HomeMy Public PortalAbout9860 HOWLAND DR_Plumbing__ oe=6II, APPLICATION FOR `PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY
Depaximent of County Engineer
•
or County of Los Angeles
! WM. J. FOX, COUNTY ENGINEER BUILDING / A
ADDRESS
• CASSATT D. GRIFFIN, SOFT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
-OWNER C � DISTRICTN GROUP I ' .�,pNE READY FOR INSPECTION
MAIL �'`�
ADDRESS
—•
INDUSTRIAL
CITY y� TEL. WASTE APPROVAL
PLUMBER ( INSPECTIONN RECORD
ADDRESS _ YI-L9 ( )LIC eNv84 ♦-ARG Pop
1
CITY �/� 1 '],TEL. NO. k' Q P 11.1 `•P �DC(L. _
LICENSE NO. //)f/ / 3 /
� I
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET)
BATH TUB
SHOWER I
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
U U .�' �12✓.�, CJri lat f/J J /.� /_SAO.
/ A (/
L
TOTAL NO. (a 0.80 APPROVALS
DATE INSPECTORS SIGNATURE
GAS SYSTEM OUTLETS. (a 1.00 UNDER SLAB WORK
WATER HEATER @ 1.00
ROUGH PLUMBING bJ
PERMIT 5 7 00
GAS PIPING
- TOTAL FEE / Q
GAS VENT
I•HEREBY ACKNOWLEDGE THAT 1 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 REGULATING PLUMBING FIXTURES
PLUMBING.
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND S'VATE OF
CALIFORNIA OP. THAT 1 AM THE LEGAL OWNOF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENT PROPERTY. I
SIGNATURE
OFPERMITTEE ^ FINAL I t 'SLo CA 0 A, L..._•
WILLIAM J. FOX. COUNTY ENGINEER VALIDATION R. A.WOOD. CHIEF FLOG. INSPECTOR
&6 0 6 E JUL28 3 1 .8 0 °'
'sA�
Dss.1APPLICATION FOR PLUMBING PERMIT
''.��DMSION OF BUILDING AND SAFETY _ 1,
Department of County Engineer
County of Los Angeles
WM. J. FOX. COUNTY ENGINEER ADO REI55
CASSATT D. GRIFFIN, GOP"OF BOILOIMa
IN 110% LOCALITY
FOR APPLICANT TO ILL IN NEAREST
CROSS ST.
OWNER /l�JJ ///iJ/0/ P DISTRICTN. GROUP Z(jp ./ REnoY Foq INscEci lon
A11-
DDRESS y 12
INDUSRIAL
TEL NOTET. /o`�C�J V�� - WASAPPROVAL
PLUMBER Az-e- INSPECTION RECORD
ADDRESS J/a
V
CITY TEL, NO.
LICENSE NO. L'^
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATHTUB
1 SHOWER
LAVATORY (WASH BASIN) �(t
KITCHEN SINK V�
DISHWASHER _
LAUNDRY TUB OR TRAY _
CLOTHES WASHER
TOTAL NO. 0.80 f APPROVALS
— DATE INSPECTOR'S SIGNATURE
GAS SYSTEM—OUTLETS @—'—.0 _
UNDER SLAB WORK
WATER HEATER @ 1.00 ROUGH PLUMBING 1 S}5 '6
PERMIT g 1 00
'2 GAS PIPING
TOTAL FEE ,/ GAS VENT
I 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 REGULATING PLUMBING FIXTURES
PLUMBING.
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED
CALIFORNIA OR THAT 1 AM THE REGAL OWNER OF T BOVE
DESCRIBED RESIDENTIA ROPES I/
SIGNATURE
OFPERMITTEE FINAL
WILLIAM J. FOX, COUNTY ENGINEER _VALIDATION
- a!;0:9-= MV17'. 3 3A,0 ID
TB °' APPLICATION FOR 'PLUIMBINC PERMIT
�BTDIVISION OF BUILDING AND SAFETY
Depcatment of County Engineer
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER BUILDING �y �` /'
ADDRESS ! rJ 6� �O(.0
CASSATT D. GRIFFIN, SUPT of BUILDING
LOCALITY C ,
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. L-0
Q
OWNER yj/, / �/{ CB % DISTRICT NO. GROUP ZONE 1 aenoY rDR Ix RIECi IOx
MAIL 5 V/ I7
_ADDRESS `� / T�
T�J' INDUSTRIAL
CITY i F , TEL.NO. WASTEAPPROVAL
PLUMBER CR �S Tat �coL INSPECTION RECORD
ADDRESS 260!v k J.,
CITY Tcl "" TEL NO'
LICENSE NO. I lG I6 3
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) S
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. @ 0.80 APPROVALS
DATE INSPECTORS SIGNATURE
GAS SYSTEM-OUTLETS [(ti 1.00 `
WATER HEATER
1.00
PERMIT 5
UNDER SLAB WORK
ROUGH PLUMBING
7 00
GAS PIPING
TOTAL FEE CC 60 GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE T'O COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY RE 5 RED AND/OR GAS TEST
LICENSED AS REOUIRED BY LOS ANGELES O ND STATE OF
CALIFORNIA OR THAT I AM E O F THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIAL P RT 1 f
SIOFPERM TTEE FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R. A. WOOD, CHIEF PLBG- INSPECTOR
—&56 3 1 P JUL 14 3 2.0.0 in,
L:xWORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
y,affirm that I hove a certificate of consent to self 78A887A
insure, or a certiflcale of Workers' Compensation Insurance, CE 817(REV. 8188)
'or o certified copy thereof (Sec. 3800, Lob, C.)
Ocy No. Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
Certified copy is hereby furnished.
OFOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING n
Certified copy is filed with the county building inspec- ADDRESS L N
tion department NUMBER FIXTURE OR ITEM ® FEE /n���F
q LOCALITY T- e (.�' q �7�l7
Date Appligont WATER CLOSET NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. /4QY�vInJ FO Cvzv 4/tii
COMPENSATION INSURANCE OWNER T A, Cllf&'yip W MfE oY Q•f/Sq
(This section need not be completed If the work Involved by SHOWER D Q
the permit Is for one hundred dollars({100)or less.) MAIL
LAVATORY ADDRESS JTr'! �j �v�
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO.
so as to become subject to the Workers'Compensation Laws. DISHWASHER
CONTRACTOR
Date Applicant CLOTHES WASHER ADDRESS
NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR
Exemption, you should become subject to the Workers' CITY TEL. NO.
Compensation provisions of the Labor Code, you must forth. LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit shall be STATE LIC.
deemed revoked. WATER HEATER LICENSE NO, CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO. PRQCESSED BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS L
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER ��
0
and Professions Code, and my license is in full force and affect. 5 PER SYSTEMFINAL n VA ATION
License Number Lic. Class DATE 6
FINA O
Contractor Date BY U
W
am exempt under Sec. N
B.BP.C. for this reason , ;27562
Z
Plan check fee
Date: PLUMBING PERMIT ISSUING FEE
Signature ���nna
TOTAL FEE 2 q
Plan check applicant o oe 'z 5 0 v
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Name �T rA GV. C r^/�h/� 0 ,� t87
gd
Address
I hereby affirm that I am exempt from the Contractor's License O !�W LA'xt/.0 /C.
Low for the following reason (Section 7031.5, Business and
sions Cade): City r6r-,or_ C/`� Tel. No.I�78J = �L
I, as owner of the property, will do the work and the
V ,
structure is not intended or offered for sale (Section
7044, Business and Professions Code). 7 5 9. 7 A
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is o construction lending agency for # o e o o s 5
the performance of the work for which this permit is issued
(Sec. 3097, Civ. C.). ( ° ° L a rJ
Lender's Nome e o e 2 a 5 0 5
Lender's Address o a o 4—8 7
I certify that I hove read this application and state that the Pill.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 property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
7
notr of Permittee
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0412160002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGA ID: FEES PAID BUILDING ADDRESS:
TR: 6755 LT: 30 9860 HOWLAND DR
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: TEMP CA 917803232
ASSESSOR INFORMATION NUMB NEAREST CROSS STREET: AGNES
8589-009-031 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 3.00 FIX 48.60
EN 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED-ON: PROCESSED AN BY: EXPIR S OW-.
21 HOSE BIBB(S) 2.00 FIX 32.40 12/16/04 JK 06/14/05
25 LAVATORIES/SINKS 5.00 FIX 81.00
OWNER: TEL. N0: 39 SWIM POOL TRAP/REC 1.00 SYS 16.20 FINAL DATE FINAL BY: CODE:
LY, KIRK (626) 712-4841- 45 WATER CLOSET/URINAL 3.00 FIX 48.60 _Z
9860 HOWLAND DR 47 WATER HEATER(S) 1.00 WTH 16.20
TEMP 917803232 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 DnCR- ICON uF WORK
63 WATER PIPING BR/FIX 3.00 FIX 20.25 PLUMBING FOR ADDITION AND REMODEL
TOTAL FEES 323.40
PL 0:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO .. UN R S AB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT R ENGINEER: T
PLUMBING
1815 AZALEA LIC. NO:
ALHAMBRA, CA 91801 NONE GA PIP G
HA, LONG ROUGH
S VENT
0 -W-A-HEAT-W-ATEF-HEAT ER
PLUMBING R S
UAW-SWUNRL ERS
GAS TEST
Unl-TTYCOMPANY NO F[
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508