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HomeMy Public PortalAbout4810 HALLOWELL AVE_Plumbing__ D.B.S.-17 25AI SETS 12-45 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND\SAFETY COUNTY OF LOS ANGELES1 WM.J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTR�NO. GROUP ZONE PERMIT NO. ROUGH __ FIXTURES COMPLETE _ HEATER _ CESSPOOL -I SEPTIC TANK R,E EIVED BY READY FOR DATE ISSU��}E'jp FIRST INSPECTION / o / GAS MISCELLANEOUS !/ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY ] , �l roe E NAME pa�6rJ� ���\ I '�"1 = �' ADDRESS ADDRESS LOCALITY , ' D NEAREST IL CITY e°' ,, � TEL.No. CROSS ST. t 1j1. t,1�Lr. COUNTY CERT.No.- EXPIRES m NAME __i LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY TEL. No. I AM THE LEGAL POS SSOR OF THE ABOVE LOS ANGELES COUNTY CERT1Fi A OF QUALIFICATION. ' PLUM®ER I AM THE LEGAL OWNER OF THE PROPERTY DEBCRIB ABOVE. M> OWNER CORRECTIONS SOUTH DESCRIPTION OF WORK � =A"BATH TUB FURNACE e4HOWER DISHWASHER LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER i FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAB SODA FOUNTAIN GAS PIPING OUTL GAS VENT / CESSPOOL ' " TOTAL NUMBER OF FIXTURES SEPTIC TANK _lCESSPOOI SEPTIC TANK 1� SEWER 1 $7 UTILITY CO.NOTIFIED I TOTAL FEE FINAL "1 •'" D.B.S.-17 25M SETS 6-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY 1 COUNTY OFLOS ANGELES WM.J. FOX.CHIEF ENGINEER PLUMB' NATURE OF INSTALLATION DISTRICT NO. GROUP I 7_1 E P RMITO. ROUGH FIXTURES COMPLETE �L_49 / HEATER CESSPOOL I-I SEPTIC /EPEC IVSD BY READY FOR DATB ISSUED FIRST INSPECTION GAS MISCELLANEOUS 41`1` F3LLy�IIN�HEAVILY OUTLINED PORTION ONLY JOB lz NAME , ✓ ( ADDRESS W /� r ADDRE96 (/ 'Q LOCALITY / �?9 `NEAREST C CITY / ,iT;E .No t///S/L.® CROSS ST. COUNTY CERT.No. / jFXPIRES n v KN NAME LOCATION O SEPTIC TANS,-OR CESSPOOL 3 MAIL ADDRESS NORTH O \J /! CITY L/ TELA4' I AM THE LEGAL P088HQQ80R OF�THE. ABOVE L S ANGELES COUNTY CERTIFICA7`E/OF UAL IICJAATION. PLUM BER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. D a OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK a BATH TUB FURNACE !Y SHOWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR BINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS / WATER CLOSET DRINKING FOUNTAIN DATE INBP/E�GCSO/W9 NAME, � WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER6. dA9 SODA FOUNTAIN OUTL GAS PIPING /� Y°.✓s- _ GAS VENT /y CESSPOOL4EI , ' TOTAL NUMBER OF FIXTURES v _SEPTIC TANK CESSPOOI SEPTIC TANK SEWER $ ��( v UTILITY CO.NOTIFIED I ( 14 .�► TOTAL FEE ' FINAL . y. WORKERS'4OMPENSATION DECLARATION 'APPLICATION FOR PLUMBING PERMIT �L hetiebaftrirm that I hove a certificate of consent to self 20-0026 DPW 6/87 i`bsure, or a certificate of Workers' Compensation Insurance, 76A667A ,or a certified copy thereof (Sec. 3800, Lab. C ) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Certifies! copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- ADDRESS j (� tion department NUMBER FIXTURE OR ITEM @ FEE• /�� y� p LOCALITY 0/ �? Date Appligant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER ' dVA 'TEIe(n /3Z7p , (This section need not be completed if the work involved by MAIL (� the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS G lD I certify that in the performance of the work for which this ss� permit is issued, I shal l not employ any person in any manner SINK CITY/ CLT TEL NO yy2-W 37 so as to become subject to the Workers'Compensation Laws DISHWASHERl 7 CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Cerhficate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY TEL NO LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS n (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATION pi DATE License Number Lic. Class O. FINAL'�j�� Contractor Date BY o N I am exempt under Sec .�'. �• f", �' U Z Date: B.BP C. for this reason ' Plan check fee ® PLUMBING PERMIT ISSUING FEE$ I z4 D , Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License -._ • __ Law for the following reason (Section 7031 5, Business and Address :_._r1� Prof ssions Code) ' City Tel. No. •• q'- ,_ I, as owner of the property, will do the work ond•the 2 structure is not intended or offered for sale(Section ® TOTAL TAT 26 _ _D 7044, Business and Professions Code). L_rt:•�1 =`co )1 2. CONSTRUCTION LENDING AGENCY• I hereby affirm that there is a construction lending agency for I -the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name iY 1�li II t 1 10/I,''1 s/'T I Lender's Address .ts ( 3 AM 3'.- 1 I certify that I have read this application 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 ab mentioned pr pert for inspection purposes. Iv 16-91 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date " COUNTY- OF LOS ANGELES TEMPLE CITY # 05Cti' PLUMBING PERMIT u_� DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS P_L-0508-9809030028 _ BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING-ADDRESS- TR: 13645 LT: 13 =810_HALLOWELL_-AV� FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803456 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8585-017-017 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY 55 GAS METER (PRIVATE) 1.00 MET 16.20 TENANT: 64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRE ON: TOTAL FEES 60.15 09/03/98 UT 09/0 99 OWNER: TEL. NO: FINAL DATE FINAL B CODE: BITTER RONALD M;CATANZARO TANYA L (626) 442-8837- _ r 4810 HALLOWELL AV TEMP 917803456 _WORK.__ EXTEND WATER AND GAS LINE TO REAR 9F _ .ROPERTY FOR. F,UTURE SECOND-DWELL-ING APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: 0,✓ APPROVALS DATE INSPECTOR S NATURE 9 SAME AS OWNER LIC. NO UNDER SLAB WORK /IQ� WATER SERVICE !d D © PLASTIC Y/N META ARCHITECT OR ENGINEER: TEL. NO: �a ROUGH PLUMBING LIC. N0: iT GAS PIPING _ GAS VENT HAT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 (PLUMBING-PERMI-T, -DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL_0508-9802180012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUI-L-DING-ADDRESS: TR: 13645 LT: 13 48-0 HALLOWELL AV � FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803456 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8585-017-017 25 LAVATORIES/SINKS 1.00 FIX 16.35 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.35 TENANT: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 49.05 02/18/98 UT 02/18/99 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: BITTER RONALD M;CATANZARO TANYA L (626) 442-8837- Q_�1 1, q, 4810 HALLOWELL AV V GG TEMP 917803456 DESCRIPTION OF WORK PLUMBING_FOR NEW GARAGE APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY-WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 •