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Home My Public Portal About9470 PENTLAND ST_Plumbing__ 76A667 CES17 12/59 TEMPLE CITY APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BU oidN , i�itJS E�fl�' NlSeON WILLIAM A JENSEN SUPT OP BUILDING ER LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM OWNER WATER CLOSET Z J � DATH TOB ADDHL'9798 CITY TEL NO %- — 3/ SHOWER LAVATORY CONTAAC Z� SINK ADDRESS DISHWASHER CITY TEL NO CONTRACTORS STA LAUNDRY TUB REGISTRATION NO COUNTY CLOTHES WASHER DISTRIC NO GRTOUP ZONE P OC D Y WATER HEATER 7, e � y GAS SYSTEM! INDUSTRIAL WASTE APPROVAL SPECTION RECORD w 0 G a s ° s �rrrat / B s APPROVALS DATE INSPECTOR 5SIGNATURE / PERMIT f 2100 UNDER SLAB WORK I 1 ),t) 1 --! TOTAL FEE ROUGH PLUMBING �1,jal SOU�w GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE O OF PERM ITTE FINAL ®� VALIDATI� ROBERT A WOOD CK _ � G �/icAeN SUPERVISING MECHANICAL ENG R Lj"03 6 5 5 JUS 8 5 D 575 o APPLICATION FOR PLU BING PERMIT CO OF LOg ANG DEPART OF COUNTY ENGINEER BUII.DING AND SAFETY DIVISION BUILDING 7 JOHN A L.AMBIE COUNTY ENGINEER ADDRESS WILLIAM A JENSEN SUPT OF BUILOIN. / LOCALT[Y FOR APPLICANT TO,FILL IN NEAREST cRoss sr o G NUMBER FIXTURE OR ITEM OWNER WATER O-S'f MAIL BATH TUB ADD - _ CITY TEL NO LAVdTQHY CONTRACTOR Ly(J - BQfB ADDRF88 DISHWASHER NO 7 7 C H B BTA LAUNDRY TUB ✓ �t BEG ON NO COUNTS CLOTHES WASHER ✓ DIST/51CT GROUP ZONE P ESSED BY WATER HEATER L! Z GAB SYSTEM INDUSTRIAL WASTE APPROVAL / INBPECTTON.HECORD Air tu Y , • jj1 PER TT@S f OR PATUEE S APPROVALS DATE INSPECTOR 9 SIGNATURE PERMIT j 2 DO UNDER SLAB WORK A. I TOTALFEE ROUGH PLUMBING I GAS PIPING I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE AEAD THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AHD/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AN THE LEQAL OWNER OF THE "DYE DESCRIBED REGI PROPERTY UTILITY CO NOTIFIED I I SIGNATURE �� • / OF PERMITTE FINAL ®rv YALIDATIOfI'1 ROBERT A WOOD I �, • p, `/,.u,�m'/ SUPERVISING MECHANICAL ENG R - -LACoo46, 2% J+19 5 D 4.50- V WORKERS COMPENSATION DECLARATION APPLICATION FR PLUMBING PERMIT I hereby,affirm thW11 hove a certificate of consent to self 78AB87A p{•,A insure or a ce,hficote of Workers Compensation Insurance 'CE 817 (REV 8/88) or a cernfiedIcopy thereof (Sec 3800'Lab C ) _ Policy No Company COUNTY OF LOS ANGELES •_ _ DEPT OF PUBLIC WORKS Certified copy ,s hereby furnished � � A� ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) tk BUILDING qU Certified copy is filed with the county budding impec ADDRESS hon deportment NUMBER FIXTURE OR ITEM ® FEE LOCAUTY 1 Date ` Appl,gant WATER CLOSET NEAREST - CERTIFICATE OF EXEMPTION FROM WORKERS • BATH TUB CROSS ST COMPENSATION INSURANCE OWNER (This section need not be completed If the work'Involved by SHOWER I ` the permit Is for one hundred dollen ($100)or teMAIL, as ) LAVATORY ADDRESS _1 I certify that in the performance of the work for which this -}--- - permit is issued I shall not employ any person in any manner L SINK CITY / C L TEL NO 6s- gi t so as to ome subject to the Workers'Compensation Laws DISHWASHER ///�� , •• .//� t CONTRACTOR DOtB / x pphtant CLOTHES WASHER ADDRESS - - ~ NOTICE APPLICANT If often making this Certificate of r - Exemption, you should became subject to the�Warkers SWIMMING POOL RECEPTOR , Compensation provisions of the Labor Code you must forth CITY TEL NO LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC deemed revoked ' " WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION ROLE DISTRICT NO P0 BY I hereby affirm that 1 am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER, �� d and_Professions Code and my license is in full force and effect 5 PER SYSTEM FINALO DATE VALID ION License Number Lm Class - O FINA F Contractor Data By U ❑ I am exempt under Sac B 8P C for this reason _ Plan check fee - - Date' PLUMBING PERMIT ISSUING FEE S t• 1 �77R4'A •signature -- ,_ � TOTAL FEE 7 • • • e Plan check applicant / V ,# 5 SINGLE FAMILY '( • 9 1 6 5 0 HOME OWNER-BUILDER DECLARATION Name 1 , I hereby offirinti I am exempt from the Contractor s License _ �• • • 1 6 5 0 6 Law for the following reason (Section 7031 5 Business and Address -F• { + Professions Code) Ci y Tel No _ _ �,0 2 7 8 7 1, as owner of the property will do the work and the structure ,s not intended or offered for sale (Section 7044 Business and Professions Code) ` CONSTRUCTION LENDING AGENCY .. / 7 I "'l s` • " hereby affirm there a a construction lending agency for the performancee of the work for which this perms ',s issued -� - (Sec 3097 Civ+C ) s e Lender's Name— Lender's ame Lender's Address I certify that I have read this application and state that the pool mformatwn is correct I agree to comply with all County ordinances and State lows regulahng'Plumbmg and hereby authorize representatives of this County to enter upon the above mentioned property for inspection p rpP-7 " ' � • • ,-�_ /) SEE REVERSE FOR EXPLANATORY LANGUAGESig a ure of Permittee /` ' , WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby,offirm that I have a certificate of consent to self 78A887A , insure, or a certificate of Workers Compensation Insurance CE 817(REV 8/88) r , or a certified copy thereof (Sec 3800, Lab C ) Policy No Company COUNTY OF LOS ANGELES ' DEPT OF PUBLIC WORKS , Certified copy Is hereby furnished + , FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING IDCertified copy Is filed with the county building inspecADDRESS , non department NUMBER FIXTURE OR ITEM ® ' FEE ' LOCALITY s Dote AppLtont WATER CLOSET NEAREST -. CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE ' - OWNER ' (This secfion need not bi completed O the work Involved by SHOWER - ' the permit Is For one hundred dollars (5100)or less ), LAVATORY DDRESS ` I certify that In the performance of the work for which this permit is issued I shall not employ any person m any manner SINK CITY TEL213 Z'- so as to become -ubject to the Wo ers Com ensahon Laws __ L DISHWASHER CONTRACTOR _ Date S I ,PPlicant V CLOTHES WASHER ADDRESS NOTICE APPL CANT If after making this Certificate of Exemption you should become subject to the Workers _ SWIMMING POOL RECEPTOR CITY TEL NO Compensation provisions of the Labor Code you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE X LIC deemed revoked WATER HEATER LICENSE NO CLASS i LICENSED CONTRACTORS DECLARATION DIST RI NOD ESSE Y I hereby affem that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of.the Business OUTLETS OVER s' d and Professions Code and my license is in full force and effect 5 PER SYS FINAL V ATION O JJJDATE i V - ae License Number Lic ClassO O/ F r Contractor Dote W ❑ ,I am exempt under Sec S B 8P C,for this reason N ron Plan check lea - a Date PLUMBING PERMIT ISSUING FEE E 0 , Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Nome 8 2 A I hereby affirm that I am exempt from the Contractor s License Address -- Low for the following reason (Section 7031 5 Business and ' I Professions Code) City t Tel No •.• • i `I as owner of the property will do the work and the ' i .structure is not Intended or offered for sale (Section ` 1( e 6 5 7044 Business and Professions Code) ie e e 1 650' CONSTRUCTION LENDING AGENCY ` `( i'l hereby affirm that there is a constructlon lending agency for T the performance of the work for which this perms is issued o 9,Q11 ,-, 87 fti} (Sec 3097 Civ C ) , Lender s Name ` Lendy s Address 11 cern), that I have read this application and state that the 1 - pool - aboveotion iDformis correct I agree to comply with all Count' , ordmo^es and State lows regulating Plumbing and hereby authorize representatives of this County to enter upon the t ' abov tioned pro arty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of mite Doleit COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC FORKS 9701 LAS TUNAS PL 0508 0705140006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 i ' PHONE (626) 285-0480 EXT LEGAL, ID FEES PAID BUILDING ADDRESS I ITR 14572 LT 11 1 1 9470 PENTLAND ST IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917803842 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET CLOVERLY 18590-012-025 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY C 111 CWTHESWASHER(S) 1 00 FIX 16 20 (TENANT 13 DISHWASHERS) 1 00 FIX 16 20 11SSUED ON PROCESSED BY PLAN BY EXPIRES ON 21 HOSE BIBB(S) 1 00 FIX 16 20 105/14/07 JK 11/10/07 25 LAVATORIES/SINKS 1 00 FIX 16 20 1 TOWNER TEL NO 147 WATER HEATERS) 1 00 WTH 16 20 IP`wrn i'rD E///�� IN BY CODE FESLER ROSABEL (626) 825-3128- 51 [4W PRS GAS S OUTLET 1 00 SYS 16 20 (�i� j,/' 19470 PENTLAND ST TOTAL FEES 124 95 I rl (TEMP 917803842 IDVSCRIPTIO9 OF WORX (PLUMBING FOR ADDITION & WATER HEATER (APPLICANT TEL NO 1 SORIANO (323) 807-1855- 116830 MAIN ST 1 SPECIAL CONDITIONS ILA PUENTE CA 91744 1 (CONTRACTOR TEL NO ( (APPROVALS DATE INSPECTOR SIGNATURE MIRIAM SORIANO (323) 807-1855: 1 LIC NO I UNDER SLAB WORK NONE (WATER SERVICE I (PLASTIC YIN METAL Y/N (ARCHITECT OR ENGINEER TEL NO TROUGH PLUMBING LIC M10 _ (GAS PIPING (GAS VENT I I (HOT WATER HEATER I I I (PLUMBING FIXTURES (LAWN SPRINKLERS 1GAS TEST 1 (UTILITY COMPANY NOTIFIED I ICwv I - IGRAY WATER SYSTEM - I I 1 I 1 1 I I 1 I I I I I I 08 (REPORT ID DPR263 ROUTE TO BS05I -1 I I I