HomeMy Public PortalAbout9933 HOWLAND DR_Plumbing__ V..B.S.->7 25M SETS 12-45 APPLICATION FOR PERMIT
;'DEPARTMENT OF ]BUILDING AND SAFETY
c COUNTY OF LOS ANGELES
c,
Wm. J. FOX. CHIEF ENGINEER PLUMBING,
NATURE OF INST ELATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH __ FIXTURES COMPLETE
HEATER CESSPOOL I EPTICTANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUS �{
APPLICANT FILL IN HEAVILY OUTLINED PORTION .ONLY ONLY ,
I JOB
E NAM X, �i ADDRESS •./�/
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ADDRESS ~ t(�! LOCALITY
n NEAREST
.J CITTEL.NO. S
1X • CROSS ST.
COUNT?
CERT.No. EXPIRES m NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL
3 Z MAIL
ADDRESS _
• NORTH O .Iu
CITY TEL.NO.
IAM THE LEGAL POSSESSOR OF 'THE ABOVE LOS
ANGELES_COUNTY CERTIFICATE OF QUALIFICATIO �-
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE..
in
b OWNER
CORRECTIONS
SOUTH -
a
DESCRIPTION OF WORK �
BATH TUB FURNACE (�
H
SHOWER DISHWASHER
_ O.
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER '
FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN G.
WASH TRAY URINAL APPROVALS .
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER `"GAS SODA FOUNTAIN
OUTL GAS PIPING
r
GAS VENT I 1
CESSPOOL Ill— 3^c'1� IN 4!y$
TOTAL NUMBER OF FIXTURES SEPTIC TANK I -
_ CESSPOOI SEPTIC TANKS SEWER
ITOTAL FEE - UTILITY CO.NOTIFIED
S.B.B.I,[25M SETS 2-47 APPLICATION FOR PERMIT
-('-DEPARTMENT OF BUILDING AND SAFETY 51
COUNTY OF LOS ANGELES � U
VNM.,J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRIG o: GROUP ZONE— P R_ T NO.
ROUGH FIXTURES COMPLETE
READY FOR
HEATER CESSPOOL I—� SEPTIC TANK REC I•VED BY FIRST INSPECTION DATE ISSUED
GAS MISCELLANEOUS, ` / -3 //
AP CANT'-FILL IN HEAVILY OTUTLINEID PORTION ONLY
NAM JOB S-7
ADDRESS
ADD E38 � LOCALITY � s
a ,p _ NEAREST
A'1 CITY � TE 7� •�U CROSS ST.
.
COUNTY .�
CERT.No. EXPIRES NAME - - -
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
NORTH O ADDR 88
CITY
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OI�TH OPERTY DESCRIBED
ABOVE.
a
3 `MI OWNER
w
CORRECTIONS
OUTH
J
(DESCRIPTION OF WORK - - r - - - - --- Z
BATH TUB I'' ' FURNACE L�
SHOWER —DISHWASHER p
LAVATORY REFRIGERATOR
KITCHEN SINK (/ WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY `� URINAL APPROVALS
WATER CLOSET t/ DRINKING FOUNTAIN DATE INSP¢CTOR'S NAMZ
WATER WTER DENTAL LAVATORY ROUGH PLUMBING I�d U— 4)
METER GAS SODA FOUNTAIN. IVB va'e I/G��O
OUTL GAS PIPING q
GAS VENT !
CESSPOOL -
TOTAL NUMBER OF FIXTURES !
-� SEPTIC TANK
CESSPOOL SEPTIC TANK / SEWER ! !
UTILITY CO.NOTIFIED
TOTAL FEE
/ FINAL
WORKERS'COMPENSATION DECLARATION 20-0026 DPW 4/90 r\1PPC A1WN -FOR PLVENPERMIT
I'herPby,•affirm that I have a,certificate of consent 4o self in= 76q667A
sure,�r a certificate'of Workers'Compensation Insurance,.or a
certified copy thereof (Sec. 3800, Lab. C.)
y J �138.76p Company COUNTY OF LOSAI�ICsELES DEPT. OF PUBLIC WORKS
Polic No.
Q Certified copy is hereby furnished.
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
Certified copy is filed with the county building inspection ADDRESS
(y;P deportment. NUMBER FIXTURE OR ITEM C°l FEE
LOCALITY
"� WATER CLOSET(TOILET) ��� NEAREST
Date ,1 —Applicant7:70M '/e� i f�
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. (��;�! ` C�
COMPENSATION'INSURANCE OWNER r
SHOWER ISL I�'4Z'` "LLic-
(This section need not be completed if the work involved by MAIL
the permit is for one hundred dollars ($100)or less.) LAVATORY• ADDRESS
I certify that in the performance of the work for which this per- SINK
mit is issued, I shall not employ any person in any manner so CITY TEL. NO.• g
as to become subject to the Workers'Compensation Laws: DISHWASHER
• CONTRACTOR r1
Date. Applicant / CLOTHES WASHER ADDRESS
NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR '
emption,you should become subject to the Workers'Compen.- CITY -/' TEL. NO.�7
sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS
ly with such provisions or this permit sholl.be deemed revck- STATE LIC.
ed. ' WATER HEATER' LICENSE NO. CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY
I hereby affirm that I am.licensed under provisions of Chapter f GAS SYSTEM Z .OUTLETS ,/D�
9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER
and Professions Code, and my.license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION
fect. HOSE.BIB' DATE —2
License Number Lic. ClassCL
FINAL O
U
Contractor�1�� !` 109V Date BY
-_ 11 O
I am exempt under Sec. U
B.&P.C. for this reasonW
Plan check fee - _ CL
Date: PLUMBING PERMIT ISSUING FEE$
Signature
-- - -- - - TOTAL-FEE /
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Plan check applicant,
I hereby affirm that I am exempt from the-Contractor's License- Name ^r JL
Law for the following reason (Section 7031.5,-Business and Ir
Professions
171 7r'ti
Professions Code): °
. Address
El I, as owner of the property, .will do the work and the City Tela No. 1 ITEMS
structure is not intended or offered for sole,(Section 7044,
Business and Professions Code). f TOTAL 171.75
CONSTRUCTION LENDING.AGENCY; CHECK 171°75
I hereby affirm that there is a construction lending agency for CHANGE °00
the performance of the work for which this.permit is issued
(Sec. 3097, Civ. C.).
Lender's Name 0000-0001 88/ 1/95
1634 1 ACI 10 0 01
Lender's Address
1 certify that I have read this applicationand state that the
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
abo �of
a for inspection urposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
S gnatumittee Date
.. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0811130001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: ' (626) 285-0488 EXT:
LEGAL ID: I FEES PAID , I BUILDING ADDRESS:
ITR: 6755 LT: 18 1 1 9933 HOWLAND DR -
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803235
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18589-005-014 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, CI
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 I
(TENANT: Ill CLOTHESWASHER(S) 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
1 113 DISHWASHER(S) 1.00 FIX 16.20 111/13/08 SR 05/12/09 1
1 _121 HOSE BIBB(S) 1.00 FIX 16.20 1 1
1OWNER: TEL. NO: 125 LAVATORIES/SINKS 2.00 FIX 32.40 IFINAL DATE - FINAL BY: CODE: 1
IMARKIS, TED/MARIA - 145 WATER CLOSET/URINAL 1.00 FIX 16.20 1
19933 HOWLAND DR 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 I _
ITEMP 917803235 1 TOTAL FEES 157.35 IDESCRIPTION OF WORK 1
I IPLUM13ING FO NEW BATHROOM D LAUNDRY ROOM 1
I I 1 1
1APPLICANT: TEL. NO: 1 1 I
ILUIZ R. NUNEZ ASSOC. (626) 284-0055-
1324 LOS HIGOS ST. I ISPECIAL CONDITIONS: 1
1ALHAMBRA, CA 91801 1 1 I
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ICONTRACTOR: TEL. NO: 1' 1APPROVALS DATE INSPECTOR SIGNATURE
IRON OWENS (626) 285-7725- 1 I I
15924 N. RENO AVENUE LIC. NO I 1UNDER SLAB WORK I 1 I
ITEMPLE CITY, CA 91780 276346 1 1 1 1 I
IWATER SERVICE I I
I I IPLASTIC YIN METAL YIN 1 1 1
(ARCHITECT OR ENGINEER: TEL. NO: 1 I I i
- I TROUGH PLUMBING I I
1 LIC. No:
I IGAS PIPING I_ I
I I I I I I
IGAS VENT I I I
I - -- ---_I-_-- -_ 1HOT WATER HEATER I I 1
FIXTURES I I 1
I I 1 LAWN SPRINKLERS
I IGAS TEST
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I I 1UTILITY COMPANY NOTIFIED( 1 1
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I IGRAY WATER SYSTEM
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I IREPORT ID: DPR263 ROUTE TO: BS0508 1 1 1 I
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