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Home My Public Portal About9247 KEY WEST ST_Plumbing__ 76A667-CE817-11-57 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUMDING AND SAFETY DMSION BUILDINGMB JOHN A. LAIE. County. En weer ADDRESS CASSATT D. GRIFFIN. Sup t of Buildmg LOCALITY FOR APPLICANT TO FILL IN NEARESTI CROSS ST. NUMBER FIXTURE OR ITEM t OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY NO. B LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY TEL NO. LAUNDRY TUB CONTRACTOR'S STATE ❑ REGISTRATION NO. COUNTY El CLOTHES WASHER DISTRIC NO j GROUP ZONE READY FOR INSPECTION WATER HEATER 4_1 GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS G) @ $1.00 PER ITEM �— OR FDCTURE $ � � DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1100 ROUGH PLUMBING �(o TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM` PROPERLY REGISTERED AND/OR 6GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT IAM THE LEGAL OWNER OF THE ABOVE N UTILITYCO NOTIFIED DESFINAL DESCRIBED RESIDENTIAL PROPERTY. n r� � A SIGNATURE F' p OF PERMITTE ROBERTA.WOOD ®" VALIDATION SUPERVISING MECHANICAL ENG'R CK. M.0CASH 5 2 0 0 u° SEP t ��o_ 2 5 S A 3.0 0 � DBS-17 APPLICATION FOR PLUMBING PERMIT DBB-I�'DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING JOHN A LAMBIE.,COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN,SUP T OF BUILDING LOCALITY R APP CANT TO FILL IN ' NEAREST CROSS ST OWNER DISTRICT NOp GROUP I ZONE READY FOR INSPECTION MAIL Some Now NI NOW ADDRESS INDUSTRIAL CITY TEL NO WASTE APPROVAL PLUMBER GENERAL INSTALLATION CO. INSPECTION RECORD ADDRESS 6558 West Blvd. 'WTD u 1 E RA CITY L.A. 43 TEL NO PLeasant 3-2541 _.�.e.�.. LICENSE NO 787 C-36 151839 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1 00 $ BATH TUB @ S100 SHOWER @ $100 LAVATORY (WASH BASIN) @ $1 00 KITCHEN SINK @ $1 00 DISHWASHER @ $1 00 LAUNDRY TUB OR TRAY @ $100 - CLOTHES WASHER @ $1 00 WATER HEATER @ $1 00 GAS SYSTEM @ $1 00 1 WATER SOFTENER 1 00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ I ROUGH PLUMBING 1 00 GAS PIPING TOTAL FEE2 00 GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE'IS CORRECT-AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM E LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PR R 1 SIGNATURE OF PERMITTEE FINAL JOHN A LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A WOOD. CHIEF PLBG INSPECTOR ' CK M 0 CASH '76A6e7-CM17 M2 .ty APPLICATION FOR PLUMBING PERMIT � COUNTY OF LOS ANGELES ; DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DPViISION BUILDING CASSAN A. GRIFFIDCounty s p Engineer g ADDRESS 9247 E Ke west At LOCALITY Temple. City FOR APPLICANT TO FILL IN NEAREST Rio Hondo & La Rosa CROSS ST. NUMBER FIXTURE OR ITEM OWNER R.S. Lodevich WATER CLOSET BATH,PDB ADDRESS 24 E Keywest SHOWER CITY Temple City TEL„ NOAt70 0 LAVATORY CONTRACTOR Swan Pools, Inc. SINS ADDRESS en ur DISHWASHER CrrY Van Nuys-- TEL NO;3t84460 CONTRACTOR'S STATE ❑ LAUNDRY TDB REGISTRATION NO. COUNTY CLOTHES WASHER DISTRICT 7NO. G�}¢UP ZONE PRO ESSED BY WATER HEATER 14 1 GAS SYSTEM INDUSTRIALWASTE APPR Water supply to pool INSPECTION RECORD d $1.00RFIXTUBITEM E $ I p-J kPLUMBING PPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00SLAB WORK TOTAL FEE I d� PLUMBING ING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGTER HEATER PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORNG FIXTURES LICENSEDAS REQUIRED BY LOS ANGELES UNTY AND STATE OFTCALIFORNIA OR THAT I AM THE LEGA WNEItrfIFeTNF ABOVESC [BED ESI IAL Y PI !il lti• CSil CO NOTIFIED 11Swan l�o��"§ ` §iSIGNATURE /f OF PERMITTEE� OF VALIDATION ROBERT A WOOD, r tr aIc• ® o. c�- SUPERVISING�MECHANICAL ENG'R lJ�,�a 0 6 8 4 - MAY 12 5 A 3.0 0 I) 7rZA667 D8517 11-SO APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY B I N D 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF EN13INEER F❑R APPLICANT TO FILL IN DISTRTO. GROUP . PLUMBER ` I RECEIVED BY READY FOR DATE 1 ) / FIRST INSPECTION ADDRESS 1 BUILDING TEL. CITY (/L Ny o _ Q ADDRESS COUNTY /J LICENSE NO. EXPIRES LOCALITY 0 _y NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE 13WNER t� MAIL WATER CL08ET(TOILET) @ 0.50 ADDRESS BATH TUB @ 0.50 CITY —�- TEL. NO. SHOWER a 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB 2R TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER GAS SYSTEM OUTLETS 0 0.50 SI ��THE REHIDENTI�.; PERT)' DES RNIB BOH ATURE OF WATER HEATER 0.50 SIGNPERMITTEF VV//JJ - ,- SLOP SINK @-0.50 - - - INSPECTION RECORD a - FLOOR SINK 0.50 FLOOR DRAIN 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN a O.sO URINAL @ 0.50 Q HOUSE SEWER @ 0.50 Z MISCELLANEOUS n_ Q' . O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING �J� GAS PIPING ///� q��,p+- /r7 GAS VENT �hC�,I r CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 I SEWER PERMIT . . . I 1.00 GAS TEST UTILITY CO.NOTIFIED .O TOTAL FEE $ �G / FINAL V - WORKERSCOMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT �I I hereby affirm that I have a certificate of consent to self 20-0026 DPW 6/87 insure, or a certificate of Workers' Compensation Insurance, 76A667A or a certified copy thereof (Sec 3800, Lab C ) 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 �r Certified copy is filed with the county building inspec- ADDRESS iL n. tion department NUMBER FIXTURE OR ITEM @ FEE , LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE OWNER v (This section need not be completed If the work Involved by SHOWER MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS C�[ � �V I certify that in the performance of the work for which this permit Is issued, I shall not employ any person in any manner SINK CITY TEL NO so as to become sublect to the Workers'CompeiptionjAws DISHWASHER i CONTRACTOR Date Z-2Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If, after making t is Certificate of Exemption, you should become sublet to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor C de, you must forth- LAWN SPRINKLER SYSTEM CITY �L�y,! TEL NO 3Q 3 with comply with such provisions, or this permit shall be STATE �7�� S LIC �O deemed revoked WATER HEATER LICENSE NOC CLASS �� LICENSED CONTRACTORS DECLARATION , DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM ' OUTLETS �Q (q (commencing with Section 7000) of Division 3 of the.Business OUTLETS OVER C and Professions Code,and my license is in full force and effect 5 PER SYSTEM >= v FINAL VALIDATION 0- -DATE- L _ _ _ y -� _a 'Licens'e Number Lic Class U FINAL ContratoDate cr , BY ❑ O, I am exempt under Sec U W 8&P C for this reason alPlan check fee ® Z U) ' Date PLUMBING PERMIT ISSUING FEE$ 3 QQ Signature TOTAL FEE �Q SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name �- 3 I hereby affirm that I am exempt from the Contractor's LicenseAddress °4 Low for the following reasoh (Section 7031 5, Business and Professions Code) City Tel No [1 '-1= t' ❑ 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) SJ CONSTRUCTION LENDING AGENCY 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 ;i`jt Lender's Address 3?%Z I certify that I have read this application and state,that th'e above information is correct I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby , author n/a represe tatives of this County to enter upon the abov mentioproper for inspection purposes - SEE REVERSE FOR EXPLANATORY LANGUAGE S nature' f P rmittee Date WOR)(ER'S'COMPENSATION DECLARATION 20-0026 DPW 9/89 76A667A APPLICATION FOR PLUMBING PERMIT �J I her@by af!irm that I have a certificate of consent to self insure, or.a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec 3800 Lab C) I , - - COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No Company ❑ Certified copy is hereby furnished BUILDING ❑ - FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Arg X �/&�' Certified copy;s filed with the county building inspection ,i department NUMBER FIXTURE OR ITEM @ FEE �. LOCALITY Date _ Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' , BATH TUB CROSS ST /�/D �D/Y'4> COMPENSATION INSURANCE ASSESSOR MAP BOOK PAGE PARCEL (This section need not be completed if the work involved by the SHOWER permit is for one hundred dollars($100)or less) LAVATORY OWNER I certify that in the performance of the work for which this permit MAIL 1 is issued, I shall not employ any person in any manner so asl to SINK ADDRESS become subject to the Workers'Compensation Laws ,09 me DISWASHER CITY .TEL NO Date Applicant CLOTHES WASHER CONTRACTOR ' NOTICE TO APPLICANT If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM , LICENSED CONTRACTORS DECLARATION _ WATER HEATER CITY TEL NO a I Hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and GAS SYSTEM OUTLETS LICENSE NO CLASS 0 STATE LIC Q Professions Code,and my license is in full force and effect s OUTLETS OVER - - DISTRICT NO PRO ES ED BY cc _ 5 PER SYSTEM Q Z License Number Lic Class ~ b FINAL DATE VALIDATION LV ll Contractor Date (n F-1I am exempt under Sec BY AL / _Z r � B&P C for this reason Date Planrcheck fee ' 00.- Signature PLUMBING PERMIT ISSUING FEE$ ❑ TOTAL FEE tt SINGLE FAMILY Plan check applicant HOMEOWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law _ `) for the following reason (Section 7031 5, Business and Professions Address Code) City Tel No TO AL :165 4,5 I,as owner of the property,will do the work and the structure s not intended or offered for sale (Section 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the _ performance of the work for which this permit is issued (Sec 3097, y_I_;_;_—;_{LIQ Civ C) _ 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 representatives of this County to enter upon the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Sgnature df Perm(ttee w Date ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT • DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0704300009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID I FEES PAID BUILDING ADDRESS ITR 16475 LT 88 1 9247 KEY WEST ST 1 IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803730 ASSESSOR INFORMATION NUMBER I 1 NEAREST CROSS STREET 18590-027-014 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY 1 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 TENANT 160 DWV REPAIR OR ALTER 1 00 SYS 16 20 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON TOTAL FEES 60 15 104/30/07 JK 10/27/07 OWNER TEL NO 1 IF AL DATE FIN BY CODE IMAIDENS RANDY L,PATRICIA C,LODWICK (626) 287-48,04- I I 1 19247 KEY WEST ST I 1 1 ITEMP 917803730 1 ID2SCRIPTIOIT OF WORK 1 I (ADD NEW GAS LINE FOR GRILL AND FIREPLACE 1 I I I I (APPLICANT TEL NO I I ISAME AS OWNER - I I I I I ISPECIAL CONDITIONS I I I I I I I I I I I I I ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - I I I I - - _ - LIC NO 1 ._ - _ IUNDER SLAB WORK I _ I I I I I I I IWATER SERVICE I 1 1 I I IPLASTIC Y/N METAL Y/N I I I 1ARCHITECT OR ENGINEER TEL NO I I I I I I - I 1ROUGH PLUMBING I I I LIC NO I (GAS PIPING T f� I r IGAS VENT I I I I I I I I I IHOT WATER HEATER I I I I I I I IPLUMBING FIXTURES I 1 I I I I I I I I I ILAWN SPRINKLERS I I I I I I I I IGAS TEST I I I I 1 1-1 1 I (UTILITY COMPANY NOTIFIEDI I I I I I 1-1 I 1 I ICWV I I I I I I I I I 1GRAY 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 I I I I I I I I I . 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