HomeMy Public PortalAbout9629 VAL ST_Plumbing__ MA667 CE817 9 57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
AND SAFETY DIVISION ADDRESS
JOHN A L.AMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T on BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST B.I
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAII.
BATH TUB ADDRESS
SHOWER NTRA R TEL NO -
LAVATORY CO ---
BRIE ADDRESS �,J
DISHWASHER CITY TEL NO—'
LAUNDRY TUB CONTRACTOR S �l STje
ATE
REGISTRATION NO •I COUNTY Ej
CLOTHES WASHER
DISTRICT NO G OUP NE nE INSPECTION
WATER HEATER
GAB SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
® !1 BB PER ITEM GATE INSPECTORS SIGNATURE
OR FIXTURE >f 3470 UNDER 8 B WORK /
ROUGH PLUMBING7-0
PERMIT S 00
GAB PIPING
TOTAL FEE 106
6A8 VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNfR OF T ABOVE UTILITY CO NOTIFIED
DESCRIOcD RESIDENTIA OPERTY /`//
SIGNATUREJ�.
OF PERM ITTEE FINAL —V
ROBERT A WOOD
VALIDATION
SUPERVISING MECHANICAL ENO R
CK M G CASH
L&3 7 5 5 S OCT 9 5 A 5.0 0
i2�m, Ev
YeAsn IT wm 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTR1�'f NO GROUP ZONE PE/MITPIO.
VALLLY ARD PLUMBING CO, RECEIVED BY READY FOR DATE ISSUED
J
PLUMBER FIRST INSPECTION
ALLEY BLVD 4z; �a
ADDRESS bPUU LAST
TEL NO
AT. •2719 ADDRBUILDING ESS 0/
CITY
COUNTY 93M 6 ,51 LOCALITY 62.
LICENSE N EXPIRES
NEAREST
PERI1�IIT FEES CROSS ST
NOMEOt T M OF MZ R6 0R Il M PEE OWNER
MAIL
WATER CLOSET TOILET 050 O AppR®8
BATH TUB O BO S"o CI TEL N
SHOWER O BO I AD HEREBY ACKNOWLEDGE THAT 1 HAVE RETHIS
LAVATORY WASH BASIN O BO D APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
/ KITCHEN SINK O SO STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
/ LAUNDRYTUBORTRAY O BO d ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
.a OF THE RESIDENTIA PERTY DESCRIBED ABOVE
/ GAS SYSTE OUTLETS O BO !� ✓l
SIGNATURE OF
/ WATER NEATER O 60 G PERMITT
SLOPSINK O Bo INSPECTION RECORD
S
FLOOR BINK O O
FLOOR DRAIN 050
DISHWASHER O SO
DRINKING FOUNTAIN O EO
URINAL O BO ,J
HOUSESEWER O BO Q
Z
MISCELLANEOUS 17
0
0
APPROVALS
DATE IN�F[CMR O NAM[
ROUGH PLUMBING
GAS PIPING
GAB VENT
CESSPOOL 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT 1 OO GAS TEST ri vigL
UTILITY Co NOTIFIED
TOTAL FEE B
FINAL
" a a APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMITNO
S 1 cf600j-- ('1
PLUMBER VALLEY B0111 EVARD P1 11MOINC Co RECEIVED By READY FOR DATE ISSUED
8300 EAST MAI I Ey Al VD- P-40 FIRST INSPECTION
ADDRESS
pip BUILDING / Q
CITY EMFA TEL NO A
ROSODRSSS r 7
COOT' o 93M p[PIRES LOCALITY
LICEN
NEAREST
PERMIT FEES CROSS ST
YUYC[Il TIF[OI Fl=um OR IT[Y FEE OWNER
MAIL
WATER CLARET (TOILET) a 030 It ADDRESS 1/ UOQ
BATH TUB a O SO 1 NO
SHOWER O SO I HEREBY ACKNOWLEDG[ THAT 1 HAVE READ THIS
LAVATORY WASH BASIN O 6 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK O SOSTATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY O SO ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE REBIDBNTI ROPtRTY DESCRIBED ABO E
GAB SYSTEM OUTLETS O SO
SIGNATURE OF
WATER HEATER O SO PBRMITTH
SLOPSINK O Bo INSPECTION RECORD
FLOOR BINK 050
FLOOR DRAIN O So
DISHWASHER O SO
DRINKING FOUNTAIN 10 050
URINAL O SO ..I
HOUSES WER O SO O Q
Z
MISCELLANEOUS V
C
O
APPROVALS
DATE IN[FEROR t NAY[
ROUGH PLUMBING
GAS PIPING
GAB VENT
CESSPOOL 1 00 O D CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN I I PIT I ) 100 SEWER
PERMIT 1 00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE t Q
FINAL I
WORKER
thatA have a certificate
°f coAR""°" 70657A alae APPLICATION FOR PLUMBING PERMIT 11
I her 70Aaa7A
hereby eyrrm that l have a certillcete of consent to sell Insure
or a certificate of Worker a Compeneetbn Insurance or a certified
COPY theraot(See 3600 Lab C)
Policy any COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT OF PUBLIC WORKS DIV
No —❑ Cerohed copy Ia hereby fummhed
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDI❑ ADDRESS ` L CertlOed copy le filed with the county building Inspection
depertnMnt NUMBER FIXTURE OR ITEM O FEE LOCALITY
Date Applicant WATER CLOSET NEAREST
CERTIFICATE OF EXEMPTIONSHOW TUB FROM WORKERS CROSS ST Cr
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed If the fora Involved by the SHOWER VAPBOOK /'�� PAGE /3 PARCEL OWj5
permit Is for one hundred dollen(11100)or leve I OWNER l� L L L
I "nity that In the performance of the work for which this permit LAVATORY
le Issued I Shell not employ an MAIL
p y y person In any manner w as to SINK ADDRESS
became eublect to Worken Com orlon Lowe
r DISWASHER CITY TEL NO
Dan AppNeant CLOTHES WAMER
NOTIC TO PLI ANT II alt making th a er ilicete of CONTRACTOR
Ex an,yo elloukl become sub to the Workers'CompenaaUon SWIMMING POOL RECEPTOR
pravnlane of the Labor Cotle, you uet forthwith comply w�ih such 'D�� (/
provisions or this permit Shall be dammed revoked LAWN SPRINKLER SYSTEM
LICENSED CONTRACTORS DECLARATION TEL NOS751-7 (L
I hereby affirm that 1 em licensed under provisions of Chapter 9 WATER HEATER
(commencing with Section 7000)of Dlviwon 3 of the Business and ns SYSTEM OUTLETS LICENSE NO CLALicSS
Profession Code antl my license le in lull force andaffectto
0VRET9OVER DISTRICT NO PROLE _ By, Q
6PER Y8fEM �0� I-
License Numbs L,c paee�.
U
con9acto< 1/ t. ! DDATE7 VALIDATION wa
1/ � t
❑ I am exempt undx Sac BY
B 0P C for this reason
Plan check fee
Date ,
Signature PLUMBING PERMIT ISSUING FEE S ;t-(j
❑ TOTAL FEE
SINGLE FAMILY
Plan check applicant
—
HOME OWNER BUILDER DECLARATION Name AM .A
I hereby affirm that I em exempt from the Contractor a License Lew
for the following reason (Section 7031 6 Business and Professions Address
Code)
1
❑ Gty — Tel No — 1 ITEM:,
u owner ner of the property will do the work end the slrecture
Is not Intended or offered for Bale(Section 7041 Buslnees TOTAL 41 _ 85
and Professions Code) 5
CHECK a1.2
CONSTRUCTION LENDING AGENCY - CHANGE .ACI
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit Is Issued (Sac 3097
CW C)
II03(]—IM1 E/1h194
Lender's Name � 6 1 AM lis OLI
LandeYs Address
I certify that I have read this application and elate that the above ►
information is correct I agree to comply with all County ordinances
and State laws regulating Plumbing and hereby authorize
reprewntebves of this County to enter upon the above mentioned
projQVY for inspection P // /�Y SEE REVERSE FOR EXPLANATORY LANGUAGE
ure e
SI re of Pelmktee J' Dala
COUNTY OF LOS ANGELES TEMPLE CITY R 0508 PERNI47,
• DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS UIE 0508_98110600
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (818) 285-0488 EXT
LEGAL ID: ---Fn%-PATF-- BULLGING-ADDRESS
TR. 16867 T9629 VA„
FEE DESCRIPTION QUANTITY LOM AMOUNT TEMP CA 91780
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET- TEMPLE CITY BLVD
01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE GRID LOCALITY TEMPLE CITY
N 1 00 1.00
TENANT /�Ajjy�� TOTAL FEES 28 75
Q'�' ;ssuEo ON PROCESSED BY PLAN BY EXPIRES ON UT 11/06/99
OWNER TEL. NO FINAL DATE -rrwE-By E
GLLILAND, SHARON (818) 446-2097- I Z��, `
TEMPLE CITY, CA
ING
APPLICANT TEL NO
CONNOR AIR CONDITIONING 3 REFRIG.CONTRACTOR TEL NO -
SPECIAL CONDITIONS
5 Pt`1GELES Co APPROVALS DATE INsFn7MFfrfflRTUffE--
CONNOR AIR CONDITIONING 8 REFRIG - V� NTY
LIC NO FAU/WALL FURNACE
NONE
ARCHITECT OR ENGINEER TEL NO ULX;l WUNK
LIC. NO: 111111
THERMSTAT
� ���LoC W(0IcD � FIRE DA04PERS SMOKE DETECTION DEVICES
prNmeff= HOOD
A 0 r �5
vb/'O SLrvi- Tha���`
REPORT ID DPR264 ROUTE TO BSD5O8
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9707160004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285-0488 EKT:
LEGAL ID FEES PAID BUILDING XOM97—
TR 16867 9629 VAL
FEE DESCRIPTION' QUANTITY- UOM AMOUNT: TEMP CA 91780
ASSESSOR INFORMATION NLPWER NEAREST CROSS STREET
01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE GRID LOCALITY TEMPLE CITY
47 NATER HEATER(S) 1.00 WTH 16 35
TENANT TOTAL FEES 44 10 ISSUED ON PROCESSED BY. PLAN BY UPLKtb ON
07/16/97 TC 07/16/98
OWNER TEL NO FINAL DATE FIKALBT CODE
GILLILAND, SHARON (818) 446-2097-9629 Et-Q7$..Q7
TEMPLE CITY, CA OESU[IPTION"OF-'WORK
CHANGE OUT OF WATER HEATER
APPLICANT: 1U. NO:
MARSH PLUMBING, INC (818) 446-2097-
SPECIAL CONDITIONS:
CONTRACTOR: TEL NO APPROVALS DATE imsPRTffi-9rMffTaffr—
MARSH PLUMBING, INC. (818) 407-1247-
7229 VARNA AVE. LIC NO " UNDER SLAB WORK
NO HOLLYWOOD, CA 91605 692342/C36 `. WATER SERVICEARCHITECT OR ENGINEER TEL NO �
PLASTIC Y/N METAL Y/N
LIC. NO:
GAS PIPING
GAS VENT
NOT WATER HEATER
PLLRBING FIXTURES
LAWN SPRINKLERS
GAS TEST
CwV
GRAY WATER SYSTEM
REPORT ID- DPR263 ROUTE TO. BSD508