HomeMy Public PortalAbout5318 TEMPLE CITY BLVD_Plumbing__ Ts sea—ce Bn B/ee
a` APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIMION ROILR
JOHN A LAMBIE. COUNTY ENGINEER AD°� 18 Temple City Blvd,
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN PR NT OR TYPE) CROSSNEART
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET _ 1 50 Inc, OWNER John M O I O
BATH TUB 1 50 Q
a�narsa es
1010 E. Los Tun
SHOWER 150 0 CITY San Gabriel TEL NO 286-9822
LAVATORY I50 -0 CONTRACTOR Oven Bros. Plumbing, Ino.
SINK I So p ADDRESS 4265 North Baldwin Avenue
DISHWASHER 1 50 Q CnT El Monte f/= TEL NO 443 7
CLOTHES WASHER 1 500 LTCENLIC
BE NO 231 741 CLASS C 36
SWIW,IING POOL RECEPTOR 150 pIRTRIR N G P Z E O
LAWN SPRINKLER SYSTEM 2 00 O O
V
RATER HEATER 1 50 0 INDUSTRIAL _ _ _
_ WASTE-APPROVAL -
GAS SYSTEM 'OUTLETS I SO Q INSPECTION PCORD
OUTLETS OVER o-
5 PER SYSTEM 30 L 2
4
r I r `ar:12i
Plan check fee,25- of above See rt verse
PLUMBING PEHAfI F ISSIIINC F F F S 2 00
TOTAL FFF
APPROVALS DATE INEPECTaw aelaHATUR[
Plan check ipplleant UNDER SLAB WORK i
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No HOT WATER HEATER
1 "BUSY ACKNOWL[OOC THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE Apv[ 1[ COIIILLCT AND AGER[ TO COMELY PLUMBING FIXTURES
WRH ALL COUNTY Ow OINAMC[[ ANO STAT[ LAWS REGULATING GAS TEST
PLUM ING
I N[REBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENEED AS REOUIwED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
me.. RN THE ABOVE eCwl [O REEIDENTIA ROKRTY FINAL `
BIGNATUR! JACK R. ALLEN, SUPE I51 CM o CASH ENG R
OF /lRMITTEC
LAN CHECK VALE ATION CK M o CASH PERMIT VALIDATIO cK
14 4 A.o 1d1C15 5 0 2 0.0 0^' Q
WORKERS' have"5"TI°" DE`Lf consent - APPLICATION FOR PLUMBING PERMIT
I hereby that I have a certificate of consent to self m- 7jAUPW 4/90
sure,ora certififths of Workers Compensation Insurance,or a - -
certified copy thereof(Sec 3800, Lob C )
Policy No Company
COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
E] Certified copy is hereby furnished
f-0
❑ R APPLICANT TO TO FILL IN(PRIOR TYPE) BUILDING
Certified copy is filed with the county building inspection ADDRESS S
department NUMBER FIXTURE OR ITEM ® FEE
LOCAL
Date Applicant WATER CLOSET TOILET) NEAREST (�
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST
COMPENSATION INSURANCE _ _ SHOWER_ _
- — (This section need-riot ba"mmplsrled If 1h�work Inwhid Iiy - _ _ MAR .�+�� A/
the permit is for one hundred dollan($100)or less) LAVATORY - ADDRESS 6 /v
I certify that in the performance of the workoot
n per- SINK CI
Mit is issued, I shall not employ any nr so
as to become wblect to rhe Workers Laws /-
9 DISHWASHER CON RACTOR
Dote C Applicant CLOTHES WASHER �!f
NOTICE TO APPLICANT If after
makt is C scare of Ex- ADDRESS Q x _`r g
emption,you should become sublact to the W ke 'Compen SWIMMING POOL RECEPTOR
scion provisions of the Labor Code, you must with comp- LAWN SPRINKLER SYSTEMS
ly with such provisions or this permit shall be deemed revok- STATE �� UC _��
ed WATER HEATER LICENSE NO CLASS
LICENSED CONTRACTORS DECLARATION DISTRI�O PROCESSED BY
I hereby affirm that I am licensed under provision of Chapter GAS SYSTEM OUTLETS
9(commencing with Section 7000)of Division 3 of the Business SOUTL SYS MR _
and Professions Code and my license a in full force and ef- FINAL VALIDATION
fact _ - HOSE BIB _ DATE
Ucense Numb is Class. >
IL
14
J�-i FINAL
Contract Dote BY V
I am exem u der Se
B aP C for s reason plan check fee pop.PLUMBING PERMIT ISSUING FEE$ ', D =
Signature
TOTAL FEE IJ
SINGLE FAMILY 17 Plan check applicant
HOME OWNER-BUILDER DECLARATION PP
I hereby affirm that I am exempt from the Contractor s License Name 5
Low for the following reason (Section 7031 S, Business and
Professions Code) Address ACCT.aw
I, as owner of the property, will do the work and the City Tel No 3303 43.40
structure is not intended or offered for sale(Section 7044, 1 ITEJIS
Business and Professions Code)
CONSTRUCTION LENDING AGENCY
TOTAL 43 - 40
1 hereby off um that there is a construction lending agency for GECK 43.40
the performance of the work for which this permit is issued GONE .00(Sec 3097 Civ C )
Lender s Name
OQDO-0001 4/ 8/96
Lender's Address - - - M4 1 AM11:14
I certify that I have read this application and state that the ►
above mformonon is correct I ee to comply with all County
ordinances and re citing Plumbing, and hereby
authorize re is County to enter upon the
above-me rty for inspection purposes
_ �� SEE REVERSE FOR EXPLANATORY LANGUAGE
Sign tura of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY �0 0908 -£PLUB ING.PERRI TZ'
DEPARTMENT OF PUBLIC WORKS 9701 LAS TURAS 2PL70508-9902230003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUIEDING-AUDRES'S"
ON FILE 5318.TEMPLEi CITY-BL
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP2CA•917803148
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET: OLIVE
8589-001-012 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY
47 WATER HEATER(S) 1 00 WTH 16.20
TOTAL FEES 43 95 ISSUED ON: PROCESSED BY PLAN BY EXPIRES ON
02/23/99 U,T�Q 02/23/00
OWNER TEL NO FINAL DATE FINAL BY -9
CALLAGHAN DANIEL P JR,MARTHA G
5318 TEMPLE CITY BL
TEMP 917803148 1f1CRT1s{ 6
CHANGE'OUT'OF'WATER-HEATER
APPLICANT TEL NO
MARSH PLUMBING (818) 407-1247-
7229 VARNA ST SPECIAL CONDITIONS
N HOLLYWOOD, CA
CONTRACTOR5 PNGELES co
MARSH PLUMBING (818) 407-1247- V� �TJAPPROVALS DATE INSFFUMF'§�
-
7229 VARNA AVE LIC. NO LINDER SLAB WORK
NORTH HOLLYWOOD, CA 91605 16425B/L
I / PLASTIC Y/N METAL Y/N
ARCHITECT DR ENGINEER ILL NO:
LIC NO lllllli
GAS PIPINGGAS VENTi
� 'UBLIC WORKS
PLLE40ING FIXTURES
-AA IT,
A =I GAS TEST
�5 UTILITY COMPANY NOTIFIE15
Ob//c Service That��� CWV
GRAY WATER SYSTEM
ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO BS0508
COUNTY OF IAS ANGELES I TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0809040004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 5318 TEMPLE CITY BL
(FEE DESCRIPTION QUANTITY UOM AMOUNT TE24P CA 917803148
(ASSESSOR INbVRMATION NUMBER NEAREST�CROSS STREET
16589-001-012 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl
47 WATER HRATER(S) 1 00 NTH 16 20 v I
TENANT ' TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
(09/04/08 SR 03/03/09
_ 1 I
OWNER TEL NO FINAI, DATE FI BY CODE
531EPEACSMNTHA O
TEMPLE BLTEM8T - DEISCftIPTION OF PARK D
REMOVE/REPLACE GAS WATER HRKTER
(APPLICANT TEL NO
IFAST WATER HEATER COMPANY
12601 132 ND NE (SPECIAL CONDITIONS
KIRKLAND WA 98034
(CONTRACTOR TEL NO � APPROVALS DATE INSPECTOR SIGNATURE I
IFAST WATER HEATER CO (800) 454-8955-
112601 132 AVE NE LIC NOUNDER SLAB WORK
IKIRKLAND WA-98034 - — - - 977499 C36
WATER SERVICE
(PLASTIC Y/N METAL Y/N
(ARCHITECT OR ENGINEER TEL NO
ROUGH PLUMING
LIC NO (GAS 'PIPING
I (GAS VENT I I I
(HOT WATER HEATER
(PLUMING FIXTURES
LAWN SPRINKLERS
I
Y iGAS TEST
(UTILITY COMPANY NOTIFIEDI
cw
(GRAY NATER SYSTEM
I I
I I I
(REPORT ID DPR263 ROUTE TO BS0508 i