HomeMy Public PortalAbout9141 LONGDEN AVE_Plumbing__ 76AG67C (CE-81719) -9/75'
' APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDRESS /`'� z IK
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST.
SHOWER OWNERMAIL. v 944 yy��
f LAVATORY 0--U ADDRESS ��� .�Alcluvz�'
SINK CITY TEL. NO.
DISHWASHER CONTRACTOR
00 !SALU l
CLOTHES WASHER � ADDRESS rr
SWIMMING POOL RECEPTOR /
CITY TEL. NO.OZ�(O`3J•1
LAWN SPRINKLER SYSTEM
STATE LIC
WATER HEATER ^� U� LICENSE NO. 7 / CLASS
c3 DISTRICT NO. GROUP ZONE R09tASED BY v
GAS SYSTEM OUTLETS / O
OUTLETS.OVER cJ � v
5 PER SYSTEM INDUSTRIAL 8
WASTE APPROVAL
INSPECTION RECORD Z
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK _
Address ROUGH PLUMBING
City Tel. NO. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUM•BI NG.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY L S ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I M LEGAL OWN OF INTEND TO
RESIDE IN THE ABOVE D .0 D RESIDEN PRO ER UTILITY CO. NOTIFIED
SIGNATU RE
OF PERMITTEEA. FINAL i i7
PLAN CHECK v)VI.DATION CK. M.O. CASH PERMIT VALIDATION CK. .O. CASH
3 9 3 rSEP 28 5 D 2.5 0 a&t5
76A667 = 03817 5/70 CITY OF TEMPLE CITY
APPLICA`T'ION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A:LAMBIE, COUNTY ENGINEER ADDRESS ' Longden Avenue
COLEMAN W:JENKINS. SUPT. OF BUILDING LOCALS emp a City
FOR-APPLICANT TO FILL IN PR NT O TYPE
CROSS ST. Rosemead
NUMBER FIXTURE OR ITEM: EACH' FEE
OWNER Albert Nelson
WATER CLOSET 1.50
NAM
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY TEL• NO.
s LAVATORY 1,50 CONTRACTOR GENERAL INSTALLATION CO.
SINK 1.50 ADDRESS 6558 WEST B .
DISHWASHER. 1.50 CITT Los Angeles TEL.NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. C 36 151839 CLASS
SWIMMING POOL RECEPTOR 1..50 D'ISTR��=N GR ZONE P p
LAWN SPRINKLER SYSTEM 2.00 �� F/'
WATER HEATER 1.50 WASTINDUSTRIAL
JJ��
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER 30 ReOd for Ins.action Now
5 PER SYSTEM P A
ATER SOFTENER . / / ?` // ^
to / •�. n
Vf
z
Plan check fee 253 of above. See reverse. Sao
PLUMBING PERMIT ISSUING FEE•$ 1 WWI
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel:No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY •PLUMBING FIXTURES
WITH ALL' COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT I AM: PROPERLY REGISTERED AND16H UTILITY CO.'NOTIFIED
LICENSED AS REQUIRED BY LOS.ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE-LEGAL OWNEROF,AND INTEND TO
RESIDE.IN.THE ABOVE DESCRIBED REST TIA 15 Y. FINAL /
SIGNATURE
OF PERMITTEE JACK R. ALLEN, SUPER'V'ISIN MIN NJ EN'G'R.
.:.. :. PERMIT VALIDATION CK. M CASH
PLAN. CHECK VALIDATION CK. M.0. CASH
Li[LC9 2 5'9 Ni9V-15 D 4.7 5^' qr
• r
76A667 OBS 17 71-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �� �'
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT GROUP •ON RMI O.
FOR APPLICANT TO FILL IN
PLUMBERjay, 4z, _�_�, RECEIVED BY READY FOR DATE ISSUED
U � - �^ - FIRST INSPECTION �
ADDRESS /•�
BUILDING
CITY TEL No. ADDRESS
COUNTY LOCALITY
LICE
NBENO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 8 ADDRESS
BATH TUB @ 0.50 CITY TEL. No.
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS 0 0.50
OF THE RESIDENTIAL PROPE TY DESCRtSEQ9ASOVE.
SIGNATURE OF
WATER HEATER 0.50 PERMITTEE
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUPLTAIN @ 0.50
URINAL @ 0.50
Q
HOUSE SEWER @ 0.50 ?
MISCELLANEOUS 0
Q'
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL r/
SEPTIC TANK: SEPTIC TANK / '� 7 f 71J[ YN
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE 6 bol
FINAL
I
76WG67 17 U-SO i® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES mrL ... 1
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
..�'
PLUMBER Belvedere Plumbing Co. RECEIVED BY READY FOR DATE ISSUED
1 FIRST INSPECTION
ADDRESS 136 S. Palm Ave,
CITY Alhambra TEL. No. AT95026 ADD UILESs 91 -E. Longden
COUNTY 808M 6/30/51 LOCALITY Temple City
LICENSE NO. EXPIRES
'NEAREST
PERMIT FEES CROSS ST.
NUM6EOWNER Thomas S. ArrisonR TYPE OF FIXTURE OR ITEM FEE .
MAIL ,
1 WATER CLOSET (TOILET). @ 0..50 f 0 ADDRESS
1 BATH TUB @ O.50 0 CITY TEL. NO.
SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
1 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ 0.50 O
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK O.50. - 0- STATE LAWS REGULATING PLUMBING:
501 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
1 LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0..50 0. SIGNATURE OF /+ �`�
WATER HEATER @ 0.5.0 PERMITTEE (� 4.11 �•��1�1� s�
SLOP SINK @ O.so INSPECTION RECORD
FLOOR SINK @ O.50 1
FLOOR DRAIN @ 0.501-
DISHWASHER
.SODISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 �S l lf�.Y!/� d F1/�p/
�l' L J
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS f 1 L !PL it , 6-1<
A Ic I/✓r S L, G N 7''L
A0S7'ED HI VO W r 2ErZ
0 M• 64f r P H rl� G A'TL`
s VA_ I/,5 ,
APPROVALS
1 DATE INSPECTOR'S NAME-
ROUGH PLUMBING
GAS PIPING 4vU ,i
GAS VENT
CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: , SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . 1.00 GAS TEST I IVML- - 13 rye/11.1
UTILITY CO. NOTIFIED A"
TOTAL FEE
' FINAL
392 M
W,O`RREIq`COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
I hgrgby.afPl`rm,that I have a certificate of consent to self 76A667A
insure, qr aeerti icate of Workers'Compensation Insurance, CE817(REV. 10/81)
.oda certified copy thereof(Sec. 3800, Lab. C:) "" COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy Nz ompony:s� j�kS{iM
Certified copy is hereby furnished. BUILDING
FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS
Certified copy is filed with the county building inspec-
tion department. NUMBER FIXTURE OR ITEM (c� q FEE/� LOCALI
Dat Appli4a WATER CLOSET Z U NEAREST '
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST.
COMPENSATION INSURANCE / SHOWER OWNER
(This section need not be completed if the work involved by I, MAIL
the permit is for one hundred dollars($100)or less.) LAVATORY df ADDRESS
00,7 A
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner SINK CITY TEL.NO.
so as to become subject to the Workers'Compensation Laws. DISHWASHER
CONTRACT
Date Applicant CLOTHES WASHER ADDRESS
NOTICE TO APPLICANT: if, after making this Certificate of SWIMMING POOL RECEPTOR .
Exemption, you should become subject to the Workers' CITY TEL.N
Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM
With comply with such provisions or .this permit shall be STAT LIC.
deemed revoked. WATER HEATER LICENSE NO. ig
CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO. PR BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS o
(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER .J t
and Professions Code,and my license is in full force and effect. 5 PER SYSTEM 01
DATE 110- I N VALIDAT
License Number Lic. ClassT U
FINP B6
Contracto�]f. %A!CnaWe9C &e =a— BY O
❑ I am exempt under Sec.
rn
B.BP.C. for this reason Plan check fee ►
Date: PLUMBING PERMIT ISSUING FEE$ d � ;1 3 8 6 6 A
Signature
TOTAL FEE b #' 0 O a.8,5 6
SINGLE FAMILY
Plan check applicant o - 465051
HOME OWNER-BUILDER DECLARATION Name 0 17 8 6
1 hereby affirm that I am exempt from the Contractor's License Address
Law for the following reason (Section 7031.5, Business and
Professions Code): City Tel. No.
F-1 1, 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).
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 N11111.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 -mentioned property for inspection purposes.
SEE REVERSE.FOR EXPLANATORY LANGUAGE
ignafure of a mittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1307290008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
1 ON FILE 1 ] 9141 LONGDEN AV I
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] TEMP CA 917801604 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15382-023-040 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
I _107 BATHTUBS/SHOWERS 3.00 FIX 48.60 1 1
ITENANT: 21 HOSE BIBB(S) 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY:
I 125 LAVATORIES/SINKS 2.00 FIX 32.40 107/29/13 SR
I 145 WATER CLOSET/URINAL 2.00 FIX 32.40 I I
(OWNER: TEL. NO: 160 DWV REPAIR OR ALTER 1.00 SYS 16.20 IFINAL DATE FINAL BY: CODE: I
ILUK, CHERRY (626) 286-8480- 1 TOTAL FEES 189.80 1 \ 7 I
19141 LONGDEN AV I I
ITEMP 917801604 1 IDESCRIPTIONOF WORK 1
I I BATHTUB/SHOWER, HOSE BIBBS, LAVATORIES, WATER CLOSETS AND
I ] ]DRAINAGE/VENT REPAIR
(APPLICANT: TEL. NO: I I I
ICORREA, MANUEL (626) 786-2347- [ I
12509 EUCLID CRES E 1 ]SPECIAL CONDITIONS:
UPLAND CA 91784
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
IS X D CONSTRUCTION (626) 786-2347- 1 1 I
12509 EUCLID CRES E LIC. NO 1 UNDER SLAB WORK I I I
]UPLAND CA 93.784 627142 1
I I IWATER SERVICE
I
I I IPLASTIC YIN METAL YIN [
(ARCHITECT OR ENGINEER: TEL. NO: I I ]
I - 1TROUGH PLUNIDING
I LIC. N0: I
IGAS PIPING
I I
I IGAS VENT I I I
I I I
I [HOT WATER HEATER I I I
I I I
I PLUMBING FIXTURES I I
I I I
I ]LAWN SPRINKLERS ] I I
I I I
I [ IGAS TEST I I I
(UTILITY COMPANY NOTIFIED] I I
I I ICWV I I 1
I 1 IGRAY WATER SYSTEM
I I I I 1 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 [
■ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1307250017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ON FILE I 1 9141 LONGDEN AV I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801604 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15382-023-040 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
I 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 I I
ITENANT: 192 NO PERMIT OWNER—BLDR 344.00 DOL 344.00ISSUED ON: PROCESSED BY: PLAN BY:
I I TOTAL FEES 388.00 107/25 /13 SR
]OWNER: TEL. NO: I [FINAL DATE FINAL BY: CODE: 1
ILUK, CHERRY (626) 286-8480— 1 1 �( [
19141 LONGDEN AV ] Ia A!`??
ITEMP 917801604 I I C IPTI N OF WORK 1.1 ]
I IREPLACE MAIN WATER LINE FROM METER 45 LF
[APPLICANT: TEL. NO:
ICORREA, MANUEL (626) 786-2347— I ]
12509 EUCLID CRES E ISPECIAls CONDITIONS:
[UPLAND CA 91784
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
IS X D CONSTRUCTION (626) 786-2347— 1 1 I
2509 EUCLID CRES E LIC. NO 1 ]UNDER SLAB WORK
UPLAND CA 91784 627142 1 1 ] I [
I I WATER SERVICE
I [ 1 PLASTIC IN
1ARCHITECT OR ENGINEER: TEL. NO:
[ — I ROUGH PLUMBING
1 LIC. NO: I I [ [
1 1 1GAS PIPING
I 1 [GAS VENT I
I I IHOT WATER HEATER 1 1 1
I I 1PLUMBING FIXTURES I I
I ] ]LAWN SPRINKLERS ] I
I ] GAS TEST
I1--1 I
1 1 (UTILITY COMPANY NOTIFIED( I ]
I I Icwv I ] 1
I I IGRAY WATER SYSTEM
I I I I I I
I I I I I
I I I I 1
I I I 1 I I
1 I 1 I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 [ [ I
I I ] I I ]