HomeMy Public PortalAbout6152 MUSCATEL AVE_Plumbing__ ZSAS97. 17 9-49 ® APPLICATION FOR PERMITDEPARTMENT OF BUILDING AND SAFETY
COUNTY.OF LOS ANGELES PLUMBING i
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTR CT No. GROUP ZON/E) PERMIT NO.
PLUMBER 4&r .dP REC VSD!BY READY FOR DATE ISSUED
�J a FIRST INSPECTION
ADDRESS, i�'' '%r� '-+'� i/vAbf V
v BUILDING /e �f�
CITY . . TEL. NO. ADDRESS `F`
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yyy / r
LICENSE NO.• EXPIRES I COUNTY
LOCALITY `(L1 1 .6'
NEAREST y
PERMIT FEES CROSS ST.
NUMBER TYPE,OF FIXTURE OR.ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 S ADDRESS
BATH TUB. @ 0.50 CITY TEL. NO.
SHOWER @ 0.50I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS '
a -� APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
�KITCFIENSINK 0.50. STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
'LAUNDRY TUB CR TRAY @.0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL.PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS ® 0.50 SIGNATURE OF �_�r? r / 4,
WATER HEATER @ 0.50 PERMITTER r
SLOP SINK. @ 0.56INSPECTION RECORD
FLOOR SINK 0.5011
FLOOR DRAIN @. 0.501..
DISHWASHER O.SO
DRINKING FOUNTAIN @ 0.50
URINAL 0.50 J
HOUSE SEWER. @ 0.50 I I z
MISCELLANEOUS- (�
• _ a
o .
. I .
I
APPROVALS
DATE INSPECTOR'S NAME
' ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00I CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ). @..1.00 GAS
SEWER
PERMIT .
UTILITY CO. NOTIFIED
TOTAL FEE
� FINAL
I p� C w�po pAA
WORKERS ,QMPEhJSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
I,hjbv n firm IiMt I have a certificate of consent to self in- 20-0026 DPW 4/87 M \r If ®Y1
sure°orartificafe of Workers'Compensation Insurance,or , 76A667A
P CE 817(REV.8/86)
certified copy thereof(Sec. 3800, Lab. C.) '
COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
Policy No. Company
Certified copy is hereby furnished. BUILDING r
FOR APPLICANT TO FILL IN(PRINT OR TYPE)
Certified copy is filed with the county building inspection ADDRESS
department. w ® NUMBER FIXTURE OR ITEM @ FEE LOCALITY(,
Date [b
�j (iL�� WATER CLOSET(TOILET)
Applicant 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 MAIL /
the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS
I certify that in the performance of the work for which this per-
mit is issued, I shall not employ any person in any manner so SINK CIT E TEL. NO.2
as to become subject to the Workers'Compensation Laws. DISHWASHER
CONTRALTO
Date Applicant CLOTHES WASHER
NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS y!/,0 10 e-4-r
emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR
v
sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM CITY 142,0 U TEL. NO.�
ly with such provisions or this permit shall be deemed revok- STATE LIC.
ed. WATER HEATER LICENSE NO. O( T S��S CLASS 3
LICENSED CONTRACTORS DECLARATION DISTRICT NO. ESS BY
I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS
9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER f
fed Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL �/ V (DATION
_ DATE —z GIL
License Number 2 LFU 0S 7 Lic. Class C- 0
N—41- -G (c c v+� �'c7 FINAcc
G
Contractor to f o f7 BY ��itlZ� O
t—
❑ I am exempt under Sec. W
O.
B.BP.C. for this reason
Plan check fee
Date: PLUMBING PERMIT ISSUING FEE'$ D
�
Signature TOTAL FEE22_ 813,6 A
SINGLE FAMILY # o 0 0 -,o5
HOME OWNER-BUILDER DECLARATION Plan check applicant
I hereby affirm that I am exempt from the Contractor's License Name ( o - 225.0
Law for the following reason (Section 7031.5, Business and
Professions Code): Address o o - 22505
❑ I, as owner of the property, will do the work and the City Tel. No. i o, 16-87
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
above information is correct. I agree to comply with all County
or nances and State laws regulating Plumbing, and hereby
out orize representatives of this County to enter upon the
ab e-mention d p erty for inspection purposes.
,1 v G SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of ermittee ate
LA • O • ° ° e
N'I 1 °
�'�•'t• M h T"o wwr•' �• 'ti''t.lf••iy:.i y ;1�
t': •DEPARTMENT'OF BUILDIN •• 2701f.
tT.ON•.;.F..OA "El.•R; 1I •.„�f `" ,�
- COUNTY OF LOS ANGELES .bp�a•0p •``''
UMBIII T�•-
1#•"� a NATURE OF INSTALLATION• •', DIiTRICT NO:, 01tOVr
•tQN! riRYfT No. '+ �•�
ROurOtNNe If � OOIfFLRT= '•. f+;•,°, �• •7� ' /�'�0.�' wti ��
�• II[A L:Eft ANK RECEIVED wwEAOV roR OA
* POOL f�r::r I�RtT INE�ECTION TR IttYEO
r
APPLICANT C .i �, ?,y,.,,{ • . •: 4��IY ';
;j FILL IN HEAVILY OUTLINED PORTION
t
NAME i�'� AOt .ti �..
D ,t 53t
AOR � ••�•
um
CTP TB. me. % CR::aY7 ..�m..,.m�v.'"• .F
I VCOUNTT '►`• '
TION OF SEPTIC TANK,.OR CESSPOOL "A'L[e : .-��.., 4.{•
�e• NORTH ADDRe _ 7/' .��,''t•
Y ''•� ,t CTT-• ...,. •. ;.� , .. TEL Ns.• . �;.:�' Y
M THE L90AL rote '� •�•.•
,;• •"� ANOEL1 AEt�COUNTY CERTIII TNR AeOrt•
�;:�+n, QU IFfCATNi/r aws.
•
If AMTMa I.Oftr nsstwwR / '
r� AVOVR. LROAL wl OR TNR PROP"" P•4s ,.r
's :;•CORRECTION$ - n-
y/���1Jt/`J ..•.
•� .: ... .. +ski'+
S ` ':d�+�r�J'c' •tom:
r-•
• DESCRIPTION OF. WORT{ :—.j
--n -
�HOwelt --DISHWASHER-
-TORY ------AEI1110[RATOR 0ie As
<r,,; „ ,r r .t 1T'i •`�
O . VI LINK -WATER tOrTE ot: rt- *r +•�% rs
�M ' .. . ::Cr%.• •: ':.?'�. =;+F.. ,tri
t ttNK' 2AND TRAP 1. +.'fiat..v�[onr- .•. - •7.� +,�� h
DRAIN,:f•.f �N•:.9 • t /? :�• w '•^ P
q wA :
TRR
CLOG - "sINKINo FOUNTAIN
�� MATE71 NEATER '1 d • •a. ATC Iw�rwefore wws• r '�y . 5.7M'
�� .'VITAL LAVATC" (JON 'LUlltll;.�' r ! _ �.•,..It. �`'��' �L
OUT9. PIPRIO•'fir d. 1•'"
air
36 RTURtt
r TOTAL NUMOER OP 1 y'
T•'Q' :�.' .eERTIO TANK•-;y L!. 't •t'';t .•r••• �' ; Nd�t
emvpO�%L—W"89PTIC TANK' ME "i
v" TOTAL REE .. ;• .o. r f•. ITYeo.NOT1n[D .;:„•,. .;.::.. ;Ix
�•-: •r• :1•.q. '+.. err :`r�,,.'•,' PIN ':+•al"i•td.a• �• -
:. Af• r r
..�:J•M .l)M .� - a:aiP.p'.".Yar.Ml^IY• .'a.l. .'ate
.{�- ,. .•r ""t:t:': .� - ,. •r.+ +•ate
- �S
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 LUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0 08 99TT0'T0_008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 101-52-MUSCATEL-AVT
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CAB-C17752625'
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5386-010-043 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT. TOTAL FEES 43.95 ISSUED ON: PROCESSED B AN BY: EXPIRES ON:
11/01/99 UT 04/29/00
OWNER: TEL. NO: FINAL DATE FI BY: CODE:
SHUI JEAN J - p
6152 MUSCATEL AV
SGAB 917752625 DESCRIPTION OF WOR
GAS LINE FOR NEW WALL HbCM
APPLICANT: TEL. N0:
AMPS GENERAL CONS. (626) 284-3260-
1600 ORANGE ST SPECIAL CONDITIONS:
ALHAMBRA, CA
R,NGELES CO
CONTRACTOR: TEL. NO: �o�J APPROVALS DATE INSPECTOR SIGNATURE
AMPS GENERAL CONSTRUCTION (818) 284-3260-
1600 ORANGE STREET LIC. NO UNDER SLAB WORK
ALHAMBRA, CA 549061B
WATER SERVICE
/ PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TE 0:
ROUGH PLUMBING
LIC. N0: 1111111
GAS PIPING
n�f GAS VENT
� U � L J C WOF01 �, S HOT WATER HE TER
�/�v/ u U LUMBING FIXTURES
C
0 I&A, LAWN SPRINKLERS
Z7 0 GAS TEST
X46 a ®y TILITY COMPANY OTIFIED
cWv
Servece That�o
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
• COUNTY-OF LOS ANGELES TEMPLE CITY # 0508 :PLUMBING-PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS '.PL-0508-9706100008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
•
FEES PAID BUILDIPIG—ADDRESS:
TR: 5904LT: 10 (`6152 MUSCATEL AVON
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: `SGAB CA 917752625
ASSESSOR 0 BER: NEAREST CROSS STREET: GARIBALDI
5386-010-043 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.70
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.35 ISSUED 0 0 SSD EXP 0
21 HOSE BIBB(S) 1.00 FIX 16.35 06/10/97 TC 06/10/98
25 LAVATORIES/SINKS 3.00 FIX 49.05
OWNER: TEL. NO: 45 WATER CLOSET/URINAL 3.00 FIX 49.05 FIN& DATE FINAL Y: CODE:
SHUI JEAN J (818) 287-7058- TOTAL FEES 191.25
Z°- 7 k, ff�it
6152 MUSCATEL AV
SGAB 917752625 IDESCRIPTION OF WORK
PLUMBING FOR NEW ADDITION
APPLICANT: -TEL. 0:
SAME AS OWNER
SPECIAL CONDITIONS:
L
COT-ACTOR: TEL. N0: �:�_-�� y4 APPROVALS DAT INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO `� � AUNDER SLAB WORK
/0 � +�\�, �� TER SERVICE
/ \ PLASTIC Y/N METAL Y/N
ARCHITECT OR EER: O% - ,' ` \, ;j?` ` .4. ROUGH PLUB G11
LI C. N0: ! lit GAS PIPING 2{
GAS VENT
vD NOT WATER HEATER
FIXTURES
��9 �,\�'t. f r�j I 1 +U� �tl) �:•,, o A, SPRINKLERS
;L GAS TEST
UTILITY comPART-OTUM
N�
c V
GRAY WATERSS
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9709110003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES D BUILDING S:
TR: 5904 LT: 10 6152 MUSCATEL AV N
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: SGAB CA 917752625
ASSESS-OASSESS-OR INFORMATIONER: NEAREST CROSS STREET:
5386-010-043 01 PERMIT ISSUANCE FEE 27.75 'THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35
TOTAL FEES 44.10 ISS ON: PROCESSED : PLAN B EXPIRES
09/11/97 VG 09/11/98 .
OWNER: TEL. 0: FINDATE `� FIN9Lg'""�Y CODE:
SHUI JEAN J e6
- Vim/
6152 MUSCATEL AV
SGAB 917752625 E C 0
GAS FOR FAU
APPLICANT: E :
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: ��` :'_ - _ -y, ��.:, APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - s
LIC. NO : UNDER SLAB WORK
. ' WATER SERVICE
A PLASTIC Y/N METAL Y/N
ARCHITECT OR-ENGINEER: TEL N0: I ! _ _ q`,� s�
NAN FREEMAN (818) 287-7982- :r I + OUGH PL BING
9925 NADINE STREET LIC. NO:
TEMPLE CITY, CA C21976 GAS PIPING
GAS VENT
OT WATER H ER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
�Z
` UTILITY COMPANY NOTIFIED-
CWV
GRAY WATERSYSTEM
I
REPORT ID: DPR20 ROUTE TO: BS0508