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HomeMy Public PortalAbout8701 LONGDEN AVE_Plumbing__ 76AS67 (CE-817) APPLI.CATION FOR PLUMBING PERMIT 1r COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS / NUMBER FIXTURE OR ITEM @ FEE CROSS ST �!j OWNER WATER CLOSET 200 MAIL BATH TUB 2.00 ADDRESS r SHOWER 2.00 CITY TEL. NO. LAVATORY mpg d,y CONTRACTO SINK 2.00 f� 'ADDRESS DISHWASHER 2.00 CLOTHES WASHER 200 y �/ SWIMMING POOL RECEPTOR 2 00 LICENSE O (/ Y fP CLASS DISTRICT NO. ROUP ZONE ROCESSE,D BY LAWN SPRINKLER SYSTEM 2,00 �p A �_ �—� �. WATER HEATER 200 INDUSTRIAL •l'` WASTE APPROVAL GAS SYSTEM OUTLETS 2.00a INSPECTION RECORD OUTLETS OVER t U 5 PER SYSTEM .30 iJ C O U Ld ' - a N • Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE _ APPROVALS DATE IN9 PE C_T,OR 9 91GNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. NO. GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ •THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY j PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REOUIL RE BY OS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE /J/J� �,^` OF PERMITTEE/i" - �� G6�/� PERMIT VALIDATION cK M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH F'a 76A667A - - - GE 817 IREV 6/78) O S - {�tl .�o - - APPLICATION FOR .LUEY BiNG PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS 7O O av r'g„ NUMBER FIXTURE OR ITEM @ FEE e.— I WATER CLOSET :LOCALITY NEAREST BATH TUB CROSS ST A-7 esM SHOWER JA WNERL.1 4Ad G LAVATORY AIL DDRESS SINK ITY YAI`Q NO DISHWASHER CONTRACTOR CLOTHES WASHER u ADDRESS SWIMMING POOL RECEPTOR CITY TEL NO LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO CLASS t GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING GAS VENT &2 HOT WATER HEATER PLUMBING FIXTURES GAS TEST Plan check fee UTILITY CO NOTIFIED A PLUMBING PERMIT ISSUING FEE$ 1 e TOTAL FEE � (, —� FINAL Plan check applicant PLAN CHECK VALIDA-UON J �, Name �i!(,�a ►pfC), A,7YR AG oa��V O �'N, Address Y• # o o o o o 5 ' City Tel No 2 0 0 1-0.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES O O O 1. (100M AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 1005-78/10 O �'7 O O REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE / . LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY (/• V SIGNATURE OF PERMITT DISTRI NO PROCESSE S_0 INDUSTRIAL WASTE APPROVAL 76A667A 1 CE 6174REV 6/791 ' &S APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPEI BUILDINGi✓�L— ADDRESS o NUMBER FIXTURE OR ITEM ® FEE m2 a�u WATER CLOSET LOCALITY NEAREST �($_ BATH TUB CROSS ST N'�01'1 SHOWER OWNER LAVATORY MAIL ADDRESS SINK CITY TEL NO DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL NO LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER - LICENSE NO CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR 5 SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST � Plan check fee UTILITY CO NOTIFIED PLUMBING PERMIT ISSUING FEE$ h o TOTAL FEE `L7 j FINAL 1 ` 7 `y Plan check applicant PLAN CHECK VALIDATION Name '? /11+/shi Address zr,-v yr/ L/,- City orifi'G Tel NO Z SC -tL�; / IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ;2 5.5 1.4 A AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS # O O O O O 5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY //�� 2 0 0 10,00 SIGNATURE O O O 1,0, OF PERMITTEE 11 DISTRI NQ PRO SSED BY 0717-V' 79O O f-J INDUSTRIAL WASTE APPROVAL 76A667-CE#817 2-66 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILOHNDANLAMBIEG AND SCouNTr EAFETY INGINOEER ING ADDDRESS 8701 Longden Ave. COLEMAN W JENKINS SUP T OF BUILDING LOCALITY ,rjaTl Gabriel FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER IV. R. Graham MAIL WATER CLOSET $1.25 O BATH TUB 1,25 ADDRESS 87.01. Longden Ave. SHOWER 1.25 CITY Sari Gabriel TEL. NO. 285 1.354 LAVATORY 1.25 CONTRACTOR Vall-ey 21xt Heating Cbtp . SINK 1.25 ADDRESS305 E Valhey Blvd. DISHWASHER 1.25 Circ Sah Gabriel TEL. NO. 288 681.2 STATE LIC LAUNDRY TUB 1.25 LICENSE NO 1.47899 CLASS C 20' CLOTHES WASHER 1.25 DISTRICT NO. GRqj.W ZONE PROCESSED BY WATER HEATER 1.50 1 GAS SYSTEM 1. OUTLETS "S0 1_ 0; INDUSTRIAL WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 U INSPECTION RECORD O H U W � N Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT 5 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 31 56,1 GAS PIPING I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY EGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGEL COU Y AND STATE OF GAS TEST CALIFORNIA OR THAT I THE LEGA OWN O AND END TO RESIDE IN,THE ABOVE CCRIBED R ENTI P PERT UTILITY CO NOTIFIED SIGNATURE OF PERM ITTE t FINAL LIDATION JACK R. ALLEN cK M o CASH SUPERVISING MECHANICAL ENG'R. t: ! A(`�•5 1=.3:9 .tom 2 8 5 V 34 Q a i.t. CE 81,7(REV B/�TB) - - ®s APPLICATION FOR PL.UMBIIVG PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING •ADDRESSE G�� ✓ (� NUMBER FIXTURE OR ITEM ® FEE WATER CLOSET LOCALITY •NEAREST _` ' BATH TUB CROSS ST SHOWER OWNER CN 140t R 4 Af J.� LAVATORY MAIL t ADDRESS SINK CITY TEL NO DISHWASHER CONTRACTOR' CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL NO LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO'• CLASS GAS SYSTEM OUTLETS 0- APPROVALS DATE INSPECTOR 5 SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER p0 PLUMBING FIXTURES 8 D GAS TEST' 1�A PI'ah check fee UTILITYCO NOTIFIED PLUMBING PERMIT ISSUING FEE$ TOTAL FEE FINAL " Plan check applicant PLAN CHECK VALIDATION Name J _ ;906 7 SA Address # o o o o o 5 City Tel No L o p 1000 I HEREBY ACKNOWLEDGE'THAT I HAVE READ THIS APPLICATION AND STATE lap" , �2 THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ' O O O 1,0 O O V AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS _ _ •� - I O',O 6 /�/ 8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE - + • , LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL • - PROPERTY SIGNATURE .OF PERM ITTEE DISTRICT NO PROCE S BY INDUSTRIAL " WASTE APPROVAL ' 'r WORKERS' COMPENSATION DECLARATION A PPUC TION FOR (SLUM o��N l�f�R/,�� T I 'hereby' affirm that I have a rertificate of consent to self 76A667A /rvu /r�1 llv u v QJ Il�[la ®vu U insure,,or a certificate of Workers' Compensation Insurance, CE 817(REV 10/81) or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY 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 inspec- ADDRESS tion department NUMBER FIXTURE OR ITEM Qa FEE LOCALITY �� G Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE OWNER V IC (This section need not be completed if the work involved by SHOWER the permit is for one hundred dollars($100)or less.) LAVATORY MAIL ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK- CITY 7 � TEL NO 7�J so as to become subject to the Workers'Compensation Laws HWASHER 7 J CONTRACTOR Date (6-22--93 Applicant 960&y A r)' Lei 1�X/� CLOTHES WASHER �� ADDRESS PL , NOTICE TO APPLICANT If, after making this Certificate of Sr4• t2 Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR or�v Compensation provisions of the Labor Code, you must forth- 1 7J TEL N0�41 CITY ! 6 LAWN SPRINKLER SYSTEM I! with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTRICT 0 P ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER d and Professions Code, and my license is in full force and effect 5 PER SYSTEM FINAL DATE VALIDATION u 'f License Number 3 7 ELI :3 !� Lic Class = FINn - � " AL O Contracto`T4'QY BY � ❑ I am exempt under Sec Vf B 8P C for this reason Plan check fee - Dote `Z'�3 PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE SINGLE FAMILY Plan check applicant ' HOME OWNER-BUILDER DECLARATION Name 141 a3 A I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031 5, Business and o o o o e 5 Professions Code) City Tel No 2'- -'2'8"'C ❑ j, as owner of the property, will do the work and the structure is not intended or offered for sale (Section '0'0 a 2 R,5 p 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY 0802-83 j 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 above information is correct I agree to comply with all County ordinances and State jaws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-me boned propert for inoection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Sign ture o ermittee ' Date J r w 7 We'ORKERS' SAYION DECLARATION APPU AMN FOR PLUMBING PERM? - I �eraby d# I have irtn that have a certificate of consent to self 76A667A 1p/7Ja� insure, or a WrtiUrofte of Workers' Compensation Insurance, CE 817(REV 10/81) or a certifiA4.copy thereof (Sec 3800, Lab C ) A=/6 y Z /�` COUNTY OF LOS ANGELES BUILDING ARID SAFETY Policy No d 3 Company ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING t Certified copy is filed with the county, Id ng ms ec- ADDRESS 7z5i / 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 (This section need not be completed if the work involved by SHOWER the permit is for one hundred dollars ($100)or less.) LAVATORY MAIL ADDRESS I certify that in the performance of the work for which this ? permit is issued, I shall not employ any person in any rrlanner SINK CITY TEL ORP� `J so as to become subject to the Workers'Compensation Laws DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS / NOTICE TO APPLICANT If, after making this Certificate of Exemption, you•should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY TEL NO LAWN SPRINKLER SYSTEM ' with comply with such provisions or this permit shall be STATE LIC deemed revoked / WATER HEATER LICENSE NO Y CLASS C"s LICENSED CONTRACTORS DECLARATION DISC O� PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER Q .v and Professions Code,and my license is in full force and effect 5 PER SYSTEM " O �'` � rF VALIDATION License Numb r J I s Class cis g L O Contracto ate V El nu I am exempt under Sec y B 8P C for this reason Plan check fee Z Date D PLUMBING PERMIT IS EE$ Signature TOTAL FEE /� _� 9 Q 1,5 A SINGLE FAMILY Plan check applicant t'o o'o o o 5 HOME OWNER-BUILDER DECLARATION Name ? u,o 1 6'5 0 j hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031 5, Business and C, 0 0 1 / Q Professions Code) City Tel No I ❑ j, as owner of the property, will do the work and the o L 1 6-84 structure is not intended or offered for sale (Section D 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, Civ C ) Lender's Name Lender's Address I certify that I have read this application and state that the D 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-menti ned 2�yfor inspection purposes ' SEE REVERSE FOR EXPLANATORY LANGUAGE a .—do Signature of Permittee Date a COUNTY.OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT • DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0703190009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT. ILEGAL ID I FEES PAID I BUILDING ADDRESS I ON FILE 8701 LONGDEN AV 1 IFEE DESCRIPTION QUANTITY. UOM AMOUNT:( SGAS CA 917751813 I (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET- ROSEMEAD 1 15381-022-020 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE- 596 GRID G2 LOCALITY- TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 2 00 FIX 32.40 I 1 ITENANT 117 FLOOR DRAIN(S) 1 00 FIX 16 20 (ISSUED ON PROCESSED BY- PLAN BY EXPIRES ON: 1 125 LAVATORIES/SINKS 3 00 FIX 48 60 103/19/07 JK 09/15/07 I 145 WATER CLOSET/URINAL 2 00 FIX 32 40 1 I 1OWNER: TEL. NO- 147 WATER HEATER(S) 1 00 WTH 1620 IFI AL DATE FI CODE 1 ILIU, TINA (626) 780-4694— 160 DWV REPAIR OR ALTER 3.00 SYS 48 60 1 1 �t 1 18701 E LONGDEN AVE I TOTAL FEES 222.15 1 1 ISAN GABRIEL CA 91775 1 IDEMCRIPTION OF WORK I I I IPLUMBING FOR KITCHEN AND BA HROOMS (APPLICANT- TEL NO- 1 I I SAME AS OWNER - 1 I (SPECIAL CONDITIONS: I I ICONTRACTOR TEL. NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1 I SAME AS OWNER — I s� r - I 1 I LIC- NO 1 1UNDER SLAB WORK I I I I I IWATER SERVICE I I =I IPLP.STIC YIN METAL YIN I I I 1ARCHITECT OR ENGINEER TEL NO. 1 I 1 I I 1 — I (ROUGH PLUMBING LIC. NO: 1 I IGAS PIPING- I I I 1 I IGAS VENT I 1 1 IHOT WATER HEATER I 1 I 1 I IPLUMBING FIXTURES I I I I 1 ILAWN SPRINKLERS 1 1 1 1 1 IGAS TEST I I I 1 I 1UTILITY COMPANY NOTIFIEDI I 1 CWV - (GRAY WATER SYSTEM 1 I 1 I I I I I I I I_ I I IRT ID DPR263 ROUTE TO BS0508 I I 1 I (REPO 0 I I I