HomeMy Public PortalAbout9837 MILOANN ST_Plumbing__ C.B.B.17 25M SITS 11-44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND-•SAFETY
::COUNTY .OF •LOS ANGELES �L� ���� '�"
WM.J:FOX.CHIEF'ENGINEER - ^' -^""" — .4• ,
NATURE OF -INSTALLATION' DISTRICT NO. GROUP ZONE PERMIT,
7
ROUGH FIXTURES COMPLETE
RECEIVEq BY READY FOR DAT 188U D
HEATER CESSPOOL - _—I SEPTIC TANK FIRST INSPECTION �j
GAS MISCELLANEOUS
_
APPLICANT.FILL" IN HEAVILY OUTLINED. PORTION ONLY
/ JOB. A f
K NAME :,f . f:.•t:! iy I(! 1 �=';t ADDRESS. i
til .-_ /Is .•s /-�. _
g .ADDRESS /y.%L!if I '�f7:5�/\ I -�-. Ll LOCALITY' .. f
7 / w NEAREST P
OJ " CITY L,i (�l;�i�Gi f"GG i TEL.No. CROSS ST." � *� .15%
COUY
CERT.NO. /�' ^IEXPIRES
Y NAME A Q,
'LQ•CATION OF SEPTIC TANK, OR CESSPOOL 3 pMAIL
DDREs8
_ NORTH O
CITY TEL.No.
1 AM' THE LEGAL POSSESSOR OF. THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QU,rA�LIFI TION.
• - PLUMBER
I AM THE LEGAL WNER OF THE PROPERTY DESCRIBED
ABOVE.
R - -
3
OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF VORK
} oATH TUB FURNACE
SHOWER DISHWASHER
_ 'LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN -
WASH.TRAY•-- .. . URINAL
- :.-...._' . . . _APPROVALS
WATER CLOSET' - DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER GAS SODA FOUNTAIN ' I
OUTL GAS PIPING I
GAS VENT I 1
CESSPOOL I . I
TOTAL NUMBER OF FIXTURES ; C-% SEPTIC TANK
CESSPCOf SEPTIC TANK SEWER
S
TOTAL FEE ; UTILITY co.NOTIFIED I
FINAL
• t
76A667-CE#617 9/53
-w7 APPLICATION FOR PLUMBI PERMIT
COUNTY OF LOS ANGELES `
DEPARTMENT OF COUNTY ENGINEER'
BUILDING AND SAFETY DIVISIONZCROSSST.
.
JOHN A.LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING
. L
FOR APPLICANT TO FILL IN
NUMBER FIXTURE OR ITEM EACH FEE
OWNER X19��/yJ' �S ' .• 1c, D �.Pr '' .
WATER CLOSET $1.25
BATH TUB1.25 DD SS 3 Q
SHOWER 1:25 CITY �LG, TEL. NO.
ffi
LAVATORY 1,25 CONTRACTOR r '
SINK 1.25 ADDRESS
DISHWASHER1.25 (�� CITY / vlil TEL.NO. .y' _,q. c
CONTRACTOR'S
LAUNDRY TUB 1,25 ^- STATE
REGISTRATION NO. �jS COUNTY ❑
CLOTHES WASHER 1.25 DISONOr GR� E CE D B
WATER HEATER 1.50 ��bb1J
a
GAS SYSTEM OUTLETS 1. �p50 INDUSTRIAL WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD U
0
F-
U
W
D_
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
61,216
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM HE LEGAL OWNER OF,AND INTEND TO ✓ �'
RESIDE IN,THE ABOVE DES IBED RESIDENTIAL PROP RTy. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
Im FINAL
VALIDATIqROBERT A.WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
I
f .'WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
1 I herebV affirm that I have a certificate of consent to self 20-0026 DPW 6/87
insure, or a certificate of Workers'Compensation Insurance, 76A667A
nor a certified copy thereof(Sec. 3800, Lob�l COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS
Policy,4 Company
❑ Certified copy is hereby furnished. '
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
Certified copy is filed with the county 'Iding ' spec- ADDRESS O
tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY L
Date Appli4ant WATER CLOSET NEAREST sy
CERTIFICATE OF EXEMP FROM WORK RS' BATH TUB O CROSS ST.
COMPENSAT INSURANCESHOWER O OWNER
(This section need not ba completed if the work involved by MAIL
the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS C /lames(/
1 certify that in the performance of the work for which this
permit is issued,I shall not employ any person in any manner SINK CITY TEL.NO.
so as to become subject to the Workers'Compensation Laws. DISHWASHER
CONTRACTOR
Date Applicant CLOTHES WASHER
NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS
Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR
Compensation provisions of the Labor Code, you must forth- CITY P TEL. NO.
P P y LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit shall be STATELIC.
deemed revoked. WATER HEATER LICENSE NO. O// o CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO. ROC ED BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS
(commencing with Section 7000) of Division 3 of the Business OUTLE
and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINALP �Q VALIDATION
License Number 010/3%017Lic. C1ass-��=6�� DATE �p �Q
FINAL
Contractor
�2�I ///J��,�� Date BY mv
❑ I am exempt under Sec.
BAP.C. for this reason �^
Plan check fee
Dt J
PLUMBING PERMIT ISSUING FEE$ ,J
Signature -'R
TOTAL FEE ly
SINGLE FAMILY Plan check applicant
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor's License Address AMA
Law for the following reason (Section 7031.5, Business and p
Professions Code): City Tel. No. 37A7 92.50
❑ I, as owner of the property, will do the work and the i ITMS
structure is not intended or offered for sale (Section TOTAL 82-50
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY MEEK 82.50
1 hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued GHAhi yE' o00
(Sec. 3097, Civ. C.).
Lender's Name
M-M01 7! 7/89
Lender's Address R�i11�29
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.tate laws regulating Plumbing, and hereby
authorize repres ntatives of this County to enter upon the
above-menti d prop rty for ins n purpos s: SEE REVERSE FOR EXPLANATORY LANGUAGE
ignature o ermitfee ate
t
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0601230009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PRONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 12830 LT: 26 9837 MILOANN ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803954
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ARDENEL
8589-009-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE. 597 GRID: A4 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 01/23/06 JK 07/22/06
TOTAL FEES 92.55
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
BROWN RONNIE L;LINDA K (626) 286-0792- rr� _ 6
9637 MILOANN ST '
TEMP 917803954 DESCRIPTION OF WORK
BATE REMODEL REMOVE AND REPLACE
APPLICANT: TEL. NO:
L & W KITCHENS & BATES (626) 287-1131-
8812 LAS TUNAS DR. SPECIAL CONDITIONS:
SAN GABRIEL CA 91776
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
L AND W KITCHEN AND BATHS (626) 287-1131-
6812 LAS TUNAS DR. LIC. NO UNDER SLAB WORK
SAN GABRIEL, CA 91776 205344E
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
k-464 �J
LIC. N0: ROUGH PLUMBING
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
' •' COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0710180002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 12830 IT: 26 I I 9837 MILOANN ST I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803954 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GOLDEN WEST
18589-009-019 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I
(TENANT; 25 LAVATORIES/SINKS 2.00 FIX 32.40 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
145 WATER CLOSET/URINAL 1.00 FIX 16.20 110/18/07 SR 04/15/08
TOTAL FEES 92.55 1
(OWNER: TEL. NO: I IFINAL DATE FI BY: CODE:
IBROWN RONNIE L;LINDA K (626) 286-0792- I I // �� 7
19837 MILOANN ST I (�
(TEMP 917803954 1 IDESCRIPTIDN OF WORK I
1EATHROOM REMODEL TUB, 2 LAVORATORIES AND WATER CLOSET
I [
IAPPLICANT: TEL. NO: I I 1
IL & W KITCHENS & BATHS (626) 287-1131- I I
18812 LAS TUNAS DR. 1 (SPECIAL CONDITIONS:
(SAN GABRIEL CA 91775
I
I I
(CONTRACTOR: TEL. N0: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IL AND W KITCHENS AND BATHS (626) 287-1131- 1 I 1
18812 LAS TUNAS LIC. NO i JUNDER SLAB WORK 1 I I
ISAN GABRIEL, CA 91776 205344B
IWATER SERVICE I I I
1PLASTIC YIN METAL YIN I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 I I I I
[ROUGH PLUMBING
[ LIC. NO: I IGAS PIPING `V I I I
1GAS VENT I I
IHOT WATER HEATER 1
IPLUMBING FIXTURES 1 O I
I 1
ILAWN SPRINKLERS I I I
GAS TEST i I
(UTILITY COMPANY NOTIFIED( I
1
1CWV I I
IGRAY WATER SYSTEM 1 I I
I I I 1
I
I
� I I
IREPORT ID: DPR263 ROUTE TO: BS0508 1 I I
1 [ I I I
r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1201310016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID
ITR: 12830 LT: 26 1 9837 MIL ADDRESS:
9837 ILOANN ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT-.1 TEMP CA 917803954
ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET-
18589-009-019 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
113 DISHWASHER(S) 1.00 FIX 16.30
TENANT. 126 MISCELLANEOUSNFIXTUR 1.00 FIX 16.30 101/31/12N: PROCESSED BY: PLAN BY:
1
151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30
OWNER: TEL. NO: TOTAL FEES 93.00 IF DATE FINAL BY: CODE:
BROWN RONNIE L;LINDA K _
9837 MILOANN ST
TEMP 917803954
DESCRIPTION OF WORK 1
PLUMBING FOR KITCHEN REMODEL
JAPPLICANP: TEL. NO:
RICHARD LOUIS CONT. (714) 674-0972-
ISPECIAL CONDITIONS:
1CONTRACTOR: TSL. N0: I JAPPROVALS DATE INSPECTOR SIGNATURE
RICHARD LOUIS CONSTRUCTION (714) 674-0972-
12285 CARROTWOOD DR. LIC. NO (UNDER SLAB WORK
IBREA, CA 92821 417053-8
WATER SERVICE
IPLASTIC YIN METAL YIN I 1
ARCHITECT OR ENGINEER: TEL. NO:
- I IROUGH PLUMBING
LIC. NO:
GAS PIPING
1 I GAS VENT
1 HOT WATER HEATER
PLUMBING FIXTURES
ILAWN SPRINKLERS
GAS TEST
I (UTILITY COMPANY NOTIFIED I
� RRAAY WATER SYSTEM
I
1
REPORT ID: DPR263 ROUTE TO: BS0508