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Home My Public Portal About8763 HERMOSA DR_Plumbing__ 76A667-CES17 6-60 APPLICATION FOR PLUMBING PERMIT RETOFOTGGDEPATT NCUNYENINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS I'v4/ WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY a ox FOR APPLICANT TO FILL. IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET �L ADDRESS BATH TUB CITY NO.9HOWE8 CONTRACTOH LAVATORYSINE ADDRESS DISHWASHER CITY TEL NO. CONTRACTOR'S LAUNDRY TUB REGISTRATION NO. CLOTHES WASHER DISTRICT NO. GROUP I ZONE G ED BY WATER HEATER I I GL GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD Y 4 O V 0 O OF W 4 N O $1.00 PER ITEM OR FIXTURE $ �I ✓✓ APPROVALS DATE INSPECTOR'S SIGUATURE r PERMIT $ E 00 UNDER SLAB WORK R -4 _ TOTAL FEEv ROUGH PLUMBING V V GAS PIPING HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST .� CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. �v UTILITY CO.NOTIFIED SIGNATURE (�G q A OF PERMITTEE FINAL ®r VALIDATIO ROBERT A. WOOD, OK. M.O. CAae SUPERVISING MECHANICAL ENG'R �Jr o3 7 3 4 'IAR 8 5 A 5 .0 0 76.46E7-CER17 12/59 APPLICATION FOR PLUMBING PERMIT: COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING g'7G JOHN A. LAMBIE• COUNTY NGINEER ADDRESS (l 1 WILLIAM A. JENSEN, SUPT OF Bm LDING LOCALITY f t FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET / ADDRESS BATH TUB TUB CITY TEL NO. SHOWER LAVATORY CONTRACTOR SINK ADDRESS 4V7 t DISHWASHER - CI � TEL. CONTRACTOR'S CO TRACTOR'S NO� JSTATEJ�T LAUNDRY TUB REGISTRATION CLOTHES WASHER DISTRICT NO. OROVP /ZONE PRO ESSED BY WATER HEATER � V GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD q. ♦ �• X32 0 � U W a W z Q 0 PER OR TEM l� OR ER IT $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK1-1 �/ / TOTAL FEE ROUGH PLUMBING 2`2A'I v XtiA -� N'0n �0 GAS PIPING v I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION GAS VENT ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER n A 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES i �♦� ♦YLK AAY� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENUAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE i♦ •d" J 0FPERMITTE FINAL // -/.a 0' VALIDATION ROBERT A. WOOD. 0 B.O. CASH SUPERVISING MECHANICAL ENG'R Po 2 7 5 F5 �9 rLB 0 5 A WORKERS�CL}MPave a- cON DECLARATION CV APPLICATION FOR PLUMBING PERMIT I h�}r_u`y--aft;rn:�itat,I•have a certificate of consent to self eE en Iz-eol insure, or a certificate of Workers'Compensation Insurance,or a certified copy[hereof(Sec. 3800, ab. .) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Fi Certified copy is hereby furnish FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Certified co '6 NUMBER FIXTURE OR ITEM • FEE ADORES copy U filed wi t the county bu' mg inspec department. LOCALI 11_5" 1 Da Annurenr WATER CLOSET NEAREST BATHTUB CROSS ST. yjelyd CERTIFICATE E SATIOEXEMPTIONNS FROM WORKERS' r� COMPENSATION INSURANCE SHOWER OWNER .-f i LAVATORY MAIL >. (This section need not be completed if the work involved ADDRESS a by the permit is for one hundred dollars ($100) or less.) SINK CITU TEL OU 1 certify that in the performance of the work for which this DISHWASHER / ./ '/C� it permit is issued, I shall not employ any person in any manner CONTRACT eJ/fie 0 so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADDRESS �� U Date Applicant SWIMMING POOL RECEPTOR d NOTICE TO APPLICANT: If, after making this Certificate of CIT C TEL. U') Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM R,P' STATE /�� LIC. z Compensation provisions of the Labor Code, you must forth- WATER HEATER LICENSE NO /may with comply with such provisions or this permit shall be ,.-n'� deemed revoked. GAS SYSTEM OUTLE DIST RIC O. PROC�SSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL VALIDATION ness and Professions Code, and my license is in full force and DATE V ' C effect. AW FINAL � LicenseNu b Lic.Class X) BY P/ Cont rac� v I am exempt from the licensing requirements as I am a Plan Check fee licensed architect or a registered professional engineer PLUMBING PE T ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lie.or Reg.No. Date Plan check apps HOME OWNER-BUILDER DECLARATION Name 1 hereby affirm that 1 am exempt from the Contractor's Address License Law for the following reason (Section 7031.5, Busi- City Tel.No. ness and Professions Code): 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY :91 9 2 5 A I hereby affirm that there is a construction lending agency # . 0 0 0 0 5 for the performance of the work for which this permit is issued (Sec. 3097,Civ.C.). I a o 1 0,00 Lender's Name Lender's Address a e e 1 O'0 O I certify that I have read this application an I state that the 0828-80 above information is correct.I agree to comply ith all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances an zws regulating Plumb' g, and hereby an epresentatives this County to enter u96n the n boned pro or ins ct n pu os Si of Permittee Date WORKERS'COMPENSATiON DECLARATION 70A667A I hereby affirm that I have a certificate of consent to self CE@17L,..j APPLICATION FOR PLUMBING PERMIT insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.) COUNTY OF LOS ANGELES � BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO'FILL IN (PRINT OR TYPE) BUILDING Certified /��0 Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE ADDRESS G y department. LOCALITY WATER CLOSET Date Applicant NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER �y�7 (This section need not be completed if the work involved LAVATORY MAIL ADDRESS L /623 �- by the permit is*for one hundred dollars (5100) or less.) 0 SINK CITY �'� ��' TEL. NO.��rj�^�", 0 I certify that in the performance of the work for which this DISHWASHERp permit is issued, I shall not employ any person in any manner CONTRACTOR ,C . Z'i>Y/' so as to beco a subject to the Wor cetrs' omp; cation saws. CLOTHES WASHER ADDRESS Dale �� Applicant '^> `'�J LG �Ede�/LC f�Lc� W pp - SWIMMING POOL RECEPTOR d NOTICE TO APPLICANT: It, after making this rtificate of CITY r/v T � /�o TEL. NO.'3��'�'' U) Exemption, you should become subject to'the Workers' LA WN SPRIN KLERSVSTEM - STATE LIC. /' Z Compensation provisions of the Labor Code, you must forth- LICENSE NO. SS with comply with such provisions or this permit shall be WATER HEATER deemed revoked. DIS T NO. R ESSED BY GAS SYSTEM OUTLETS '} LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINALN ness and Professions Code, and my license is in full force and DATE 'eT( VALIDAT effect. FINAL License Number Lic.Class BY Contractor Date ElI am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ , acting in my professional capacity (Section 7051, Bus- 6'r7/W iness and Professions Code). TOTAL FEE (/ / Lie.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name �i G ��1 �'/Jf� Co I hereby affir thKBusinessand t from the Contractor's Address s5�� W � �1/ �� 6/r7 License Law for on (Section 7031.5, Busi. City A/0417-£/j f�/j , Tel.No. ness and Professions 1, as owner ofm exclusively contracting with licensedconstruct the project 2 3 7 2 3 A (Section 704 , fessions Code). m o m m m s CONSTRUCTION LENDING AGENCY ' I hereby affirm that there is a construction lending agency 2 m m 1 Q 00 for the performance of the work for which this permit is ' issued (Sec. 3097,Civ.C.). m m m 1. Q 0 0 x Lender's Name 01. 13-81 Lender's Address 1 certify that I have read this application and state that the above information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and Staie laws regulating Plumbing, and hereby authoriz resentatives of this County to enter upon the aI, en o ed roperty for inspection purposes. L� r z Signature o Permitte Date / ji/ WORKERS'COM PEN T DECLARATION teA667A APPLICATION FOR PLUMBING PERMIT I hereby affirin that v a cert ficatc of co to self cE en li-eo) insure, or a cwtificat o o rs'C mpensatio Insu nee,or a certified copy the (Sec 00 ab.C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy N mpany _ Certified copy ereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING - NUMBER FIXTURE OR ITEM • FEE ADDRESS i co - filed with th n unty 'Iding inspec�n LOCALITY /� �Q/' WATER CLOSET Uate r/ �pplict - - - NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved LAVATORY MAILADDRESS by the permit is for one hundred dollars ($100) or less.) SINK •l _Y CITY TEL. NO. ,J I certify that ithe performance of the work for which this DISHWASHER permit is issued,, I shall not employ any person in any manner CONTRACTOR � so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADDR SS U Date Applicant SWIMMING POOL RECEPTOR lL NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL. NO. to Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE //X'5/ LIC. z Compensation provisions of the Labor Cade, you must forth- LICENSE NO ( C CLASS) 01 with comply with such provisions or this permit shall be WATER HEATER deemed revoked. DISTRICT NO. .00 SSED eV GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS OVERCJ I hereby affirm that 1 am licensed under provisions of Chapter 15 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL neSS and Professions Code, and my license is in full force and DATE i cr 5 . �rl�y VALIDATION effect. q Licenscmm?/^/��2 -' Lie.Clas FBY INAL Pr Contractor Date ElI am exempt from the licensing requirements as I am a Plan Check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lie,or Reg.No. Date LNa check applicant HOME OWNER-BUILDER DECLARATION e I hereby affirm that I'am exempt from the Contractor's ress License Law for the following reason (Section 7031.5, Busi- Tei. No. ness and Professions Code): - 1, as owner ofthe property, am exclusively contracting with licensed contractors to construct the project ;221 8 3 A (Section 7044, Business and Professions Code). # 000 CONSTRUCTION LENDING AGENCY oog I hereby affirm that there is a construction lending agency ) o 0 1 0,00 for the performance of the work for which this permit is issued(Sec. 3097,Civ.C.). Lender's Name Lender's Address -r 0 9. 1 8-80 I certify that I have read this application and state that the above information is correct.1 agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-m —satfe3'ZSperSqfoarpose�s� . Signature of Permittee Date 1 WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/8I) or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.wo00552 CompanyBeayer Insurance Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �( Certified copy is filed with the county building inspec- ADDRESS 8763 E. Hermosa Dr. tion department. NUMBER FIXTURE OR ITEM @ FEE Locnury Temle Citv Date 7-14-86 Applicant J & D Mg. Co. WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER MrSCe (This section need not 6a completed if the work involved 6y SHOWER the permit is for one hundred dollars $100 or less. MAIL P I ) J LAVATORY ADDRESS 8763 ermo I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY Syn Gabriel Ca. TEL. "°-286-5556 so as to became subject to the Workers Compensation Laws. DISHWASHER co"TaAaoR J & D Plumbing Co. Date Applicant CLOTHES WASHER ADDRES NOTICE TO APPLICANT: If, after making this Certificate of 1 an Gabriel Blvd. Exemption, you should become subject to the Workers SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY yn Gabriel Ca. TEL. N028 -0 with mm with such provisions or this LAWN SPRINKLER SYSTEM comply p permit shall be STATE LIC. deemed revoked. 1 WATER HEATER LICENSE NO. 307766 CLASS C-36 LICENSED CONTRACTORS DECLARATION DISTRICT NO. P OCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER r D d and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL V (DATION O license Number 307766 - Li,. Class 0-36 - DATE S a V Contractor AdOlfo F. Sentegs;ile 7-14-86 av 0 ❑ W I am exempt under Sec. d H B.BP.C. for this reason Plan check fee ► Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE 6 Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Nome I hereby affirm that I am exempt from the Contractor's License Address ❑❑❑ Law for the following reason (Section 7031.5, Business and • . . • • Professions Code): City Tel. No. � • 1 &50 5 0 0 ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section , I. . 1 6 5 0 6 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY ,0 7. 1 4_ 8,6 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued yIs!; (Sec. 3097, Civ. C.). '�, 4:xx Lender's Name i Lender's Address 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 above-mentioned pr ert r_' pection purposes. / f p SEE REVERSE FOR EXPLANATORY LANGUAGE t�9G�� ,,,, July 1)a, 1 986 Signature of Permmnlee Date WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I herby afrirm that I have a certificate of consent to self 76gyy7A , .insure, of a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec. 3800, Lab. C.) - COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. BUILDING �J//.^, �{ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS S 7 W ✓ Certified copy is filed with the county building inspec- tion deport ent. NUMBER FIXTURE OR ITEM Q FEE L��L/S�}(/(�� 6 LOCALITY Date Applicant__�.y / Lz�r t�ZC.L WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATHTUB CROSS ST. COMPENSATION INSURANCE OWNER (This section need net be completed if the work involved by SHOWER MAIL the permit t For one hundred dollars 00)or C,-- I certify that in the performance of thea work forr which which Ihis LAVATORY ADDRESS permit is issued, I shall not employ any person in any manner SINK CITY t` A TEL. NO, 1-1 so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTO Date Applicant CLOTHES WASHER r / NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR If _ Compensation provisions of the Labor Code, CITY �j� ,/�TEL. �- p p you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATEr7 LIC. !� deemed revoked. WATER HEATER �. LICENSE NO. /e CIASkr"C-34`r3 LICENSED CONTRACTORS DECLARATION DIST�LCT Nor OCE55ED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS ``/f A (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER V V!I and Professions Code``,and my license is in full force and erffe�c/t. y� 5 PER SYSTEM FINAL,,- VALID ION O License Number�tl. Jw Tic. Class�r �3 DATE ,` :_. V _ r FINAL. 0 Contracfor� I V• v 6r.11�'Date �� BY . .� r 1 47.6A W ❑ am et/C/empt un or Sec /t� Vo a e is 5 N B.BP.C, for this reason Plan check fee Z poll. Date: `) • * 40.50 PLUMBING PERMIT ISSUING FEE$ i Signature • • . 4 Q 5 0 TOTAL FEE LIA 0 (123-85 Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the - structure is not intended or offered for sale (Section , 7044, Business and Professions Code). 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.). Lender's Name Lender's Addr certify that e read this application and state that the above infor ti is correct. I agree to comply with all County ordinance State laws regulating Plumbing, and hereby a uthariz r sentalives of this Count to enter upon the above- io nspech on purp es. t t SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee ate COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0111070035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID BUILDING ADDRESS: TR: 5903 LT: 79 UN: .002 8763 HERMOSA DR E FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917753008 ASSESSOR INFORM ON NUMBER: NEAREST CROSS STREET: MUSCATEL 5386-012-059 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY 63 WATER PIPING BR/FIX 1.00 FIX 6.75 TENANT: TOTAL FEES 34.50 ISSUED N: PROCESSED-F- PLAN BY: EXPIRES ON: 11/07/01 JK 05/06/02 OWNER: TEL. NO: FINAL DATE / FINA BY- CODE: RICE HELEN B TRUSTEE 8763 HERMOSA DR SGAB 917753008 6L's TIONZ`kT Of�WORK REPLACE WATER LINE BETWEEN WATER HEATER AND HOUSE APPLICANT: TEL. NO: SUNNY CONSTRUCTION (626) 574-8083- 1105 S FIRST AVE SPECIAL CONDITIONS: ARCADIA -- CT CONTRACTOR: TEL. NO: �j LES O� APPROVALS DATE INSPECTOR SIGNATURE GE \ SUNNY CONSTRUCTION AND DEVELOPMENT (626) 574-8083- �N � 514 S 1ST AVE. LIC. NO C r UNDER SLAB WORK ARCADIA, CA 91006 681634 B WATER SERVILE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: - N0: � ( ROUGHPLUMBING G LIC. NO: J �� GAS PIPING I GAS f I,L��LL-,I� L L: �� lu ll� `J� � 0 WATER HEATER --__--- —,y-- __ -- ----1 PLUMPING FIXTURES U \ Q ..a •,,;�:(�\ / LAWN SPRINKLERS r O O GAS TEST UTILITY COMPANY NOTIFIM O 0 CWV `b rQ Service Yhae t , GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1406160025 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: - FEES PAID BUILDING ADDRESS: TR: 5903 LT: 79 ON: .002 8763 HERMOSA DR E I IEEE DESCRIPTION: QUANTITY: DOM: _ AMOUNT: SGAB CA 917753008 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET: 15386-012-059 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY CAI I 163 WATER PIPING BR/FIX 9.00 FIX 61.20 1TENANT: I TOTAL FEES 89.00 IZSSUED ON: PROCESSED BY: PLAN BY: 106/16/14 SR I OWNER: TEL. NO: IFINAL DATE FI AL Y: CODE: 1MAN, WILLIAM (626) 456-4150- 18763 HERMOSA DR 1SGAB 917753008 1D SCPTIO OF WORK 1 IRE-PIPING 9 PLUMBING FIXTURES APPLICANT: TEL. NO: ' 1CHENG, JASON (714) 757-5999- - 15161 DOVER DRIVE _ (SPECIAL CONDITIONS: ILA PALMA CA 90623 CONTRACTOR: TEL. NO: III 1APPROVALS DATE INSPECTOR SIGNATURE IJS PRECISION CORP (714) 757-5999- 1 15161 DOVER DRIVE LIC NO 1UNDER SLAB WORK LA PALMA CA 90623 930262 1 IWATER SERVICE IPLASTIC Y/N METAL Y/N (ARCHITECT OR ENGINEER: - TEL. NO: ROUGH PLUMBING LIC. NO: r . _ GAS PIPING I I GAS VENT - HOT WATER HEATER - IPLUMBING FIXTURES (LAWN SPRINKLERS I GAS TEST (UTILITY COMPANY NOTIFIED( GWS (GRAY WATER SYSTEM S I I II II I I VIII III REPORT ID: DPR263 ROUTE TO: 850508 COUNTY'OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS PL 0508 1406110016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: ITR: 5903 LT: 79 UN: .002 1 8763 HERMOSA DR E IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: SCAB CA 917753008 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 1 15386-012-059 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY CAI 107 BATHTUBS/SHOWERS 3.00 FIX 48.60 ITENANT: 125 LAVATORIES/SINKS 3.00 FIX 48.60ISSUED ON: PROCESSED BY: PLAN BY: 1 1 145 WATER CLOSET/URINAL 2.00 FIX 32.40 1106/11/14 SR I I TOTAL FEES 159.40 1OWNER: TEL. NO: I FINAL DATE FINAL BY: CODE: IMAM, WILLIAM (626) 456-4150- 1yy 18763 HERMOSA DR I 1�I �1 V/ •l, 1SGAB 917753008 1 MSCRIPTION OF WORK REMODEL KITCHEN, MATER BAT4 & BATHROM 2 LAVATORIES, SINK, 12 WATER CLOSETS 2 TUBS a 1 SHOWER 1APPLICANT: TEL NO: 1 1 1 ICHENG, JASON (714) 757-5999- 1 1 15161 DOVER DRIVE ISPECIAL CONDITIONS: 1 ILA PALMA CA 90623 (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE 111 IJS PRECISION CORP (714) 757-5999- 1 15161 DOVER DRIVE LIC. NO 1 1UNDER SLAB WORK 1 1 1 ILA PALMA CA 90623 930282 1 1 1 WATER SERVICE (PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: 1 (ROUGH PLUMBING / LIC. NO: GAS PIPING GAS VENT I I I IHOT WATER HEATER I IPLUMBING FIXTURES LAWN SPRINKLERS I IGAS PEST I (UTILITY COMPANY NOTIFIEDI I GWV GRAY WATER SYSTEM I 1 I I 11 11 I I I I I I 11 I I I I I 11 II � i 11 I II 11 I I I 1 (REPORT ID: DPR263 ROUTE TO: BSO508 III