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HomeMy Public PortalAbout9833 KEY WEST ST_Plumbing__ D r g.-17 25M SETS 6-46 APPLICATION FOR PERMIT D • EPARTMENT OF BUILDING AND SAFETY �� 1 COUNTY OF LOS ANGELES Wm. J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT O. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE �� HEATER CESSPOOL -I SEPTIC TANK RECEIVED BY READY FOR DATB ISSUED PFIRST INSPECTION GAS M18CELLANEOU APPLI ANT FILL IN IJEAVILY OUTLINED PORTION ONLY Joe l l� K NAME ADDRESS �1' W C� m ADDR s � LOCALITY NEAREST IF v 'I CITY TEL.NO' Y-2CROSS ST. a COUNTY A CERT.NoVal L 1-.-V EXPIRES W NAME �I LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE- ABOVE?LOB ANGELES COUNTY CERTIFICAT ..O QUALIFICATION:y PLUMBER tr 1 AM THE LEGAL OW ER OF THE PROPERTY DESCRIBED ABOVE. T, OWNER CORRECTIONS r < SOUTH J -DESCRIPTION OF WORK Z SBATH TUB FURNACE SHOWER DISHWASHER p _LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE J/INSPECTOR'S NAME WATER H ATER DENTAL LAVATORY ROUGH PLUMBING I �I/ -f5I METERGAS aODA FOUNTAIN I ✓�^ALO OUTL GAB PIPING GAS VENT I p CESSPOOL ' TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CEBSPOOI SEPTICTANK SEWER $ (� UTILITY CO.NOTIFIED I ✓ TOTAL FEE FINAL D B S-n 25M SETS 6-48"' ND APPLICATION FOR PERMIT OF BUILDING ASAFETY �������� T COUNTY OF LOS ANGELES - Wm.J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION - DISTRICT NO. GR O PERMIT NO. ROUGH FIXTURES IHCOMPL.ETEI HEATER CESSPOOL READY FOR SEPTIC TANK _ RE�CFIVED FIRST INSPECTIONyTdB isSu AS MISCELLANEOUS G�/�`•°``• •"� ✓�(`�t/ �APPJPLICANT FILL IN HEAVILY OUTLINEDJOB I� /PORTION ONLY a, _ NAME (/1,.(,/./'�jfs+ j� �,�� ADDRESS Y m ADDRESS ^�r�,-�7= ��5 LOCALITY �Q�F D NEAREST '1 CITY �'r K�r�,c TEL,No. CROSS ST. 6 COUNTY F _ � n L CERT.No. ,(v EXPIRES - m NAME _• ,�E���I - LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL 3 ADDRESS NORTH O CITY (9 TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIF TE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. D (f/ OWNER i CORRECTIONS SOUTH J DESCRIPTION OF WORK z BATH TUB FURNACE Q' SHOWER DISHWASHER -O IAVATORY REFRIGERATOR KITCHEN SINK- WATER SOFTENER FLOOR SINK BAND TRAP r' , SLOP SINK FLOOR DRAIN WASH TRAY - URINAL APPROVALS WATER CLOSET DRINKINGOU NTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAZTORY ROUGH PLUMBING I METER. GAS SODA FOUNTAIN GAS PIPING OUTL CTAS VENT CESSPOOL Is J V t c TOTAL NUMBER OF FIXTURES SEPTIC TANK `I / CESSPOOI SEPTIC TANK EWERMEOW I I UTILITY CO.NOTIFIED UTILITY CO.NOTIFIED ID TOTAL FEE -FINAL 76A667-CE817-11-57 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER _ BUILDING AND SAFETY DIVISION I ` BUILADDRDING JOHN A. LAMBIE, Count Enysneer CISSATT D. GRIFFIN, Sup t of Building LOCALITY FOR APPLICANT==7 TO FILL IN NEAREST EARS ST.ROSS NUMBER FIXTURE OR ITEM OWNER WATER CLOSET' MAIL BATH TUB ADDRESS 9B�-j C• Cts SHOWER CITY /�v�g 6 iTy TEL NO. 117-4 d 4j/V2-- LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY NO. CONTRACTOR'S STATE El LAUNDRY TUB REGISTRATION NO COUNTY ❑ CLOTHES WASHER DISTRICT O G P ZONE READY FOR INSPECTION WATER HEATER GAS SYSTEM INDUSTRIAL zQ WASTE APPROVAL INSPECTION RECORD APPROVALS @ $1.00 PER ITEM QATE INSPE R-S,S,JGNATURE OR FIXTURE $ UNDER SLAB WORK Iep, I PERMIT $ 00 ROUGH PLUMBING 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED DESCRIBED RESIDENTIAL PROPERT t � SIGNATURE / i FINAL d OF PERMITTE ROBERT A. OOD OF VALIDATION SUPERVISING MECHANICAL ENG'R CK M 0 CASH `' " LAC0 5 6 1 O U OCT 9 5 A 3.0 0 M e l 7e87 CE 8178-58 APPLICATION _ICATION FOR ,PLUMBING PERMIT _�\ • � � .' - BUILDING AND SAFETY DIVSION Department of County Engineer County of Loa Angeles BUILDING 8 E. Ke West St. JOHN A. LAMBIE,COUNTY ENGINEER ADDRESS CASSATT�D,GRIFFIN,,SUP'TOF BUILDING LOCALITY Te>n le Cit FOR APPLICANT TO FILL IN I NEAREST Golden West Ave. CROSS ST OWNER Walter T. Gleeson DISTRICT NO IGROUP 1 ,4 ZONE I READY FOR INSPECTION MAIL ADDRESS 9833 E. Key West St. �1 I ' INDUSTRIAL CITYTemple City TEL NO AT 69142 WASTE APPROVAL f PLUMBER Calif- Appl. Ins tlrs. Inc. INSPECTION RECORD ADDRESS 1420 Griffith Ave. , CITYL•A. 21 TEL NO 8177663 LICENSE NO 158149 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1 00 $ BATH TUB @ $1 00 SHOWER @ $1 00 LAVATORY (WASHBASIN) @ $1 00 KITCHEN SINK @ $1 00 DISHWASHER @ v 00 LAUNDRY TUB OR TRAY @ $1 00 CLOTHES WASHER @ $1 00 WATER HEATER @ $1 00 GAS SYSTEM @ $1 00 1 00 APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING / p GAS PIPING ��. TOTAL FEE 2 00 GAS VENT 1 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES S PLUMBING {� I HEREBY CERTIFY THAT I AM E REGISTERED AND/OR GAS TEST `✓^'7 -eG:J .� r-1,s.,.a LICENSED AS REQUIRED BY LO ANGE OUNTY AND STATE OF I \ �• CALIFORNIA OR THAT I A HE L 0 R TH ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL OPE 01 SIGNATURE /117 OF PERM ITT FINAL ROBERT A.WOOD, JOHN A LAMBIE,COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R CK M 0 CASH �; 2,7.1 ,7 S& 26 3 ' 2.00 0 D B S 2SM BETS 11-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING ,t COUNT_ Y OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DisTRICT NO. o o P o E PgRMIT NO. ROUGH FIXTURESCOMPLETE EATER CESSPOOL I� SEPTIC TANK REIVED BY READY FOR DATH ISSUED _ H ,` FIRST INSPECTION AS MIBCfiLLANHOU f APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB 0: NAME ADDRESS ,.Z W m ADDRHS LOCALITY O NEAREST Q 4 CITY / TEL.No,ITVe CROSS ST. �/ EXPIRES 6' NAME LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL /,2— � Q �� 3 ADDRESS .J NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. ,4, c�'A Ute , PLUMOMR I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. 3 OWNER CORRECTIONS SOUTH W F- DESCRIPTION OF WORK a U_ BATH TUB FURNACE 'I IL SHOWER DISHWASHER /1-AVATORY REFRIGERATOR / KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP LTOTALFEE LOP SINK FLOOR DRAIN ASH TRAY URINAL APPROVALS ATER CLOSET DRINKING FOUNTAINDATE Ip19P6CTOR'8 NAME ::: ATER HEATER DENTAL LAVATORY ROUGH PLUMBINGETER iGA9 SODA FOUNTAIN GAS PIPING OUTLGAS VENTCESSPOOL OTAL NUMBER OF FIXTURES {�V SEPTIC TANK ESSPOOL_—SEPTIC TANK SEWER UTILITY CO.NOTIFIED RINAL 1 Y 1 WaRKEP�S'COMPENSATION DECLARATIONcE CE 91 A APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self e» (z-so) insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec 3800,Lab C) COUNTY OF LOS ANGELES BUI LDING71YD SAFETY Policy No Compan Certified copy is hereby furnished FOR APPLICANT TO'FILL IN (PRINT OR TYPE) BUI ING L� ❑ AD RESS Certified copy is filed with the unty building inspection NUMBER FIXTURE OR ITEM • FEE dep tm nt LOCALITY WATER CLOSET Date Applicant NEAREST BATH TUB CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER LAVATORY MAIL (This section need not be completed if the work involved ADDRESS CL by the permit is for one hundred dollars ($100) or less.) SINK CITY TEL N / 0U I certify that in the performance of the work for which this DISHWASHER permit is issued, I shall not employ any person in any manner CONTRACTOR1141- 0 so as to eco a subject to the kers' m ensation Laws CLOTHES WASHER ADDRESS/09.9e (~j Date Applicant d SWIMMING POOL RECEPTOR NOTICE TO APPLICANT If, after aking this Certificate of CITYr TEL NO N Exemption, you should become subject to the, Workers' LAWN SPRINKLER SYSTEM STATE LIC /� z Compensation provisions of the Labor Code, you must forth- LICENSE NO // CLASS C_ with comply with such provisions or this permit shall be WATER HEATER deemed revoked GAS SYSTEM OUTLETS DISTRICT NO C SED Q� LICENSED CONTRACTORS DECLARATION OUTLETS OVER �O I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL �� ness and Professions Code, and my license is in full force and DATE 4 S �J VALIDATION effectFINAL - A License Numb e Lic Class C BY �Q Contracto Date ElI am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section`7051, Bus- iness and Professions Code) r) TOTAL FEE (/ Lic or Reg No Date Plan check applicant 0 HOME OWNER-BUILDER DECLARATION Name 1 9 9.9 A I hereby affirm that I am exempt from the Contractor's Address '#.o'o.o o o 5 License Law for the following reason (Section 7031 5, Busi- City Tel No ness and Professions Code) 2 0 - 1 0.00 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project .°1O ° a 0 0 5: (Section 7044, Business and Professions Code) I 1. 1 7_8 1 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 Lender's Address I certify that I have read this application and state that the aMSignatuermittee on is correct I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances State laws regulating Plumbing, and hereby asentatives of this County to enter upon the aroperty for inspection pp�rpos s ` ,1//�Permittee Date s COUNTY OF LOS ANGELES TEMPLE CITY - # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0607100017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 ERT LEGAL ID FEES PAID BUILDING ADDRESS TR 13986 LT 23 BL 001 9833 KEY WEST ST FEE DESCRIPTION .QUANTITY UOM AMOUNT TEMP CA 917803919 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 8589-022-026 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, C 07 BATHTUBS/SHOWERS 2 00 FIX 32 40 TENANT 11 CLOTHESWASHER(S) 1 00 FIX 16 20 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 13 DISHWASHER(S) 1 00 FIX 16 20 07/10/06 JK 01/06/07 25 LAVATORIES/SINKS 2 00 FIX 32 40 OWNER TEL NO 45 WATER CLOSET/URINAL 1 00 FIX 16 20 FINAL DATE FIN BY CODE PIERRE, OLEGA (626) 757-5150- 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 /�— 9833 KEY WEST ST TOTAL FEES 157 35 / TEMP 917803919 DESCRIPTION OF WORK PLUMBING FOR BATHROOM AND KITCHEN REMODEL APPLICANT TEL NO SERGIO AGUIRRE (323) 376-4296- 3128 LA CLEDE AVE SPECIAL CONDITIONS LOS ANGELES CA 90039 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE PIERRE, OLEGA (626) 285-3055- 9833 KEY WEST STREET LIC NO UNDER SLAB WORK TEMPLE CITY, CA 91780 NONE - - WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER TEL NO ROUGH PLUMBING LIC NO GAS PIPING GAS VENT HOT WATER HEATER f �' PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST " UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID DPR263 ROUTE TO BS0508