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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