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Home My Public Portal About9802 HOWLAND DR_Plumbing__ 76 A 5G7—CF,817 8/68 W✓ APPLICATION FOR PLUMBING PERMIT COUNTY`OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION 7ADDRESS p0 vJOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING �,� TFOR APPLICANT TO FILL IN (PR NT OR TYPE) ��IVNUMBER FIXTURE OR ITEM EACH FEEWATER CLOSET 1.50 J BATH TUB 1.50 / SHOWER 1.50 �7 V CITY � TEL. NO. _ LAVATORY I.50 1 '[/ CONTRACTOR �/ SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL. NO. CLOTHES WASHER 1.50 STATE LIC LICENSE NO. CLASS SW{MMING POOL RECEPTOR 1.50 DISTRIICT NO. GROUP 2PPE PROCESS D BY LAWN SPRINKLER SYSTEM 2.00 C7 WATER HEATER 1.50 INDUSTRIAL J_� U WASTE APPROVAL Z fy GAS SYST EM1I OUTLETS 1.50 o L INSPECTION RECORD OUTLETS OVER U 5 PER SYSTEM .30 d H Z Plan check fee 25- of above. See revere. PLUMBING LAG I ERMI9 ISSUING PBF. S 2 U0NH IAG I ER1119 ISSIIING FBF. S 2 UO TOTAL FEE, APPROVALSPATF NATURE y Plan cheek applicant UNDER SLAB WORK .2 /C) IVanle ROUGH PLUMBING Addrese GAS PIPING GAS VENT City el. No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE TN AT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF S O 71 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE N. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE OF PERMITTEE �. JACK R. ALLEN, 577,RvIsI M HANICAL ENG'R. PERMIT VALIDATION cK. M.o. CASH PLAN CHECK VALIDATION CK. M.0. CASH �A - 6 9 1 0R SEP24 5 D 9.50~ WORIERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I herby affirm thot.l have a certificate of consent je self 200026 DPW 6/87 C I insure,y.or a certificate of Workers' Compensation Insurance', . 76A667A ILL-11' or at'ertified copy thereof (Sec. 3800,/Lob.. C.,)t,,��r COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No.ra_!2z�A/Compony Certified copy is hereby furnished. BUILDING o FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified cK filed with th county buildin s ec- ADDRESS tion departNUMB R FIXTURE OR ITEM FEE {� LOCALITYz4fC Date Ap. . nt �.dio./ �� WATER CLOSET D NEAREST CERTIFICXE ION FROM ORKERS' BATH TUB CROSS ST. COMP ION INSURANCE OWNER (This section need not be completed If the work Involved by SHOWER . the permit is for one hundred dollars ($100)or less.) LAVATORY MAL OQ� �,JL/.)-/k/y� _ ADDRESS I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner CITY TEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR17 /,SG�r�.zJ'!O Date— Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY �f �c.� G/T TEL, N0.LAWN SPRINKLER SYSTEM zg732- 24 with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. 7 Z/ CLASS ✓ LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCE D BY I hereby off irmthat I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS /"1(/ (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is In full fort d effect. 5 PER SYSTEM FINAL Y VALIDATION n: License Number Y- Lia DATE Class r U� FINAL Contractor _Date BY ❑ I am exempt under Sec. U W B.BP.C. for this reason Cn aPlan check fee ► Z te Da : PLUMBING PERMIT ISSUING FEE$ Signature �j TOTAL FEE b Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Nome _ I hereby affirm that I am exempt from the Contractor's License AL-t I .i Law for the following reason (Section 7031.$, Business and Address Professions Code): City Tel. No. 3307 53.00 ❑ I, as owner of the property, will do the work and the 1 ITEMS structure is not intended or offered for sale (Section TOTAL 0 ®� 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I.HECY, 58,00 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued CHANGE r00 (Sec. 3097, Civ. C.). Lender's Name 0000'0001 4/26/90 Lender's Address7' 1 certify that i hove read this application and state that the Poll 1 AM 9e;:4 above information is correct I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby a uthori¢e representotiv��f thisthis County to enter upon the e-mentioned for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature ermil ee Dote COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0807090008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: 1 FEES PAID BUILDING ADDRESS: ITR: 12830 LT: 9 9802 HOW LAN D DR IEEE DESCRIPTION: QUANTITY: COM: AMOUNT: 1 TEMP CA 917803232 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GOLDEN WEST 18589-009-001 101 PERMIT ISSUANCE FEE 2775 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TENANT: I TOTAL FEES 43.95 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 107/09/08 SR 01/05/09 I I I 1 OWNER: TSL. NO: SCHNEIDER, ANTHONY (626) 287-0165- iF DAA FZN�L,�Y: CODE: 19602 HOWLAND DR r'�o� ---/YYY��rIF, ITEMP 917803232 D SCRIPTION OF WORK IGAS LINE REPAIR I (APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: I I I I CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE (SAME AS OWNER - LIC. NO UNDER SLAB WORK IWATER SERVICE I I I PLASTIC YIN METAL YIN (ARCHITECT OR ENGINEER: TEL. NO: IROUGH PLUMBING I I LIC. N0: IGAS PIPING GAS VENT I HOT WATER HEATER IPLUMBING FIXTURES LAWN SPRINKLERS I I (GAS TEST I I I (UTILITY COMPANY NOTIFIED( I I I I I j Com' I I I 1 1GRAY WATER SYSTEM I I I I 11 11 I I I I I I I I I I I I I I I \` \ (REPORT ID: DPR263 ROUTE T0: BSO508 1