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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