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HomeMy Public PortalAbout10731 FREER ST_Plumbing__ 76A667 (CE-617) - 175 APPLICATION OR PLIMBING PERMIT ` COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: ADDRESS a 231 F-f-U HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY �✓ FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST CROSS ST. 7 NUMBER FIXTURE OR ITEM @ FEE OWNERQ WATER CLOSET 2.00 MAIL BATH TUB 2.00 ADDRESS a SHOWER 2.00 CITY V �L3 L(*JZf TEL. NO. LAVATORY 2.00 CONTRACTOR SINK 2.00 ADDRESS DISHWASHER 2.00 CITY TEL. NO.AA p Gl CLOTHES WASHER 2.00 STATE LIC LICENSE NO. l'I7 CLASS LAWN SPRINKLER SYSTEM 2.00 `TtG ~ 3 r SWIMMING POOL RECEPTOR 2.00 U DISTRICT NO. UP NE CESS -BY J WATER HEATER 2.00 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2.00 0 U INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM •30 —� 1 O a W CL N Z Plan Check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. / 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF - - CALI FORNIA OR THAT IAM THE H EGAL OWNER OF, AND INTENb TO RESIDE IN THE ABOVE ESCRIB ESIDENT ALCx'P RTY, FINAL SIGNATURE OF PERMITTEE T PERMIT VALIDATION CK. ,o. CASH PLAN CHECK VALIDATION CK. M.O. CASH 27 1 R 2,0 5 1 3.3 0 �;; 76A667 (CE-817) - 1/75 APPLICATION F R PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: ADBUILDING d DRESS e HARVEY T. BRANDT, COUNTY ENGINEERLOCALITY /' wzi 44 FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. L �w NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 2.00 OWNER MAIL BATH TUB 2.00 ADDRESS -> SHOWER 2.00 CITY Ir, 71 TEL. NO. LAVATORY 2.00 CONTRACTOR ,l SINK 2.00 ADDRESS S8 DISHWASHER 2.00 CITY TEL. NO. CLOTHES WASHER 2.00 STATE LIC LICENSE NO. CLASS' � J SWIMMING POOL RECEPTOR 2.00 DISTRICT NO OUPJ IZONE CE ED BY LAWN SPRINKLER SYSTEM 2.00 WATER HEATER 200 INDUSTRIAL WASTE APPROVAL d GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD U OUTLETS OVER 30 p 5 PER SYSTEM F- U W C) D l� Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name �g ROUGH PLUMBING V' Address S GAS PIPING 9 v a 2 C'O-k-- City Tel. No. GAS VENT /' b HOT WATER HEATER V / I HEREBY ACKNOWLEDGE THAT I HAVE READ •T IS APPLICATIO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST v ,L PLUMBING. / I HEREBY CERTIFY THAT I AM OPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED / A LICENSED AS REQUIRED BY LOS AN LES COUNTY AND STATE OF CALIFORNIA 0 THAT I AM THE LEGA 0 OF, AND INTEND TO RESIDE IN THE OVE DESCRIBED RESI I L PROPERTY. FINAL 1 SIGNATU RE OF PERMITTEE PERMIT VALIDATIO CJCI 0. CASH PLAN CHECK VALIDATION CK. M.O. CASH 9 9 4 FFB 3 5 1 .5 0 . WORK1�61RS'COMPENSATION DECLARATION 76A667A I hereby ffirm that I have a• certificate of consent to self c E ei7 (z-eo) APPLICATION FOR PLUMBING PERMIT insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof_�Sec. 3800,Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy o. Company v ; �} �� Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING 1©"/ 1/�� G / ADDRESS® Certified copy is filed w.itt the cou y� ui ing inspection NUMBER FIXTURE OR ITEM • FEE department. f WATER CLOSET LOCALITY � Datr9- ,P2- Applican� NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' r COMPENSATION INSURANCE SHOWER OWNER �J' �� 6 MAIL (This section need not be completed if the work involved LAVATORY ADDRESS U 7-3/� "6-49 a- by the permit is for one hundred dollars ($100) or less.) SINK -'r ` � OU CITY GV TEL.NO. I� certify that in the performance of the,work for which this DISHWASHER tY - permit is issued, I7shall not employ any person in any manner CONTRACTOR O so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADDRESSU Date - Applicant SWIMMING POOL RECEPTOR LU NOTICE TO APPLICANT• If, after making this Certificate of CITY N TEL. NO. /.Sl� N Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM Z p I STATE LIC. Compensation provisions of the Labor Code, you must forth- WATER HEATER �� LICENSE NO,7 yv CLASS C-� sc�r with comply with• such provisions or this permit shall be deemed revoked'. GAS SYSTEM OUTLETS DISTRICT NO. CESS D BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER 5 / I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL VALIDATION c C- OL�R- DATE Hess and Professions Code, and my license is in full force and effect. w BY Contractor FINAL License Numbe Lic.Cla r� BY Contractor to Mgr Date is`��p�� F1I am exempt'from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address 7 2 5 9 A License Law for the following reason (Section 7031.5, Busi- City Tel.No. r ness and Professions Code): # o 0 o o o 5 I, as owner of the property, am exclusively contracting . • I ' with licensed contractors to construct the project 2 ­ 16 50 (Section 7044, Business and Professions Code). ?oro - 1 ,6501 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency '1,0.1 —•8 2 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 abovedriformation is cor ct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State • s regulating Plumbing, and hereby authorize-repres to v of this County to enter upon the abpve mentio pr p fty foci inspection purposes. na4d4W _;i"ereitTe7e Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS Pi 05n8 0408300004 -• BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CFS 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: �— y FEES PAID — BUILDING ADDRESS: 17R: 13613 LT: 33 I 10731 FRST — _ FEE DESCRIPTION: CU4NIITY: UOM: AMnLii+T: TEMP CA EER EER STL,n,� ASSESSOR INFORMATION NUMBER: - . I NEAREST CROSS STREET: PERCEMMON 18573-004-012 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TE'iPLE CITY, C it CLOTHESWASHER(S) 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 "ISSUE ON: PROCESSED BY-'PLAN BY: EXPIRES CN:: TOTAL FEES 60.15 08/30/04 JK 02/26/05 'UWNkR: TEL. NO: I F D E K FINAL b7: CODE: — IHUANG/CHANG, JAMES/JUNE (626) 497-1685- 10731 FREER ST TEMP 9,7803106 DESCRIPTION OF WORK REPLACE DRAIN LINE' Frl SIN, AND CLOTHESWASHER ISAME AS O TEL. N0: (SA�ic AS OWNER SPECIAL CONDITIONS: i—W �CCNT .ACTOR: TEL. NO: APPROVALS UXTE INSPECTCi: SiaidAiUnE— 'SAME AS OWNER I LIC. NO I UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL YIN IARCHITEUT OR ENGINEER: ?EL. NO: — RMISH—PLPLUMBING j LIC. -r:0: j PIP!kG �— - GAS VE N T HOT WATER HEATER PLUMRING FIXTURES LAWN SPRINKLERS _I GAS TEST j j UTILITY COMPANY NOTI IELI' i I (CWV GRAY WATER SYSTEM �— REPORT ID: DPR263 ROUTE TO: BS0508 - I I� 31 COUNTY OF LOS ANGELES TEMPLE CIT" # 0508 - :-MBiNfj PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS T6N-AS E. 0:08 0410040005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CI"" CA 91,780 PHONE: (•::='-: 1�8:-::438 EXT: LEGAL ID: FEES PAID BUILDING TR: 13613 LT: 33 10731 FREER 3"f (FEE DESCRIPTION:` UANTITY• UOM• AM01I�JT TEMP CA91l8?i'�.f16 1ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: PERCEMMON X8573-004-012 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALiT'r: T'44-LE CITY, C I07 BATHTUBS/SHOWERS 1.00 FIX 16.?..0 TEiANT: I25 LAVATORIES/SINKS 1.00 FIX- 15.20' ISSUED ON: PROCESSED F!Y: "LAN BY: EXPIRES Ch: 145 WATER CLOSET/URINAL 1.00 FIX 16.2u 10/04/04 !K 04/0?!05 _ T'OTAL FEES 76.35 OWN ER TEL. N0: -� FINAL DP.TE ---^`-�BY HUANG/CHANG, JAMES/JUNE (626) 497-1685- 10731 FREER ST _ TEMP 917803406 i DESCRIPTION OF WORK _ — PLUMBING FOR NEW BATHRCj0A1 ADPLICANT: TEL. NO: - I SAME AS OWNER SPECIAL CONDITIuaS: UR E 'CONTRACTOR: —"- TEL. NU:� —� (APPROVALS -- - DATE 1:0r-:a1 SAME AS OWNER LIC. NO UNDER SLAB WORK =- -- - !t,aTER SERVICE � NLASTIG Y/N MEIN.! Y/iI (ARCHITECT OR ENGINEER: TEL. NO:---I I - _--- — - IROUGH PLUMBING — �� I LIC. NO: I -- - ----- -- --------- II I iGAS PIPING -I ---- -. I GAS BENT � I HOT IaATER HEATEk -"___�-._ --•_---- ------------ IPLUMBING FIXTURES -LAWN SPRINKLER—— SPRINKLERS � — �-- II GA3 TEST — f UTILITY COMPANY NUTIFIED CWV I GRAY WATER SYSTEM e -i -I I REPORT ID: DPR263 ROUTE TO: BS0508