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HomeMy Public PortalAbout10641 SPARKLETT ST_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Englnew DIVISION OF BUILDING & SAFETY WILLIAM 1 FO%, Ceunb EaElnar PLUMBING 1 DISTRICT NO. OR13UP I ZONE PEKM41 mu. FOR APPLICANT TO FILL IN 129-r PLUMBERR EIVD BY READY MTR DATE IMBED 0.,, , - - • EFIRST INSPECTION U ADDRESS VALL9Y B! D. BUILD CITY TEL No ADDR[BB couNTv LDanury O EXPI NEAREST PERMIT FEES CRO"BT NUMBER TrK of lrl Ym an ITEM FEE OWNER it MAIL WATER CLOSET(TOILET) @ O SO B ADDRESS BATH TUB O 050 CITY TEL No SHOWER O O 60 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) e 1350 APPLICATION ANO STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN BINK O DBD AND STATE LAWS REGULATING PLUMBING I CERTIFY THAT 1 POBBE® THE ABOVE VALID LOB 11 LAUNDRY TVS OR TRAY @ 050 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER GAB BYSTEM OUTLETS @ 030 Or THE RESIDENTIAL ROPERTY DEBCRIBQO OVE. BIONATURE Or WATER HEATER O C BO PERM ITT[ SLOP BINK @ DBD INSPECTION RECORD FLOOR BINK Q 0.80 FLOOR DRAIN 0 man DISHWASHER m O 60 DRINKING FOUNTAIN O ago URINAL Q 050 J Q HOUR[ BQW[R @ O BO _Z MISCELLANEOUS 0 It 0 APPROVALS DATE INBrEBToR 8 .^ME ROUGH PLUMBING GAB PIPING hill DAB VENT CESSPOOL @ 100 CESSPOOL 8[PTIC TANK SEPTIC TANK DRAIN ( ) PIT ( ) O 100 BEWKR PERMIT I DD GAB TEST TOTAL FEE B Q UTILITY DO NOTIr1ED NAL TEA867 DDS#17 E-68 rKERS "COMPENSATION DECLARATION t ' APPLICATION FOR PLUMBING PERMIT .� 1 hers,s�r- ,that I have a certificate of consent to self 76ade7q inaul9 , a certificp to of Wibrkers Compensation Insurance, CE 617(REV 10/61) - f or a c4�r,( :d copy Thereof(Sec 3800, Lab C ) COUNTY OF LOS ANGELES ?BUILDING AND SAFETY, J t Poll 4, Np Company Cel.1`tihedjcopy is hereby furnished © CJ41fled copy a filed with the county building inspec- FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ' C/� " cr. S ✓f tion department NUMBER FIXTURE OR fTEM ® FEE LOCALITY Date r ApphSant WATER CLOSET I LNEAREST n j CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB ; ' CROSS ST PQ It L COMPENSATION INSURANCE (Tbls sectism nod not be cotnplated R the work Involved by SHOWER I OWNER r (\ the perm" Is for ono hundred dollen ($I00)air loss ) LAVATORY MAIL SS /Q L I certify that In the performance of the work for which this permit is united, I shall not employ any person in any manner SINK CITY j� �iTI TEL NO y y—�9jy so as to become subject to the Workers'Compensation Laws DISHWASHER r CONTRACTOR n,vne� Dat.!-- 1'1CLOTHES WASHER NOTICE TO APPL CANT If after king this C , cote of ADDRESS Exemption you should become subject to the Workers SWIMMING NMOL RECEPTOR Com{reneation provisions of the Labor Code you must forth- LAWN SPRINKLER SYSTEM CIN TEL NO with comply with such provisions or this permit shall be STATE _ LIC deemed revoked j WATER HEATERLICENSE NO CUSS I LICENSED CONTRACTORS DECLARATION O DISTRICT NO D BY I hereby offtrm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS slor (commencing with Section 7000)of Division 3 of the Busuwss OUTLETS OVER and Professions Code,and my license is in full force and effect 5 PER SYSTEM FIN V LIDATION ' s DA License Number Lrc Close f� I FINAL O Contractor Date or I am exempt under Sec t B BPC for this reason Plan check fee Z Date PLUMBING PERMIT ISSUING FEE$ U f 2 8`�2 AI Signature TOTAL FEE a S # e e e e e ,rji , Plan check applicant ( e - 2250 SINGLE FAMILY HOME OWNER BUILDER DECLARATION Name e e - 22500 1 hereby offirm that I am exempt from the Contractor's License address Law for the following reason (Section 7031 5, Business and 0 9.0 3 g 8 5 Profesnans Code) City Tel No TC7J( I, as owner of the property, will do the work and the 00structure is not Intended or offered for sale (Section 7044 Business and Professions Code) t CONSTRUCTION LENDING AGENCY I hereby affirm that there is q construction lending agency for the performance of the worWoE which this permit is issued (Sec 3097 Gv C ) Lender s Name Lender s Address t t1 1 certrfy chat t hove read this application and state that the ► above information is correct I agree to comply with all County ordinances and State jaws regulating Plumbing and hereby authorize representatives of this County to enter upon the above-mentioneBd property for inspection purposes ter- SEE REVERSE FOR EXPLANATORY LANGUAGE (Jt /'` D) SvIature of Parl"V9 Par" Date COUNTY OF LOS ANGELES TEMPLE CITY q 0508 PLUMEING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0812160014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID 1 BUILDING ADDDR ST SS ITR 19189 LT 102 1 - I (FEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917804136 IASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 18585-029-021 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY Cl 63 WATER PIPING BR/FIX 8 00 FIX 54 00 1 TENANT TOTAL FEES 81 75 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 12/16/O6 SR 06/14/09 (OWNER TEL NO I - FINAL JE FI BY _ CODE I MILAZZO JOSEPH (626) 444-7974- 110641 SPARKLETT ST TEMP 917804136 iffRECRIPTION OF WORX I 18 FIX COPPER REPIPE (APPLICANT TEL NO I - IXEVIN (818) 505-8032- I 1 15938 LAUREL CANYON 1 SPECIAL CONDITIONS 1 IN HOLLYWOOD 91007 I (CONTRACTOR TEL NO _ - (APPROVALS DATE INSPECTOR SIGNATURE 1ULTIMATE PLUMBING, INC (818) 505-8032- 1 1 1 I5938 LAUREL CANYON BL LIC NO (UNDER SLAB WORK I N HOLLYWOOD CA 91607 734569C36 I I I (WATER SERVICE I PLASTIC Y/N MEIAL Y/N jARCHITECT OR ENGINEER TEL NO ) I I ROLGH PLUMBING I I LIC NO GAS PIPING GAS VENT 1 IHOT WATER HEATER PLMBING FIXTURES I 1 ILAWN SPRINXLERS Ii GAS TEST UTILITY COMPANY NOTIFIED( 1 I I I L}+V I I ( (GRAY WATER SYSTEM I I I I I I I I I I I I I I (REPORT ID DPR263 ROUTE TO BS0508 I I I COUNTY OF IAS ANGELES TEMPLE CITY R 0508 PLUMBING PERMIT , DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS _ PL 0508 0812180007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT _ (LEGAL ID , FEES PAID BUILDING ADDRESS ITR 19189 LT 102 10641 SPARKLEIT ST ,v I IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917804136 1 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 18585-029-021 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY Cl 147 WATER HEATER(S) 1 00 WPH 16 20 TENANT 60 DW REPAIR OR ALTER 1 00 SYS 16 20IBSUED ON PROCESSED BY PIAN BY EXPIRES ON TOTAL FEES 60 15 112/18/08 SR 06/16/09 `• FI `(K) OWNER IFINAL GATE Y CODE TEL MK) NJ�Ly MIIAZZO JOSEPH (626) 444-7974- 1 l ♦,^ I- � 110641 SPARXLETT ST (TEMP 917804136 I JOESCRIPTION DF WORK 1 IWASTE 6 VENT SYSTEM CHANGE OUT WATER HEATER (APPLICANT TEL NO IKEVIN (818) 505-8032- 15938 LAUREL CANYON 1 SPECIAL CONDITIONS 1 IN HOLLYWOOD 91007 I I I CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE IULTIMATE PLUMBING INC (818) 505-8032- ' - 15938 LAUREL CANYON BL LIC NO UNDER SLAB WORK IN HOLLYWOOD CA 91607 _ 734569C36 I I I (WATER SERVICE 1 PLASTIC YIN FIIi IAl, YIN ARCHITECT OR ENGINEER TEL NO (ROUGH PLUMBING LIC NO (GAS PIPING IGAS VENT I IHOT WATER HEATER 1 PLUMBING FIXTURES Y1 (LAWN SPRINKLERS I I I I I IGAS TEST I I I � UTILITY COMPANY NOTIFIED 1 I I I I CW I GARY HATER SYSTEM I I I I I I I i I I I I I I I I I '� (REPORT ID DPR263 ROUTE TO BSO508 I I I 0 I