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HomeMy Public PortalAbout9927 HOWLAND DR_Plumbing__ 76A667A ICE 6178)- 1 1/76 ' 'u BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ILD(ADDRESS 992 HOWI,AND DR. FIXTURE OR ITEM Q FEE WATER CLOSET LOCALITY _ BATH TUB NEARESTKL r CROSS ST. SHOWER OWNER LEWA LUIS LAVATORY MAIL a ADDRESS S AW. p p z SINK CITY `I'r IE CITY TEL.NO. 285"8058 DISHWASHER CONTRACTOR, �*ppT� CLOTHES WASHER j 114�v1, IC ADDRESS SWIMMING POOL RECEPTOR t7 n p ) CITY S, EI, MNTE TEL.NO. 579-7982 ' LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO. 265094 CLASS C-20 GAS SYSTEM OUTLETS J 00 DISTRICT NO, ,I GROUP YE ZLESED Y OUTLETS OVER —` v (7 :P- 5 5 PER SYSTEM INDUSTRIAL Imo. WASTE APPROVAL INSPECTION RECORD1) t � ku Plan check fee PLUMBING PERMIT ISSUING FEE$ Lr 50 TOTAL FEE Plan check applicant APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING r; CityTel.No. GAS PIPING 'N I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION AND STATE .�. GAS VENT _ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES .. AND'STATE LAWS REGULATING PLUMBING. ..-HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS Y PLUMBING FIXTURES A REQUIRED BY LOS.ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE u GAS TEST ) �, LEGAL OWNER OF,AND INTEND TO-RESIDE IN THE ABOVE DESCRIB;:;�IAL ,I PROPERTY. d ,p UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE -FINAL a y PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION cK.-'' M.O. CASH ©s 76AS67-CE817 12/59 TEMPLE CRT 11 COUNTY OF'LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING r JOHN A. LAMBIE. COUNTY ENGINEER- ADDRESS , WILLIAM A. JENSEN, SUPT OF BUILDING Q FOR APPLICANT TO FILL IN NEAREST EA ESTT. XZ NUMBER FIXTURE-OR ITEM OWNER,��,2� WATER CLOSET MAIL s BATH TUB ADDRESS SHOWER CITY 7 f TEL. NO LAVATORY CONTRAQ,T R i L � A SINK ADDRESS DISHWASHER CITY TEL. NO GJ �� CONT CTQ S / / `�w STATE LAUNDRY TUB REGISTRATION NO. ! v�/ / COUNTY ❑ 3 CLOTHES WASHER DISTRICT NO. tNE ZP CE DWATER HEATER �� I I GAS SYSTEM INDUSTRIAL WASTE APPROVAL n INSPECTION RECORD y, O U O U a w z / @ PER ITEM OR </ OR FIXTURE `$ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 200 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING '• GAS PIPING �4 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION z AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. " I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS AN S COUNTY AND' STATE OF GAS TEST CALIFORNIA OR THAT AM THE EGAL OWNER OF THE ABOVE •. DESCRIBED RESIDENTI PROPE - // ILITY CO.NOTIFIED SIGNATURE ri OF PERM s/ FINAL �9 ®r VALIDATIOROBERT A. WOOD, Cs. I 0. casR SUPERVISING MECHANICAL ENG'R WORKERS'COMPENSATION DECLARATION o 0 0 PLUMBING 0 0 I hereby affirm' that I have a certificate'of consent to self 76A667A APPUCQU50H F Q PLUMBING PERN'T insurer or a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) or a certifi /copy thereof (Sec. 3800,/L'a'^b. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY //K- Policy N -1a� �V Company 6 /".� L7�� ��X;�--L/7. Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Z02 7 � 'A V ❑ Certified copy is filed with the county building inspec- ADDRESS � / 4V /I tion depart ent. NUMBER FIXTURE OR"ITEM n FEE ^� 40- Date 1 '�Z / WATER CLOSET rte, LOCALITY ` I� �•-�' Date Applicant IQ da-Mao"? . f NEAREST , CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. � COMPENSATION INSURANCE OWNER SHOWER �- ue � �, da (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY /' TEL. Nol�s�"'G'� so as to become subject to the Workers'.Compensation Laws. DISHWASHER aO ,J�QJ CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions.of the Labor Code, you must forth- CITY ,��n TEL. NO- with comply with such .provisions or this permit shall be STATE P^ LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS I (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM 0 FINAL VALIDATION O License Number'7�� Lic. Class DATE Cd /��/ / FINAL � ContractorD`�c7�"�1�I�f � 1 i� Date FI O LU ❑ 0 I am exempt under Sec. B.BP.C. for this reason D Plan check fee , ter / PLUMBING PERMIT ISSUING FEE$. Signature G ( y f�Y++tom="�-- Za TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Professions Code): City Tel: No. ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY ( 2 z 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 I certify that I have read this application and state that the D above information is correct. I agree to comply with all County ordinances and State laws.reguloting Plumbing, and hereby authori,ze representatives of this County to enter upon the abov -mentiAned pr 2erfor inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date • -COUNTY OF LOS ANGELES - TEMPLE CITY # 0508 PLUMBING.PERMIT DEPARTMENT•OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0608250005 " BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL IDi FEES PAID BUILDING ADDRESS: TR: 6755" LT: 19- 9927 HOWLAND DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803235 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: •- - 8589-005-015 01 PERMIT ISSUANCE FEE 27.75 ",THOMAS,PP:GE:=;597 GRID: A4:. LOCALITY: TEMPLE CITY, C 05 BACKFLOW DEVICE(S) 7.00 DEV 113.40 TENANT: TOTAL FEES 141'.15 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 08/25/06 JK 02/21/07 OWNER: TEL. NO: FINAL DATE - FINAL BY CODE: THOMAS IAN C;GREENE MARCELLE E 9927 HOWLAND DR TEMP 917803235 DESCRIPTION OF WORK - BACKFLOW'PREVENTION DEVICE SPRINKLER SYSTEM APPLICANT: TEL. NO: ROY WISKAR LANDSCAPE DESIGN (.626) 431-2991- 104 N. WILSON AVE 11 - SPECIAL CONDITIONS: PASADENA, CA 91106 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ROY WISKAR LANDSCAPE DESIGN (818) 788-9805- 104 S. WILSON AVE #.11 LIC. NO - - UNDER SLAB ,WORK -- - - - PASADENA, CA 91106 446175 C27 - WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: - ' ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT HOT WATER HEATER ' PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED. CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 - COUNTY OF LOC .NGELES - - TEMPLE CITY - # 0508 PLUMBING PERMIT DEPARTMENT"OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0609190001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: - FEES PAID BUILDING ADDRESS: TR: 6755 LT: 19 - 9927 HOWLAND DR - FEE DESCRIPTION: - QUANTITY: UOM: AMOUNT: TEMP CA 917803235 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ' 8589-005-045 01 PERMIT ISSUANCE. FEE 27.75 THOMAS.;PAGE:.-597 GRID: A4 `LOCALITY: 'TEMPLE CITY, C 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 - TENANT: TOTAL FEES 43-.95" ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 09/19/06 JK 03/18/07 OWNER: TEL. NO: - FINAL TE FINAL BY: CODE: THOMAS IAN C;GREENE MARCELLE E - 9927 HOWLAND DR TEMP 917803235 -. E -POFW � GA LIIO _ APPLICANT: TEL. NO: ROY WISKAR LANDSCAPE DESIGN (626) 431-2991- 104 N. WILSON AVE 11 SPECIAL CONDITIONS: PASADENA, CA 91106 CONTRACTOR: TEL. NO: _ - APPROVALS DATE INSPECTOR SIGNATURE ROY WISKAR LANDSCAPE DESIGN (818) 788-9805- ' 104 S. WILSON AVE #11 LIC. NO _ UNDER SLAB WORK - - PASADENA, CA 91106 446175 C27 - " WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: - TEL. NO: ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES - LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIZDV (f� CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508