Loading...
HomeMy Public PortalAbout9011 HERMOSA DR_Plumbing__ >eAeST 17 5-50 ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY LOS ANGELES FO ' WILLIAM J. FOX. CHIEF ENGINEER PLUMBING 1 FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIITNO. PLUMBERRECEIVED BY READYFOR DATEISSUED /�' � FIRST INSPECTION ADDRESS 3 I ! - '1" , -7 — If / BUILDING CITY 0<0 TEL. NO./q�� p�� 7� ADDRESS COUNTY B EXPIRES !/.-'mow+ '%S�I LOCALITY LICENSE NO./ O G "t NEAREST PERMIT FEES CROSS ST.� — /i( r.i NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 0}/}/� MAIL WATER CLOS ET (TOILETI Q 0.50 S ADDRESS BATH TUB {ny 0.501 CITY i /�t:f TEL. NO. SHOWER Ca 0.501 I HEREgY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY IWASH BASINI © O.SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND 1 KITCHEN SINK 0.50 STATE LAWS REGULATING PLUMBING. 1 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRYTUBORTRAY © 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTIAL,PROPERTY DESCRIBED ABOVE. 1 GAS SYSTEM—OUTLETS 6 0.501 SIGNATURE OF 1 WATER HEATER (a 0.501 PERMITTEE � «'-+ /4L.� OP SINK Gd o.SolINSPECTION RECORD FLOOR SINK @ 0.501 FLOOR DRAIN @ 0.50 DISHWASHER R 0.501 DRINKING FOUNTAIN Q 0.301 IURINAL 0.501 ..I HOUSESEWER Ll 0.501 x Q 1 _Z MISCELLANEOUS _U' at O I II J I I 1 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING 1 GAS VENT CESSPOOL 0 1.00 CESSPOOL SEPTIC TANK: 1 SEPTIC TANK DRAIN ( I PIT f Q 1.001SEWER PERMIT 1.00 GAS TEST I UTILITY CO. NOTIFIED TOTAL FEE 1 $ l 7J"/Z' FINAL 76AG67-CE817-11-67 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUR.DING AND SAFETY DIVISION BUILDING .,Y IDHN A. LAMBIE, County Engineer ADDRESS 9011 Hermose DICOUNTY CASSATT D. GRIFFIN, Sup t of Building i t I LocxLITY Temple C FOR APPLICANT TO FILL IN NEAREST T. Rosemead. Blvd, NUMBER FIXTURE OR ITEM WATER CLOSET OWNER [Ervin IT . Davis ADDRESS /011 Hermosa D MAIL HATH TUB SHOWER CITY Temple City TEL. NO. LAVATORY CONARACTOR Mal.er Plumbin SINK ADDRESS 310 E. Huntingto DISHWASHER CITY Arcadia TEL. NO. LAUNDRY TUB CONTRACTOR'S ti REGISTRATION NO. 7 8,10 CLOTHES WASHER DISTRICT NO. GROUP ZONE READY FOR INSPECTION WATER HEATER ( G4L4 GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS $1.00 PER ITEM1.0c) DATE INSPECTOR'S SIGNATURE Z OR FIXTURE S UNDER SLAB WORK PERMIT $ 00 ROUGH PLUMBING /Nlit/.t TOTALFEE 3 00 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GASVENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GASTE5T LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIOFPERM ITT GNATURE _//�•" FINAL ROBERTA.WOOD. el VALIDATION SUPERVISING MECHANICAL ENG'R H.0. CASH LAG0 2 3 4 4-; SEP 8 5 A 3.0 0 WORKER'Shave COMPENSATION DECLARATION 0-0026 76A66A 9/09 APPLICATION FOR PLUMBING PERMIT I hereby affirm That I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified - - copy thereof(Sec.3800 Lab. C.) Policy No. l�9`E�I05Ca pony COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. ❑ Certified copy is hereby furnished F-1Certified APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS depa ant. NUMBER FIXTURE OR ITEM O FEE LOCALITY Date Z Applicant WATER CLOSET / �T�S NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS OK BATH TUB COMPENSATION becompleted it the work ASSESSOR IT section need not be complet¢d i}the work Involved by the SHOWER MAP BOOK .Jct 'Y PAGl PARCEL O/ permit is for one hundred dollars($100)or less.) LAVATORY - OWNER J/nIA 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as l0 MAIL / Q become subject to the Workers' Compensation Laws. SINK 1 ADDRESS ��C �/� / TEL . (J pISWASHER CITY .PNt C f,: TEL.N2 Date Applicant ! CLOTHES WASHER / CONTRACTOR NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR j provisions of the Labor Code, you must forthwith comply with such ADDRESS 61 / L�,-2 i provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM CITY ,✓ LICENSED CONTRACTORS DECLARATION WATER HEATER I CITY TEL.NO. c, �5_�:I66 a I hereby affirm that I am licensed under provisions of Chapter 9 r----���I yr (commencing with Section 7000) of Division 3 of the Business and STATE / -7 (/ LIC. O Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS / LICENSE NO. / 3 CLASS YJ(> O n OUTLETS OVER DISTRICT NO o C� PROCESSED BY O `� `5;_ L 5 PER SYSTEM �TA 4�r�LG+�—��� License Number !7 �� Lic.Class L- `�' !/ 9/mac �� ae FINALL_7 VALIDATION LU G DATE Contractor Date Z ❑ FINAL j•1!.t.:? ,x _ am exempt under Sec. _ BY _ L I' B.BP.C.for this reason Date: 1 Plan check fee ! , 3.TEYi�C _• PLUMBING PERMIT ISSUING FEE$ o TI,I HI 1 94- s55 Signature // _ = El TOTAL FEE 3r S-4;iz..FV Plan check applicant SINGLE FAMILY CHArJ+7E HOME OWNER-BUILDER DECLARATION - Name I hereby affirm that I am exempt from the Contractor's License Law for the fallowing reason (Section 7031.5, Business and Professions Addressr i i rt .m 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 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 fof inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Z Z " ignatul of Permit" Dat .COUNTY-OF IAS ANGELES TEMPLE CITY N 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS PL 0508 1307080019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS; I ITR: 5904 LT: 169 '- 1 9011 HERMOSA DR I I (FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917801836 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET: ROSEMEAD 15384-016-019 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C 147 WATER HEATER(S) 1.00 WTH 16.20 TENANT: TOTAL FEES 44.00 (ISSUED ON: PROCESSED BY: PLAN BY: 107/08/13 OR OWNER: TEL. NO: I IINAL DATE FID CODE: I I b SAMARTIN, ROSEMARIE (626) 309-9292- 7 19011 HERMOSA DR Ic TEMP 917801836 JIDESCVIPTIOTOF WORK REMOVE/REPLACE GAS WATER HEATER SAME LOCATION 1 (APPLICANT: TEL. N0: IBATIOFF, EMILY (425) 636-7084- 111715 NAIR GREEK PWY (SPECIAL CONDITIONS: BOTHELL WA I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE (FAST WATER HEATER CO. (425) 636-7054- 1 1 111715 NORTH CREEK PKWY S LIC. NOUNDER SLAB WORK I#C-106 C36931237 * I ( [BOTHELL WA 98011 I IWATER SERVICE I I I (PLASTIC Y/N METAL Y/N (ARCHITECT OR ENGINEER: TEL. NO: 1 1 - I IROUGH PLUMBING LIC. N0: 1 I I (GAS PIPING I I GAS VENT 1 I i TROT WATER HEATER '7 I7 (PLUMBING FIXTURES I LAWN SPRINKLERS I I I I I I (GAS TEST I I I I I I (UTILITY COMPANY NOTIFIED( I I VDW1 � 11 II GRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I* ADDITIONAL DATA ON FILE I I I I I (REPORT ID: DPR263 ROUTE TO: B50508 I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1305160011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91760 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5904 LT: 169 9011 HERMOSA DR FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: I TEMP CA 917801636 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ROSEMEAD 15384-016-019 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl 1 125 LAVATORIES/SINKS 1.00 FIX 16.20 TENANT: TOTAL FEES 44.00 JISSUED ON: PROCESSED BY: PLAN BY: 105/16/13 SR I I I TOWNER: TEL. NO: FINAL FINpL $y: CODE: OWNERTIN, ROS EMARIE (626) 309-9292- P,/ 9011 HERMOSA DR TEMP 917601836 SCRD RIP ON OF WORK REPLACE KITCHEN SINK JAPPLI CANT: TEL. N0: SAME AS OWNER - (SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: IAPPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO UNDER SLAB WORK I I � IWATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: IROUGH PLUMBING LIC. NO: IGAS PIPING GAS VENT I I I IHOT WATER HEATER I I I jPLUMBING FIXTURES I I I LAWN SPRINKLERS I I I GAS TEST I I I 1UTILITY COMPANY NOTIFIED( I I Cwv GRAY WATER SYSTEM 1I I 11 I I I I I I 11 I 111 I I I I I I I I I I I I I I I 1 REPORT ID: DPR263 ROUTE TO: BS0508 I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMI.T- DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 'PL 0508 9705050023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: L ES PAID BUILDINGADDRESS: TR: 5904 LT: 169 1\9011-HERMOSA DR1 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA-917801836 ASSESSOR INFORMATIONNUMBER: NEAREST CROSS STREET: 5384-016-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY 39 SWIM POOL TRAP/REL 1.00 SYS 16.35 TENANT: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 ISS ON: PROCESSED BY: PLAN BY: EXPIRES . TOTAL FEES 60.45 05/15/97 TC 05/15/98 OWNER: TEL. NO: FINAL DATE FINAL 11 CODE: REYNA JOSEPHINE M - - �- 9011 HERMOSA DR 1-171.2 TEMP 917801836 D S R PTbN U6 U W ri PLUMBING FOR PRE-FAB SPA PKK N0: 1 QUALITY 4�LESS (909) 595-7283- SPECT CONDITIONS: - CONTRACTOR: TEL. NO: i� APPROVALS DATE INSPECTOR SIGNATURE QUALITY 4 LESS (909) 595-7283- 20537 STARSHINE RD. LIC. NO UNDER SLAB WORK WALNUT, CA 91789 695475 B WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. N0: GAS PIPING (� t PLUMBING FIXTURES LAWN SPRINKLERSi UTILITY COMPA IED CwV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: SS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0206170001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES A BUILDING AD TR: 5904 LT: 169 9011 HERMOSA DR FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: TEMP CA 917801836 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMEAD 5384-016-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.20 TENANT: TOTAL FEES 43.95 ISSUED 0PROCESSED BY: PLAN BY: EX I E 06/17/02 JK 12/14/02 OWNER: TEL. NO: FINAL DATE FINAL CODE: SAMARTIN;EMILIO (626) 309-9292- 9011 HERMOSA DR TEMP 91 78 01 836 DESCRIPTION OF WOkR- C/O WATERHEATER APPLICANT: TEL. 0- ALAP ASSOCIATES (818) 407-1247- 7229 VARNA ST SPECIAL CONDITIONS: N HOLLYWOOD 91605 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ALAP ASSOCIATES (818) 407-1247- 7229 VARNA ST. LIC. NO UNDER SLAB WORK N. HOLLYWOOD 91605 771905 C36 WATER SERVICE ARCHITECT OR ENGINEER: TEL. N0: PLASTIC Y/N METAL Y/N ROUGH-PLUMBING LIC. NO: GAS PIPING GAS VENT HOT WATER HEATER PL B NG FIXTURES L LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508