The URL can be used to link to this page

Home My Public Portal About10227 GREEN ST_Plumbing__ � • ' f DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDING NEAREST CRO ADDRESS 10227 E. Green Street SS ST. DISTRICT NO. GROUP I ZONE PERMIT N0. LOCALITY Temple City NEAREST CROSS ST. Arden Drive RECEIVED BY Ready for Inspection DATE ISSUED OWNER Hughes MAIL INDUSTRIAL ADDRESS WASTE APPROVAL CITY TEL.NO. INSPECTION RECORD PLUMBER Statewide Plumbing ADDRESS 10024 E. Valley Blvd. CITY El Monte TEL.NO. FC n-3717 0 STATE LICENSE NO. 1550 COUNTY J PERMIT FEES a z_ NUMBER TYPE OF FIXTURE OR ITEM FEE L7 n WATER CLOSET(TOILET) Q 0.80 Sl /` `� rIt �� O 1 BATH TUB @ 0.80 80 �- SHOWER @ 0.80 80 f 4!+ /P-A-/ V LAVATORY(WASH BASIN) @ 080 1 OO60 1 KITCHEN SINK C@ 0.80 0� 7 LAUNDRY TUB OR TRAY @ 0.80 SO SLOP SINK @ 0.80 FLOOR SINK @ 080 FLOOR DRAIN @ 0.80 ` r DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 1 GAS SYSTEM..5.........OUTLETS @ 1.00 1 0(` 1 WATER HEATER @ 1.00 MISCELLANEOUS � r__ , , ie-, 1 Auto Wash .,0. APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE 2 GAS PIPING !/ GAS VENT HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- �Zj J�' CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST 4116e."JAI AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN. ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED 3/ SIGNATURE OF PERM ITTE .-._CCCC - /�/ ------------- --- iiiiiiiii-FINAL 76A667 DBS 17 1/53 DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER ADDRESS FOR APPLICANT TO FILL IN LOCALITY ' BUILDINGNEAREST ® d /• CROSS ST. ADDRESS G !1 /+ DISTRICT N0. GROUP I ZONE /PERMIT NO. LOCALITY �4►J�fOG.� C �j -f'"- �/J' V `J NEAREST -_ /,� ^ 6� CROSS ST. /,c.-!/G(J /rjj/ RECEIVED BY Ready for Inspection DATE ISSUED OWNERG-/�ZS MAIL INDUSTRIAL ADDRESS WASTE APPROVAL CITY TEL.NO INSPECTION RECORD '. PLUMBERU/O/F� ADDRESS CITY �^ L� TEL.NO. t STA E LICENSE NO. �C n COUNTY J PERMIT FEES a z JUMSER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @ 0.80 $ D BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 3 -f KITCHEN SINK @ 0.80 ' ✓ 1- f LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOOR SINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ '0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM..............OUTLETS @ 1.00 WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE F:: UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE.------. - - - _..................--`----------•-------•----- FINAL 76A667 DBS 17 Ob 12-53 WORKERs coMPENSATION DeaARAnoN APPLICATION FOR PLUMBING PERMIT •1 hweby;affirm that I have a certificate of consent to self In- 20-0026 ��J90 A sure,or p certificate of Workers'Compensation Insurance,or a kertlfied copy thereof(sec. 31300, Lab. C.)� COUNTY OF L AN LES DEPT. OF PUBLIC WORKS Pollcy No. Company ❑ Cartlfiad copy Is hereby furnished. FOR TO FILL IN(PRINT OR TYPE) BUILDIt'iG Certified copy Is filed with the county building Inspection ADDRESS �-2 7 department. NUMBER RXRIRE OR rTEM R FEF LOCALLY Ddte Applicant WATER CLOSET(TOILET) . 0 NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUCROSS ST.B COMPENSATION INSURANCE ' SHOWER OWNER m (This section need not be competed If the work Imrohred by MAIL _ yy the permft Is for one hundred dollars (=100)or less.) LAVATORY ADDS &T.2 '7 1 certify that In the performance of the work for which this per- SINK CITY 1 tJO. mit Is Issued, I shall not employ any parson.In arty manner so J as to become subject to the Workers'Compensation Laws. DISFNVASI ER CONTRACTOR bate. Applicant— CLOTFES WASH ER ADDRESS NOTICE TO APPLICANT:If, after making this Certlflcate of Ex- emptlon,you should become sublact to the Workers'Compen- POOL � CITY TEL NO. sation provisions of the Labor Code,you must forthwith comp- LAWN SPRi�ER SYSTEMS ly with such provislons or this permit shall be deemed ravok- STATE UC. ed. WATER HEATER LKPtSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTR1C7 NO. PROCESSEI)BY I hereby affirm that I am Ilcensed under provisions of Chapter GAS SYSTEM OUTLETS y 9(commencing with Section 7000)of Dlvltlpn 3 of the Business OUTLETS OVER J and Professions Code, and my license is In full force and ef- S PER SYSTEM 4 FINAL' fect. HOSE BIB DATE 4^l7—q` 1fiALIDATION License Number Llc. Class / ACCT.T �+ NAL Contractor Date BYN 333 107.306 I am exempt under Sec. b D 1 IT M �-1U B.&P.C. for this reason Plan check fee ► TOTAL 107 - 4—P Date: PLUMBING PERMIT ISSUING FEE$ 30 marl 107.801 Signature TOTAL FEE d •00 SINGLE FAMILY HOME 0WNER-8UILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractors License Name0 -0041 2/27/96 Law for the following reason (Section 7031.5, Business and aq 5039 1 AMIE a 4assions Code): Address d ZL I, as owner of the property, will do the work and the city (a� T.I. No structure Is not Intended or offered for sale(Section 7044, Business and Professions Code). , OONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction l9nding agency for the performance of the work for which this permit is Issued (Sec. 3097, Cl v. C.) Lender's Name Lender's Address I certify that I have rood this appllcatlon and state that the above Information Is correct. I agree to comply with all County , ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the abova,rmenflonpci pro for Inspection purposes. � 'SEE REVERSE FOR EXPLANATORY LANGUAGE *Signature of Permittee Date COUNTY OF LOS ANGELES - t ` TE#PLE CITY 0508 ! IM T . DEPARTMENT OF PUBLIC WORKS - ' . ' . .9071 LAS TUNAS 08 970 ML BUILDING AND SAFES /.LWDEVELOPKENT' TENPLE CITY G :. PHONE: (818) 285-O488 'EXT:. _ FEES,PA I ON FILE _ — & _ - — FEE DESCRIPTION:. QUANTITY: 11Ql: AIIOIMT: .-- 9��37 I{EAREST CA0S8 STREET: BALDWIN y 8585-005-016 01 ,PE]OUT ISSUANCE= FEE 27.75 NOMAS ,PAGE:597. GRID: B4', LOCALITY: TEMPLE CITY:. . O7 BATHTM/SHOWERS 2.0O FIX •: 32.T0 T1 11 CLOTHEEWSHER(S) 1.00 FIX 16.95 i 21 .HOSE BIB8(E) 2.00 FIX. 32.70 07/15/97 'TC. : . 07 /98 25 LAVATORIES/SIIOCS: 3.00-FIX 49.05 OWNER: TEL. 45 WATER CLDSETJUtINAL .. 1:00 FIX, .:16.35 . . CHEW LINDA (818) 575,-2899-.. 47 WATER HEATFt(SY: -1 'DO- TH - 16.35 I - 10227 GREEN-ST. 51 LOW PRS CTAS 5 OUTLET 1.00, SYS 16.35 Z l TEP.917800000 TOTAL FEES 207.60 DESCRIPTION OF WORK' _ - = PLUmIOG,FOR NEW ADDITION- _ $AXE`AS-OWNER ; SWAS ONNEat _ LIC. Ito- � �j� . UNDER- S 93K WATERMVIGEr PiAST I C Y/N KETAL Y/N ARCHITECT.OR . LIC. K0: ROUGH LUMLIN PURL, IC WORKS HOT Wh ER HEATER n . CO LAWN SPRIKEMM 61, L GAS TT 56 • - REPORT ID DPR263-. - ROUTE T0,:.850$Q8 1 i