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HomeMy Public PortalAbout9025 HERMOSA DR_Plumbing__ 76A667 CEEV-"n-5i APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT.OF COUNTY ENGINEER BUILDING. BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE; COUNTY ENGINEER /// CASSATT'D. GRIFFIN, SUP:T OF BUILDING LOCALITY FOR APPLICANT TO FILL .IN CROSS CROSS ST. >>�ANUmBER . FIXTURE OR ITEM - OWNER WATER CLOSET MAIL - !� BATH TUB ADDRESS / SHOWER CITY TEL.NO. LAVATORY CONTRACTOR SINK ADDRESS ;jf DISHWASHER CITY - L TEL. NO-441 g 7,r Q LAUNDRY TUB CONTRACTOR'S STATE ..REGISTRATION NO. C COUNTY CLOTHES WASHER DISTRI�.T.NO. GROUP Z IyE wEAor FOR I011ECTION WATER HEATER r'\I _If_. /n( GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD ?—//-5'R /'MU T FINISNEA Y_<T 6VA/ER BA(VY Ar Dfboly APPROVALS 51.00 PER ITEMA - DATE INSPECTOR'S SIGNATURE Y- OR FIXTURE S �G/0 UNDER SLAB WORK ROUGH PLUMBING PERMIT 5 1 00 pp GAS PIPING 3 TOTALFEE I GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGPLUMBING FIXTURES PLUMBING. IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL ER OF THE ABOVE UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL ROPE TY. SIGNATURE OFPERM TTEE FINAL u, ALIDATION ROBERT A. WOOD, SUPERVISING MECHANICAL ENG'R M1 M.9. CASH - LG' 2 3 7'M FEB 13 3 A 3.0 0 9 DAIS 67 APPLICATION FOR PLUMBING PERMIT 1 Dss.IT'DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING 'J t J JOHN A. LAMBIE: L COUNTY ENGINEER ADDRESS d S 4 �q �7( CASSATT D,GRIFFIN,SUPT OF BUILDING LOCALITY I FOR APPLICANT TO FILL IN NEAREST CROSS ST. A P E OWNER l ( y 1,_, .OISTRICT NO. GROUP I ZONE I READY FOR INSPECTION AO REES �O 2 S //L'/ 1'h�j .S Ct 'j�A_ USTRIAL CITY . TEL. NO. L2_A WASTE APPROVAL PLUMBER Zu , I INSPECTION RECORD ADDRESS / /J_✓!� L GC' rr AeL< L CITY 0-Al) _/-C, TEL. 140:61 37 JV' / LICENSE NO. 12-o na % 3 7 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ / ✓ /I/ ' BATHTUB @ $1.00 ... _ ✓ V SHOWER @ $1.00 LAVATORY (WASHBASIN) $1.00 KITCHEN SINK @ S1.00 DISHWASHER @ '$1.00 U /v11 LAUNDRY TUB OR TRAY '_@ $1.00 CLOTHES WASHER @ 51.00 �� U WATER HEATER @ $1.00 GAS SY TEM @ $1.00 APPROVALS- 1 DATE INSPECTOR'S SIGNATURE UNDERSLAB WORK ' PERMIT S 7 00 ROUGH PLUMBING GAS PIPING _ _ TOTAL FEEL,96 GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE• LAWS REGULATLNG PLUMBING FIXTURES PLUMBING, I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LE�WNER OF THE ABOVE UTILITY CO.NOTIFIED . DESCRIBED RESIDENT}AL P ERTY SIGNATURE E// \/ OF PERMITTE J � FINAL JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD. CHIEF PLBG. INSPECTOR Cs. n.o. CAS. LAC04 4 7 8 JAN 2 5 3 5.0 0 m, 0D85173-55 67 73APPLICATION FOR PLUMBING PERMIT 1 BS T DMSION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING WM. J. FOX. COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN, SUP-TOF BUILWM. LOCALITY l� FOR APPLICANT.TO FILL IN NEAREST r /. / CROSS ST. OWNER � i(/��'.ry /�j DISTR,Iy✓CTNO. GROUP ZONE aEnox ron Ixsp¢cTION MAIL ADDRESS •a� / ✓ INDUSTRIAL CITY �/l�Yl „TEL. NO. I WASTE APPROVAL PLUMBER7/ZINSPECTION RECORD ADDRESS pN%✓/_t/'.'Y/' CITY //,tll TEIa O.. �i•�F%� J LICENSE NO. ��/, '/i NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSETITOI LEI'l S BATH TUB SHOWER _ LAVATORY (WASHBASIN) KITCHEN SINK DISHWASHER ' LAUNDRY TUB OR TRAY CLOTHES WASHER TOTAL NO. ca O.eO APPROVALS DATE INSPECTORS SIGNATURE _GAS SYSTEM-OUTLETS @ 1.00 t, @ In UNDER SLAB WORK WATER HEATER 1.00 ROUGH PLUMBING PERMIT S 1 00 GAS PIPING .TOTAL" .TOTAL FEEOQ GAS VENT I.HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS.APPLICATION LTEST R AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING S PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT' I AM THE LEGAL OWNER OF THE ABOVE IEDDESCRIBED RESIDENTIAL PROPERTY. / jSIGNATURE OF PERM TTE���c"" I� WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R. A. WOOD, CHIEF PLBG. INSPECTOR } 4;9.0 4S JUN 21 3 ^ 2.0 0 UU\\ 7SA667 ICE-BI]) - 1/75 J _ APPLICATION OR PI�,��MBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: FADSS HARVEY T. BRANDT, COUNTY ENGINEER (.FOR APPLICANT TO FILL IN (PRINT OR TV PEI ST ST.NUMBER FIXTURE OR ITEM Cm FEE2.00 WATER CLOSET BATH TUB 2.00 DDRESS SHOWER 2.00 CITY TEL. NO. LAVATORY 2.00 CONTRACTOR SINK 2.00 ADDRESS-qZA— �f•' DISHWASHER 2,06 C G CLOTHES WASHER 2.00 STATE /' - UC - LICENSE NO. 414! Y (! CLASS C--:? rtl SWIMMING POOL RECEPTOR 2,00 DISTRICT NO.GROUP NE PR CESSED BY --(AWN SPRINKLER SYSTEM - 2.00' WATER HEA INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD OUTLETS OVER U 5 PER SYSTEM .30 O I-- U ' W d N Z Plan check fee SS6 Re V6,65 PLUMBING PERMIT ISSUING FEE S TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING- [Address GAS PIPING City Tel. NO. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING _FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LI CEN 5 E0 AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I pM THE LEGAL OWNER OF, AND INT ND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL P OPERTY. FINAL —328 Z'ro,- tit SIGNATU RE OF PERMITTEE RMIT VALIDATION CK. )OL cpsH PLAN CHECK VALIDATION CK. M.O. CASH �0 'NOV 3 5 U 7.5 Q A;n 'aAGG' APPLICATION FOR PLUMBING PERMIT 1 oes.IT 10.55APPLICATION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles - BUILDING r JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS ��� `)O 11 L CASSATT D. GRIFFIN, SUPT OF BUILDING . LOCALITY FOR APPLICANT TO FILL IN I NEARS sTCROSSF . ew e C OWNER p (--A DISTRICT NO. ' GROUP ZONE REARY FOR IRSPECTION MAIL 9 _ / I ADDRESS Y J�1 INDUSTRIAL CITY I � TEL:NO, WASTE APPROVAL PLUMPER ��_ INSPECTION RECORD ADDRESS CITY TEL. NO. 6 / .) LICENSE NO. ! Z-G) D NUMBER TYPE OF FIXTURE OR ITE_M FEE ' WATER CLOSET (TOILET) @ S1.00 $t•. 06 BATH TUB @ 51.00 _ SHOWER @ 51.00 LAVATORY (WASH BAS IN) - @ $1.00Din KITCHEN SINK @ S1.00 DISHWASHER @. 51.00 LAUNDRY TUB OR TRAY -@ $1.00 CLOTHES WASHER @ 51.00 ®Q [ " e C WATER HEATER @ 51.00 Q1 KYf /f//1 7` 7-,,; /I F GAS SYSTEM @ 51.00 nr AIS-/-,I)LEA Ft?' THIS /wrR h"7-R -&V APPROVALS y DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT 5 1 00 ROUGH PLUMBING Lf Y GAS PIPING TOTAL FEE 6 GAS VENT T ' I HEREBY ACKNOWLEDGE THAT I' HAVE READ THIS APPLICATION 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 i HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL NER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIA ROPERTY. SIGNATURE OF PERMITTEE , FINAL / X JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A. WOOD. CHIEF PLBG. INSPECTOR CK. M.B. GSH tCc 5 2 0 FEB 11 3 6.0 0 In ,O WORKERS' that I have a certificate DECLARATION APPLICATION FOR PLUMBING PERMIT hereby; affirm that hove a certificate of alio ns iu oo self r a M-0026667 DPW 4/07 n sure,or a certificate of Workers'Compensation Insurance,ror a CE 81 7( ,IL..III P CE BV(REV. 0/86) ' certified copy thereof (Sec 3800, Lab.{.) - Policy No. Company _' 'COUNTY OF LOS ANGELES DEPT. OF.PUBLIC,,WORKS Certified'copy is hereby furnished. I y r Certified copy is filed with the county building inspeUion ADDRESS FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ',.) G department. - NUMBER FIXTURE OR ITEM @ FEE LOCALITY DateAppicanl '+ r WATER CLOSET (TOILET) - NEAREST - CERTIFICATE OFEXEMPTIONFROM WORKERS' BATH TUB CROSS ST. , COMPENSATION INSURANCE -1 1. SHOWER OWNER (This section need not be completed if the work involved by _ MAIL ` the permit is for ($100)or less.) LAVATORY ADDRESS one hundred dollars, .Y/7/l'1✓OC.OI% I certify that in the performance of the work for which this per- SINK - `l' mit is issued, I shall not employ any person in any mariner so CI Y TEL. NO� IWA as to become subject,to the Workers"Compens tion Laws. DISHWASHER JJt/W�''ua i;/q� ' CONTRACT Rt2 al, xb3f 441h, Date v Applicant - CLOTHES WASHER - ADDRESS NOTICE TO A LICANT: If,after making this Certi icare of x- - �i ` •emption, you should become subject to the Workers Compen- SWIMMING POOLRECEPTOR _ CITY TEL. NO sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER.SYSTEM. ly with such provisions.or-this permit shall be deemed revok- STATE LIC ed. WATER HEATER LICENSE NO. 1 CLASS JIQ LICENSED CONTRACTORS.DECLARATION . ' DISTRICT NO PR C SED BY hereby affirm,that.l am.licensed under provisions.of-Chapter _ _ GAS SYSTEM_ __ OUIlETS_ _ _ - _ -:- _ -�-�� 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER fed Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL (•' ,fL VALIDATION - a DATE V 0 License Numbe Tic. Class ear - _ 0 FINAL Contracto I 6Y• / ¢O ❑ LJ ~ am exempt°under Sec W IL B.BP.C, for this reason ► - 0 Plan-check fee Date: - PLUMBING PERMIT ISSUING FEE $ - Signature - .. .. -.. - - TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant herebyaffirm That I am exempt from the Contractor's License Name ' Law for the following reason (Section 7031.5, Business and Professions Code): Address S 1, as'owner of the property, will do the work ond.the City Tel. No.. y " structure isnot intended or offered for sole(Section 7044, At+(-T•a Business and Professions Code). ► +F tj( CONSTRUCTION LENDING AGENCY 3307 1 ITEMS I hereby affirm that there is a constructionlending agency for - � the performance of the work for which this permit is issued - TOTAL 20 - 50 - (Sec 3097, Civ. C.). .. (.HElis IJ,cI} Lender's Name'• - .(CHANGE 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 , - I]Ill]Ij-I IljjJi jf�! 1,!.yif1 ordinances.and State laws regulating Plumbing, and hereby ^]�j AN �`G1 authorize representatives of this County to enter upon the SL. a ve-mentia ed property for inspection purposes.ll SEE REVERSE FOR EXPLANATO Ill NGUAGE Signature of Per tree Da ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT dF PUBLIC WORKS 9701 LAS TUNAS ""' PL 0508 0704300023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 . . .. , PHONE:-(626) 285-.0488 EXT: , LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5904 LT: 306 _ 9025 HERMOSA DR T IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917801836 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: ROSEMEAD 15384-016-042 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl 163 WATER PIPING BR/FIX 6.00 FIX 40.50 (TENANT: 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I TOTAL FEES 84.45 104/30/07 JK 10/29/07 TOWNER: TEL. NO: T - (FINAL DATE-aY D BY: CODE: 1LAI, MIKE (626) 215-9354-, T 1 •.L-�1—IR E 19025 HERMOSA DR T ' Ih II (TEMP 91]801836 1 ,. (DESCRIPTION OF WORKc i 1 IREPIPING 6 FIXTURES OLD PIPE TO RIDGE COPPER PIPE AND WATER T MAIN T APPLICANT: TEL. NO: T IWANG (909) 948-3191- T 1 1 110264 RING AVE _ SPECIAL CONDITIONS: IALTA LOMA, CA 91737 1 1 1 TCONTRACTORo - TEL. NO: III \' (APPROVALS DATE INSPECTOR SIGNATURE TBW IDEAL CONSTRUCTION, INC. (909) 948-3191- I 1 110264 RING AVENUE LIC. NO UNDER SLAB WORK (ALTA LOMA, CA 91]3] 833565 B WATER SERVICE (PLASTIC Y/N !(METAL /N (ARCHITECT OR ENGINEER: TEL. NO: IROUGH PLUMBING LIC. NO: II IGAS PIPING (GAS VENT IHOT WATER HEATER (PLUMBING FIXTURES (LAWN SPRINKLERS GAS TEST TUTILITY COMPANY NOTIFIEDI I I Cw IGRAY WATER SYSTEM I I I I I I I 1 II II1 1I I I III I I 1 I I I I I IREPORT ID: DPR263 ROUTE T0: BS0508 I I I I I I