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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