The URL can be used to link to this page

Home My Public Portal About9616 VAL ST_Plumbing__ 76AM7 (CE 8I7)-4/72 APPLICATION OR PLagBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING AIA KE CHECKS PAYABLE TO ADDRESS G 1 (e F , %1/Q L G HARVEY T BRAN DT, COUNTY ENGINEER LOCALITY TEMi�'l IT FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROss sr T .r- L-V o NUMBER FIXTURE OR ITEM • FEE WATER CLOSET 1 75 OWNER FiZEfl � A2`^moi MAIL BATH TUB 1 75 ADDRESS 1 ,v /.1♦L SHOWER 1 75 CITY TernpLe C I r,,erBL NO LAVATORY 175 CONTRACTOR A ,S'2)L Cli2L.SO SINK 1 75 ADDRESS 30'7) E [A 16 H L Ari DISHWASHER 1 75 CITY 51�12raA MA L NO 3S--ody CLOTHES WASHER 1 7S STATE LIC LICENSE NO 1 61 7 y CLASS I SWIMMING POOL RECEPTOR 1 75 LAWN SPRINKLER SYSTEM 1 75 DISTRICT NO GROUP NE CESSED BY �7pI;o1 -7,- 1 WATER HEATER 1 75 �ygSTE APPgOVAL o GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD 8 OUTLETS VER 5 PER SYSTEM ISTATE O W d N Plan check fee See Rever PLUMBING PERMIT ISSUING FEE SB 00 TOTAL FEE APPROVALS DATE INSPECTOR ! SIGNATURE PI80 check applicantUNDER SLAB WORK Name IC E (2 ROUGH PLUMBING Address ♦] F % GAS PIPING GAS VENT CItY S 1 F3tZRA Mq TBI N 'Up� HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I NAY! REATHISLICATION AND STATE THAT THE ABOVE 15 CORRECT ANDTO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATEEGULATING PLUMBING GAS TEST LICEI HEREBY CERTIFY THAT I AM PROPERLY ED AMD/OR UTILITY CO NOTIFIED NSED AS REQUIRED BY LO! ANGELES COUSTATE OP CALIFORNIA OR THAT I A THC L L OWNERINTEND TORESIDE IN THE ABOVE D[ BED ID[ TIAL FINAL f SI OF PE MI OF PERMITTEE PERMIT VALIDATION ?CKM 0 CASH PLAN CHECK VALIDATION CK M G CASH i6a::wav 7 5 D n ' 4.75 •' • COUNTY OF LOS ANGELES TEMPLE CITY F OSOB PLUMBING PERMIT DEPARTMENT OF PUBLIC MORES 9701 LAS TUNKS PL 0508 0701100002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (636) 285-0688 STT LEGAL ID PENS PAID BUILDING ADDRESS ON PILE 9616 CAL 8T FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917800000 AB98960R INPOItMAT I08 NUMBER NEAREST CRO86 STREET TEMPLE CITY 5383-016-001 01 PERMIIT ISSUANCE FEE 27 75 THOMAS PAGE GRID LOCALITY TEMPLE CITY, C 07 BATHTUBS/BHOMSRS 1 00 FII 16 10 TENANT 35 LAVATORIES/SINKS 1 00 FII 16 30 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 65 MATER CLOSET/URINAL 1 00 FII 16 20 01/11/07 JK 07/10/07 TOTAL FEES 76 35 OWNER TEL NO FIX DATE FINAL BY CODE HUANG JUNE (626) 350-1170- 9616 VAL ST �� TEm 917800000 DESCRIPTION OF WORK PLUMBING FOR BATHROOM APPLICANT TEL NO HUANG (636) 350-1170- 9616 VAI. 9T SPECIAL CONDITIONS TEMPLE CITY CA 91780 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE HUANG, JUNE (636) 350-1170- 9616 VAL STREET LIC NO UEDRIt SLAB WORK TEMPLE CITY, CA 91700 NONE WATER SERVICE PLASTIC Y/M METAL YIN ARCHITECT OR ENGINEER TEL NO LIC -80 ROUGH PLUMBING S GAS PIPING GAS VENT HOT MATER SEATER PLUMBING FIZTURE9 ll -- LANE SPRINKLERS GAB TEST UTILITY COMPANY NOTIFIED CMN GRAY MATER SYSTEM REPORT ID DPR363 ROUTE TO BSOSOB r _' IOCIO $'COMPENSATION DECLARfTION hereby affirm that I hove a certificate Cf c6n:91g 4o self20-0078 DPW 8,07 APPLICATION FOR PLUMBING PERMIT insure or a certificate of Workers'Compensohon Insurance, 76AS67A or a certified copy thereof (Sec 3800, Lab C ) \ COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS Policy No Company Certified copy is hereby furnished ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspac- ADDRESS 961z— r tion department NUMBER FIXTURE OR ITEM ® F C r s�� / LOCALITY Dots Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER (This sac9on nand not be cotnplafad If the work involved by ms AODaEss the perIs for one hundred dollars(3100)or lass ) LAVATORY I certify that in the performance of the work for which this permit is Issued I shall not employ any person in any manner SINK CITY TEL NO so as to become subject to the Workers Compensation Laws DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS TO APPLICANT If, after making this Certificate of Exemption you should become subject to the Workers SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code you must forth- LAWN SPRINKLER SYSTEM CITY TEL NO with comply with such provisions or this permit shall be STATE UC deemed revoked WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTFICT NO ev I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS 5 (commonicmg with Section 7000)of Division 3 of the Business OUTLETS OVER r and Professions Code and my license is In full force and effect 5 PER SYSTEM FINALVALIDATION g—s—G�Z License Number L¢ ClassDATE FINAL Contractor Date BY O ❑ f— I am exempt under Sec TJ W B 8P C for this reason Plan check fee coil Date PLUMBING PERMIT ISSUING FEE$ 3 Z Signature TOTAL FEE Pian check applicant SINGLE FAMILY HOME OWNER BUILDER DECLARATION Name ACC T. I hereby affirm that I am exempt from the Contractor i License Low for the following reason (Section 7031 5 Business and fess 3307 75.][l Professions Code) City Tel No ❑ I as owner of the property will do the work and the 1 ITEM structure is not Intended or offered for sale (Section pop. .5 3-r?. 10 7041 Business and Professions Code) CONSTRUCTION LENDING AGENCY My,, 35.53 1 hereby affirm that there is a construction lending agency for .00the performance of the work for which this permit Is Issued (Sec 3097, Civ C ) Lender s Name 0000-0001 6/15/50 Lender s Address 1m 1 Act 7.36 1 certify that I have read this application and state that the polo nformot,on Is correct I agree to comply with all County ordinances and State laws regulating Plumbing and hereby authorize reprelentatives of this Counry to enter upon the above mentioned property for mspectio I /p purpose 7L rJ^� SEE REVERSE FOR EXPLAN ORY LANGUAGE A/L s �/ V T Signature of Permittee Dote / COUNTY OF LOS ANGELES TEMPLE CITY A' 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0412060017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID: FEES PAID BUILDING ADDRESS ON FILE 9616 VAL ST FEE DESCRIPTION QUANTITY LOM. AMOUNT: TEMP CA 917800000 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET- TEMPLE CITY 5383-014-004 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE' GRID LOCALITY TEMPLE CITY, C 47 WATER HEATER(S) 1 00 WTH 16 20 ItNANI TOTAL FEES 43 95 ISSUED ON PROLESSED BY. PLAN BY EXPIRES ON 12/06/04 JK 06/04/05 OWNER: FINAL DATE FINAL BY CODE IP WAI K/CHOY L (626) 475-1708- - 9616 VAL ST ,';L- 7- TEMP TEMP 91780 QE4CKLPTIUN OF WORK CHANGE OUT WATER HEATER APPLICANT TEL NO SAME AS OWNERCONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE - SPECIAL CONDITIONS SAME AS OWNER - LIC. NO UNDER SLAB WORK WATER SERVICE ARCHITECT DR ENUTWEEW-. TEL NO PLASTIC Y/N METAL Y/N ROUGH PLLMING LIC. NO GAS PIPING GAS VOT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTI LITY COMPANY NOTIFM GRAY WATER STSTEM REPORT ID DPR263 ROUTE TO BS0508