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Home My Public Portal About10613 SPARKLETT ST_Plumbing__ CK-01701 -1/75 Ig e c IPP�ICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TV PEI BUILDING NUMBER FIXTURE OR ITEM ® FEE ADDRESS WATER CLOSET LOCALITY 00 BATH TUB NEAREST CROSS ST SHOWER OWNER LAVATORY MAIL ADDRESS SINK CITY TEL NO DISHWASHER CONTR CLOTHES WASHER ADDREIM20 E. GRAND AVE. SWIMMING POOL RECEPTOR CITY TEMPLE CI LAWN SPRINKLER SYSTEM / STATELIC WATER HEATER LICENSE NO CLASS O GAS SYSTEM OUTLETS ` DISTRICT NO GROUP NE E D BV ' S OUTLETS OVER O 5 PER SYSTEM US qI L U WASTE"NAOVAL 01- INSPECTION INSPECTION RECORD Z Plan check fee PLUMBING PERMIT ISSUING FEE a TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR a RFGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel No GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMS(NO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR TXAT AM THE L OWNER OF, A INTEND TO RESIDE IN THE ABOVE OEl CRISES E 10 AL PR E UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE FINAL I If - 3-n `PLAN CHECK VALTATION CK M 0 CASH PERMIT VALIDATION cK M o c•eH READY-FOR' FINAL INSPECTION APR 13 5 0 . 7,5 0 ♦y� COUNTY OF LOS ANGELES e-z' APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J FOX Caopty Enpinar PLUMBING 1 IT NO. FOR APPLICANT TO FILL IN DIOTRICT . PLUMBER VALLEY B R IvcD w READY FD DAT[ IeeuCD FIRBT INSPECTION ADDRESS 8300 EA 2 -30-etj amLD O CITY ROSEMEAD TEL-No ADDR[Be i b COUNTYN (f'Ls PIRKB LOCALITY 1/G ` � �1 NEAREST PERMIT FEES CROSS ST NUMBER TTF[or rl% UXZ an ITEM FEE OWNER - / MAIL WATER CLOSET(TOILET) O 040 0 6 ADDRme BATH TLB O O CITY TEL No SHOWER O MAD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) O O APPLICATION AMC BTAT[ THAT THE ABOVE IB CORRECT AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES KITOH[N BINK O O 3 AND STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 PORSE® THE ABOVE VALID LOS LAUNDRY TUB CR TRAY O 05 ANGELEG COUNTY LICENGE, OR 1 AM THE LEGAL OWNER M DF THE RESIDENTIA PROP[i1TY DESDRIRE0 OV& GAB SYSTEM UTLETB O O C/�/ BISMATURT Of WATER HEATER O O O PERMITrErfT GLOP BINK O O o INSPECTION RECORIr FLOOR BINK Omiso FLOOR DRAIN DISHWABHER O 11 o DRINKING FOUNTAIN O O URINAL O AD a HOUSE SEWER O O = MISCELLANEOUS O_ 0: O APPROVALS DATE INBr[DTOR•B NAME ROUGH PLUMBING p 1440 SAB PIPING GAS VENT CESSPOOL O 100 CESBPOOL BEPTIC TANK SEPTIC TANK 1 DRAIN ( ) PIT ( ) O Ica SEWER PERMIT I Do BAS TEST TOTAL FEEi UTILITY DD NOTIFIED —77 FINAL MANT DBS#17 6-68 ' r WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT -I hereby, affirm that I have a certificate of consent to self in 20-ODM DRV 4/87 sure,or a certificate of Workers Compensation Insurance or a CE 17B (REV 8/86) certifiedCit copy thereof (Sac 3800 Lab C ) Y of Temple City Policy No 201916 Company SCIF COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS Certified copy is hereby furnished _ 6683 FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ® Certified copy a filed with the county building inspection ADDRESS 1 1 $ department NUMBER FIXTURE ORITEM ® FEE LOCALITY Temple Cit parklett Street Date4/l/89 ApplicanGeneral Install. WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST El Monte Ave COMPENSATION INSURANCE SHOWER OWNER (This section need not he completed IF the work Involved fsy MAIL the permit Is for one hundred dollars ($100)or less ) LAVATORY ADDRESS 1 613 Sparklett Street I certify that in the performance of the work for which this per pp— SINK CITY 44 —Ol,� mit is Issued I shall not employ any person in any manner so W as to become subject to the Workers Compensation Laws DISHWASHER CONTRACTOR General 1nEjtA11Aj_jAn CC . Date Apphcont CLOTHES WASHER ADDRESS 6558 west Blvd. NOTICE TO APPLICANT If after making thin orker Co of E• SWIMMING POOL RECEPTOR empn p you should became subject to the Workers Compen Cltt Los lQBTEL NO 733-254 ly ionwith such aos of the Labor Cade, you must deemed comp LAWN SPRINKLE STEM I�wuh such provisions or this perms shall be deemed revok STATE LIC WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO PROC D B I hereby off irm that I am licensed under provisions of Chapter GAS SYSTEM TLETS OV 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER 0 f and Professions Code and my license is in full force and ef- 5 PER SYSTEM / fect FDIALINL VATION C License Numbe1S1A39 Lc Class C36 V FINAL Contractor Data 4-55 ,, BY 9 I am exempt under Sec V IJ B BP C for this reason Plan check fee ► Date PLUMBING PERMIT ISSUING FEE$ 1 Signature TOTAL FEE SINGLE FAMILY HOME OWNER BUILDER DECLARATION Plan check applicant ' I hereby offirm that I am exempt from the Contractor s License Name Law for the following reason (Section 7031 5 Business and Professions Code) Address I as owner of the property will do the work and the CiN Tel No :9024.4A structure is not intended or offered for sole(Section 7044 - - - s - 5 Business and Professions Code) CONSTRUCTION LENDING AGENCY ► I - e I A 5 0 1 hereby affirm that there is o construction lending agency for • - is - 16506 5 O the performance of the work for which this permit is issued (Sec 3D97, Civ C ) o7.20'-88 Lender s Name Lenders 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 r}}}epres 1 n f this County to enter upon the t above) n o rty or inspect on purposes /s //r � � SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permitteer Dote COUNTY OF LOS ANGELES TEMPLE CITY N 0508 DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID TR 19189 LT- 98 FEE DESCRIPTION OlL1MTITY LION ANOUN7 17804135 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET PAL NAL 8585-D25-011 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 TENANT TOTAL FEES 43 95 issUED ON PROCESSED BY. PLAN BY EXPIRES ON 06/22/00 UT 1 9/00 OWNER FI NAL DATE CODE DE GUZMAN, RODRIGO/MARIA (626) 279-9197- 10613 SPARKLETT ST TEMP 91780413517804135 UFMMUN OF WORK GAS LINE FOR NEW HVAC SYSTEM APPLICANT TEL NO SAME AS OWNERCONTRACTOR TEL NO - SPECIAL CONDITIONS S PNGELES Co (/ V� � SAME AS OWNER NTy LIC NO UNDER SLAB 61ORK WATER SERVICE �. PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER TEL NO ROUGH PLUMBING LIC No GAS PIPING 1117111 MLB3 L�U53 TV Kall, LAWN SPRINKLERS� C CWV Jf/re SeryTha'L��`� GRAY WATER SYSTEM REPORT ID DPR263 ROUTE TO SS0508 • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS PL 0508 0710310001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT (LEGAL ID FEES PAID BUILDING ADDRESS ITR 19189 LT 98 1 10613 SPARKLETT ST I FEE DESCRIPTION QUANTITY DOM AMOUNT TEFF CA 917804135 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LONER MUSA 18585-025-011 01 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY, C 07 BATHTUBS/SHOWERS 1 00 FIX 16 20 TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 110/31/07 SR 04/28/08 I OWNER TEL NO I FINALDA BY CODE LI WILLIAM (626) 475-2785- I EXPIRED 110613 SPARKLETT ST 1 I- I TEMP 917804135 IDESCRIPTION OF WORK PLUMBING FOR BATHROOM REMODEL 1APPLICANT TEL NO I 1SAME AS OWNER - I ISPECIAL CONDITIONS I I 1CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR 9IDNATUR6 1 1SAME AS OWNER - LIC NO UNDER SLAB WORK I (WATER SERVICE (PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER TEL NO ROUGH PLOMBINO �(i LIC NO l GAS PIPING `I 1 GAS VENT1 I HOT WATER HEATER I PLUMBING FIXTURES I LAWN SPRINKLERS GAS TEST 1U'TILITY COMPANY NOTIFIED( I I CWV I IGRAY WATER SYSTEM 1 1 1 1 I 1 1 I REPORT ID DPR263 ROUTE TO BSO508 I I I I I I