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Home My Public Portal About9610 LONGDEN AVE_Plumbing__ 76ABi87A ICli.417B) -477 •� APPLICATIO.N FOR. PLUMBING PERIVII'T BUILDING AND SAFETY DIVISION 7BATH R APPLICANT TO FILCIN IPRINT OR TYPE) BUILDING' /' FIXTURE OR ITEM �. FEE ADDRESS R CLOSET LOCALITY TUB NEAREST CROSS ST. /• //�i C/ . G U.j ER' OWNERTORY MAIL �A0l� ADDRESS SINK CITY T /, ,TEL.N0., 3& y� DISHWASHER ��S CONTRACTO /�_,9 R�YJ® CLOTHES 1,/ASHER ` ADDRESS 3 L Cr, GZ/. . �s°�GL e SWIMMING POOL RECEPTOR CITYA2� TEL LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. '`' �( CLASS GAS SYSTEM , OUTLETS DISTRICT-No.. UP JiPNE.I • -./pROCEVED BY OUTLETS OVER �- p 5 ER SYSTEM. INDUSTRIAL v WASTE APPROVAL cd 0O INSPECTION RECORD C= / 2 3 LJW 1— Plan.check fee PLUMBING PERMIT ISSUING FEE$ OQ TOTALFEE 13 Plan.check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB•WORK Address ROUGH PLUMBING City Tel.No. GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE 'GAS VENT _ THAT THE ABOVE IS CORRECT AND AGREE.TU COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS IS, PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM.THE GAS TEST LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED'RESIDENTIAI PROPERTY, UTILITY CO.NOTIFIED SIGNATURE04 OF PERM ITTE FINAL (� 8 r", rVESRIA�h' IDCOMPENSATId CASH PERMIT VALIDATION, tK. M.O. r �� `l ti:l 'R8 a5 '114a` " ILICY HOLDER ""'"" IM a iry mi llitll4ro. _- DEPARTAIMM OF COUNW ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY le) PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDINGe'e�� WILLIAM J. FOX, COUNTY ENGINEER ADDRESS LOCALITY l/L FOR APPLICANT APPLICAN FILL fN NEAREST BUILDING CROSS ST. r50 ADDRESS ✓ ��.r,► YJ��® / lii f�L/' 1 ; DISTRIC A7Z: Z0'EOF 2 PERMIT��N� LOCALITY �/i .� � -� �C/J C� O. NEARESTL �^ CROSS ST. �JL�' l 7 Bye_ Ready for Inspection DA E ISVED OWNER _ / ��/fl%C`[lll L\_ //J [ MAIL l INDUSTRIAL-!r- ADDRESS ADDRESS WASTE APPROVAL S CITY TEL.N0. INSPECTION RECORD PLUMBER 11 / ADDRESS -717 /r CITY j�� •/r/t TEL.NO.� / .`J / V E]STATEEGOUNTY Mint /NZ7T lel-2-12,0Z LICENSE NO. PERMIT FEES f Z VUMBER TYPE OF FIXTURE OR ITEM FEEEj / �-� JY�-+J� ii WATER CLOSET(TOILET) @ 0.80 $ p G �� O BATH TUB @ 0.80 - SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80D � KITCHEN SINK @ 0.80 120 ' AUNDRY TUB OR TRAY @ 0.80 /1//)7- , Al 4/V7„�-,r 1/611d ,/ SLOP SINK @ 0.80 � j'�h fi� !T� FLOORSINI( @ 0.80 A' FLOOR DRAIN `@ 0.80 ! �� !1 /-. /y '` .j {`1,� DISHWASHER @ 0.80 A-/T/ DRINKING FOUNTAIN @ 0.80 fJ l9 �+[! ��' fl Il ✓? C fw f� URINAL .@ 0.80 t -.,1/it,.�}rri GAS SYSTEM..�...OUTLETS @ 1.00 D } �� _f �,� )r. L`'i�.•:� ft, WATER HEATER @ 1.00 Q MISCELLANEOUS / L/'7-sQ PleS A/2 tTlf XIV—1-7 .c ri ;lf•(i(. ) /=}!�"c h'�� fiffiAPPSOVALS - rFIJGIa%!�� r'r}CjrZLI DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE - GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND 'AGREE HOT WATER HEATER t,' 7i7 TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 11- �/t�``P�t.,•� I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST f -L [L� �� 't✓Y� AND STATE OF CALIFORNIA OR THAT 1 AMT E LEGAL OWN- ,,nn ER OF THE ABOVE DED RE ID NT AL ROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE............. ._. ... -� -.........._.... _ _----• FINAL 217 7GA667 DDS 17 1/58 „ Yr WOkKERS'COMPENSATION DECLARATION AP��j��®� FOR PLUMBING �� I hereby,affirm that I have a certificate of consent to self 76AG67A insure, or a certificate of Workers'Compensation Insurance, CE 817(REV.8/86) or a certified copy thereof(Sec. 3800, Lab..C.) Policy No.TC' 3536Company F'remoil•[- COUNTY OF LAS ANGELES DEPT. OF PUBLIC WORKS Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING n Certified copy is filed with the county building inspec- ADDRESS tion department. NUMBER FIXTURE OR ITEM Q FEE LOCALITY WATER CLOSET T m Date[l /IQ 18 7 Appli4ant E 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 Phil Michaelson the permit is for one hundred dollars $100 or less. LAVATORY MAIL P ( ) ), ADDRESS 9610 Lonaden I certify that in the performance of the work for which this permit is issued,I'shall not employ any person in any manner SINK CITY m TEL. N�286 463S Tele Cit so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR PYRAMID BUILDER Date Applicant CLOTHES WASHER 6 ADDRES NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR San Rg-rn;3rr1J13n Rd_ Exemption, you should become subject to the Workers' CITY TEL.NO. Compensation provisions of the labor Code, you must forth- LAWN SPRINKLER SYSTEM967 3342 with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. OCESSED BY I hereby affirm that”[am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS -(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINA� ' bA ATION � License Number 4 n n 7 8 9 —Lic. Class 'R DATE � ' FIN � ContractorpVRAMTn RTTTT.TI 33 '00 / B ❑ I am exempt under Sec. CL B.&P.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING.FEE$ Signature TOTAL FEE ' Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name pVgAMTn BT7TT,nVp. ;284Z7A 1 hereby affirm that 1 am exempt Address t from the Contractor's License Add # 0 0 0 0,0 5 Law for-the followingreason Section 7031.5, Business and 16332 E..' San Professions Code): City Covina Tel. No. ( o o 2 3 5 O ❑ I, as owner of the property, will do the work and the structure is not Intended or offered for stile (Sectiono .o 0 2a 5 0 x �. U 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 1 20.1 -87 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 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 Signature of Permittee Date COUNTY OF LdS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1103030002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I I ON FILE I 1 9610 LONGDEN AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801447 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY 1 15385-016-012 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 1.00 FIX 16.30 1 I ITENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.30 11SSUED ON: PROCESSED BY: PLAN BY: 1 145 WATER CLOSET/URINAL 1.00 FIX 16.30 103/03/11 SR 1 I 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 1 1 10WNER: TEL. NO: I TOTAL FEES 93.00 [F AL DATE FINAL BY: CODE: 1 ISIU MUI CHU - I [ 19610 LONGDEN AV I ITEMP 917801447 [ [DE CRIP ION OV WORK I I I IPLUMBING FOR NEW BATHROOM AND REMODEL LAUNDRY ROOM 1 [APPLICANT: TEL. NO: I I 1 IMANCARELLA, GUANCARLO (310) 824-3519- 1 1 [ 111610 CLARKSON RD. I ISPECIAL CONDITIONS: I ILOS ANGELES CA I I [ ICONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE [ 10SUNA CONSTRUCTION (626) 401-0740- I 1 1 112700 ELLIOTT AVENUE #228 LIC. NO I JUNDER SLAB WORK I I 1 LEL MONTE, CA 91732 427515 H I I IWATER SERVICE I I [ I I 1PLASTIC YIN METAL YIN I I I 1ARCHITECT OR ENGINEER: TEL. NO: [ I I [ I 1AVEDISSIAN, HAROUT (310) 824-3519- [ IROUGH PLUMBING [ I 1416 N. GLENDALE AVENUE LIC. NO: I [ [ ]GLENDALE, CA NONE I (GAS PIPING I 1 I [ IGAS VENT I [ [ I I IHOT WATER HEATER I I [ I 1 1PLUMBING FIXTURES I I [ I [ [LAWN SPRINKLERS I [ [ I I IGAS TEST I [ [ I I 1 1-1 I I I JUTILITY COMPANY NOTIFIED( I 1 I I ICWV 1-1 I I I IG RA7 WATER SYSTEM I I I [ I I 1-1 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 I I I [ I I I I [ COUNTY'OF Lds ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1012130023 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 I 1 9610 LONGDEN AV I [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801447 I [ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY 1 15385-016-012 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, CI 1 107 BATHTUBS/SHOWERS 1.00 FIX 16.30 1 TENANT: Ill CLOTHESWASHER(S) 1.00 FIX 16.30 ]ISSUED ON: PROCESSED BY: PLAN BY: I 113 DISHWASHERS) 1.00 FIX 16.30 112/13/10 SR I [ 125 LAVATORIES/SINKS 2.00 FIX 32.50 1 1 IOWNER: TEL. NO: 145 WATER CLOSET/URINAL 1.00 FIX 16.30 IFINAL DATE FINAL BY: CODE: I ISIU MUI CHU - 147 WATER HEATER(S) 1.00 WTH 16.30 19610 LONGDEN AV I TOTAL FEES 141.80 I `1 ITEMP 917801447 1 IDE CRIPT O OF WORK uI PLUMBING KITCHEN AND BATHROOM REMODEL APPLICANT: TEL. NO: OSUNA, CARLOS (626) 401-0740- 112700 ELLIOTT AVE. I ISPECIAL CONDITIONS: I IEL MONTE, CA 91732 I ] I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I ]OSUNA CONSTRUCTION (626) 401-0740- 1 1 1 12700 ELLIOTT AVENUE #228 LIC. NO I (UNDER SLAB WORK ] I I JEL MONTE, CA 91732 427515 B I I I I [ I I IWATER SERVICE I I [ I I [PLASTIC YIN METAL YIN I I I [ARCHITECT OR ENGINEER: TEL. NO: I I I I I I - [ IROUGH PLUMBING I I ] [ LIC. NO: I I I [ ] 1 GAS PIPING I [GAS VENT [ I I [ I IHOT WATER HEATER I I I I I I [ I [ I IPLUMBING FIXTURES I [ I I ILAWN SPRINKLERS I I I [ I IGAS TEST I [ UTILITY COMPANY NOTIFIED[ I [ I I ICWV I I [ [ I IGRAY 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 (REPORT ID: DPR263 ROUTE TO: BS0508 [ I I [ I I [ I [ [