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HomeMy Public PortalAbout9928 HOWLAND DR_Plumbing__ 76A667-CE,1817 9/63 r ' APPLICATION FOR PUMB01 1G � PE MIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION rBUILDING = OJOHN.A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDINGLITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. L'l' �-- NUMBER FIXTURE OR ITEM EACH FEE J /S OWNER bb WATER CLOSET $1.25 MAIL BATH TUB 1,25 ADDRESS a SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR 'T� SINS 1.25 ADDRESS Q J DISHWASHER 1.25 CITY AlOTE NO. 44.27,3! LAUNDRY_TUB 1.25 CONTRACTOR'S STATE ❑ REGISTRATION NO. 0 So O O COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP E P ESSED BY WATER HEATER 1.50 / GAS SYSTEM OUTLETS 1.50 INDUSTRIAL o_ WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 V INSPECTION RECORD W CL Xl/21 APPRO,XALS DAT _INSPECT.OR'S SIGNATURE PERMIT $ 2 00 UNDER1SLAB WORK ROUGH PLUMBING 1 � � -�j .� - "k mv�,� TOTAL FEE c GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER .PLUMBING. i I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ✓As f��r/ ° LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE FINAL OF PERMITTEE VALIDATION ROBERT A. W001D �CI M.O. CASH SUPERVISING MECHANICAL ENG'R 1vLt i'�o 5 0 0 4- OCT'1 9 5 D 5.7 5- �� 70A667 17 5-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ' --- WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN .DISTRICT NO. . GROUP. ZONE PERMIT NO. - 057,2-- PLUMB l . P A TT 1_1 r Co. RECEIVED BY READY FOR DATE SSU D .; ,s iii:. - .FIRST INSPECTION / /� ADDRESS .311 E. $gill SIPFFT - {O - BUILDING 9928 Howland Dr. 0 t 3�5�c}�o - s[ CITY Pleasant ADDRESS I COUNTY ' LOCALITY - + LICENSE N6t2rJ5 EXPIRESO. V VV (� --p PERMIT FEES NEAREST CROSS Baldwin AV@o Ep NUMBER, ' TYPE OF FIXTURE OR ITEM � FEE OWNER B4. €ornell�w ' MAIL Sameas above /I WATER CLOSET (TOILET)' @ 0.50 $ ADDRESS 'I % I BATH TUB @ 0.50 I CITY `eYiiDl6 City TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASHBASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. .1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE. .O 4 I M @ OF THE RESIDENTIAL P PER DE THE�EI gBOV� OWNER GAS SYSTEM OUTLETS @ O.50 SIGNATURE OF WATER HEATER @ 0.50 PERMITTEE 1 SLOP SINK @ 0.501 INSPECTION RECORD _-FLOOR SINK @ 0.501 FLOOR DRAIN @ 0.50 .DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.501 1 URINAL @ 0.50 w F- HOUSESEWER @0.501 - Q U MISCELLANEOUS I a ® Water Softener ( . 50 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING - GAS PIPING GAS VENT ' CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( @ 1.001 I SEWER PERMIT . I I.00 GAS TEST _ UTILITY CO. NOTIFIED I TOTAL FEE 570FINAL D.B.S.n zbM SETS 12.44 APPLICATION FOR PERMIT DEPARTMENT OF 'BUILDING AND, SAFETY' COUNTY' OF LOS ANGELES Wm. J. FOX. CHIEF ENGINEER NATURE_ OF INSTALLATION DISTRICT NO. GROUP1. ZONE PERMIT NO. ROUGH FIXTURES ETEHEATER CESSPOOL 1,_COMPL 'SEPTIC TANK RECEIVED'BY READY FOR DATE ISSUED FIRST NSPECTION - 9A8 MISCELLANEOUS APPLICANT FILL IN� HEAVILY OUTLINED PORTION ONLYjOB � d' NAME / i iJ^y.,✓1!!_ .A.ci/ ADDRESS . .. ADDRESS �/, ,$ _--r /�.a�.Jl.,/rf� _.3�.G�.'°S A_LOCALITY NEAREST - - y CITY TEL.No. CROSS ST. COUNTY CERT.No. - EXPIRES 'i m .-NAME LOCATION OF'SEPTIC TANK, OR CESSPOOL• z MAIL ' .ADDRESS NORTH O . -. CITY ✓' ..' TEL.NO. I AM THE LEGAL POSS'S OR OF THE ABOVE L08 ANGELES COUNTY CERTIFIC TE F QUALIFICATION. I` PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED`' ABOVE. OWNER CORRECTIONS SOUTH DESCRIPTION OF-WORK z BATH TUB FURNACE \ ~ 9H90WER DISHWASHER O LAVATORY -REFRIGERATOR- KITCHEN SINK WATER SOFTENER _ ILOOR SINK RAND TRAP aLOP SINK FLOOR DRAIN . WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN- DATE INaPaeroR s NAMEWATER HEATER : DENTAL LAVATORY - ROUGH PLUMBING. L I METER' OAS - SODA FOUNTAIN GAS PIPING I L. OUTL 'GAS VENT ' CESSPOOL' I TOTAL NUMBER OF FIXTURES SEPTIC TANK I ' - -CESSPOOL SEPTIC TANK V_ ® SEWER S UTILITY CO.NOTIFIED TOTAL FEE FINAL �.Y� D.B.S.-17 25M SETS 12-45 APPLICATION FOR PERMIT, DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES � �� Wm. J. FOX. CHIEF ENGINEER y NATURE OF INSTALLATION DISTRI57:,NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE .1 HEATER CESSPOOL —I SEPTIC TANK RE�EIBY READY FOR DATE ISSUED FIRST INSPECTION v /rye GAS MISCELLANEOUS f P 417 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY , �JG . .� f NAME .IOBADDRESS �`a v 74/6 VI/ X K .��� P/ie� /I tt/1 JS 'i b�/`� . ADDRESS f `� 2 3 f i[p_f //,, n/" LOCALITY P pur ( T NEAREST '1 CITY / /y� �!� TEL.No. Ar CROSS ST. Zl. l IiU• l" COUNTY EXPIRES / 3d _7 �� NAME CERT.No. _/ �� __- �/ Y' 6 LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS / NORTH O 1 CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFI ATION. PLUMBER [ AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED � ASOVE. m OWNER CORRECTIONS .SOUTHSOUTH DESCRIPTION OF WORK � ATH TUB FURNACE G7 pp <Yi HOWER DISHWASHER 0 _LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET - DRINKING FOUNTAIN DATE INSPECTOR'S NAME _WATER NEATER DENTAL LAVATORY ROUGH PLUMBING METER GAB ------SODA FOUNTAIN GAS PIPING l OUTL GAS VENT CE65POOL 4 TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL +SEPTIC TANK �' —SEWER I $ UTILITY CO.NOTIFIED TOTAL FEE so I FINAL WORKERS'COMPENSATION DECLARATION. , nnp PC n TP0N F®n PLUMONG nERMP7 I hereb affirm that I have a certificate of consent to self in- 20-0026 DPW 4/90 G�111"lT L� !�1 Il ll V ll� lT I1�Ij ll� t1l�l'J�1] Y� 76A667A _ sure,'or a certificate of Workers'Compensation Insurance,or a n . ce,,ified copy thereof (Sec. 3800, Lab. C.) IILJII COUNTY OF LOS•ANGELES. DEPT. OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished.. FOR APPLICANT TO,FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with.the county building inspection ADDRESS ZY NUMBER FIXTURE OR ITEM ' LOCALITY ��� �- department. @ FEE C / Date Applicant WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST.' COMPENSATION INSURANCE SHOWER OWNER u (This section need not be completed if the work involved by MAIL • the permit is for one hundred dollars ($100)or less.) LAVATORY. DDRESS 45�� 2- QcGy/> I certify that in the performance of the work for which.lhis per- SINK mit is issued, I shall not employ any per n anner so CITY 1� U TEL NO. -� as to become subject to the Workers ion Laws. DISHWASHER f� CONTRACTOR L Da1E/ Applicant f CLOTHES WASHER �/ G� ADDRESS 4 NOTICE TO APPLICANT: If, after making ihi C tificate of Ex- SWIMMING POOL RECEPTOR - y emption,you,should become subject to the kers'Compen- CITY TEL. NO. sation provisions of the labor Code,you mut orihwith comp- " LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall b deemed revok- STATELIC. 3�7 ed. WATER HEATER LICENSE NO. CLAS 7 LICENSED CONTRACTORS DECLARATION DISTRICT NO. ES b BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of The Business OUTLETS OVER `v and Professions Code, and my'license is in full force an ef- 5 PER SYSTEM FINAL VALI ATION feet. 4exemt -r /ry�/' HOSE BIB' DATE �U-IZ—"�Jr- License NLic. Class FINAL O ContractoDate BY ❑ O I ar Sec.B.& son Plan check fee' �. Date: PLUMBING PERMIT ISSUING FEE$ -71 Signature 2 1C TOTAL-FEE 5 _ SINGLE FAMILY I T1 HOME Plan check applicant OWNER-BUILDER DECLARATION pP AOGTo11r 1 hereby affirm that I am exempt from the Contractor's License Name, „3303 404 Law for the following reason (Section 7031.5,•Business•and Professions Code): Address 1 ITEMS I, as owner of the property, will•do the work and the City Tel. No. TOTAL A6.3 = 40 structu[e is not intended or offered for sale'(Section 7044; _ .CHECK 43.40Business and Professions Code). CONSTRUCTION LENDING'AGENCY ® CHANGE .00 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.). 0000-0001 10/111/95 2740 1 AM 11.26 Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State laws'regulating Plumbing, and hereby authorize repr ent ti f this County to enter upon the above-me tione p y for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date e c . COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0008300017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6755 LT: 34 9928 HOWLAND DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803234 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8589-006-004 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY 62 GREYWATER SYSTEM(S) 0.00 SYS 0.00 / TENANT: 63 WATER PIPING BR/FIX 5.00 FIX 33.75 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 61.50 08/30/00 UT 02/ /01 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: STUBBS LILLY D (818) 286-1975- �_��� 9928 HOWLAND DR b TEMP 917803234 DESCRIPTION OF WORK REPIPING OF TOILET, TUB, LAVATORY, UNDRY, & WATER HEATER OF GUEST HOUSE APPLICANT: TEL. NO: JACK STEPHAN PLUMBING (323) 759-9185- 7516 CRENSHAW BLVD SPECIAL CONDITIONS: LOS ANGELES, CA ES C® CONTRACTOR: TEL. NO: ®`C9 ���, APPROVALS DATE INSPECTOR SIGNATURE JACK STEPHAN PLUMBING AND HEATING (323) 759-9185— ®r 7516 CRENSHAW BLVD LIC. NO UNDER SLAB WORK LOS ANGELES, CA 90043 BUSLICENSE WATER SERVICE i PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. NO: 1111111 LLL n GAS PIPING n n n/J GAS VENT U D L C W 0'Rl S HOT WATER HEATER UUUU u �1 u v PLUMBING FIXTURES ` 0 !i LAWN SPRINKLERS D �* GAS TEST d ®6j UTILITY COMPANY NOTIFIED �p VEl CWV V �tlO� GRAY WATER SYSTEM I * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508