
ca
0
U
iq
0
F
U
rn
ITEM
OR F TDOPER UHE $ I C7
APPROVALS DATE INSPECTOR S SIGNATURE
HPERMIT $ 2 FNDER SLAB WORK
TOTAL FEE GH PLUMBING
PIPING V
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLIC
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COVENTWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULWATER HEATERPLUMBING1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AMBING FIXTURES d �!MAA LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEST II�VI �!A VIII/I�AGCALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE DESCRIBED RESIDENTIAL PROPERT/Y, LITY CO NOTIFIESIGNATURE T /, AejOF PERMITTEE AAA y� �1� AL /f 1J a la� t �i � Vi
Of VALIDATION ROBERT AI WOOD-
C[ n 0 CAM SUPERVISING MECHANICAL F-NG R
'()8 7 5 0 4 JUN 5 D 800 �
WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
I he,Leby, affirm that I have a certificate of consent to self in- 20-0026 DPW 4/90
sure,or a certificate of Workers'Compensation Insurance,ora 76A667A
certifiedcop hereof . 3800, La .)
"fl
/l.Vl COUNTY OF.LOS ANGELES DEPT. OF PUBLIC WORKS
Policy N ompany
Certified copy is hereby furnished.
FOR APPLICANT TO_FILL IN(PRINT OR TYPE) BUILDING n
Certified copy is filed with the county bitilding inspection FIXTURE OR ITEM ADDRESS
department. NUMBER @ FEE
LOCALITY
Date — Appl icon l' WATER CLOSET(TOILET) NEAREST
CERTIFICATE OF EXEMPTION FROM WO ERS'_
BATH TUB CROSS ST.
COMPENSATION INSURANCE SHOWER OWNER
(This section need not be completed if the work involved by MAIL
the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS (�(
I certify that in the performance of the work for which this per- SINK CITY TEL. N
mit is issued, I shall not employ any person in any manner so —
as to become subject to the Workers'Compensation Laws. '. DISHWASHER
CONTRACTOR
Date Applicant CLOTHES WASHER ADDRESS -
NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR
441,31 IJ
emption,you should become subject to the Worker's'•Compen- CITY TEL. NO �/
sation provisions of the Labor`:ode, you must forthwith comp-
LAWN SPRINKLER.SYSTEMS
57
ly with such provisions or this permit shall be deemed revok- STATE LIC.
ed. WATER HEATER LICENSE NO. (J CLASS
LICENSED CONTRACTORS DECLARATION 1 DISTRICT NO. PROCESSED BY
I hereby affirm that I am licensed under provisions of Chapter { GAS SYSTEM i OUTLETS
9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER
and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL JJ VALIDATION
fect. /1 HOSE BIB DATE — — y
License N ber V Lic. Clas YI�3
FINAL a.
JJL� as 44.108
Contracto Date BY JJL�
El I am exempt under Sec. A
B.BP.C. for this reasonLU
Plan check fee POO.
Date: PLUMBING PERMIT ISSUING FEE$
Signature TOTAL m 1o3
TOTAL FEE d ,
SINGLE FAMILY Plan check a licant 1��1E 44not�Y_4
HOME OWNER-BUILDER DECLARATION PP
I hereby affirm that I am exempt from the Contractor's License Name
Law.for the following reason (Section 7031.5, Business and
Professions Code): Address
ElI, as owner of the property, will do the work and the City Tel. No.
structure is not intended or offered for sale(Section 7044,
Business and Professions Code). poll.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, Civ. C.).
Lender's Name
Lender's Address
I certify that I have read this application and state that the ,
above information is correct. I agree to comply with all County
ordinances State laws regulating Plumbing, and hereby
authorize r resent.tives of this County to enter upon the
bove menti ned pp rt for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature ''o a mtee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0107090003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 17179 LT: 12 9506 FLAHERTY ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801643
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PRIMROSE
5385-008-012 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
13 DISHWASHER(S) 1.00 FIX 16.20 07/09/01 UT 01/05/02
21 HOSE BIBB(S) 2.00 FIX 32.40
OWNER: TEL. NO: 25 LAVATORIES/SINKS 2.00 FIX 32.40 FINAL DATE FINAL BY: CODE:
DELLAQUILA CAROL J (626) 287-5501- 45 WATER CLOSET/URINAL 1.00 FIX 16.20
9506 FLAHERTY ST 47 WATER HEATER(S),' 1.00 WTH 16.20 C92
TEMP 917801643 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 DESCRIPTION OF WORK
TOTAL FEES 189.75 410 ADDITION (FAMILYRM, 3/4 BATHRM, & LAUNDRY) KITCHEN REMOD
APPLICANT: TEL. NO:
OILEARY -
5823 AGNES SPECIAL CONDITIONS:
TEMPLE CITY
CONTRACTOR: TEL. NO: APPROVALS DATE INSP TOR SIGNATURE
TOM OILEARY CONSTRUCTION (626) 287-0927-
5823 AGNES AVENUE LIC. NO s`r UNDER Std WORK Q
TEMPLE CITY, CA 91780 489354 B
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
- ' ROUGH PLUMBING
LIC. N0:
GAS PIPING
2(0
GAS VENT
HOT WATER HEATER L
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: SS0508