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HomeMy Public PortalAbout9534 FLAHERTY ST_Plumbing__ -7HA867 17 S'SO ® 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 PERMIT NO. WINTERBOTTO�'€ BROS.- INC, RECEIVED BY READY FOR DATE ISSUED 07370 —17 PLUMBER E I i all _ AVE. kii�, FIRST INSPECTION 17 l6 4 �/ ADDRESS VALHAMBR4 CALIFORNIA BUILDING CITYrr jj TEL. NO. ADDRESSCOUNTY -�� 34 FLJIHE•RTYK'" � LICENSE NO. 1 i EXPIRES 4110 aS� LOCALITY PERMIT FEES " NEARESTC . NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERMAIL �g�nII612 r� 4 Iy�_ WATER CLOSET (TOILET) Q O.50 $ 1 .+� ADDRESS '61to Liv OAK AVS9 11 1 BATH TUB to 0.501 1so CITY Atka*8AA CAL Igo TEL: NO. SHOWER tQi 0.501 S I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) ct 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 ANGELES COUNTY LICENSE,-,VOR I AM HE LEGA OWNER LAUNDRY TUB OR TRAY C� O.50 r GAS SYSTEM—'P OUTLETS 0 0.501 OF THE RESIDENTIAL�PRO PERTY D ED O ^ O SIGNATURE OF WATER HEATER [Cil 0.501 PERMITTEE SLOP SINK C� 0.50 �� NSPECTION RECORD 1 FLOOR SINK (n7 0.50 FLOOR DRAIN Qi 0.501 DISHWASHER Q 0.501 F-= DRINKING FOUNTAIN a 0.50 4—`�- �' �� I ..��t•1 ��r'1 %A� 1 rpt"1'�r - I URINAL q 0.5011-1 r �f�Jl �/�' •- �t` „J Q HOUSE SEWER © 0.501 Z MISCELLANEOUS I Ur I� 0 1 APPROVALS 1 DAT�•EE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING 1 I GAS VENT 1 CESSPOOL @ 1.001 CESSPOOL SEPTIC TANK: 1 SEPTIC TANK - 1 DRAIN ( ) PIT ( ) a 1.001 1 SEWER y ,/,� PERMIT I 1.00 GAS TEST ! (IV RI— Aq �s1' 1 r l`",ql e TOTAL FEE I I UTILITY CO. NOTIFIED $ .' / cc�V��.� 00 I ! FINAL WORKER'S COMPENSATION certificate DECLARATION 76A66 A 9/69 APPLICATION FOR PLUMBING PERMIT •�� 76A667A I hereby affirm thzlt I have a certificate of consent to self insure, , or a certificate of Workers Compensation Insurance, or a certified copy thereof(Sec. 33800 Lab.C.) ` P cy No. 4�Z'"� Company COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF`PUBLIC WORKS DIV. Certified,copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDINGF] Certified copy is filed with the county building inspection ADDRESS departmentNUMBER FIXTURE OR ITEM ^_J 2 p FEE LOCALITY ) Date —4-1 Applican Iod6\V C WATER CLOSET NEAfu REST CERTIFICATE OF EXEMPTION FRO WORK C BATH TUB ROSS ST. ;_ � f - COMPENSATION INSURANCE ASSESSOR (This section need not be completed,.if thework involved by the SHOWER - 1 MAP BOOK ����'S'� PAGE, /a PARCEL�= permit is for,one hundred dollars($100)or less.), OWNER �L —L I certify that in the performance of the work for which this permit LAVATORY is issued, I shall not employ any person in any manner so as to SINK MAIL _.� f L r5 , ADDRESS become subject to the.Workers' Compensation Laws. f DISWASHER CITY (i` kT - TEL.NO Date Applicant CLOTHES WASHER NOTICE TO APPLICANT If, after making this Certificate of CONTRACTOR. , U(� Exemption,you should become subject to the Workers' Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked. ` LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY fL NO�O�3e/ } 1 hereby affirm that I am licensed under provisions of Chapter'9 WATER HEATER �� — ( i`T- a, (commencing with Section 7000)of Division 3 of the Business and STATE J( f "CICS 1 CL'l�S(8-:•1 '••ea•j5 Professions Code, and my license is in full force and effect. GAS SYSTEM OUTLETS LICENSE NO 4` (� OUTLETS OVER DISTRICT NO c p PRO�HSSED BY = �� /, ,3<S ' 2 5 PER SYSTEM �D y J Q License Number 4{. Lia Class �7 O ��� 0 J 7 FINAL ����(U�rl .• S l� DATE- `I_ —Q VAW[t6TION 11-35 85.65 65 LLI CL Contractor Date l _ ❑ u 1r_ I am exempt under Sec. FINAL t-RttLf• 'i i■L t Z B.&P.C.for this reason CHA V� Date: Plan check fee � 6,0� .pa _ ' • ' SignaturePLUMBING PERMIT ISSUING FEE$ I�lQla_ 001 cj�f,` ❑ TOTAL FEE' +J 'i�. 1 AM 8=03- Plan check applicant SINGLE FAMILY f HOME OWNER-BUILDER DECLARATION Name ' hereby affirm that I am exempt from the Contractor's License Law- for the following reason (Section 7031 5, Business and Professions Address Code): U ❑ City Tel No. � I, as owner of the,property,will do the work and the structure is not intended or offered for sale (Section 7044; Business and Professions Code). , 1 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for'which,th,s 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' - -• Poo.information is correct. I agree to comply with all County ordinances) and State laws regulating Rlumbing, and'hereby 'authorize representatives of this County to enter upon the above-mentioned property for for i�ti urposesurposes. j SEE REVERSE FOR EXPLANATORY LANGUAGE " ature of Permittee Dat COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PL-UMB+I!NG PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL�05U8`0007270003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: + LEGAL ID: FEES PAID BUILDING—ADDRESS: TR: 17179 LT: 7 9534�F'L�AHERT�YST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: T+EMP SCA 917_801643 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5385-008-007 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.20 TENANT:, TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 07/27/00 UT 01/24/01 OWNER: TEL. N0: FINAL DATEpiRIY: CODE: OWNER: LAWRENCE;SANDRA (818) 287-5452 9534 FLAHERTY ST Et TEMP 917801643 DESCRIPTION OF WOR CHANGE OUT OF WATER HEATER APPLICANT: TEL. N0: ALAP ASSOCIATES (818) 407-1247- 7229 VARNA ST SPECIAL CONDITIONS: NO. HOLLYWOOD EA, S c® ALAPCONTRASSOCIATES (818)ACTOR: TEL. N407-1247- � ��/T� APPROVALS DATE INSPECTOR SIGNATURE 7229 VARNA ST LIC. NO UNDER SLAB WORK NORTH HOLLYWOOD CA B/L RHE WATER SERVICE ARCHITECT OR ENGINEER: TEL. N0: PLASTIC Y/N METAL Y/N ROUGH PLUMBING LIC. N0: / L1111111 GAS PIPING n n n/J GAS VENT Ft D U --MC W�I^< I I�( HOT WATER HEATER LJ Ll LJ V�J PLUMBING FIXTURES Elo- O 0 I 1 LAWN SPRINKLERS Q ❑ r GAS TEST El ® ey �� UTILITY COMPANY NOTIFIED S��yEl CWV ���$�o� GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1103070004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: 1 ITR: 17179 LT: 7 9534 FLAHERTY ST I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801643 I ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: PRIMROSE 15385-008-007 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 1.00 FIX 16.30 1 TENANT: I11 CLOTHESWASHER(S) 1.00 FIX 16.30 JISSUED ON: PROCESSED BY: PLAN BY: 1 1 121 HOSE BIBB(S) 2.00 FIX 32.50 103/07/11 SR 1 125 LAVATORIES/SINKS 2.00 FIX 32.50 1 (OWNER: TEL. NO: 145 WATER CLOSET/URINAL 1.00 FIX 16.30 IFIL LATE FIN B- : CODE: 1 1JELINEK, SANDRA (626) 287-5452- 147 WATER HEATER(S) 1.00 WTH 16.30 1 6,�IIJ r 19534 FLAHERTY ST I TOTAL FEES 158.00 1 ITEMP 917801643 1 IDESCRIPTION OF WORK I -i (PLUMBING FOR NEW BATHROOM AND LAUNDRY ROOM• I 1APPLICANT: TEL. N0: ICASAREZ, LARRY (951) 233-0399- 11433 DEERFOOT DRIVEI I IDIAMOND BAR 91765 I iSPECIAL CONDITIONS: I 1 1CONTRACTOR; TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I IJELINEK, LAWRENCE JAMES (626) 287-5452- I 1SANDRA LYNN JELINEX LIC. NO I 1UNDER SLAB WORK 1' 19534 FLAHERTY STREET NONE 1 1TEMPLE CITY, CA 91780-1643 I WATER SERVICE I 1 I 1 IPLASTIC Y/N METAL Y/N 1 1 I (ARCHITECT OR ENGINEER: TEL. NO: I 1KMN STRUCTURAL ENGINEERING (714) 937-9060- 1 TROUGH PLUMBING 1321 N RAMPART ST LIC. NO: (SUITE 145 2668I ORANGE CA 92868 (GAS PIPING 1GAS VENT I 1 IHOT WATER HEATER 1 I 1PLUMBING FIXTURES 1 1 ILAWN SPRINKLERS 1 1 1GAS TEST I 1 1UTILITY COMPANY NOTIFIED( 1 ICWV I I I I I IGRAY TER SYSTEM I 1 I I I 1 1 I I I I REPORT ID: DPR263 ROUTE TO: BSO508 1 I I 1