HomeMy Public PortalAbout9239 PENTLAND ST_Plumbing__ re7tees "' e-rs �1 APPLICATION FOR PERMIT \
DEPARTMENT OF BUILDING AND SAFETY �'
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
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PLUMBER AA d.Y�( /�+II/ �il���l.._ �/
SR CEIVED BY READY FOR DATE ISSU D
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CITY TEL NO ADDRESS
COUNTY LOCALITY
LICENSE NO EXPIRES T
NEAREST
PERMIT FEES CROSSST
NUMBER TYPE OI FIXTNRH O�RLITEM FEE OWNER
MAIL
W ATER CLOSET TOILET) ( O EO S ADDRESS
BATH TUB q O EO I CITY TEL NO
SHOWER q O 901 i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) O SOIAPPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
YITCHEN SINK O 501 SIATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY O 90ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
GA56YBTEM_OUTLET9 ® O SO SIGNATURE OF
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ATER HEATER Q 050 PERMITTE
ELOPSINK q o Eo INSPECTION RECORD
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LOORS NK O 901
RAIN �_ O SO I
HER O BO
G FOUNTAIN 0 0901
® O SOIEWER (a O SOI ZANEOUH
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APPROVALS
DATE INSPECTOR E NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL ® 1 OO CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) 1 00 SEWER
PERMIT 1 00 GAG TEST /
UTILITY CO NOTIFIED I /
TOTAL FEE I ® I� FINAL � .�f� '/✓U
7MO" n a-AB ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL INDISTRICT O GROUP ZONE PUMIT NO
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PLUMBER I READY FOR GAP5&111
^p _ J FI 6T 1N8 PECTION
ADDRESS V,.l ® f� .�7 I•���� t�'-'[ �O D~�O
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CITY Ir TEL NO
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LICENSE NO slT Q iu-,• EXPIRES rQ,rC LOCALITY
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PERMIT FEES CROSS BT,✓ J
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER .Cr f JV�Cl1I��[
t'
MAIL
WATER CLOSET (TOILET) Q O BO 6
ADDRESS
BATHTUB Q O 80 CITY I TEL NO
I SHOWER a O 501 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q O 801 APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK ® O 80 STATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY ® O 50 OF THE REANGELES SIDENTIAL TI'A'LI PROPERTY DESCRTHE IBED BED LEGAABOVOWNER
GAS 6YSTEM OUTLETS O 80 SIGNATURE OF Nom_
WATER HEATER Q O 50 PERMITTEE ` - "'� '�� 9
LOO 5o
FINSPECTION RECORD
FLOOROR SIN BINK 0501 A '� � ,/
FLOOR DRAIN Q O 80
DISHWASHER 0 O SOI
DRI NKING FOUNTAIN O SOI
URINAL Q O 601 J
HOUSESCWER Q O 50 Q
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MISCELLANEOUS
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APPROVALS
DATC INSPECTOR Y NAME
ROUGH PLUMBING 2 '7 1—Z10
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GAS PIPING
GAS VENT
CESSPOOL 1 OO CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT 1 00 GAS TEST
r UTILITY CO NOTIFIED 'v A-N/S(
TOTAL FEF 6 v O FINAL
WORKERS'at I have a ION DECLARATION - ca ., �APPLICATION FOR PLUMBING PERMIT
I hereby affirm that 1 have a certificate of consent to self ce ur Iz �J
Insure, or a certificate of Workers Compensation Insurance,or '
a certified copy thereof(Sec 3800,Lab C)
T�T/.�
�� � COUNTY OF LOS ANGELES �� BUILDING AND SAFETY
Policy NA5-7 A aompany APt-nn T112
I r
Certified copy B hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
®
Certified copy a filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE ADDRESS 9239 Pentland
LOCALITY mple Cit
Date_1de artmen,L211&]npphcant n Bi05• PlUR11Jln2 WATER CLOSETJAI 3
NEAREST
BATH TUB CROSS ST
CERTIFICATE OF EXEMPTION FROM WORKERS - - -
COMPENSATIONINSURANCE SHOWER OWNER I
LAVATORY MAIL
(This section need not be completed If the work involved ADDRESS 3845 E. Colorado 'Blvd. a
by the pernut Is for one hundred dollars (S100) or less) SINKCITU - TEL No _ 0U
1 certify that in the performance of the work for which this DISHWASHER - L-
perm,t Is issued I shell not employ any person In any manner CONTRACTOR BIOS P1Umb 0
so as to become Subjcct to the Workers' Compensation Laws CLOTHES WASHER ADDRESS U
Date Applicant 4265 W
SWIMMING POOL RECEPTOR
NOTICE TO APPLICANT If after making this Certificate of CITY El Monte TEL NO 443-0078 ran
Exemption, you should become subject to the Workers LAWN SPRINKLER SYSTEM STATE LIC G z
Compensation provisions of the Labor Code, you must forth LICENSE NO 231 741 IC C36-20
with comply with such WATER HEATER
p y provisions or this permit shell be
deemed revoked GAS SYSTEM OUTLETS (DISTRICT NQO' P SSE Y
LICENSED CONTRACTORS DECLARATION OUTLETS OVER V `// DQ
I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM
9 (commencing with Section 7000)of Division 3 of the Bust - FINAL
ness and Professions Code and my license is In full force and DATE 8 r VALID A ION
effect
231 741 C36-20 FINAL
License Number Gt Class
Contractowen Rrnc Plhopate 1/21/81
F1 I am exempt from the licensing requirements JSA am a plan Check fee
licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$
acting in my professional capacity (Section 7051 Bus
mess and Professions Code) _ TOTAL FEE 13106
Lic or Reg No Date Plan check applicant
HOME OWNER BUILDER DECLARATION Neme I
1 hereby affirm that 1 em exempt from the Contractor's
Adtlrena '
License Law for the following reason (Section 7031 5 Bus, Cny Tel No Y3 81�8'A
ness and Professions Code)
F1I, as owner of the property, am exclusively contracting I �# 5
with licensed contractors to construct the project '
(Section 7044, Business and Professions Code) ., +2,- - 3 1 00
t I -
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency
for the performance of the work for which this permit ,s
issued(Sec 3097 Civ C) '
Lender's Name
Lender's Address
I certify that 1 have read this application and state that the '
above information is correct I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE i
ordinances and State laws regulating Plumbing and hereby r
authorize representatives of this County to enter upon the
bo a to d propvty for inspection purposes -
_ )1 — �,�1 /21 181
% Sign e of Permittee Date
•ice -� - �
�1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0009270048
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 '
PHONE (626) 285-0488 EXT
LEGAL ID S PAID BUILDING ADDRESS
TR 12210 LT 7 9239 PENTLAND ST
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803736
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BALDWIN
8590-009-025 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY
07 BATHTUBS/SHOWERS 1 00 FIX 16 20
TENANT 21 HOSE BIBB(S) 2 00 FIX 32 40 ISSUED ON. PROCESSED BY PLAN BY EXPIRES ON
25 LAVATORIES/SINKS 2 00 FIX 32 40 09/27/00 UT 03/27/01
45 WATER CLOSET/URINAL 1 00 FIX 16 20
N L NO 47 WATER HEATER(S) 1 00 WTH 16 20 FINAL DATE I C
CAI JEFFREY TEMP 917803736 - 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20
9239 PENTLAND ST TOTAL FEES 157 35
D9S
PLUMBING FOR GUEST HDUS
APPLICANT TEL NO
JOHN WILDE -
SPECIAL NS
PNGELES CO
CONTRACTORSOS APPROVALS INSPEC TUR
WILDES CONSTRUCTION (626) 448-2175-
4905 BALDWIN LIC NO UNDER SLAB WORK
TEMPLE CITY, CA 91780 4014078
WATER SERVICE
ARCHITECT OR ENGTWnF lhi- PLASTIC Y/N METAL Y/N
0
ROUGH PLUMBING
LIC NO
r4►,1-(-fT^- GAS PIPING
711 111
LAWN SPRINKLERS
A D ® yGAS TESTunrnT70MPANY NOTIFIED
v, CWV
46�7c Service Ths� a`
GPAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BS0508