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Home My Public Portal About9241 SPARKLETT ST_Plumbing__ J 7! 7 Q8111'All- APPLICATION FOR PERMIT DIMARTIUNT OFF NG AND SAFETY COUNTY F LOS ANGELES WLLIAM J. Fox. OHIV [NRIN[sw PLUMBING BIBG RNlFr NUI. FOR APPLICANT TO FILL IN DlWrR PLUMBER RCC P/[D n READY FOR DAT[ IRRU[O hKBT SNSP[OTION ADDRESS CITY TEL No po QJ'yI Q BADDRESS 67 COUNTY Nil 1 Y E 7 0 .t'Y LOCALITY NEAREBT PERMIT FEES CROSS ST MYM[p1 TIT[01►IKTIR[OR li[M ►[[ DWN[R MAIL CLOSET(TOILET) OBO B DRESS 3 a BATH TUB OSD �• 4, �! v CITY TTL. BHGWER @ O SO 1 HERESY ADKMOWLEDD[ THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 050 APPLICATION AND STAT[ THAT THE "DYE IB CORRECT AND ACRE[ TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 050 AND STAT[ LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY @ 050 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTIAL P$QP�[BORI ED ABOVE. WATER HEATER @ OBD BAR SYSTItM-3--pUTLwTB Q 022 SIO P NR[ �vnefO^��1 e.^^ 'Taa-i1C", GLOP RINK @ ow INSPECTION ECORD FLOOR BINK @ O SO FLOOR DRAIN @ O SO DISHWASHER @ O SO DRINKING FOUNTAIN @ CBO URINAL @ CSO a HOUR[ SEWER @ CSO _Y MISC [OUR 0 APPROVALS DAT[ 1NERROR'B MAY[ ROUGH PLUMBING GAS PIPING I� OAS VENT CESSPOOL @ Ion CESSPOOL SEPTIC TANKS SEPTIC TANK DRAIN ( ) PIT ( I @ 1 DO SEWER PERMIT 1 DO GAS TEST UTILITY CO NOTIFIED TOTAL FEE a J. rIMAL. WORKERS'COMPENSAT IONPEC LARATION APPLICATION FOR PLUMBING PERMIT I hereby,affirm that I have a certificate of consent to self 76A667A insure, ar a certificate of Workers' Compensation Insurance, CE 817 (REV. 8/86) or a certified copy thereof (Sec 3800, Lab. C.) �_ /c , .t.! -_. I i COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company QCertified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �- Certified copy is filed with the county building inspec- ADDRESS tlpn department. I �' - NUMBER FIXTURE OR ITEM ® FEE - ,` / 1/ LOCALITY Date Applicant - WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed IE the work Involved by MAIL rm the permit Is for one hundred dollars ($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this permll is issued, I shall not employ any person in any manner SINK CITY TEL. NO. so as to become subject to the Workers'Compensation Lows. DISHWASHER - CONTRACTOR Date Applicant ) CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' - Compensation provisions of the Labor Code, you must forth- CITY TEL NO. LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE - LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION _ DISTRICT NO. PROCESSED BY TEM OUTLETS t I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYS _ d (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER 0 and Professions Cods.,and my license is in full force and effect. 5 PER SYSTEM0 FINAL VALIDATION DATE J License Number Lic. Class - t' FINAL LL Contractor Date BY S ❑ I am exempt under Sec. C 0.8P.C. for this reason Plan check fee Date:- polls,PLUMBING PERMIT ISSUING FEE$ lit- Signature Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATIONName I.hereby affirm that I am exempt from the Contractor s License Address Low for.the following reason (Section 7031.51 Business and Professions Code): Cly Tel No. ❑ 1, as owner of the property, will do the work and the loop is not intended or offered for sole (Section '• 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that?here is a construction lending agency for 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 state that the ► above information is correct, I agree comply with all County ordinances and State laws Tegula ' g Plumbing, and hereby authorize representatives of th' County to enter upon the above-mentiony�properly-for n b<tion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date w COUNTY OF LOS ANGELES TEMPLE CITY Y 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC MORES 9701 LAN TBIAS PL 0508 0607310014 ' BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PROEM (636) 285-0488 ETT LEGAL ID FEES PAID BUILDING ADGERBS TR 16475 LT 76 9241 SPARELETT ST FEE DESCRIPTION QUANTITY VON AMOUNT TENT CA 917803746 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET RIO HONDO 0590-077-002 O1 PERMIT ISSUANCE THE 27 75 THOMAS PAGE 596 GRID JS LOCALITY TEMPLE CITY C 07 BATHTUBS/SHOWERS 1 00 FIE 16 20 TENANT 35 IAVATORIES/BINES 1 00 PIE 16 20 ISSUED OB PROCHBSED BY PLAN BY EXPIRES ON 47 MAYBE REXTER(S) 1 00 WTH 16 20 07/31/06 JE 01/27/07 TOTAL FEES 76 35 OWNER TEL NO FI � FINAL BY - CODE HUANG, YAO MING (636) 614-8381- 9341 SPARILETT BT TEMP 917803746 DESCRIPTION OF WORE PLUMBING FOR NEW BATHROOM APPLICANT TEL NO HUANG (636) 614-8381- 9641 SPARELETT ST SPECIAL CONDITIONS TEMPLE CITY CA 91780 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNAT DEE HUANG, FAO MING (636) 614-8381- 9241 SPARKLETT STREET LIC NO UNDER TEMPLE CITY, CA 91760 NONE -� WATER SERVICE PLASTIC Y/N METAL S/tl ARCHITECT OR @IGItlESIt TEL NO LIC NO ROUGH PLUMBING GAS PIPING GAS VENT HOT MATER HEATER PLUMBING FIXTURES ` C� LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CMV GRAY WATER SYSTEM REPORT ID DPR263 ROUTE TO 880508