HomeMy Public PortalAbout9928 HOWLAND DR_Plumbing__ 76A667-CE,1817 9/63
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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