HomeMy Public PortalAbout9309 PENTLAND ST_Plumbing__ 7dAQ67, II
CE 817(REV I I/78) LS
APPLICATIOAFO LUMBI P RMIT
COUNTY OF LOS ANGELES BUILDING AND SSyAFFET•Y,
FOR APPLICANT R FILLITEM IN IPRINT OR TYPE] ADDLDING
RESS 'X '7,095%/7Z11�/�
NUMBER FIXTURE OR ITEM ® FEE
WATER CLOSET LOCALITY 7A51(o,4,E C/j''
NEAREST
BATHTUB CROSSST
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY TEL NO
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR '
CIN &J141 7- TEL NO 9`J�F D
LAWN SPRINKLER SYSTEM STATE � LIC
WATER HEATER LICENSEINO �GT CLASS
GASSYSTEM OUTLETS APPROVALS DATE INSPECTOR S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 LERSYSTEM ROUGH PLUMBING_ Q� Q
If S GAS PIPING O
GAS VENT V
d
HOT WATER HEATER O
PLUMBING FIXTURES
GAS TEST 6
N
Plan check fee UTILITYCO NOTIFIED Z
PLUMBING PERMIT ISSUING FEE b
TOTAL FEE � FINAL sy—
Plan check applicant PLAN CHECK VALIDATION
Name / ;29820A
Address # • • • 5
City Tel No
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 3.00
1
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W ITH ALL COUNTY ORDINANCES ;A O O U
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION • a
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS O _ O
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY
SIGNATURE
OFPERMITTEE
TCT N ^' C D BY
INDUSTRIAL Ov
WASTE APPROVAL
WORKERS COMPENSATION DECLARO,TION I - APPLICATIONFOR PLUMBING PERMIT-
`I hereby affirm that I have a certificate of consent to self 7AAb6jA '
insure or o certificate of Workers Com ensol,on'Inswonce
P CE BI7(REV 10/811
or a camfied copy thereof (Sec 3800 Lab C ) - COUNTY OF LOS ANGELES' BUILDING AND SAFETY
-�cyNoIY84-2372UmponyFremont Ind -minty' '
Certified copy is hereby furnished BUILDING
® FOR APPLICANT TO FILL IN SPRINT OR TYPE) gDDRE55. 93O P nt
Certified copy Is filed with the county building inspec-
tion department NUMBER FIXTURE OR ITEM ® ' FEE
- LOCALITY
4-17-84 Owen Bros. PlbaTernpin City
. WATER CLOSET oo _
Date AppblmN NEAREST '
CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST
COMPENSATION INSURANCE` y OWNER
c'-(Thu permit
i need not be red dolga d the work involved by
SHOWER — Pat MUI'ra
s's the permit a for one hundred dollars t e war or lair ) • /� LAVATORY r MAIL
I'certify that m the performance of the work for which this ADDRESS 3606 N. R10 Hondo AVe.
permit is issued I shall not employ any person in any"manner 1 SINK --+ CITY Rosemead TEL No 443-1579
so as tc become subject to the Workers Compensation Laws DISHWASHER
CONTRACTOR Owen Bros; Plumbin Inc.
Date- Appbmnt CLOTHES WASHER ADDRESS 4265 N. Baldwin Ave.
NOTICE TO APPLICANT If after making this Certificate of SWIMMING POOL RECEPTOR
Exemption you should become subject to the Workers CITY El Monte TEL NO 443-00 8
Compensation provisions of the Labor Code you must forth- LAWN SPRINKLER SYSTEM 7
with comply wish such-provisions or this permit shall be STATE LIC
deemed revoked ' ' WATER HEATER LICENSE NO 231 741 CLASS C36-20
LICENSED CONTRACTORS DECLARATION " ' DISTRICT NO ,+'''-0.z- PROLE D
I hereby off irm that 1 am licensed under provisions of Chapter 9 GAS SYSTEM' OUTLETS �' R r
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER
and Professions Code,and my license is in full force and effect 5 PER SYSTEM 1
FINA
L A VALIDATION O
DATE —��O �Z V
License Number 931 741" Lic Class C415-20 W
FINAL / O
Contractor Owen Bros, P1b2Date 4-17-84 BY 0
❑ W
am exempt under Sec # ^/ z
B 8P C for this reason Plan check fee /
' Date "
PLUMBING PERMIT ISSUING FEE E ,
Signature
r T` TOTAL FEE 'g
SINGLE FAMILY Plan check applicant
HOME OWNER BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor s License Address
Low for the following reason (Section 7031 5 Business and - - _
Professions Code) City Tel No
❑ s i I as owner of the property, will do the work and the 0,7 Q 9'A
structure is not Intended or offeredefor sale (Section >
7044 Business and Professions Code) " ' , 11,4 e)4 e e 5
CONSTRUCTION LENDING AGENCY - 5e e-6 (L 5 O
I hereby affirm that there is a construction lending agency for a
the performance of the work'for which this permit Is Issued
(Sec 3097 Cly C ) L
n425=S4
Lender s Name
Lenders Address ,
I certify that I hove read this application and state that the ► ,
above information Is correct I agree to comply with all County i
ordinances and State jaws regulating Plumbing and hereby
authorize representatives of this County la enter upon the
ve Honed propIL ert for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
4-17-84
SI re of Permittee Date D
COUNT} OF LOS ANGELES TEMPLE CITY "# 0508 PLLABING PERMIT
_ DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - -L 0508 U408020002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT r
LEGAL-ID FEES PAID BUILDING ADDk
Ef5=
TR 12210 LT 12 9309 PENTLAND ST
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803737
ASSESSOR g I NEAREST CROSS STREET ENCINITA
8590-009-029 01 PEPMIT ISSUANCE FEE , 27 75 THOMAS PAGE 506 GRID J4 LOCALITY TEMPLE CITY, C
TCTAL FEES 27 75TENANT ISSUED ON PROCESSET-BY PLAN BY ExPiRES ON-
- 08/02/04 JK 01/29/05
bT7RERFINAL DATE FINAL
WONG HAUL,SHANA (626) 451-0762- Z�' -
93G9,PENTLAND ST
TEMP 917803737 k7�PTTbA F WORK
TO COMPLETE WORK STARTED UNDER PERMIT PL 0405700005
APPLICANT TEL NO
SAME AS OWNER - ,
SPECIAL CONDITIONS
CONTRACTOR TEL NO APPROVALS DATE CT']R SIGNATURA
SAME AS OWNER -
LIC NO MOEk SLAB WORK
WAI
PLASTIC Y/N METAL Y/N �_�Jr.
LIC NO _ -
- GAS P
S VENT
e
HOT WATER—FOMSIF—
PLUMBING
-
GASTEST
UTILITY A6IT�CE6
CWV
GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO RS0508
.a
COUNTY JF LOS PNGELES TEMPLE CITY J # 0508 PLUMSING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0509 0435200005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
PHONE (626) 285-0488 EXT
ADDRESSAL ID FEES PAID BUILDING
TR 12210 LT 12 1 9309 PENTLAND ST
_ FEE DESCRIPTION OUANTTTY UOM AMOUNT TEMP CA 917803737
ASSESSORM NEAREST CROSS STREET ENCINITA
8590-009-029 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID -J4 LOCALITY TEMPLE CITY, C
07 BATHTUBS/SHOWERS 2 00 FIX 32 40
TEKIAN", 21 HOSE BIBB(S) 1 00 FIX 1620
25 LAVATORIES/SINKS _ 1 00 FIX 16 20 05/20/04 VG 11/16/04
45 WATER CLOSET/URINAL - -1 00 FIX 16 20
OWNER L 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 LO FINAL DATE FIN 1 CODE
WONG HAUL,SHANA (626) 451-0762- �, ,r ,- _ _ 'TOTAL FEES 124 95 57-
9309 PENTLAND S'' /b
TEMP 917803737 jPTIGN OF--(Oki ,
PLUMBING FOR ADDITION
APPLICANT TEL NO
WONG (626) 451-0762- '
SP L AL CONDITIONS
CONTRACTOR TEL NO APPROVALSINSPECTOR SIGNATURE
CHAN, KEN GUO WEI (626) 285-8218-
5703 SULTANA AVENUE LIC NO ` N
TFMPLE CITY, CA 91730 709366 8
W TEN
APCHITM OR ENGINEER TEL NO PLASTIC Y/N METAL Y,u
- kOUGH PLUMBING
LIC NO
SAS PIPING
GAS VENT
HOT WATER HEATER
7A75FU FKCERS
GAS TEST
UTILITY COMPANY NOTIrM
CwV
0AY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BS0508