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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 ]