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HomeMy Public PortalAbout10308 FREER ST_Plumbing__ '76A667A CE 817(REV.1 1/78) !� APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS 10308 Frppr St. Tempie City WATER CLOSET LOCALITY NEAREST BATH TUB CROSS ST SHOWER OWNER Dale Pittman MAIL LAVATORY ADDRESS 10308 Freer St. SINK CITY Temp I e C i ty TEL NO 3505028 DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS 167 W. Orangethrope SWIMMING POOL RECEPTOR CITY Placentia TEL N09 961 521 LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO 343771 CLASS C-20 1 GAS SYSTEM i n e OUTLETS 3 , 00 APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING D' GAS PIPING 0 GAS VENT ps HOT WATER HEATER PLUMBING FIXTURES GAS TEST CS' 4A Plan check fee UTILITYCO NOTIFIED Z PLUMBING PERMIT ISSUING FEE$ 7 0 0 TOTAL FEE 1 0 00., FINAL Com' Plan check applicant PLAN CHECK VALIDATION c 2959.2A Name I Q'00005 Address City Tel No ,2 Q ° 1' 0,0 0 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Cj THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ' n AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION 8 2'�11 8 v I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY C , SIGNATURE OF PERMITTEE 71NDUSTRIAL PRO SED BY VAL 7BA867 f7 °"SO APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRIC,T,NO. GROUP I ZONE PERMIT NO. PLUMBER56' e lip/aIr RECEIVED BY READY FOR DATEISSUED � , - /yl� /�, FIRST INSPECTION ADDRESS 60 /Y AW_\ 1 d CITY // �'(C'�I �J D• t ESS BUILDING ADD ��JO O �L�R-� 77 TEL. • / COUNTY -LICENSE NO. �•�/� EXPIRES �, LOCALITY P�A/2 ` •�y NEAREST PERMIT FEES CROSS ST. / t �•r'f•Go hJ T'��/dri NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER yt) MAIL /V Y� J WATER CLOSET (TOILET) C 0.50 $ '7 ADDRESSO3 W. A31W d BATH TUB @ 0.50 CITY GSc c1 e^ Co-, TEL. NO:J`` y-. '�«'� SHOWER « 0.501 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) a 0.50 I `+ v APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATI UMBING. KITCHEN SINK t+ 0.50 'r I CERTIFY THAT 1 SSESS THE ABOVE VALID LOS LAUNDRY TU R TRAY C� 0.50 I �� ANGELES COUNTY LI OR 1 AM THE LEGAL OWNER OF THE RESIDE TY DESCRIBED ABOVE. f I GAS SYSTEM OUTLETS @ 0.50 I SIGNATURE OFA WATER HEATER a 0.501 y PERMIT; SLOP SINK 0.501 INSPECTION RECORD FLOORSINK a 0.501 l( ,4-f ,�`T C, 6 T�� TO. ��� FLOOR DRAIN (c� 0.501 "/ DISHWASHER @ 0.50I DRINKING FOUNTAIN © O.50 URINAL a 0.501 I t/ efd-,e-2-HOUSE SEWER a 0 Q.50 I� Z 1_MISCELLANEOUS I I 0 I� O APPROVALS DATE INSPECTOR'S NAME I ROUGH PLUMBING I� GAS PIPING - GAS VENT CESSPOOL cr 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK I DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.00 GAS TEST I ` UTILITY CO. NOTIFIED TOTAL FEE $ ��� I ' �✓ -. FINAL "WORKERS'COMPENSATION DECLARATION APPLICATION, FOR PLUMBING PERMIT - °:I hereby, affirm that i have a certificate of.,consent to self.ih,- 20-0026bPW 4/87. ' 5ure;ora certificate of Workers'Compensation Insurance,or a .CE 817(REV 8/86) certified copy thereof (Sec 3800, Lab C ) + - W(,oC6g)gT ol-,D . , 6,,;. COUNTY OF LOS'ANGELES DEPT. OF PUBL•IC'WORKS P-ohcy No ompany Certified copy Is herebyfurnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Certified copy is filed with the county•bullding inspection ADDRESS 1— ❑ " (� FEEdepartment NUMBER FIXTURE OR-ITEM LOCALITY ZNwU �; PP \ � WATER.CLOSET(TOILET) � :a Date A Ilcant J p� x NEAREST CERTIF.ICATE.OF�EXEMPTION FROM WORKERS' BATH TUB, - �� CROSS ST �' �• . COMPENSATION INSURANCE OWNER p? Iww [1i�� z SHOWER , l v► \ w (This section need,not lie completed'if�the.work',inJolved,by• •• MAIL the permit is for one hundred dollars ($100)or less.) -LAVATORY ADDRESS ,���$ ,_ r r • ` I certify`that in the performan'c` e of' the'work for wh1ck this per- SINK •mit is Issued, I shall not employ any person In any manner so CITY G -� TEL'NO 35� Joip ;' ' as-to become'sublect to•the-Workers'Compensation Caws DISHWASHER ^{/ CONTRACTOR Y �S ? Date2 ®'J � Applicant CLOTHES WASHER Q -. t , . Icy �1 ADDRESS Ll � '�WL"'©'Iv NOTICE TO APPLICANT -If,, making this-Cerificate of'Ex- SWIMMING POOL RECEPTOR ' empti'on, you should become subject to the WorkeEs'Compen- '-CITY' Tt C; TEL NO =� 'sation provisions'of-the•.Lobor-Code, you must forthwith comp- �-., LAWN,SPRINKLER SYSTEM - - - - _ - `ly.with;such provisions or thls•permit sholl,be deemed,revok- STATE ,i LIC ed` WATER.HEATER' LICENSE NO 4A G 4 ; CLASS t ' LICENSED,CONTRACTORS DECLARATION: " DISTRI T NO PJZOCESSED BY I hereby affirm that I•am licensed under pro v.Isions of Chapter GAS SYSTEM OUTLETS ^ /j 9'(commencing with'Section 7000)of Division 3 of the Business ,OUTLETS OVER (/ and Professions Code, and my license ism full force and ef- - 5 PER SYSTEM FINAL VA ATION a . fect l( :f 1' DAT i License.Number 1 ' Llc Class �1 0 Co � too0b-1 FIN 0 ntractor �-�.�c��a'h�L�Date - - ,• BY C ❑- I am exempt'under Sec B.&P.C.'for this-'reason- Plan check fee '.02 8 4 2.9 A Date-� `N�U1 PLUMBING',PERMIT ISSUING`FEE $ o o-o o•e, a - # 5 ' Slanatllre TOTAL,FEE - SINGLE FAMILY r ( 'O,° 5&'S 0. HOME+OWNER-BUILDER DECLARATION -Plan check applicant o e o 58;.50 I hereby affirm that I am ct exempt from the Cohtraor's License- Name - . 'Law for.the following reason,(Section 7039•5,' Business and r " Profession's Code) Addre'ss' ex-c. PA VY\Vro ll 1.2'5''-`.'8 7 ❑ -I,-as owner'of the p'-roperty, wIII do-she'work and the Gty. ; �� Tel structure.is not intended or offered foc_sole(Section 7044, r= Business•'and Professions Code).- "-- oil " 'CONSTRUCTION LENDING'AGENCY' I hereby bffirm-thot there Is a construction lending agency'for ' the performance of the•work for which,thi's permit'is Issued'" ''. 1`•:� ' -(Sec 3097, Civ C.). ; '.,•, .'�, ' - : . .. •big'- 5 w - ,n _.. .. ., � . .. Lender's Name y 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 and State laws regulating Plumbing, and hereby " authorize representatives,of this County to enter upon-the, ; ve-mentioned pr pert'for,iris"'ction purposes.` d a. `r 2 NOU� SEE REVERSE FOR EXPLANATORY LANGUAGE ; Signature of Permittee - Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0812100003 / BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: I FEES PAID BUILDING ADDRESS: ITR: 15874 LT: 2 1 10308 FREER ST IFEE DESCRIPTION- QUANTITY: UOM: AMOUNT: ( TEMP CA 917803442 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18585-019-002 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE. 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl 147 WATER HEATER(S) 1.00 WTH 16.20 1 (TENANT: 192 NO PERMIT OWNER-BLDR 257.00 DOL 257.00 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 1 I TOTAL FEES 300.95 112/10/08 SR 06/08/09 1 1 1 1 10WNER: TEL. NO I IFINAL DATE FINAL Y: CODE: 1 IPITTMAN DALE E;MARY L (626) 350-5028- 110308 FREER ST ITEMP 917803442 1 ID SCRI TION OF WORK I IREPLACE WATER HEATER 1 (APPLICANT: TEL. NO: I IP.S. CONSTRUCTION (626) 442-2764- 1 1 1 15415 PERSIMMON AVE. 1 ISPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 1 1 1 I I I I I I I I (CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1 IP S. CONSTRUCTION (626) 442-2764- 1 1 1 15415 PERSIMMON LIC. NO 1 1UNDER SLAB WORK I I 1 ITEMPLE CITY, CA 91780 431044 1 1 '' 1 1 1 1WATER SERVICE 1 1 1 1 1 IPLASTIC YIN METAL YIN 1 1 1 1ARCHITECT OR ENGINEER: TEL. NO: 1 I 1 1 1 1 1 IROUGH PLUMBING I I 1 1 LIC. NO: 1 1 1-1 1 1 I IGAS PIPING I 1 I I I I I I I IGAS VENT I 1 1 I IHOT WATER HEATER 1 I IPLUMBING FIXTURES I,v 1I ILAWN SPRINKLERS I I 1 I I I I I I 1 1 IGAS TEST I I I I I 1 1-1 1 I 1UTILITY COMPANY NOTIFIEDI I I I 1 I I I I 1 ICWV I I I I IGRAY WATER SYSTEM 1 I 1 I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 IREPORT ID: DPR263 ROUTE TO: BS0508 1 1 1 1