HomeMy Public PortalAbout10432 MILOANN ST_Plumbing__ PLUMBING'
DEPAR:TINIENT OF COUNTY ENGDMER
DIV,l§ION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING / �I
WILLIAM J.. FOX, COUNTY ENGINEER :ADDRESS /
FOR APPLICANI TO FILL Iw
LOCALITY
BUILDING NEAREST
CROSS 8T.
ADDRESS � * .y DISTRICT NO. OUP ZONE PERMIT N0.
LOCALIT -`v/p e f I �� If(p
NEAREST
CR08S 8T. RECEI ED BY Ready for Inspection SDA ISSUED
J oc
OWNER a
INDUSTRIAL
ADDLE S ,� WASTE APPROVAL
cIT EL.N . -O! "F INSPECTION RECORD
;�- a '
PLUMBER AO 4d
ADDRESSd ►
4L
C tv9.R :EL.NO. r <-
p1ATE
LICENSE NO. ® �/ Q t�C ❑COUNTY i J
PERMIT FEES _a
,LUMBER TYPE OF FIXTURE OR ITEM FEE 9
WATER CLOSET(TOILET) @ 0.80 S 13
O
is BATH TUB @ 0.80
Q SHOWER 0.80 fo +, I
LAVATORY(WASH BASIN) 0.80 O
KITCHEN SINK a 0.80
LAUNDRY TUB OR TRAY IR 0.80
SLOPSINK @ 0.80
FLOOR SINK a 0.80
FLOOR DRAIN @ 0.80
f
DISHWASHER
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM..... .....__OUTLETS @ 1.00 0
WATER HEATER do 1.00
I
MISCELLANEOUS
.t A i APPROVALS
_W464 AAA&h finDATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE D 1GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- (GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE !HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. IPLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY IGASTEST
AND STATE OF CALIF IA�QR THAT 1 AM THE LEGAL OW
ER OF THE ABOVE (SBD RESIDENTIAL PROP[,R,+TY. (UTILITY CO.NOTIFIED
SIGNATURE I_
OF PERMITTEE. ....! ... .._.L? _.�
78AC67 DSS 17 In I. ,j_sa
IDEPARTA EXT OF COUNTY ENGINEER PLUMBING I
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTH OF LOS ANGELES BUILDING 10432 E. Miloann St.
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY Temple Cit
ABUILDINGDDRESS 10432 E. Miloann St. CROSSST. Halifax & Arden Dr.
qvCROLOCALITY Temple City DISTRICT t GROUP I ZONE PERMIT N0.
NEAREST 'W-9 5q-2,-
CROSS
SS ST. Halifax & Arden Dr. RECEIV D BY Ready for Inspection �(DATE ISSUEDD
OWNER Lo Miller
MAIL INDUSTRIAL
ADDRESS 10432 E. Miloann St. WASTE APPROVAL
CITY Temple City TEL.NO. INSPECTION RECORD
PLUMBER Calif. Applo Installers
ADDRESS 1420 Griffith Ave.
CITY L.A. 21, TEL.N0. RI 77663
r ❑STATE
LICENSE NO. JO XI COUNTY
J
PERMIT FEES a
z
DUMBER TYPE OF FIXTURE OR ITEM FEE 1'
WATER CLOSET(TOILET) 0 0.80 $
BATH TUB a 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) 40 0.80
KITCHEN SINK da 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOPSINK 49 0.80
FLOOR SINK a 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
One GAS-SYSTEM.... .....OUTLETS dd 1.00 1 00
WATER HEATER t$ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING /
TOTAL FEE Z' loa. GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- - GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
AND/OR LICEEBY NSED IAS THAT
UIR 0 BYLOSANGELY LES CUUNTY GAS TEST
AND STATE OF CALIFO 1 0 TH 1 A THE LEGAL'0WN- y
ER OF THE ABOVE ESCR E MOEN AL PR P TY. UTILITY CO.NOTIFIED
SIGNATURE _
OF PERMITTEE=.... .•..... . .......
FINAL I�`��✓ �'y,�,r7 ��}���+,;.?'r
76A607 DBS 17 1/53 1 P\
WORKERS'.COMPENSATION DECLARATION
20-W26 DPW 4,� APPLICATION TOR PLUMBING PERMIT
eby,.•t: irm that I have a certificdte of consent to self in- 76A667A
sure,or a rti.f!cote of Workers'Compensation Insurance,'or a
certified copy ther f'(Secy X80 -
t.: e !!Nfo, COUNTY OF LOS ANGELES. DEPT. OF PUBLIC WORKS
Pcy NoJ.��. c CompanyCettSfied copyis hereby furnished. - 7J BUILDING , Z+y
❑ FOR APPLICANT 70 FILL IN(PRINT'OR TYPE) _�:� �i -I`�'r L'(
Certified copy is filed with the county building inspection ADDRESS
de rtmen N I • `NUMBER FIXTURE OR ITEM @ FEE
Ddte .l Applic6rit. Ur�t�n bu-, WATER CLOSET.(TOILET), .. LOCALITY -r&,j L� Z- '
• NEAREST v
BATH TUB
BACROSS ST.•'
CERTIFICATE OF EXEMPTION FROM WORKERS'' "
COMPENSATION INSURANCE OWNER
SHOWER
(This section need-noi be completed If.the viork-Involved by MAIL
NO permit Is for one hundred-dollars($100)or less.) j LAVATORY ADDRESS /Vv V ,
certify that in the performance of the work for which this per-
SINK CITY TEL.NO.
mit is issued, I shall not employ any person in any manner so
as to become subject to the Workers'Compensation Laws... DISHWASHERt+
CONTRACTOR Lf r1 S f
Date Applicant CLOTHES WASHER ADDRESS. .�
NOTICE TO APPLICANT: If, after making this Certificate of Ex-. SWIMMING POOL RECEPTOR ��A
empt.ion,you should become subject tc the Workers'Compen.- CITY LSA_' TEL. NO 7.
sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS
ly with such provisions or this permit shall be deemed revok- STATELIC.
ed. WATER HEATER LICENSE NO. SS CLASS
LICENSED CONTRACTORS DECLARATIONDISTRICT NO. ' PROCESSEb BY
I hereby affirm that I am licensed under provision's of;Chapter , 'i, GAS SYSTEM OUTLETS Id6l aD�
9(commencing with Section 7000)of Division 3 o the Busineis i OUTLETS OVER .
and Professions Code, and my license is in full force and ef- J 5 PER SYSTEM FINAL VALIDATION
fect.• HOSE BIB DATE f }
License Number - -? �f,`t'" Lic. Class ! C
`` � FINAL �� V
Contractor g<df9 is H ry�y. Doti z e I BY
i ACCU.a O
I am exempt Under Sec. 03
B.BP.C. for this reason 1 33 43..40 w
Plan check:fee ® 1 ITEMS w
Date: PLUMBING PERMIT ISSUING FEE$
a27 O TOTAL 4*3_4.0
Signature
SINGLE FAMILY 13:1.0
HOME OWNER-BUILDER bECLARATION Plan check.applicant
I hereby affirm that.)am exempt from the Contractor's License Name..
Law for the following reason (Section 7031.5,':Business and ;
Professions Code): Address. 0000-0001 7/18/95
0 I, as owner of the property, will do the'work.and the City Tel. No.
structure is not intended or offered for sale(Section 7044, 1: 99 1 AN 10:28
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 i
(Sec. 3097, Civ.-C.).
Lender's Name
Lender's Address '
I certify that I have read this application and state that the
above informal' n is correct.I agree to comply with'all County
ordinances a State laws regulating Plumbing, and hereby
authorize r. resen ives�of is County to enter upon the
aboye-m ioned . operty inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Si �at�} o Permi 4ee Date. t
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
PL 0508 1011010001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 14053 LT: 8 I 1 10432 MILOANN ST I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803471 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HALIFAX
18585-018-008 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
1 113 DISHWASHERS) 1.00 FIX 16.30 1
ITENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.30 11SSUED ON: PROCESSED BY: PLAN BY: 1
1 i TOTAL FEES 60.40 I11/01/10 SR
1OWNER: TEL. NO: 1 IFINAL DATE FINAL BY: CODE: 1
1KWOK, TONY (626) 628-5666- 1 / /
110432 MILOANN ST 1 >-1 Q
ITEMP 917803471 I (DESCRIPTION OF WORK
I I 1PLUMBING FOR KITCHEN REMODEL 1
IAPPLICANT: TEL. NO: 1
ISAME AS OWNER _
I
I i ISPECIAL CONDITIONS:
� I I
CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
SAME AS OWNER -
LIC. NO 1 (UNDERSLAB WORK
I I I I I
1 I IWATER SERVICE
1 1 IPLASTIC YIN METAL YIN I I
1ARCHITECT OR ENGINEER: TEL. NO: I
1 LIC. NO: I IROIIGH PLUMBING
(GAS PIPING
(GAS VENT
(HOT WATER HEATER I I 1
I I
1 I (PLUMBING FIXTURES 1 1
1 1 ILAWN SPRINKLERS 1 1
1 I IGAS TEST
(UTILITY COMPANY NOTIFIED(
I 1Cwv
I I I
(GRAY WATER SYSTEM I I
I I i I I
I I
I I I I I
I I I I
I 1 I
I IREPORT ID: DPR263 ROUTE TO: BS0508 1 I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1304240008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 14053 LT: 8 I 1 10432 MILOANN ST
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] TEMP CA 917803471 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HALIFAX 1
18585-018-008 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
I 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I I
ITENANT: TOTAL FEES 44.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1
104/24/13 SR [
(OWNER: TEL. NO: 1 IF DATE F N BY: CODE: 1
1KWOK, TONY (626) 628-5666- ] yup
110432 MILOANN ST I I I
ITEMP 917803471 1 ] CRIPTIO OF WORK 1
I I IRELOCATE SHOWER 1
I I I I
(APPLICANT: TEL. NO: 1 I I
ISAME AS OWNER _
I I ISPECIAL CONDITIONS:
I
I I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I I
ILIC. NO 1 [UNDER SLAB WORK I I I
IWATER SERVICE
I I ]PLASTIC Y/N METAL Y/N
I
(ARCHITECT OR ENGINEER: TEL. NO: I I
I - I IROUGH PLUMBING ]
] LIC. NO:
I [GAS PIPING I I
IGAS VENT I I I
] I I
I I [HOT WATER HEATER I I I
I 1 1PLUMBING FIXTURES
I I I
I [ [LAWN SPRINKLERS I I I
IGAS TEST I I I
]UTILITY COMPANY NOTIFIED( 1 1
I I ICWv I I I
IGRAY WATER SYSTEM
I I I
II I I I I I
I I I I
I I I I I I
I I
I IREPORT ID: DPP263 ROUTE TO: BS0508 1 I I
I I I I I