HomeMy Public PortalAbout6207 MUSCATEL AVE_Plumbing__ VA667 -.08877.5/70
APPLICATION F'OP PLUMBING PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTENVEEg
BUILDING AND SAFETY DIVISION svILODvc
JOHN A—LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W:JLKNKINS.. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN PR NT'O TYPE NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH' FEE
OWNER
WATER CLOSET 0
MAIL
BATH TUB 1.50 ADDRESS
SHOWER �1�yy0" Cin TEL.,NO: ..
LAVATORY CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.5.0 CITY TE.NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50
DISTRICT GROUP ZONE P O
LAWN SPRINKLER SYSTEM 2.00 f O g�
WATER HEATER, INDUSTRIAL
1.50 WASTE APPROVAL.
GAS SYSTEM OUTLETS 1..50 INSPECT!RN RECORD
OUTLETS OVER
5 PER SYSTEM 301A 111L. 0
z
Plan check fee 25% of above. See.reverse.
PLUMBING PERMIT ISSUING FEE.3 00
TOTAL FEE
APPROVALS DAT-Ii IN .STOR`s 1.. ATURE
Plan check applicant UNDER ISLAS WORK
//7/7
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City, Tel. No.. - HOT WATER'HEi4TER
1' HEREBY ACKNOWLEDGE THAI•'1 HAVE READ THIS APPLICATION
'AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'PLUMBING FIXTURES r
WITH ALL: COUNTY ORDINANCES AND STATE LAWS REGULATING 'GAS TEST t
PLUMBING. �
1 HEREBY CERTIFY THAT 1 AM :PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS. REQUIRED BY LOS AII6ELE8 COUNTY•AND STATE OF 22
CALIFORNIA OR THAT I.AM THE LEGAL OWNER O AND INTEND TO
RE81DE IN,THE ABOVE DESCRIBED RESIDENTIAL Y. FINAL
n
SIGNATURE
OF PERIYIITTE JACKR. ALLEN, SU P.,ERtiISIN G.MECH. �C EN GR.
PERMIT VALH)D. E.ON CK. M. .. ,CASH
PLAN CHECK V ATION CK. M.O. CASH - .
1 0 .6 C,, DEC _9 5 0 25- a
i`7r KER'SCOMPENSATIONDECLARATION 766AAS67A 9/88 APPLICATION FOR PLUMBING PERMIT
I he4by all that I have icertificare of consent to self insure,
or a celtificate of Worker's Compensation Insurance,or a certified
copy thereof(Sec.3800 Lab.C.)
COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV.
rPo�licy No. Company ,,(f'�
lLy Certified copy is hereby furnished. BDDRES3 �Os2 ,V�°
❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE)
Certified copy is filed with theTcobuilding inspection
department. �41NUMBER FIXTURE OR ITEM ® FEE
LOCALITY
Date Able'eApplicant WATER CLOSET NEAREST
CE1TIN FICATE OF EXEMPTI FROM ORKERS' BATH TUB CROSS ST.
COMPENSATION INSURANCE ASSESSORMAP BOOK PAGE PARCEL
(This section need not be completed if the work Involved by the SHOWER
permit is for one hundred dollars($100)or less.) I LAVATORY OWNER
I certify that in the performance of the work for which this permit
is Issued, I shall not employ any person in any manner so as to MAIL
SINK ADDRESS
become subject to the Workers'Compensation Laws.
DISWASHER CITY a TEL.NO.'F'S_
Date Applicant CLOTHES WASHER
NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR
Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR
provisions of the Labor Code,you must forthwith comply with such ADDRESS
provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM
LICENSED CONTRACTORS DECLARATION CITY flJTEL.NO. >I hereby affirm that I am licensed under provisions of Chapter 9 STAWATER HEATER ��2 7 Q.
(commencing with Section 7000)of Division 3 of the Business and GAS SYSTEM OUTLETS LICEfiNSE NO. f �� CLAS$��p—C,36- V
Professions Code,and my license is in full force and effect.
OUTLETS OVER DISTRICT NO. PROCESSED BY jY
2 Sy -1 7 q 20�� 5 PER SYSTEM �A Q
License Number d "c.Class u V
FINAL VA15DATION a
Contractor ate DATE ,.f a C13
FINAL ''t ° Z
❑ I am exempt under Sec. BY 11? _5
8.8P.C.for this reason �_3�� }1°`"�
Plan check fee ' s I EM
Zf Data:
Signature PLUMBING PERMIT ISSUING FEE$ �� TOTAL .fig..
El TOTAL FEE l CHECK
SINGLE FAMILY Plan check applicant CHANGE
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor's License Law
for the following reason(Section 7031.5, Business and Professions Address
Code):
❑ City Tel.No. _
I,as owner of the property,will do the work and the structure f P11�.. :,39
49 1
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 ordinances
and State laws regulating Plumbing, and hereby authorize
representatives this C unty to enter upon the above-mentioned
property for i ction r oses, SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of ermittee D e
COUNTY OF LOS ANGELES, TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0909090008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 5903 IT: 58 UN: .002 I 1 6207 MUSCATEL AV N 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752626 [
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN [
15386-009-061 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
1 105 BACKFLOW DEVICES) 1.00 DEV 16.20
[TENANT: 107 BATHTUBS/SHOWERS 4.00 FIX 64.80 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
I III CLOTHESWASHER(S) 1.00 FIX 16.20 109/09/09 SR 09/09/10 [
1 113 DISHWASHER(S) 1.00 FIX 16.20 1
[OWNER: TEL. NO: 121 HOSE BIBB(S) 4.00 FIX 64.80 [FINAL DA FI BY: CODE: [
[SLOAN, WILLIAM/INGRID (626) 282-5562- 125 LAVATORIES/SINKS 7.00 FIX 113.40 [ fo
1721 W. SAN MARINO AV 145 WATER CLOSET/URINAL 3.00 FIX 48.60 [
[ALHAMBRA, CA 91801 47 WATER HEATER(S) 2.00 WTH 32.40 IDESCRIPTION OF WORK [
1 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 [PLUMBING FOR KITCHEN, BATHROOMS, LAUNDRY AND WATER HEATERS [
1 155 GAS METER (PRIVATE) 1.00 MET 16.20 [ [
[APPLICANT: TEL. NO: [ TOTAL FEES 432.75 [ [
ICOOLMAN (626) 285-0835- [ [ [
15075 SERENO DRIVE [ ISPECIAL CONDITIONS:
TEMPLE CITY CA 91780 [ [
ICONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE [
ISC ENTERPRISES (626) 292-2265- 1 1 [
11201 ELM AVENUE LIC. NO [ [UNDER SLAB WORK I [
SAN GABRIEL, CA 91775 815046 8
IWATER SERVICE 1 [ I
IPLASTIC Y/N METAL YIN I [
[ARCHITECT OR ENGINEER: TEL. NO: [ I [ [
IROUGH PLUMBING
LIC. NO: 1 I
IGAS PIPING [
1 I IGAS VENT [
I I I I I
I [ IHOT WATER HEATER
I I I
[ IPLUMBING FIXTURES I
I I ILAWN SPRINKLERS I [ I
[ [ [GAS TEST I I [
(UTILITY COMPANY NOTIFIED[ [
I ICWV [ [
I IGRAY WATER SYSTEM 1
I [ I I I I
I I I
I I I I I I
[ IMEPORT ID: DPR263 ROUTE TO: BS0508 [ I I [
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0211120018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: -- FEES-PAID BUILOMAUR-ESS:
TR: 5903 LT: 58 UN: .002 6207 MUSCATEL AVN
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752626
ASSESSOR R NEAREST CROSS STREET: LONGDEN
5386-009-061 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
47 WATER HEATERS) 1.00 WTH 16.20
TOTAL FEES 43.95 S D B EXPIRES 0 :
11/12/02 JK 05/11/03
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
SLOAN MARY S (818) 285-3910-
6207 MUSCATEL AV
SGAB 917752626 URTITMON 0
C/O'WATER HEA R
APPLICANT: TEL. 0:
VAL HALAJIAN (818) 407-1247-
7338 ETHEL AVE SPECIAL CONDITIONS:
N HOLLYWOOD 91605
CONTRACTOR: TEL. N0: F`.`,'.;. - : 'r gip, APPROVALS DATE INSPECTOR SI NATURE
ALAP ASSOCIATES (818) 407-1247- ^ 'i'*„� �:' -.'`
7338 ETHEL AVENUE LIC. NO UNDER SLAB
NO. HOLLYWOOD CA 91605 B/L RHE
PLTER S
ASTICEY/NCEMETAL Y/N
ARCHITECT OR E R:
+� ROUGH PLUMBING
LIC. NO: ----
iJ GAS PIPING
_ i I
-- - -- - --- - - - -- -- - — GAS VENT
HOT WATER HEATER
- - - - - - - �' PMWff rffG-71XTURES
' SPRINKLERS
UTILITY COMPANY NOTIFIED
•�'1�' err � � �• • •YY,
'J - ' +• f C
A- "-_-.- 1.ate_- "`'r l•3 G
RAY WATER SY9rffr-
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: SS0508
DEPARTMENT'OF BUILDING 'MI ''� '7 �rCATION FOR PERin!'• SIN
'COUNTY OFANGELES '
s w'
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