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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 •./�/ WP r 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 I I I I I I I I 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 I I I I I I 1UTILITY COMPANY NOTIFIED( 1 1 I I I I I I I I ICwv I I I I I I I I I I IGRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 1 1 1 I I I I