HomeMy Public PortalAbout9416 GIDLEY ST_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLUMING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0010270015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 9416 GIDLEY ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804211
ASSESSOR INFORMATION NUMBER.- NEAREST I:AOSS STREET: LOWER AZUSA
8592-003-047 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TOTAL FEES 43.95 , PLAN BY: EXPIRES ON:
ACUIRIO SPORTWEAR 10/27/00 UT 04/26/01
OWNER: TEL. NO: FINAL DATEF CODE:
ELLINGSWORTH ROBERT A;DEBORAH K - XPIRED:
9410 GIDLEY ST
TE14P 917804211 DESCRIPTION OF WORK
INSTALL 9.51fP BOILER AND CHIMNEY
APPLICANT: TEL. NO:
RICHARD'S STEAM (818) 768-8320-
8902 LANKERSHIM BLVD SPECIAL EMMIONS:
SLIM VALLEY, CA 91352
CONTRACTOR: TEL. NO: 5 APPROVALS DATE INSPECTOR SIGNATLIRS--
PNGELES CO
RICHARD'S STEAM (818) 768-8320-
8902 LANDERSHIM BL LIC. NO UNDER SLAB WORK
SUN VALLEY CA 91352 C-4
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
LUMBING
LIC. 111111
`6tI
v-
U L'_'JL�O W0[�Ks
❑ SPRINKLERIF-
GAS TEST
AEl IMLITY COMPANY NOTIFIED
w$
1 mot
c Service That
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* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508
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DRe-17 Io-ee APPLICATION FOR PLUMBING PERMIT 1
I7
DIVISION OF BUILDING AND SAFETY
.at Of C=31y Eason w
COwdr Of I-gs Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
tABBATT D. GRIFFIN,SUT'T OF BUILD1110
LOCALITY.
CANT TO FILL IN NEAREST
FADDRE"
WNER DISTRICT GROUP ZONI ■KART FOR INSFICTION
AIL
IVDUBTF�I�
CITY T O WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY TIL. NO.
LICENSE NO.
Nlfil�re TIT[OF PuCYYItx On Trz* PYI I '
"NATELR CLOSET (TOILET) 41.0.0 O�
i
BATH TUB 41.00
BHOVfKR 41.00
LAVATORY (WASH BASIN) 1.00
KITCHEN BINK $1.00
DISHWASHER 1.00
LAUNDRY TUB OR TRAY SI.00
HI/WASHER 41.00
WATER HEATER jjl.0o
GAS SYST[M 41.00
r
AMOVAIS
DATE IN9 ECTOR:S SIGNATURE
UNDER SLAB WORK
PERMIT 1 ROUGH PLUMBING "
D a, 00
GAS PIPING
TOTAL FEE oAe vi NT
I HEREBY ACXMOWLEDGE THAT I HAVE READ THIS APPLICATION GWATER HEATER
AND STATE THAT THE ABOVE Ib CORRECT AND AGRa TO COMPLY
Mill ALL COUNTY ORDINANCES AND STATE LAWS "GULATING
PLUMBING. PLUMBIN FIXTUREB
I HEREBY CERTIFT THAT I AM PROPERLY R5GISTER® AND/OR QAjB*EBT
LICERSEO AS REQUIRED B OS ANGELES COUNTY AND STATE OF I
CALIFORNIA OR THAT HE LEGAL OWNERU
OR THE ABOYE TILITYGO.NOTIFI ED
DESCRIBED MIID6X ERTY.
SIGNATURE
OF PIRMITTEE FINAL 1A
JOHN A LAMBIE. COUNTY F:NGIN.EER ALIDATI6N ROIaERT A.WOOD, CHIIF PLBo. INsp cToR
L�5 2 0 FEB 14 3 7.0 0 m
1VOfi1¢7#BCOYPE?JSATION DECLARATION 7�'"e/� APPLICATION FOR PLUMBING PERMIT
I hereby affirm that I have a oenfloate of oonsent to self Inetrd,
or a oerttfIcate of WAsts Compensation Insurance, or a certified
copy thereof(Sao.3800 Lab.C.)
❑Poky
No v COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV.
Certified oopy Is hereby fumbhed
❑ CW1tW oopy Y}Bed with the-county but V lin peatlon FOR APPLJCINT TO FR1 N(PF�fI OR TYPEa ADDf�BB
deparin-nt. NUMBER FIXTURE OR ITEM • FEE try G
Date Apoioam WATER CLOSET NENVW
OEFI GATE OF EXaAPTION FROM WORKERS' BATH TUB k —8T L
COMPE NSATIK N INSURANCE ASSEB90R
(fhb Motforl need not be aompMted M the work Invotwd by the SHOWER SAP BOOK PAGE PARCEL
pNvft to fbr one hundred dollue($1t�or lase.) LAVATORY k)1YfyD
I oertNy that in the performsnoe of the work for which this permit
Is Issued, I shall not employ any person In any manner !o as togayk MAIL
me
beoosubject to the Workers'Compensation Laws. ADDRESS
DMBWASHER CITY TIS NO.
Delle Appk-d CLOTHE8 WASHES
NOTICE TO APPLICANT: If, after maKing this Certlfloate of CONTRACTOR
Exemptlon,you should become subject to the Workers'Coff4xmo rion SWUAOrO POOL RECEPTOR
provisions of the Labor Code, you must forthwith oompty with such ADDRESS
provisions or this permit shall be deemed revoked. - . LAWN SPRINXLEE SYSTEM CITY
1JC8d$ED CONTR/tCTORS IDECLAFV/TK)NTEL-h10_
I hereby attfrni that I am licensed under provisions of Chapter B WATER HEATER
(oommencing wfth Section 7000) of Dfvtslon 3 of the Business and STATE LIC.
(JAS SYSTEM OUTLETS LICENSE NO. CLA88
Profsasions Cods,end my Iloense Is In full force"d affpaL
IS PER
SS YSTEM
OVEO
6 E�1
IJognes Number Lia Claes
FVAL
DATE V DA ON
DATE f p—((�_� d
Contradnr flabFINAL z
❑ I am exempt under BeaBY
- BY
B.SP.C.for thls reason
Plan Check fee
Date: ,
e PLUMENNO PERMIT ISSUING FEF;
TOTAL FEF
Pian eftedk applicant 5
SW(iLE FAJIMILY /�/+/�
roME owNE�t BtnLDaIO
t DECLARATION
ACC
Name GOT T.
i
I hereby of Irm that I am exempt from the Contraotoes Uosnee Law �
for the folloeing reason (Section 7031.6, Business and Professions Address _ L� 7 43.L10
Code): r11e
❑ I,as owner of the property,will 6o the work and the structure Ctty Te6 1 I 1 rU b7
Is not Intended or dfferad for We(Seotton 7044, Business TOTAL 4-3 - IDO
and Proteack"Code). ' lrf(I-E � 43.00
CQNSTRIOLEW)Pi
UCTN G AGENCY 4� .
I hereby ffMrm that there Is woonstruotfon lending agency for the GMT
00
performanor of the work for whloh this permit Is Issued (Seo.3007;
M.C,) 0 0001 $/21/90
Lar ers Nemo 2,907 1 AM 9:41
L&-KWa Address
I oonffy that I have read this application and state that the above
Information is ookreot h agree to oompty with all County ordlnarwrs '
and State laws regulating Plumbing, and hereby authorlte
ropreeentettves of this County to shtsr upon the abovA-mentioned
prop"for Inspection Purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE'
L
' DPW 9/89
WOF�R's CCFP SATAN DECLARATION 2D-0
hereby ammo that I have a certificate of consent to .elf insure, '°A°°7A APPLICATION FOR PLUMBING PERMIT �J
or a oertHlcate of Worker's Compeneatlon Insurnnoe, or a certifled
oopy therAot(8ec,3800 Lab.C.)
COUNTY OF LOS AMGEL)=S DEPT.OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV.
Po"Na Company
1�! Certified copy Is hereby fumbtmd. BUB-DllNKI
FOR APPI ANT TO FILL IN(PRINT OR TYPE) ADORES
CerMW copy Is feed with the county bufdIng[msec fon
depaG —q- NUMBER FIXTURE OR n BA 0 FEE LOCAIJTY
Die AQp6oant WATER CLOSET g t
CFx=ST.
CERTIFIC,l1TE OF D0 VTK N FROM WORKER& BATH TUB
COMPENSATION INSUFLA BICE
(rhla auction need not be completed H the work tnvotvsd trySHOWER the SHOWMAP BOOK PAGE PARCEL
permh Is for one hundred dotlars(St00)or lace.) OWt�i
I cerdfy that In the performance of the work for which this permh LAVATORY
Is Issued, I shall-not employ any person In any manner so as to S
A
become subject to the Workers'Compensation Laws.
DISWABHER CrTY TE3-NO.
Data,^Z�wM�M CLOTHES WASHER
NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR
Exemption,you should become subject to the Workers'Compeneailon SWIWdIiO POOL RECEPTORAIS
provisions of the Labor Code, must forthwfth.com J with such
P Y� PY
provblons or this permit"I bg peemed.revoked. LAWN SPFOACLER SYSTEM
LJCb+SM CONTRACfRS MCIARATION crrY TE3-NO., —,l d
I hereby affirm that I am licensed under provisions of Chapter 9 WATffj HEATER
(commencing whh Section 7000) of Dtvlslon 3 of the Business endNO.
Professions Cods,and my license Is In full foroe and effect. OUTLETS OVER OA8T� OUTLET8
DI87RiCT NO. PROCESSED BY ir
y 6 P SYSTEM O
NW
L)cerse mibw '555 &rYT� Lb.Claes t.7 t -�T ~
U
FINAL 0_ 1 6 A I. VALIDATION a
CIO
I am exempt Wider Bea- BYE ?
B.BP.C.for thio neon
Doan Plan check fee
PLUMBING PERMrr ISSUING FEE; p 5
❑ TOTAL FEE ACCT.T
SWGLF FAMILY Plan&e*appkwd
7 20.50
HONE OWNER-BUI-LDER DECLARATION Name
I hereby afflrrn that I am exempt from the Contractor's Lloense taw
tod +1 ITEM
Ch) rrl
tollohg reason (Beotlon 7031.6, Business srrd Profeeetons Address TOTAL '-��
�
Ctty
I,as owner of the property,wm do the work and the stnx ture DECK 20.50
Tel.No.
to not Intended or ofterad for stile (Section 7044, Business
and Professions Cods). ' .00
CONS F=TKW LENNNG AGENCY rev�ryy
I hereby storm that there It a construction lending agency for the 0000-MOI 9/27f90
performance of the work for which thl} permit to Issued (8ec. 3097,
Chi.C.) 5 S I AN 8:07
LwxW&Name
Lander•Addmn
I certify that I he" read this application and elate that the above
lnformstfon Is correct I agree to comply with-all County ordlnanoee ,
and State laws regulating PlWrmbtng, and hereby authorize
repnmentaiives of this County to enter upon the above-mentioned
Property for Inapeatlon purpceee. SEE FEVERSE FOR EPLANATORY LANGUAW,
WORKER'S COMPENSATION DECLARA1O" 7&&A"ADPW eD APPLICATION FOR PLUMBING PERMIT
,I hereby,efflrm that I hew a certificate of consent to Belt Insure,
or a certifloate of Worker's Compensatlon Insuranoe, or a certtfled
oopy thereof(Sea.3800 Lab.C.) .
Poecy No/0_ 2Zg9, G—�y � COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV.
{►❑ arffW 000pyIs hereby tur xWwd FOR APPLICANT TO FELL IN(PINT OR TYPE)
Lip CertHled copy 1a tEed with the oormty buBdhV I
departrr—L NUMBER FIXTlA3E OR ITEM Q FEE LOCALITY
Date / Appbarrt WATER CLOSET Q NEAREST
CFKM ST.
CEFITIFICATE OF EXEMPTION FROM WORKERS' BATH TUB
COMPENSATION INSURANCE ASSESSOR
(This"Coon need not be oompieted If the wort Involved by the SHOWERW BOO� PAGE 3 PARC
perrott la for one hundred dollars(;100)or less.) O OWfBi
I cartify that In the pertormanoe of the work for whloh this permh LAVATORY
Is Issued, I shell not employ any person In any manner to as to SCK ADDRESS
become eub)ect to the Workers'Compere i on
DISWASHER CITY TEL 40.
Date App+-rt CLOTHF8 WASHER 6 l✓VN tJ! 16Ab d� Ca
NOTICE TO APPLICANT: ff, after makl g this Certlfloate of
`Exemption,you should become sub)ect to the Workers'Compensation SWIMMING POOL RECEPTOR /
provisions of the Labor Code,you must forthwith oompty with such ADSIF -0 1
�s+
provlylons or this permtt shall be dpemed revoked. LAWN SMNKLEA SYSTEM CT�1
LICENSED CONTRACTORS DECLARATION TEL No. b
WATER NEATER
I hereby affirm that I am licensed under provleloPs of Chapter S STATE �� � J �
(commencing with Seotlon 7000) of Division 3 of the BusIneas and OAS SYSTEM OUTLETS LIC818E NO. 3 .
Profesalons Code,and my license to In full force end effect.
otmETs ovET1r0 d PROCESSED BY
p 6 PER SYSTEM ? .
Lkenee Number 1 LIc.Gees
DATE �7,?X VALIDATION W
Contractor��w••U� a 7f / �-r n
_ .r
FINAL Z
El am exempt under Seo. "V i
B.aP.C.for tht.aea.on Plan check fee •``''t`
D°
PLUMBING PEAMff ISSUING FEE1 ITEM; �j Q
❑ TOTAL FEF TOTAL 103- 65
Plan check appkartt C�EC. 10?-.65
BINDLE FAMILY
HOME OWNER-BUILDER DECLARATION Name 00
I hereby efflrm that I am exempt from the Contractor's Lloense Law
for the following reason (Section 7031.6, Business and Professions Ad¢reee
Code): cit Tel.Ne. W—LWT 10/13/93
❑ 1,as owner of the property,will do the work and the structure +�yy�� l.I
Is not Intended or offered for sale Sectlon 7044, Business Opp. 20 1 AI I 7:52
and Professions Code).
CONSTRUCTION LENDING AGENCY
I hdreby affirm that there Is a construotlon lending agency for the
performance of the work for which th permit Is Issued (Seo. 3097,
CN.C.)
Lenders Name
Lenders Addrese
I cerllty,that I have seed this appltcetlon and nate that the above ►
Information to correct I agree to oomply wfth all County ordinances
and State laws regulating Plumbing, and hereby authorize
repreeentattvee of this County to enter upon the above-mentioned
pr o I pu SEE REVERSE FOR EXPLANATORY LAINWAGE
Signature of Date ti