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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