HomeMy Public PortalAbout10929 FREER ST_Plumbing__ 7EAEE7-CE*a17 I0-E7 ,
,APPLICATION F PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEES >strrzD>xa
BUILDING AND SAFETY DIVISION �` �.a r
JOHN A. LAMBIE, COUNTADnRne onct ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCAUTT
P1
FOR APPLICANT TO FILL IN R O TYPE ] 7
CYOM 6f.
MUMQER FIXTURE OR ITEM EACH FSH t+ .
ov�>!� t�^ tU�
HATER CLOSET 1.50
HATH TUB 1.50 'MD= 16'9 a- �r 4jtW. S
SHOWER 1.50 CST *T- . STs. NO
LAVATORY 1.50 COXTRA=T M.
SINS 1.5 0 LDDEFJId _
DISHWASHER 1.50 CTf7 _ _ YII- 1�0• _ _
CLOTHES WASHER 1.50 BTATE LIC
LICENSE NO. - CLADS - - --
SWIIIQNG POOL RECEPTOR 1.50 DISTMCT NO.- GROUP - ZONE - OC iDiY-
LAWN SPRTNSLER SYSTEM 2.00
WATER HEATER 1.50 TIM 4�
wASf I APPROVAL
0
GAB SYSTEM ` OUTLETS 1.50 pmrzqnpN RECORD
OUTLETS OVER ,,/
5 P R SYSTEM .90 l
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE f 2 0.0
TOTAL FEE
APPROVALS DATE INSPSCT07t•■SIGNATURE
Plan Check applfcant UNDER SLAB WORK
Nate ROUGH PLUMBING
Addrees GAS PIPING
GAS VENT
City. TDI. NO. HOT WATER HEATER
1 HS]SDIY ACTON OWLLDOK THAT 1 HAV[ RLAD THIS APPLICATION
AND NTAT[ THAT THL ASOVL Is CORRLCT AND A}SSI TO COMPLY PLUMBING FIXTURES
WrTH ALL. COUNTY (XDIKAHQJ AND STATL LAWS RLOULATINS GAS TEST
PLU MSINO. .
I H[ROr cayrn FY THAT I AM P"OPLRLY RLOISTSRLD AND/OR UTILITY CO.NOTIFIED
LIC N@KD AS RLQUIRSD Sy LOS Ar10i!K2 COUNTY ANd STAT[ OF —
CALIFORNIA OR THAT I AN I:H■ LSSAL OWHIR OF,AND INTSNO TO L.
RLSIDS IN,THS A10VL RIIIDQlf1AL PF"
X % FFNAL
[�
SIGNATURE JACK R. ALLEN, SUPERVISING M¢CHANICAL R.
OF PERMITTIE
PERWr VALIDATION CK. M.0.
PLANCME(--K VALIDATION CK. M.O. CASH
LAC.u3 8.5 1�3 MR29 5 9 ikio-
�DN
f rm that7 have a caISAT-ate of LAAATgN , '"°/°° APPLICATION FOR PLUMBING PERMIT
I tienby ptflrm that I have a oartlticate of consent to sell In&Ute,
or a oartijicate of Workers Compensailon Insur Ce, 0r a certNled
oopy thereof(Sec.3800 Lab.C.)
COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.'OF PU13WC WORKS DIV.
No. Gompeny
°eritl'°d°°plIs hereby kwnWwd
FOR APPLICANT TO F01 IN(PRINT OR TYPE) -
Is fled wfth Vco
M unty budOft InaQeotion NUMBER FDCRIRE OR rT9a • FEE
ADOFC�8
LOCALITY
Dale Appk nt WATER CLOSETN-vim
CFA�ICATE OF E)CEMPT10N FROM WORKER$` BATH TUB cRO68 Z!T.
PD164-R BATtON INSURANCE MAP g90R PAGE PARCEL
(This Mon n
Motion belcomplated R the work brrolred try the SFIOtihIEB
permit to for one hundred)doliare($1I)(11)or W".) OWNER
�
I cerdfy that In the"perlordance'of the work for which this permit
LAVATORY
Is [&sued, I shall not employ any person In airy manner so as to SIW C �►
beow aub)ect to the Workers'Compensatsw Laws. / J �r
DOWASHER CG Pr is 7H=No. VC 7
Deter Appboard CLOTHES WASHER CONULAC•TOS t
NOTICE'TO APPLICANT. If, kttor making this Certificate of
Exemptlon,you should become subject to,the Workers'Compensatlon POOL FETOR
provlslons of the Labor Code,you must forthwfLh comply with such ADDRESS
provlaiona or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM
LAS) )GONTRACTOR8 DEG-ARATION CITY ,. TEL NO.
I hereby aMrm that 1 arh licensed under provision& of Chapter 9 WATER HEATER
(commencing whh Section 7000)of Dty Wn 3 of the.Buslnea and STATE LOC'
Parfeeebrs Codb, and my license Is In full force and effect. -
(JAB SYSTEM OUTLETS LICE'' E NO. CLASS
OUTLETS OVVEt-ll
bWT+WT NO. PROOE88EID BY
a PER SYSTEM
Lloeroe Number Llo.Claes _ !/
DATE Z ��3��D VALIDATION d
Caivao>lor Dale Vj
I am axemprt undir Sec. SBY _
BAP.C.for this reason
DeW Plan Check fee
> m PLUM9JNO PERmrr Issuwa FEE f r
TOTAL FEI
$INGLE FAWLY Pf�l t
HOME OWNER-BUILDER DEGL"TION Name A0 '
I hereby aMrrn that I am exempt from the Conbacwr'4 License t.RwACCT.T
for the folbwing reason ($ectton 7031.6, Buslness and Profeeslons Addreae /Q��.-
Code): 3307 K1.ri3
Chy T.A.No. -,£3'7
er
i,as ownof the Prop" w1II do the work and the structure 1 1TEM
Is not Intended of offered for sale(Sootlpn 7044, Business _
and Professions Code). Poo. �TOTAL 3 5 - 50
CONSTRUCTION LENNW A4ENCY CASH .50
I horebyattlrm that there Is a construction lending agency for the '.&MISE x
perforManos of the work for which this permit Is Isaued(Sac. 3DO,
Ctv.C.)
Lenders Name 1 11/13/90
Lenders Address 3769 1 Art 9:57
I oertIfy thpt I have read this applloatlon and state that the above '
InformeUm
on la oorrect. i earee to oopty wtth all County ordinances
and,State laws regulating Plumbing, and hereby authorize -
representaHve&of this County to enter upon the above-mgntlorled
property for Inspection purpoess- SEE REVERSE FOR EJtPLAXATORY LANGUAGE
L COUNTY OF LOS ANGELES TEMPLE CITY 0308
DEPARTMENT OF PIIBLIC•i+ORKS 9701 LAS TUNAS b--OS
'BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
• PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID
TR: 10898 LT: 15 BL: B 0929
FEE DESCRIPTION: QUANTITY: LOOM: AMOUNT: 917803541
ASSESSOR INFOR14ATIGN NUM-BER: NEAREST CROSS STREET: SANTA ANITA AVE.
8573-035-007 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 3.00 FIX 48.60
21 HOSE BIBB(S) 1.00 FIX 16.20 .
23 LAVATORIES/SINKS 3.00 FIX 48.60 01/14/00 UT7/12/00
45 WATER CLOSET/URINAL 3.00 FIX 48.60
OWWER: TEL. NO: TOTAL FEES 189.75 .
MOC CHAN•TRINH T (626) 444-5373- 3.ZQ a�
10929 FR ER ST l 4
TEMP 917803541 . DESCRIPTION OF WORK
PLLMING FOR REMODELING AND TWO N BATHROOMSS
APPLICANT: TEL. NO:
W (626) 912-3289-
18403 VILLA CLARA SPECIAL CONDITIONS:
ROWLAND HTS 91748
GE S
P� COCONTRACTOR: TEL. WO: APPROVALS DATE INS-PE
's'.
KONGEA CONSTRUCTION CO. (626) 912-3289- yCl �•
18403 VILLA CLARA STREET LIC. k0 UNDER SLAB WORK
ROWLAND HEIGHTS, CA 91748 731678 B f/i' WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. *0:
W STEVE C Y (626) 912- Y
18+03 VILLA CLARA ST. LIC, NO: I / - 1111 X11 11�
lI `I
ROWLAND HEIGHTS, CA 91748 26073 CGAS PIPING
GAS VENT
Ir 1A=)F', """
lL� HOT WATER HEATER
PLUKBING FIXTURES
L' 41GAS TEST
LAWN SPRINKLERS
NV UTILITY COMPART
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CWV
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GUY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508