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Home My Public Portal About9647 VAL ST_Plumbing__ TRARA n IFRO ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY P S L 81 w (� COUNTY OF LOS ANGELES WILLJAM J PDX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRI NO GROUP I ZONE PERMITNO kOt PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED r L cI ►IRSTINSPECTION ADORERS 900 EAST VALLEY BLVD. / CITY RO'EMEAD TEL NO AT. 2.271 ADDRESS &30 /uRTg 93M NO EXPIRES NEAREST PERMIT FEES ROSE ST NUb[R TY"OI EIXTUR[OR ITY FE¢ OWNER [ MAIL ( / WATER CLOSET TOILET O SO • Q ADDRESS /.�/ / BATHTUB O Rp CI HL NO ^-,4 e, SHOWER O SO 1 HHRRBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY WASH BASIN) O So APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING KITCHEN SINK O OO 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 050 ANGELES COUNTY LICENSE OR I AM THE LHGAL OWNER OF THE RESIDQNT;.LL PROPERTY DESCRIBED ABOVE OAS SYSTEMOUTLETS O SO �J e SIGNATURE WATER HEATER O 60 PERM I m; SLOPSINK o •o N 0 INSPECTION RECORD FLOOR SINK QII O SO FLOOR DRAIN @ O SO DISHWASHER @ 050 DRINKING FOUNTAIN a O SO URINAL a O SO „J HOUSESEW[R a 059 Q Z MISCELLANEOUS 0 I APPROVALS DATC INSIMCTOR• HAM[ ROUGH PLUMBING OAS PIPING TI I•I GAB VENT CESSPOOL 1 001 CESSPOOL SEPTIC TANK I SEPTIC TANK DRAIN 1 I PIT I 1 0 100 SEWER p� PERMIT 1 00 GAS TEST UTILITY CO NOTIFIED TOTAL FEE • Q FINAL TBAes/ n abo Pi APPLICATION FOR PERM DEPARTMENT OF BUILDING AND SAFETY PLUMBING ' w v COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMITNO. Ir 5 6O O y - 20 PLUMBER VALLEY BOULEVARD PlOMBIWG CO. RECEIVED BY FIRST INSPECTION YPEC710N DATE ISSUED 8300 EAST VALLEY BLVD. � ADDRESS CITY TEo AT. 2.2719 BUILDING y L Q COUNTY Bvim EHEAD 6-30.-4-/ ALocwLlrr LICENSENOEXPIRES ��T.I. NEAREST PERM FEES CROSS ST NUMEEE TYPE 01 MX "OR ITEM FEE OWNER , IL WATER CLOSET (TOILET) Opo AODRE88 ,✓��/fins r BATHTUB 050 SHOWER ® O p0 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY WASH BASIN O p0 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN PINK D p0 STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY a O SO ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER OF THE REBIDENTI PERTY DESCRIBED ABOVE GAS SYSTEM OUTLETS O p0 SIGNATURE WATER NEATER O p0 PERMITTE ^ SLOPSINK O 50 INSPECTION RECORD FLOORSINK O 50 FLOOR DRAIN O SO DISHWASHER O SO DRINKING FOUNTAIN O p0 URINAL QD O p0 J Q HOUSE SEWER 030 d _Z MISCELLANEOUS 'a 0 APPROVALS DATE INaP[croa Y NAME =TEST UMBING G CESSPOOL 100 D Q SEPTIC TANK NK GRAIN I ) PIT I ) ® I DO PERMIT 1 OD NOTIFIED TOTAL FEE B 6 F FINAI. � WORKER COMPENSATION DECLARATION to 7�ADPW°/� APPLICATION FOR PLUMBING PERMIT I hereby affirm that I neve a certificate of consent to self Insure or a certificate of Workers Compensation Insurance or a certified copy thereof IS" 3809 Lab C) icy N ,� / p/ Polo% (�2.anper�lY1 J. _�.J COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS �DEPT OF PUBLIC WORKS DIV Cofurnished Certified copy fe hereby lurehed /ms`s=s4 ❑ FOR APPLICANT TO FILL IN(PRIM OR TYPE Certified Copy is filed With the county W aing 4ropectgn I department NUMBER FIXTURE OR ITEM ® FEE Date /�—/7-16 p11Com WATER CLOSET LOCALITY NEAREST 97 CERTIFICATE OF EXEMPTION FROM WORKERSBATHTUB CROSS ST COMPENSATION INSURANCE ASSESSOR (This wctlon need not be completed If the work Involved by the SHOWER MAP BOOK PAGE PARCEL permit Is fm one hundred dollars(4100)or leu) LAVATORY OWNER 1 sanity that In the t employ an of the work for which r s permit MAIL 7 is issued I shall t not employ any person in any manner so, u to 6MK ADDRESS become subject to the Workers Compensation Lawe DISWASHER TEL NO 5(y Oats Applicant CLOTHES WASHER mEPCONTRACT NOTICE TO APPLICANT If after making this Certificate of Exemption you should become subject to the Workers Compensation SWIMMING POOL RECTOR provisions of the Labor Code you must forthwith comply with such ADDRESS provisions or this Permit shell be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION crry TEL 9 I hereby affirm that I am licensed under provisions of Chapter S WATER NEATER Lf/ cC p d (commencing with Section 7000)of Division 3 of the Business and GAS Syg7pA OUTLETS CENSE NO (p✓p 7�a GLASS '�� Professions Code and my license Is In full force and effect !�� `�1p� ///� OUTLETS OVER DISTRICT NO PROCESSED BY fZ License Number 6'"' 7✓" LK: Claes —� 5 PER SYSTEM p� 0 DateFINAL Z� DD _ -fes YALIDATION a ❑ Z I em mpt under Sec gy�L i�.I.� .t ? B aP C for this reason "[I 41.=` Date Plan check fee J 1► ITEMS r 11/neturs PLUMBING PERMIT ISSUING FEE E TOTAL FEE / r tTAL E] CHECK Plan check applicantt_HECK SINGLE FAMILY HOMEOWNER-BUILDER DECLARATION Name CHANGE .GCI I hereby affirm that I am exempt from the Contractors License Lew for the fallowing reason (Section 7031 S Buelnses and Professions Address Code) city Tel No 0020-1=13131 ❑ I,as owner of the property will do the work end the structure 7770 is not Intended or offered for sale (Section 7044 Business and Profeaslons Code) ► CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec 3087 Civ C) Lender a Name Lender a Address I certify that I have reed this application and state that the above , Intonnabon Is correct I agree to comply with all County ordinances , and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above mentioned property for mapectbn purposes ✓ ��. SEE REVERSE FOR EXPLANATORY LANGUAGE V/Signature of Perrnittee Date ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS C�1 02 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID TR: 16867LT 6 9647 VAL ST FEE DESCRIPTION QUANTITY UOM AMOUNT ODO ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET TEMPLE CITY BLVD 5383-013-006 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE: GRID LOCALITY TEMPLE CITY, C 07 BATHTUBS/SHOWERS 1 00 FIX 16 20 iERANT 11 CLOTHESWASHER(S) 1.00 FIX 16 20 ISSUED ON PROCESSED BY. PLAN BY EXPIRES ON 25 LAVATORIES/SINKS 2.00 FIX 32 40 05/14/99 VG 11/10/99 45 WATER CLOSET/URINAL 1.00 FIX 16 20 OWNER. TEL NO 47 WATER HEATER(S) 1.00 WTH 16 20 FINAL DATE FINAL BY VALENIUELA MANUEL A,GUADALUPE (626) 447-9680- 51 LOW PRS GAS 5 OUTLET 1.00 STS 16 20 � ,I OLSUKILUM6�I/ 9647 VALLEY ST TOTAL FEES 141 15 r TEMP 917800000 WORK PLUMBING FOR REMODEL APPLICANT DREAM HOME CONSTRUCTION (626) 285-4421- SPECIAL CONDITIONS CONTRACTOR TEL NO5 PNGELES CO ./ DREAM HOME CONSTRUCTION (626) 285-4421- �0 ��Ty 1 5720 CLOVERLY AVE LIC NO UNDER $LAO WORK TEMPLE CITY, CA 91780 676624 B ARCHITECT OR ENGINEER TEL--ND-- PLASTIC Y/N METAL Y/M LIC NO // 1111111 lll((('JJJ---T�tttl M HD L 0 C WA 0 G7 KtiAb VENT 6) F1136TWFIXTURES LAWN SPRINKLERS "MM. O 0 ; GAS TEST A 0 ®5 CWV - /c Service That�o` REPORT ID DPR263 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0412060020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID- FEES PAID BUILDING ADDRESS TR 16867 LT: 6 9647 VAL ST FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917800000 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET TEMPLE CITY BLVD. 5383-013-006 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE' GRID. LOCALITY TEMPLE CITY, C 07 BATHTUBS/SHOWERS 2 00 FIX 32 40 TENANT 21 HOSE BIBB(S) 1 00 FIX 16 20 ISSUED ON PROCESSED BY PLAN BY. EXPIRES ON 25 LAVATORIES/SINKS 1 00 FIX 16 20 12/06/04 JK 06/04/05 45 WATER CLOSET/URINAL 1.00 FIX 16 20 OWNER TOTAL FEES 108.75 FINAL DATE FUNAL BY CODE VALENZUELA A;GUADALUPE (626) 447-9680- 'ell ._r TEMP 917800000 DESCRIPTION OF WORK PLUMBING FOR THE BATHROOM ADDITION. APPLICANT: TEL. No- DREAM ROME CONSTRUCTION (626) 677-7069- SPECIAL CONDITIONS MNTRACTOR TEL. NO APPROVALS DATE INS9UMW-PVU1UkT-- DREAM HOME CONSTRUCTION (626) 285-4421- 6323 LIVIA AVE LIC. NO UNDER SLAB WORK TEMPLE CITY, CA 91780 7448548 WATER SERVICE ARCHITECT OR ENGINEER TEL NO PLASTIC Y/N METAL Y/N ROUGH PLUMBING LIC NO GAS VENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST UTILITY COMPANY NOTIFM CWV MMY-WMR SYSTEM * ADDITIONAL DATA ON FILE REPORT ID DPR263 ROUTE TO BS0508