The URL can be used to link to this page

Home My Public Portal About10903 GRAND AVE_Plumbing__ 76AG67 OBS 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �' COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. i GROUP ZONE RMIT NO. ., PLUMBER READY FOR -,t..• RECEIVED BY D ISSUED FIRST INSPECTION ADDRESS 4a BUILDING 94 CITY TEL IN :1�..• ADDRESS i� COUNTY LICENSE NO. I EXPIRES r' LOCALITY NEAREST PERMIT FEES y CROSS ST. r NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER I T1$ MAIL WATER CLOSET(TOILET) @ 0.50 _ ADDRESS BATH TUB @ 0.50 CITY TEL. No. SHOWER @ 0.50 1 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. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.513ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM J OUTLETS @ 0.50 SIGNATURE OF WATER HEATER @ 0.50PERMITTEE SLOP SINK @ 0.50INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.501 __ Q HOUSE SEWER @ 0.50 z MISCELLANEOUS (Y 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.013 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 I SFWER _ PERMIT . . 1,00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE $ ( � FINAL 76A667 DBS 17 7.51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WILLIAM J. F❑X, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP s 3,l 73 3 PLUMBER I`- /( CEI ED BY READY FOR DATE IMUED FIRST I NSPECTI ON — ADDRESS ` - 1 BUILDING !,T 1 CITY EL NO. ADDRESS / COUNTY LOCALITY LI NSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) @ 0.50 $ ADDRESS BATH TUB @ 0.50 CITY TEL. No. SHOWER @ 0.50 1 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 Q 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS 0 0.50 SIGNATURE OF WATER HEATER @ 0.50 PERMITTEE SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK CQ 0.30 FLOOR DRAIN 40 0.50 DISHWASHER 0 0.50 DRINKING FOUNTAIN @ 0.50 URINAL 0.50 Q HOUSE SEWER 0.50 - Z MISCELLANEOUS ❑_ !Y O APPROVALS DATE IMBPECTOR'B NAMC ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 s ®J CESSPOOL SEPTIC TANK- SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PERMIT 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE 77- F I NAL gam_ WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT 'I hereby affirm that I have a certlficate of consent to seff 20-0026 DPW 6/87 Insure, or a certificate of Workers,Compensation Insurance, 76A5e7A or a car Ified copy thereof (Sec. 39W, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS PolYcy No. Company dq fL�J Certified copy Is hereby furnished. ❑ FOR APPIJGs,Nf TO FLU.IN(PRINT OR TYPE) BUILDINGCer ,4y /l ADORES: /V V t1oh department. copy Is filed with the county building Irnpec- PDCfURE OR ITEM O FEF tloh department. LOCALITY Date Appligont WATER CLOSET NEAREST CERTIFICATE OF D EYPTIQN FROM WORKERS' aATH TUB COMPENSATION INSURANCE SHOWER OWNER V (This secf{on need not be pfefed IF the work in.oN ed by Zt� MArL the penTW Is For— I rs (=100 or fees.) LAVATORY ADDRESS Q■/ I certtfy that In the perform ce the wo� for w this permlt Is Issued, I shall not e I In arty n er S♦NK CITY NO. so as to m subject to the DISHWASHER CONTRACTOR pate pllcant CLOTHES WASHER AWRESS 3S NOTI TO ICANT: If makings tficate Exemption, you ■houl me sublect to Workers POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM � �^ � �Na l with comply with such provisions or this permit shall be STATE 2� deemed revoked. WATER HFATER �•7 am LICENSED CONTRACTORS DECLARATION DISTRICT NO.- O. PROCE BY . I hereby affirm that I am licensed under provisions of Chapter 9 S�T�t °QTS �:Q1 (commencing with Sectloo 7000) of Dtvhlori 3 of the Susiness OUTLETS OVER and ons ,and Ikense Is M full forte and, ° S I�SYSTEM FINAL VALIDATION DATE License u c. Class VV Con 2 Z FINAL ❑ I am exempt under Ser– YT for this reason Plan check fee Date. PLUMBING PERMIT ISSUING FEE$ Sigrwture TO Plan cher ll ret c SINGLE FAMILY HOME OWNER- UILDER DECLARATION Name Jul AL14-T.i I hereby affirm that I am exempt from the Contractors License ? �' c Law for the following reason (Section 7031.3, Business and 'd t '="' Profeeslors Code): cty Tel. No ITEM. ❑ I, as owner of the property, will do the work and the , structure Is not Intended or offered fof sale (Section TOTAL 82 - 9s 70+14, Business and Professions Coded CONSTRUCTION LENDING AGENCY . I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097, Civ. C.). I0]Q�ml 61121 K Lender's Name -7 S Lender's Address that I have read this a orlon and state that the bov lol I�=(Q . I NI comply with all County rdl I ulIn Plumbing, and F»reby th l of Is my toe er upon the a v n n puSEE REVERSE FOR EXPLANATORY LANGUAGE Signature e • COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLU11MING PERIQT DEPARTMENT OF PUBLIC M RILS 9701 LAS TUNAS PL 0508 1202160007 BUILDING AND SAFETY / LAND DEVELOPKMTT TENPLE CITY CA 91760 PHONE: (626) 285-0488 ETT: LEGAL, ID: FEFL9 PAID BUILDING ADORRSS: TRc 11497 LT: 16 BL: A IIP: .002- 10903 GRAND AV FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803552 i ASSF.SS062 INFORMATION PUKlER: NEAREST CR099 3TREFi P 8574-008-018 01 PERMIT ISSUANCE FEE 27.80 _ THOMAS PAGE: 597 GRID: D4 LOCAL.ITYi TRIPLE CITY, C 07 BATHTUBS/SHOWERS 1.00 FIZ 16.30 TENANT: 25 LAVATORIES/BINXS 1.00 FIX 16.30 ISSUED ON: FR.00FS9ED BY: PLAN BY: 45 WATER CLQSRT/URINAL 1.00 FIX 16.30 02/16/12 SR TOTAL FERO 76.70 ONKKR: TEL. NO: FI2AL 1 p7HAT7' BY: CODE: MOONCGRA l(626) 283-0710- GRAND n ) L 10903 AV .� "� J TEMP 917803552 DESCRIPTION OF XORX U PLUMBING FOR NEN BATELROOOM APPLICANT: TEL. NO: SANE A9 OVIE R - SPECIAL CON=ONS: c CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATUR$ SAME AS OWNER - LSC. NO TIMER BLAB WRX . WATER SERVICE PLASTIC Y/N METAL YIN ARCHITECT OR ENGINEER: TEL. NO: BOBADILLA, GABRIEL (626) 510-0617- ROUGH PLUMBING 725 R. WALNUT ST_, LIC. NO: PARADE6V., CA 91101 NONE GAS PIPING GAS VENT, HOT 10►TEIR- BEATER PLII80ING FIXTURES LANK SPRINKLERS GAS TEST UTILITY OOFPANS NOTIFIED CMV GRAY )WATER SYSTEM REPORT ID: DPR263 RD= TO: 1390508