HomeMy Public PortalAbout10606 SPARKLETT ST_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Deperfinenf of County EngLueer
DIVISION OF BUILDING & SAFETY PLUMBING WILLIAM J FOX, CQUstY Ens)nW
DISTRICT N43. 13ROUP PERMIT NU.
FOR APPLICANT TO FILL IN ✓ _7 .7J-2�s 3'(
PLUMBER VALLEY BOULEVARD PLUMBING CO. Ry vcD ev FIRT I READY
READY FCR[OTICN ' OAT[ ISSUED
ADDRESS 83QO EAST VALLEY BLVD v9djAi= -/.I-
CITY TEL. MO D -
RO EMEAD AT 2.2719 AOR D
a/
mur=ac ' 6 ?0 LOCALITY
N � PIR
NEAREST
PERMIT FEES CROBB ST /y
NYMY[R T m OF II%T!R[OR mam FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 040 6
AIL
BATH TLB ® 040
CITY T[L, No
SHOWER @ O I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) O 60 APPLICATION
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK ® O AND STAT[ LAWS REGULATING PLUMBING
.�[ 1 O[RTIFY TMAT 1 POSBEBB THE ABOVE VALID LOB
LAUNDpY TUB TRAY @ O O (/ AMC ELE0 COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
DF THE RESIDENTIAL PROPERTY DESCRIBE ABOVE.
1 OAS SYSTEM_ UTLET13 @ D O
WATER HEATER @ O SIGMATVI OF
0� PERMIE o
GLOP BINK @ D s INSPECTION RECO
FLOOq BINK @ O S
MOOR DRAIN @ 034
DISHWABHER @ 05
ORINKINO FOUNTAIN @ 054
URINAL @ Do A
HOUR[ SEWER @ 0 Z
MISCELLANEOUS O
Of
O
r
APPROVALS
DAT[ IN�r[DTOTR MAN[
—BOUGH PLUMBING if
GAB PIPING IZZ .
GAB VENT
CESSPOOL @ 1 OO CESSPOOL y
SEPTIC YANK SEPTIC TANK N
DRAIN ( ) PIT ( ) @ 100 SEWER
PERMIT 1 DO DAB TEST
TOTAL FEE a unuTY CD NOrI FIm 1
FINAL
TOA667 DBS#17 0-68
W-grm that
Ihave COMPENSATION DECLARATION, , .. APPLICATION FOR PLUMBING PERMIT '
I hereby'affum that I have a Serhficare of consent to,self 7°Abe7A
insure, or a certificate of Workers Compensation Insurance CE 817(REV 10/81)
or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No Company
Certified copy is hereby furnished
❑ FOR APPLICANT TO FILL IN(PRINT OR TYRE) BUILDING
Certified copy is fled With the county building mspec- ADDRESS I O�O
tion department NUMBER FIXTURE OR ITEM ® FEE LOCALITY
Date Appltgont WATER CLOSET NEAREST
I CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST
al 610"
COMPENSATION INSURANCE SHOWER �, OWNER
(This sectlan need not be completed If the work Involved by MAIL
i the Permit Is for one hundred dollars($100)or los) r LAVATORY �— q
I certify that m the performance of the work for which this C^ D
permit is issued 1 shall not employ any son in any manner SINK CITYbeill 01,e
TEL NO O
so as to become sublect to the Wor r Co'pensign Laws DISHWASHER CONTRACTOR
Dat/qy�{(,� -("�{�� plicant CLOTHES WASHER ADDRESS
NO CE TO O APPLICANT If, after making this Certificate SWIMMING POOL RECEPTOR
Exemption you should become subject to the Worke CITY TEL NO
Compensation provisions of the Labor Code you must forth- LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit shall be STATE LIC
deemed revoked WATER HEATER LICENSE NO CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO ROCESSED BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER d
and Professions Code and my license is in full force and effect 5 PER SYSTEM FINAL ti VALIDATION V
DATE
License Number Lic Class W
FI 0
Contractor Date U
❑ W
I am exempt under Sec y
B 8P C for this reason Z
Plan check fee
Date polls
PLUMBING PERMIT ISSUING FEE$
Sgnature
TOTAL FEE
SINGLE FAMILY Plan check applicant
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor s License
Law for the following reason (Section 7031 5 Business and Address
Professions Code) City Tel No
❑ I as owner of the property will do the work and the
structure is not intended or offered for sale (Section 00 °�° 2 P S C
7044, Business and Professions Code)
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for r t 2 h ,_ 4
the performance of the work for which this permit is issued
(Sec 3097 Civ C )
Lender's Name
Lender s Address
I certify that I have read this application and stole that the ,
above information is correct I agree to comply with all County
ord.nonces and State laws regulating Plumbing and hereby
authorize representatives of this County to enter upon the
abov Tentioned property for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
/I Signature of Permittee 6 U Date
- I OCoO<o Spm I�le-tt'
COUNTY OF LOS ANGELES TEMPLE CITY $ 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0103080020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID ADDRESS
TR 19189 LT 94 10606 SPARKLETT ST
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804134
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET AL PL
8585-025-007 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 R LOCALITY- TEMPEL CITY
52 ADDN OUTLETS > 5 1 00 OUT 4 20
TENANI TOTAL FEES 31 95 T39UM-M PROCESSED BY PLAN BY EXPIRES ON
03/08/01 LS 09/04/01 '
OWNER TEL NO FINAL DXTE FINAL BY
KOYAKATSU, HENRY (626) 445-3323- /-��OZ
TEMP 911778041347 ST // 2-c..)
DESCRIPTION Of WORK
011M QAa1e,n 445- 3323 HVAC
ILL NO
CONNOR A/C HTG AND REFRIG (626) 286-3157-
4931 N ENCINITA AV SPECIAL CONDITIONS
TEMPLE CITY CA 91780 _
5 P,OQELE CS CCooCONTRACTOR TEL NO �/
APPROVALS DATE INSPECTOR SIGNATURE
CONNOR AIR CONDITIONING (626) 286-3157- V�
4931 ENCINITA AVE LIC NO � UNDER SLAB WORK
TEMPLE CITY, CA 91780 403735 C2OWATER SERVICE
y \�\ PLASTIC Y/N METAL Y/N
ARCHIIECT OR ENGINEER ILL NO // L ROUGH nTRnNT�
LIC NO•
GAS VERr-
PLL148ING FIXTURES
l --_-- —
iI )i`11�1 iI_L� _1V l)I;
UTILITY COMPANY NOTIFM
SOrvNcc 71 GRAY WATER SYSTEMa
REPORT ID DPR263 ROUTE TO BS0508