HomeMy Public PortalAbout9840-46 HOWLAND DR_Plumbing__ 76A667 - CE 817 7-69 �' rq ,
APPLICATION FOR PLUMBING PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION aUILDING (/
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS (Q (�7p�
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY ��i7 /F_ �7f
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST. G
NUMBER FIXTURE OR ITEM EACHFEE OWNER
/ WATER CLOSET 1.50KAIL
BATH TUB 1.50 ADDRESS
l SHOWER 1.50 Q CITY �J /� /J TEL. NO.
LAVATORY. 1.50 CONTRACTOR /75 S,5 f,9-/V "`'/l
SINK 1.50 ADDRESS �f GA//I
DISHWASHER 1.50 CITY�VS� r�O TEL. NO.I/ yl�
CLOTHES WASHER 1.50 STATE hG �� LIC
LICENSE NO. N' i�L CLASS Illy/
SWIMMING POOL RECEPTOR 1.50 p�STRICT NO. GROUP ZONE ESSED BY
LAWN SPRINKLER SYSTEM 2.00 �, 7
04e—
WATFR HEATER Qk��- 1.50 V INDUSTRIA d
/J WASTE APPROVAL Q
GAS SYSTEM 47-OUTLETS 1.50 I}VECTION R COAD U
OUTLETS OVER .30 Z
5 PER SYSTEM ,Q
V
W
d
N
Z
Plan check fee 2541, of above. See reverse.
PLUMBING PERMIT ISSUING FEE $ 2 00
TOTAL FEE
APPROVALS DATE INSPECTORSSIGNATUPE
Plan check applicant UNDER SLAB WORK
{� e
Name - ROUGH PLUMBING
Address GAS PIPING
GAS VENT
f.i[y Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY OROINAN CES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
BESIDE IN. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE A JACK R. ALLEN, S�XPERVISING MECHANICAL ENG'R.
. OF PERMITTEE J,
PERMIT VALIDATION crc. M.O. , c�
PLAN CHECK VALIDATION CK. M.G. CASH
IT', O. 7 8, 7N JUN.1 0 5 D 950-
WORKERS'COI have a"iiONcateDECLARATION JE
86 APPLICATION FOR PLUMBING PERMIT
I hereby affirm that I have a' certificate of consent to self ce en (z-eo)
insure, or a certificate of Workers'Co pensation Insurance,or _
to certified copy thereof(Sec. 3800,L .C.)
COUNTY OF LOS ANGELES I WING ANDS TY
Policy No. Company
Certified copy is.hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
Certified copy is filed with the county bu'I n inspection NUMBER FIXTURE OR ITEM • FEE ADDRESS
g lz�70
dep�r m; LOCALITY
WATER CLOSET ✓
Date plican[ _ NEAREST
BATH TUB CROSS ST.
CERTIFICATE OF EXE TION FROM WORK RS'
COMPENSATION INSURANCE SHOWER - OWNER
LAVATORY MAIL
(This section need r one completed if the work involved gIDDRESS }
by the permit is for one hundred dollars ($100) or less.) SINK a
_ CITY TEL. N e. b y 0
1 certify that in the performance of the work for which this DISHWASHERU
permit is issued, 1 shall not employ any person in any manner CONTRACTOR Q
so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADDRESS � 0
Date Applicant SWIMMING POOL RECEPTORW
NOTICE.TO APPLICANT: If, after making this Certificate of CITY TEL. NO .70�(� iL
Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEMy
Compensation provisions of the Labor Code, you must forth- STATE LICWATER HEATER LICENSE NO. LLA C Z
with comply with such provisions or this permit shall be DISTRICT NO. CESSE BY
deemed revoked. GAS SYSTEM OUTLETS p 1
LICENSED CONTRACTORS DECLARATION .OUTLETS OVER
1 hereby affirm that 1 am licensed under provisions of Chapter 5 PER SYSTEM -
9 (commencing with Section 7000) of Division 3 of the Busi- FINAL ( }� VALIDAT ON
ness and Professions Cade, and my license is in full force and DATE S —� (J
effect.
' 1 FINAL r
License Num er C�iJJ<4-0— Lic Class C i� f.J BY v �r
Contractor + ate
1 am exempt from the licensing requirements as I am a Plan check fee
TOTAL FEE
licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ S-10
acting in my professional capacity (Section 7051, Bus-
iness and Professions Code). 3 813 2 A
l
Lic.or Reg.No. Dateplan check applicant # o oo o . 5
HOME OWNER-BUILDER DECLARATION Name 2.- ^ 1 2 5 0
I hereby affirm that i am exempt from the Contractor's Address o•e o 1.2503
License Law for the following reason (Section,7031.5, Busi- City Tel.No. Q'Q 2 9_8 2
ness and Professions Code): r
F1L, as owner of the property, am exclusively contracting
with licensed contractors to construct the project
(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
1 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 o tis County to enter upon the
above-mention d pro arty or inspection purposes.
—de' �—
Signa of Permittee Date
COUNTY OF LOS ANGELES . TEMPLE CITY # 0508 "TNG-PERMIn
' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS tLj �003
BUILDING AND SAFETY / LAND DEVELOPMENT" TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL FEES PAID BUILDING ADDRESS:
TR: 6755 LT: 28 HOWLA $::--7
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEM 03232
ASSESSOR INFORMATION BER: NEAREST CROSS STREET: BALDWIN
8589-009-029 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISS ED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
04/22/99 UT 04/22/0
OWNER: TEL. NO: FINAL DATE FINAL BY: E:
PAYNE THOMAS W;SHIRLEY G TRS (818) 286-3605-
9840 HOWLAND DR
TEMP 917803232 DESUKIPlIUN OF WURK
GAS LINE FOR NEW HVAC SYSTEM
APPLICANT: EL. 0-
HUNTINGTON A/C AND HEATING (626) 285-5049-
350 AGOSTINO RD. SPECIAL CONDITIONS:
SAN GABRIEL, CA - -
pyi1G�LE& Cpl
CONTRACTOR: TEL. NO: �O�j {�A�' APPROVALS DATE INSPECTOR SIGNATURE
HUNTINGTON AIR CONDITION, INC. (626) 285-5049-
440-450 AGOSTINO RD LIC. NO UNDER SLAB WORK
SAN GABRIEL, CA 91776 644769 C20
WATER SERVICE
ARCHITECT 0 G L. 0: �
PLASTIC Y/N METAL Y/N
I� ROUGH PLUMBING
LIC. NO: / -[ GPIPING
/-I
GAS VENT
SIR,
�"� !�I ---C4f- \r
-_ -------- -
PLUMBING FIXTURES
LAWN SPRINKLERS
CAB TEST
MI-TY-C-O-MPANY NOT I F IED
jJ 0 CWV
Service -f VA
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0310090021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING
TR: 6755 LT: 28 9840 HOWLAND DR
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: TEMP CA 917803232
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GOLDEN WEST
8589-009-029 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLANXP ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 10/13/03 JK 04/10/04
TOTAL FEES 76.35
OWNER: TEL. NO: FINAL D!!lyTTE NAL BY: ODE:
PING KEUNG HO & KENG U (626) 319-6297- /
6130 ROWLAND AVENUE /
TEMPLE CITY 91780 VtSGKIP K
PL(A(BING'FOR BATHROOM
APPLICANT: L. 0:
KIM WONG PLUMBING (626) 448-1383-
9631 ALPACA STREET SPECIAL CONDITIONS:
S EL MONTE
CONTRACTOR: TEL. NO: - APPROVALS DATE INSPECTOR SIGNATURE
KIM WONG PLUMBING (626) 448-1383- _ -
9631 ALPACA ST. LIC. NO e, UNDER SLAB WORK
SOUTH EL MONTE CA 91733 752619 B *
WATER SERVICE
� PLASTIC Y/N METAL Y/N
ARCHITECT OR EN91NMR. TEL. NO: 1�i -
ROUGH PLUMBING
LIC. NO:
GAS77—MG
GAS VENT
HOT WATER HEATER
PLUWUTWG--FIXTURES
LAWN SPRINKLERS
GAS 7EST
T:
UTILITY COMPANY NOTIFI0
cuV
e, V C`- GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508