HomeMy Public PortalAbout9938 NADINE ST_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0803170021
BUIIAING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS:
ITR: 17002 LT: 18 1 1 9938 NADINE ST 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802622 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: OLIVE 1
18588-019-001 101 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 1
ITENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 60.15 (03/17/08 SR 09/13/08
I I
10WNER: TEL. NO: 1 IFINAL DA BY: CODE: 1
IFERRARI, IDA (818) 264-9984- 1 I I
19938 NADINE ST I I I
ITEMP 917802622 1 IDESCRIPTION OF WORK 1
I I
TO MOVE SINK HOT WATER COLD WATER, WASTE TRAO LINE & PUT IN 1
I I (WALL 6' OVER. REMOVE GAVANIZED SHOWER VALVES & REPLACE WITH 1
1APPLICANT: TEL. NO: 1 ICOPPER ADD PT FILLER FACET OVER STOVE & PUT LINE IN WALL * 1
1FRANCO (951) 445-9125- I I 1
127714 SYCAMORE CREEK 1 1SPECIAL CONDITIONS: 1
(VALENCIA, CA 91351
I 1 1 1
I I I I
CONTRACTOR: TEL. NO: 1 (APPROVALS DATE . INSPECTOR SIGNATURE 1
CODE 3 CONSTRUCTION (951) 445-9125- 1 1 I
27714 SYCAMORE CREEK DRIVE LIC. NO JUNDER SLAB WORK I I I
VALENCIA CA 91354 898073B
1 IWATER SERVICE 1 1
IPLASTIC Y/N METAL Y/N
'ARCHITECT OR ENGINEER: TEL. NO: 1 1 I I I
1 - I IROUGH PLUMBING
1 LIC. NO: I I o I I
1 1 GAS PIPING
I I
I I IGAS VENT I I
I I I I I I
I I IHOT WATER HEATER I 1 I
I I I I I
IPLUMBING FIXTURES I I 1
I I ILAWN SPRINKLERS I I I
I I I I I I
1 1 (GAS TEST
I I I I I
(UTILITY COMPANY NOTIFIEDI I
I I 1CWV I I
I 1GRAY WATER SYSTEM
I I I I I
i II I I II
I I I I
I I I I I
1 1* ADDITIONAL DATA ON FILE I I I I
I IREPORT ID: DPR263 ROUTE TO: BS0508 I 1 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 0804160004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEA ID: I FEES PAID BUILDING ADDRESS: I
ITR: 17002 LT: 18 1 I 9938 NADINE ST 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802622 1
[ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: OLIVE
18588-019-001 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A4 LOCALITY:. TEMPLE CITY, Cl
147 WATER HEATER(S) 1.00 WTH 16.20 I I
(TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
I 104/16/08 VG 10/13/08
IOWNER: TEL. NO: I IFINAL DA BY: CODE: 1
1FERRARI,•IDA (818) 264-9984- 1 1
19938 NADINE ST PBP
(TEMP 917802622 I IDESCRIPTION OF WORK
I
I I (REMOVE AND REINSTALL WATER HEATER IN SAME LOCATION 1
1APPLICANT: TEL. NO: 1 I I
ICODE 3 CONSTRUCTION (951) 445-9125- 1 I I
I ISPECIAL CONDITIONS:
I
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
1CODE 3 CONSTRUCTION (951) 445-9125= 1 1 I
27714 SYCAMORE CREEK DRIVE LIC. NO I (UNDER SLAB WORK
IVALENCIA CA 91354 - 898073B 1 I I I I
I I IWATER SERVICE
I I IPLASTIC Y/N METAL Y/N I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 I
I - I IROUGH PLUMBING I I I
1 LIC. NO:
IGAS PIPING
1 I 1GAS VENT I I I
I I IHOT WATER HEATER I I I
I I I
I I IPLUMBING FIXTURES I I I
I I I
ILAWN SPRINKLERS I I I
I I I
1 1GAS TEST I I I
I I I
1 i�LITY COMPANY NOTIFIED[ I I
I I I I I
1 1GRAY WATER SYSTEM I I I
I I I I 1 I
1 I I 1 1
I I 1 I I I
I I I I
I I I I I
1 1REPORT ID: DPR263 ROUTE TO: BS0508 I I
I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 LUMB;I.NG
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 4Z01�0010
r BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 17002 LT: 18 9938 NADINE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802622
ASSESSOR -- - MBER: NEAREST CROSS STREET:
8588-019-001 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35
TOTAL FEES 44.10ISSUED PR LAN BY: EXPIRES :
.
02/11/97TC 02/11/98OWNER: TEL. NO: FINAL DATE FINAL BY:,d
FERRARI GEORGE L -
9938 NADINE ST It-iq 141
TEMP 917802622 MERMIUN OF WORK I
GAS LINE FOR NEW HEATING AND AIR ND. SYSTEM
APPLICANT: TEL. NO:
A & M HEATING (818) 359-6367-
G,�LES C c
IAL CONDITIONS:
COURACYOR: TEL. NOF Q� O� APPROVALS DATE INSPECTOR SIGNATURE
A & M HEATING & AIR COND. (818) 359-6637- A
123 E. OLIVE AVE. LIC. NO '(//' UNDER SLAB WORK
MONROVIA, CA 91016 635053 O
SERVICEWATER
ENGINEER:ARCHITECT DR TEL. NO: PLASTIC Y/N METAL Y/N
WWffFPrWING
LIC. NO: UNS PIPING
PUBLICWORKSGAS VENT HOT WATER HEATER
co PLUMBING FIXTUREr-
GAS TESTUTILITY
CWV
Sere.► GUY WATER SY9TW-
REPORT ID: DPR263 ROUTE TO: BS0508
i
7""7. 08817 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
�� I��i
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. BR13UP I ZONE PERMIT Nu-
OR APPL NT TO L IN •
5 - A-1 '169 13
PLUMBERAA" R CEIVED BY READY FOR DATE ISSUED
�® FIRST INSPECTION
RE88 4-.,(— —q_s 4
ADD
BUILDING
CITY , TEL.No. ADDRESS
COUNTYLOCALITY
IC NRE NO. EXPIRES .71
NEAREST
PERMIT FEES CROSS ST.
NUMBQR TYPE OF rIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) Q CAD s o ADDRESS
BATH TUB Q 0.40 1 CITY TEL Na.
SHOWER @ 0.5101 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0 O.AO APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ O O AND STATE LAWS REGU TING PLUMBING.
I CERTIFY T OSBESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY O SO 8 ANGELES CO NBE, OR I AM THE LE AL NER
OF THE RES DENT L ROPERTY EBCRI BOV
GAS SYSTEM OUTLETS O BO
SIGNATURE OF
WATER HEATER O O PEI-M
SLOP BINK O o INSPECTION RECORJ
FLOOR SINK Q O. O
FLOOR DRAIN O. O
DISHWASHER Q 0. O I
DRINKING FOUNTAIN Q D.
URINAL OAD J
a
HOUSE SEWER Q O. _Z
MISCELLANEOUS 19
Q•
O
APPROVALS
DATE ImSPybT0R!5 NAPAK
ROUGH PLUMBING
OAS PIPING
OAS VENT
CESSPOOL 1:00 CESSPOOL
SEPTIC TANKS SEPTIC TANK
DRAIN ) PIT ) Q 1.00 SEWER
PERMIT t.00 GAS TEST
TOTAL FEE UTILITY CO.NOTIFIED
i '�
[FINAL
j@A6W n 3-00 10 APPLICATION FOR PERMIT
� DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
.�
FOR APPLICANT TO FILL IN DISTRIC NO. GROUP ZONE PERMIT NO.
. �
PLUMBER VALLEY BOULEVARD PLUMBING W. RECEIVED BY FIRST INDY FOR SPECTION DATE ISSUED
ADDRESS
8300 EAST VALLEY BLVD.
`
CITY ROSEMEAD TEL. NO.AT' 2-2719 BUILDING }S�O
pp�I ADDRESS 0�
COUNTY 931Y1 6.30.x-/ LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR MM FEE OWNER
MAIL /
WATER CLOSET (TOILET) @ 0.50 S O ADDRESS 7Y ✓
BATH TUB O.SO .-91 CI TEL. NO.
SHOWER 0.80 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.80 Q APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 0 0.50 0 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
I LAUNDRY TUB OR TRAY @ 0.50 O ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIA P OPER TY DESCRIBED ABOV
GAS SYSTEM OUTLETS ® 0.90 SIGNATURE OF
l4 WATER HEATER ® 0.80 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN Q 0.501
DISHWASHER Q 0.501
DRINKING FOUNTAIN Q 0.80
URINAL ® 0.50 J
HOUSE SEWER ® 0.30 z
z_
MISCELLANEOUS
a
I O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL a 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT . 1. t
GAS TEST
UTILITY CO. NOTIFIED v
TOTAL FEE Ii iI
FINAL piw
7
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of C Engineer
�JIVISION OF BUILDING & SAFETY / 3 P140 G
WILLIAM J. FOX, County Engineer B'-GROUP ZONE PERMIT NO.
DISTRICT
FOR APPLICANT TO FILL IN
` 1
PLU1WNLRAL INS A RECEIVED BY Z T�
READY FOR DATE ISSUED
311 E. 8 thSIRLLI FIRST INBPECTJON
ADDRESS j
BUILDING
CITY TEL.No. —ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRE
NEAREST
PERMIT FEES CROSS HT.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 BADDRESS
BATH TUB 0.50 CITY TEL. No.
SHOWER ® 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR .I AM THE LEGAL OWNER
OAS SYSTEM OUTLETS O.SO OF THE RESIDENTIAL PROPER BCR ED BOY,
SIGNATURE OF
WATER HEATER (PD 0.50 PERMITTEE
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN Q 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 -1
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS O
O
APPROVALS
DATE INBPEOTOR'B NAME
ROUGH PLUMBING
OAS PIPING
OAS VENT
CESSPOOL 1,00 CESSPOOL
SEPTIC TANK? SEPTIC TANK
DRAIN ( ) PIT ( ) 40 1.00 SEWER
PERMIT 1.00 GAS TEST
TOTAL FEE tB ---
CONOTIOIED
FINAL 7 (p
78A887 DliSjj 17 10/68 TILITY
C.
C •,I
WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
I hereby affirm '14t-I have a certificate of consent to self 76A667A
insure, or g certificate of Workers' Compensation Insurance, CE 817(REV. 10/81)
or o certif,Led copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
Certified copy is hereby furnished.
❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING asp T
Certified copy is filed with the county building inspec- ADDRESS 7OO �l�"i
tion department. NUMBER FIXTURE OR ITEM @ FEE
LOCALITY
Date Appligant WATER CLOSET NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST.
COMPENSATION INSURANCE SHOWER OWNER F%C9ieiq�1
(This section need not be completed if the work involved by
the permit Is for one hundred dollars(=100)or less.) LAVATORY MAIL ADDRESS arv �C
I certify that in the performance of the rk or w ich this �y
permit is issued, 1 shall not employ any pars nner / SINK CITY �� 6A/ 4 TEL. NO.-m �a
so as to become subject to the Workers'C pe 1' S. DISHWASHER
CONTRACTOR
Date �L Applicant CLOTHES WASHER
ADDRESS
NOTICE TO APPLICANT: If, after aking this Certific of ��
Exemption, you should bec0 subject to .the War ra SWIMMING POOL RECEPTOR of
Compensation provisions oft Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY C� TEL. NO.
with comply with such provisions or this permit shall be ::tSTATE LIC.
deemed revoked. WATER HEATER LICENSE NO.. CLASS
LICENSED CONTRACTORS DECLARATION IDISTRICT NO. P SSED BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS /I
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVERIse 0
and Professions Code,and my license Is in full force and effect. 5 PER SYSTEM DAT FINAL _ VA ATION
License Number Z L Lic. Class ``� 8
FI U.
Contractor 1.71 • Date AGr� /Z5 Bz7a,
❑
I am exempt under Sec. O
B.BP.C. for this reason W
Plan check fee p.
Dote: N
PLUMBING PERMIT ISSUING FEE$ Z
Signature A 6 5.1.4A
TOTAL FEE
SINGLE FAMILY Plan check applicant #,•1•,• • • 5
HOME OWNER-BUILDER DECLARATION Name I I..•',• 2 8 5A
I hereby affirm that I am exempt from the Contractor's License Address • • • 2 5
Law for the following reason (Section 7031.5, Business and
Professions Code): City Tel. No.
❑ I, as owner of the property, will do the work and the 02.1.3-,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
ordinances anState laws regulating Plumbing, and hereby
�e olives of
authorize Sthis County to enter upon the
above-m io for inspection purposes.
15 ,SEE REVERSE FOR EXPLANATORY LANGUAGE
r �c�'�
Sig lure of PermitteY Date