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HomeMy Public PortalAbout10702 FREER ST_Plumbing__ 4 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY F IWILLIAM J. FOX, County Engineer PLUMBIWk FOR APPLICANT TO FILL IN JDISTRICT NO. GROUP ZONE P 1 n � PLUMBER {!%'�LL E�� ('O1+! ` L�t") �%a IIi1iRf"•rr f`n RECEIVED/EI�[V�EDB_Y READY FOR DATE ISSUED p !� _ --_ __. ti �' _✓- — FIRST INSPECTION ADDRESS 0300 ter.^' _ 71i 1/n _ •1BUILDING CITY R0�-fE .. . ) TEL No. AT 9_7710 ••ADDRESS COUNTY :4LOCALITY LICENSE NO. n�I.l EXPIRES E.2 n. 1 NEAREST PERMIT FEES CROSS ST. -- — NUMBER TYPE OF FIXTURE OR ITEM FEE I OWNER I MAIL WATER CLOSET(TOILET) 0.50 11 JIADDRESS I• BATH TUB 0.50 •ICITY TEL. No. SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) 0.50 •APPLICATION AND STATE THAT THE ABOVE IS CORRECT :AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING. I '1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY (M 0.50 'ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER :OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS 0 0.50 7 SIGNATURE OF WATER HEATER O.SO I PERMITTEE c�•-- BLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK 0.50 - 1 FLOOR DRAIN @ 0:50 I DISHWASHER 0.50 '1 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 J Q HOUSE SEWER 0 0.50 I Z MISCELLANEOUS ;ti P Q' O - .r. (,. APPROVALS DATE INSPECTOR'S NAME It DUGH PLUMBING OAS PIPING GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK I DRAIN ) PIT 1.00 SEWER PERMIT 1.00 GAS TEST ��d✓ ///7 UTILITY CO.NOTIFIED --' TOTAL FEE GI FINAL �( 76AG67 DBS#17 6-52 v WORKERS' COMPENSATION DECLARATION „APPLICATION FOR PLUMBING:'-PERMIT r l°hereby,'2ffirrh that I have a certificate of consent to self in- 76A667A PW a/87 _ su're,,or a certificate of Workers'Compensation Insurance,or a CE 817-('RE V 8/86) d U certified copy thereof (Sec 3800, Lab. G)' COUNTY OF LOS,ANGELES- DEPT.'OF,PUBLIC WORKS , Policy No Company Cert fi 'd'cdpy is hereby furnished• ` ' - •.FOR APPLICANT TO'FILL IN PRINT OR TYPE /j Certified copy is-filed with county'buildmg inspection ( ) BUILDING ADDRESS /D ��/�. FCe e,I $ .1• " NUMBER - FIXTURE OR ITEM'.' FEE department: _ @ LOCALITY - DateApplicant -WATER CLOSET(TOILET)" '•^' NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS" BATH TUB CROSS ST COMPENSATION INSURANCESHOWER` ; OWNER �as yL Q JT ' (This'section oeed'inot'be completed'if the work involved byMAIL . the permit is,for one hundred'dollars ($100)or.less.) LAVATORY• : ADDRESS (.certify that in the performance of the work for which this per- - ^ mit is issued, I shall not employ any person,in any SINK manner so CITY /,per Cif/ TEL 'NO as to become subject to the Workers' ompensation Laws DISHWASHER " - L �/I CONTRACTOR Date ..2 ' /' '�.ppicant z^— ./• .CLOTHES WASHER NOTICE TO APPLICANT If,'afier mg this Certificate of'Ex- ADDRESS SWIMMING POOL.RECEPTOR emption;you should;become•sublect to the,Workers"Compen- CITY rw; z/Crti ha° d TEL NO. -sathon•provisions of•tk'LaL' r'Code, you must forihwrth'comp- LAWN:SPRINKLER SYSTEM C/7— ly'with such-proyisionsor,this permit•shall-be,dee'med revok- STATEL LIC ed .ra-•'r '• , WATER HEATER LICENSE NO. ,S� �O CLASS LICENSED'CONTRACTORS'DECLARATION DISTRICT NO /7�*RROOCE_SSE-D BY . I hereby affirm that I am licensed under:provisiohs>of Chapter GAS SYSTEM OUTLETS n� G�� 9(commencing with,Section 7000)of Division 3 of the"Busine`ss OUTLETS-OVER ` v .and-Professions Code'and my I cense is in full force and ef- 5 PER SYSTEM FINALVALIDATION :.%fect 4 - . °_e_3 � DATE ��l'9/ a License Number' Sia 7 2 ' Lic Class` 0 nIn FINAL')U Contractory'el-�" /✓//� "Date 22 BY ' Q Q I am exempt-under Sec'-- V W . B,.&P C for this;reason - CL/ Plan check fee•; g Date:'z � PLUM_BING PERMIT ISSUING FEE Signature: r •TOTAL FEE SINGLE FAMILY Plan check•a licart"• HOM OWNER-BUILDER DECLARATION PP I-hereby affirm that-I am exempYfr'om the Contractor's License Name., �,•r .� Law for the following reason.(Section 7031 5; Business and ;-�S•._ e Professions Code) Address -- 1„as owner of the property, will.do•the work and the ,Gty. Tel No structure is not intended or offered for sale.(Section 7044;, _ Business and Professions Code)• ; r "t_-'�L a _, �•. - CONSTRUCTION LENDING AGENCY CHE" ILI I-hereby,affirm that there is o'construction lending agency for _y _ the per,formance•of'the work for which this permit is issued (Sf c..3097,Cry C.);' _.. Lend'er's Name Lender's Address 't! a, i Ar <;_, 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 ri authoze representatives of this County to enter upon the 4 " above-menfioned proper y f r inspection purposes.. ,/zd SEE REVERSE'FOR EXPLANATORY LANGUAGE " nature of.Permiftee •Date , { COUNTY OF-LOS ANGtLES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0105010030 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 17867 LT: 6 10702 FREER ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803405 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8574-001-006 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 05/01/01 UT 10/28/01 OWNER: TEL. NO: FINALTE FI Y: CODE: CHONG, WING-CHA1 (626) 444-4713- / 6 10702 FREER ST 2� UAzz TEMPLE CITY CA 91780 DESCRIPTION OF GAS LINE vo APPLICANT: TEL. NO: SAME AS OWNER - -- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO ,lr� / } �` UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. N0: ROUGH PLUMBING LIC. No'. j - GAS PIPING - GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST /. UTILITY COMPANY NOTIFIED CWV -" GRAY WATER SYSTEM 1 ' •s REPORT ID: DPR263 ROUTE TO: BS0508 �.' COUNTY OF LOS.ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0105230026 BU;LDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 17867 LT: 6 10702 FREER ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803405 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: EL MONTE 8574-001-006 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 13 DISHWASHER(S) 1.00 FIX 16.20 ISSUE ON: PROCESSED BY: PLAN BY: EXPIRES ON: 25 LAVATORIES/SINKS 3.00 FIX 48.60 05/23/01 UT 11/19/01 45 WATER CLOSET/URINAL 2.00 FIX 32.40 OWNER: TEL. NO: 47 WATER HEATER(S) 1.00 WTH 16.20 FINAL D TE FI Y: CODE: CHONG, WING-CHAI (626) 571-2732- TOTAL FEES 157.35 W D-, 2477 N. JACKSON AVE W dL ROSEMEAD CA 91770 DESCRI TIONOF WOR CHANGE- OUT AND RE AT WAT ATER APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: C® AOTEL. N0: ®CONTRACTOR: �� APPROVALS DATE INSPECTOR SIGNATURE SAME LIC. NO UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: / ROUGH PLUMBING LIC. NO.�� ilkol Vlk-1 111111 } GAS PIPING - - -L-j- -- -� ------- --� GAS VENT `( ' HOT WATER HEATER UJ) --- - - --- --- - PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED G ��J©� CWV �e7vic $ GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508