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Home My Public Portal About9560 PENTLAND ST_Plumbing__ 76A667 (CE-6'17)- 5/73 . APPLICATION FOR PLUMEI,NG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO. FD. DING /' 0tealrr ) RESS 7 HARVEY T. BRANDT, COUNTY ENGINEER }:, ALITY' eFOR APPLICANT TO FILL IN (PRINT OR TYPE) REST SS ST. NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1,75 OWNER MAIL, BATH TUB 1. ADDRESS' SHOWER 1.715 CITY TEL. NO. — LAVATORY t! 1. 5 CONTRACTORN� ,, {� SINK 1. 5 ADDRESS' ' n DISHWASHER q5 CITY TEL. NO. C OTHES WASHER 1. 5 STATE LIC LASS' ' SWIMMING POOL RECEPTOR 1.75 LICENSE'NO: C DISTRICT NO. GR P I ZONE - PROCESSED BY LAWN SPRINKLER SYSTEM 1.7S d r WATER HEATER 1. $ IN WASTE APPROVAL y. GAS SYSTEM OUTLETS 1. 5 INSPECTION RECORD v OUTLETS OVER 30 5 P SYSTEM p 3 / eoncWSa Plan check fee See Reverse (� PLUMBING PERMIT ISSUING FEE $ 3 00 godJim .. AD J TOTAL FEE CIID/ORUTILITY APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant ER SLAB WORK Name GH PLUMBING ,7/��'�P, jyj c}a� Address PIPING City Tel. No. VENT WATER HEATER .9.43 le 57 ��.��J I HEREBY .ACKNOWLEDGE THAT I HAVE READ THIS APPLIC _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COPLUMBING FIXTURES f�-.�P^,.r �t�' •143 r p2,7 �y�f,. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGUL PLUMBING. TEST ` I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANITY CO. NOTIFIED LICENSED AS REpU1RED BY LOSANG ESCOUNTY AND STACALIFORNIA OR THAT I AM THE LEG OWNE yli•AND INTERESIDE IN THE ABOVE DESCRI DRE DNTI P PERTY. LSIGNATU RE OF PERMITTEE PERMIT VALIDATION OCK. M.0. CASH PLAN CHECK VALID T N CK. M.O. CASH 1 9 O%k"MAY 15 5 D 1 1.7 5 eyc .O 76A667 17 25M BETS 7-4e ,t • IMPARTMENT ®]F BUILDING AM SLPlaN 2DFPLTVATI®L ]FOR PEMM wm.J.FOX.CHIEF ENGINEER PILU IST 07 1N—S ULM a—m-0-9 ®esT a 'o. c�-�o-�P zo 9, PERMIT O. y ROUGH FIXTURESCOMPLETE HEATER __CESSPOOL SEPTIC TANK RECEIVED B . READY FOR w DATE ISSUED FIRST INSPECTION 6 MISCELLANEOUS. APpLIICAT�T F'IILL IN HEAVILY OUTLINED PORTION ONLY JOB G!/LGF I � . i R s, ADDRE130 NAME r / /�G;i� �%~ •� M ADDRE9$ Il> (/ D !/R'.//J Ca:'G•{'l LOCALI f-!fi"77 ?� � s[�•.s 7 �� NEAREST Y.-lr CIT .V�`��i�'e/��`-�j TEL.No,+, -j i�r3 f e CROSS ST. • l�-��a V BOUNTY `! ` 1„• J LICENSE NO. NAp,gg „t,�'�S•L f�_� � 1 ' LOCATION OF SEPTIC TAS, (DIP.CESSPOOIL Z MAIL NORTH O ADDRESS R CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOB ;r ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLumeBR ll I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER i CORRECTIONS SOUTH J DESCRIPTION OF WORK _a / BATH TUB FURNACE 0 ROWER DISHWASHER ! LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP LOP BINK FLOOR DRAIN WASH TRAY URINAL "PROVAL3 WATER CLOSET DRINKING FOUNTAIN DATE INSP¢cloR'a NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING � 3'�I --L—METER—Z GAS SODA FOUNTAIN OUTL GAB PIPING I GAS VENT I CESSPOOL I TOTAL NUMBER OR FIXTURES SEPTIC TANK CESSPOOL.�_BEPTIC TANK /r SEWER I Scf'� Cj 'UTILITY CO.NOTIFIED n TOTAL FEE ' FINAL - WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby,affirm that I have a certificate of consent to self 76A667A Ilul insure, or a certificate#fu pensation Insurance, CE 817(REV.8/86) or a certified copy therb. C.) Policy No. COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy is ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /� Q Certified copy is nty building inspec- ADDRESS 7tion department. NUMBER FIXTURE OR ITEM � FEE LOCALITYDate WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER (This section nood not bo completed If tho work Ineoleod by MAIL tho pormit is for one hundrod dollars($100)or loss.) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL.NO. ,.300 so as to become subject to the Worker'Com ensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS 3 7 d NOTICE TO APPLICANT: If, after maling this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY TEL.NO.TY with comply with such provisions or this permit shall be STATE 11 LIC. deemed revoked. WATER HEATER LICENSE NO. ,� P"01 CLASS C (� LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing wifh Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATION DATE License Number Lic. Class ev,L�o FIN Contractor Date BY / k= �1 ❑ I am exempt under Sec. 8 9 2 9 A 1 B.BP.C. for this reason o 0 0 0 0 9 Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ o o 1 �g U� Signature TOTAL FEE 0208-88 Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for-the following reason (Section 7031.5, Business and +j rRr. essions Code): City Tel. No. a0}'9aser of the property,will do the work and the ustruf0i�11s"root intended or offered for sale (Section 7044, Ntd�jss d ck essions Code). CONSTRtC�1��t'u.� IN AGENCY I hereby affirm that there is aft- Ir,1y�1 on i'#rg�rgagency for the performance of the work for wF+iii±lfi ':pevr1ZJ.P&' sued (Sec. 3097, Civ. C.). tri 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 and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE I Signature of Permittee Dfite COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1005170019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID 1 BUILDING ADDRESS: [ JTR: 14572 LT: 229560 PENTLAND ST I 1 FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:] TEMP CA 917803844 I (ASSESSOR INFORMATION NUMBER: I I ' NEAREST CROSS STREET: I 18590-013-019 01 PERMIT ISSUANCE FEE 27.75 [ THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl 1 47 WATER HEATER(S) 1.00 WTH 16.20 I I ]TENANT: 63 WATER PIPING BR/FIX 8.00 FIX 54.00 (ISSUED ON: PROCESSED BY: PLAN BY: [ 64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 105/17/10 SR I 1 TOTAL FEES 114.15 1 1 TOWNER: TEL. N0: - 1 1BTE FIY: CODE: HOLLEY, ROBERT 9560 PENTLAND ST ITEMP 917803844 1 IDESCRIPTION OF WORK 1 I I IRE-PIPE 1 3/4 BATHROOM, REPLACE TANKLESS WATER HEATER (APPLICANT: TEL. NO: I I I ISOUTHLAND PLUMBING CO. (323) 855-2050- I 1 16122 FIGUEROA (SPECIAL CONDITIONS: IAS ANGELES CA 90042 I]CONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE I SOUTHLAND PLUMBING CO. (323) 855-2050- f 1 1 16122 FIGUEROA LIC. NO I (UNDER SLAB WORK I I I ILOS ANGELES, CA 90042 NONE I I 1 I I I I IWATER SERVICE I I IPLASTIC YIN METAL YIN I I I [ARCHITECT OR ENGINEER: TEL. NO: I II I 1 LIC. NO: IROUGH PLUMBING bI [ 1I I IGAS PIPING I I 1 f IGAS VENT I I I IHOT WATER HEATER 1 1 [ [ 1PLUMBING FIXTURES I [ 1 ILAWN SPRINKLERS I 1 1 IGAS TEST 1-1 1 (UTILITY COMPANY NOTIFIED( I I I 1CWV1 I 1 1 I 1GRAYIWATER SYSTEM 1 I 1 I I I I I I I I I I I I I I 1 I I I I I 1 [REPORT ID: DPR263 ROUTE TO: BS0508 1 1 1 1 I I I I I I .� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9610100062 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FES PAID BUILDING ADDRESS: TR: 14572 LT: 22 9560 PENTLAND ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803844 ASSESSOR IWORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY 8590-013-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY 45 WATER CLOSET/URINAL 1.00 FIX 16.35 TENA T: TOTAL FEES 44.10 ISSUED ON: PROCESSED : PLAN BY: EXPIRES ON: 10/10/96 TC 10/10/97 OWNER: TEL. NO: FINAL FINAL BY: CODE, HOLLEY ROBERT C;ANNE S - 9560 PENTLAND ST PAAA TEMP 917803844 1 n-rR T nr TO 1 OF-Wl3RK REMODEL BATHROOM APPLICANT: TE N0: 0" "d!� OAKRIDGE CONSTRUCTION CO. (818) 287-7244- 5842 ALESSANDRO �� = � SPECIAL CONDITIONS: TEMPLE CITY, CA - �� CONTRACTOR: TEL. N0: �'f ` - ' APPROVALS DATE INSPECTOR SIGNATURE :�' '.r/. ! 1 - / � OAKRIDGE CONSTRUCTION CO. (818) 287-7244- ��J�� t� ;-� 5842 ALESSANDRO LIC. NO t�; r - /- N ER SLAB ORK TEMPLE CITY, CA 91780 505643/8 -- - -- -- h - - - - - - WATER SERVICE ' s : �_ F '' PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. 0: — — - -- - -- '� ROM PLUMBING LIC. N0: GAS PIPING GAS VENT HUT WATER H ATER �� B NG FIXTURES r ��-_ tLAWR SPR ERS GAS TEST S p UTILITY COMPANY OTIFIED CWV GRAY WATER SYSTEM 1�. d �. REPORT ID: DPR263 ROUTE TO: SS0508