HomeMy Public PortalAbout9737 VAL ST_Plumbing__ DEPARTM]ngT OF OOUNTY ENODYESR PLUMBING 1
DIVISION OF BUELDING AND SAFETY PERMIT APPLICATION
OOUNTY OF LOS ANGELES Y BUILDING 7 ^3.
WILLIAM J. FOX, COUNTENOINEER ADDRESS
R APPLICANT FILL IN LOCALITY
ADDRESS r CROSS ST
DISTRICT NO GROUP ZONE PERMIT NO
LOCALITY /�I 2-590
NEAREST
CROSS ST
^ .' .�,♦ RECEIVED Y Rsaft for lorprolloo DAT 88UED
OWNER I�VA 23
NAIL IN`DUSWASTETAPPROVAL �S
ADDRESS
CITY TEL No INSPECTION RECORD
PLUMBER THOMAS R. MCKL'1T_
ADDRESS Plumbing and Hewing
CITY 1912 Ton
LICENSE NO Q ,64P !1A, 64Iw ❑aLk"IfTY STATE i7 A'
PERMIT FEES r z
VIINOb1 TT�E Or FIXMRK ON MI r[{ �AT/� RFO�U�KE_"S 2 �� o
I WATER CLOSET(TOILET) 0 080 t I1C—KT rc
/ BATH TUB 0 Deo �/�QnF /�/ fvC� / F PA/aD o
SHOWER 0 0.00
LAVATORY(WASH BASIN) 0 DID AS
KITCHEN BINK 0 080 L _
LAUNDRY TUB OR TRAY 0 OMI F
SLOP BINK a 000 _ Q
FLOOR SINK 0 080
FLOOR DRAIN 0 000 J9 A
L
DISHWASHER 0 ODD
DRINKING FOUNTAIN 0 0.00
URINAL 0 000 /- r&- ( C4'e'p mAlyr
GASSYSTEN _OUTLETS 0 1D0 O'O
WATERHEATER a 100
MISCELLANEOUS
APPROVALS
_ DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT f 1 00 ROUGHPLUMBINO CoMR 4
GASPIPING -2,1, !/7y
TOTAL FEELAM
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBIN PLUMBING FIXTURES
I HEREBY CERTIFY HAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED EQUIRED BY LOB ANOE S COUNTY GAS TEST�/�j4-� -2-9
AND STATE OF CA 1 IA OR THAT TH I ACL OWN
ER OF THE AS RIBEDID N ALP E UTILITY CO NOTIFIED IP /
SIGNATUfl
OF r
1Is FINAL 17 —7- -7/ /' 711e6'
TOA"" DRB It uee 1
WORKERS COMPENSATION D LARATION 'APPLICATION FOR PLUMBING PERMIT
-I hereby off um that I have a cert core of consent to self 764067A L'
insure or a cemdicate of Worker ' Compensation Insurance CE 817(REV 10/81)
or a certified copy thereof(Sec Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy Na C pony
Certified copy is h by furnished ` 1
❑ FOR APPICANT TO FILL IN(PRIM OR TYPE) - BUILDING 3 S
Cerhfied copy i sled with the county building inspea ADDRESS
tion deportm t NUMBER FUTURE OR ITEM ` ® , LOCALITY
CA
Date Applrtant WATER CLOSET NEAREST _
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS
COMPENSATION INSURANCE SHOWER OWNER hAgy
(This s•ctiun mood not be completed It the work Im ehied by MAIL
the permit is for on•hundred dollars(f100)or I•ss) LAVATORY ADDRESS
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 os to become sublect to the Work 'Co n tir � DISHWASHER
CONTRACTOR
Nto ^ pplscont CLOTHES WASHER ADDRESS
OTICE TO APPLICANT If after making this Certificate of SWIMMING POOL RECEPTOR
Exemption, you should become sublact to the Worker CITY TEL NO
Compensation provisions of the Labor Code you must forth- LAWN SPRINKLER SYSTEM
with comply with wch provisions or this permit shall be STATE LIC
deemed revoked WATER HEATER LICENSE NO CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT BY
I hereby affirm that I am licensed under pr istons of Chapter 9 GAS SYSTEM OUTLETS �.
(commencing with Section 7000)of Dior on 3 of the Bumneu WTLETS OVER s d
and Professions Code and my license n full force and effect 15 PER SYSTEM FINAL VALIDATI O
DATE V
License Number Lic Class cc
FINA V
Contractor Dore BY
d
W
I ort exempt under Sec yt
B&P C for this reason Z
Plan check fee
Dote4111
PLUMBING PERMIT ISSUING FEE f
Signature
TOTAL FEE .7
Pion check applicant ( • • 1 650
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Name • • . 1 6 5 0
1 hereby affirm that I am exempt from the Contractors License Address
Low for the following reason (Section 7031 5, Business and
iirrofessions Code) CIN Tel No 11. 13-84
/Ty�p`1T I as owner of the property, will do the work and the 000structure s not intended or offered for sole (Section
7044, Business and Professions Code)
CONSTRUCTION LENDING AGENCY
I hereby affirm that there s a construction lending agency for
the performance of the work forwhi this permit is issued
(Sec 3097 Civ C )
Lender's Name
Lender s A dress
I certify that I have read the application and state that the ►
above information is coned agree to comply with all County
ordinances and State law regulating Plumbing, and hereby
outhorize representohv of the County to enter upon the
e me son o r or inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
tgMt.r.of mi eeDole �`�
COUNTY OF LOS ANGELES TEMPLE'CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS PL 0508 1304030011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAIDBUILDING ADDRESS
QTR 12368 LT 15 9837 VAL ST
1 IPBE DESCRIPTION QUANTITY UOM 'MOUNT
_ TEMP CA 917801442
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GOLDEN WEST
15383-025-015 01 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID Al LOCALITY TEMPLE CITY CAI
I 07 BATHTUBS/SHOWERS 1 00 FIX 16 20
TENANT 25 LAVATORIES/SINKS 1 00 FIX 16 20 ISSUED ON PROCESSED BY PLAN BY
45 WATER CLOSET/URINAL 1 00 FIX 16 20 04/03/13 SR
TOTAL FEES 76 40
JOWNEA TEL NO I7 'I FINAL BY CT]D8
ILI/KUO MAUREEN/JAMES - m19837 VAL STREET
TEMP 917801442 D9SCRITT ON OF WORK
NEW BATHROOM, SHOWER, LAVATORIB AND WATER CLOSET
(APPLICANT TEL NO
ISCOBLE TOM (626) 253-2250-
11830 LOCUST STREET ISPBCIAL CONDITIONS
PASADENA CA 91107
I
I
(CONTRACTOR TEL NO 1 JAPPROVALS DATE INSPECTOR SIGNATURE
MOTHER MAGNOLIA (626) 253-2250- 1 I I
11830 LOCUST STREET LIC NO I IUNDER SLAB WORK
PASADENA CA 91107 7B7463
I I WATER SERVICE
I i (PLASTIC Y/N METAL Y/N
(ARCHITECT OR ENGINEER TEL NO
CAL CIVIC (626) 798-2028- I TROUGH PLUMBING
2160 PARNELL WAY LIC NO
ALTADENA CA 91001 NONE I GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING PIXTURES
LAWN SPRINKLERS 1
(GAS TEST
I
1DTILITY COMPANY NOTIFIED
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- (GRAY WATER SYSTEM
I ,
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(REPORT ID DPR263 ROUTE TO BS0509
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1306040014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
1LEGAL ID FEES PAID BUILDING ADDRESS
ITR 12368 LT 15 9837 VAL ST
IPEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801442
(ASSESSOR INPORMATION NUMBER NEAREST CROSS STREET GOLDEN WEST
5383-025-015 101 PERMIT ISSUANCE FEE27 80 THOMAS PAGE 597 GRID Al LOCALITY TEMPLE CITY CAI
ITENAAT 147 TATER HEATER(S) 1 00 WTH 16 20
51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 ISSUED ON PROCESSED BY PIAN BY
TOTAL FEES 60 20 106/04/13 SR
19837 LI/KU TEL NO iFINAJj DATE F1� CODE
V, t STREET JAMES - •�-���' ((/I/11��
9837 VAL STREET
TEMP 917801442 IDESCR PTION OF FORK
(INSTALLING TANKLESS WATER HEATER 3 1 GPM (GAS WATER HEATER)
(APPLICANT TEL 1 NO ON WEST HALL OF NEW POOL BATHROOM AND GAS LINE 1
AFSHARIAN ANDRE (626) 383-0089-
11605 E ELIZABETH ST ISPECIAL CONDITIONS
PASADENA CA 91104
1 I I I
(CONTRACTOR TEL NO JAPPROVALS DATE INSPECTOR SIGNATURE
1AFSHARIAN ENTERPRISES, INC (626) 797-7177-
11605 E ELIZABETH ST #1009 LIC NO (UNDER SLAB WORK
PASADENA CA 91104 965237 I
IWATER SERVICE
IPLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEBR TEL NO
ROUGH PLUMBING
LIC NO I
GAS PIPING
GAS VENT
1 HOT WATER HEATER 1
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST I I
I
UTILITY COMPANY NOTIFIED(
1 ci4v 1
GRAY INTER SYSTEM
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I I I I I I
1 I I
1 I i I
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REPORT ID pPR263 ROUTE TO BS0508
I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMEING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1305200017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAIDBUILDING ADDRESS
TR 12368 LT 15 9837 VAL ST
IFEE DESCRIPTION QUANTITY UOM AMOUNT
TEMP CA 917801442
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET GOLDEN NEST
15383-025-015 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID Al WCALITY TEMPLE CITY CAI
(TENANT I TOTAL FEES 27 80
ISSUED ON PROCESSED BY PLAN BY
I
_ 105/20/13 SR
�LI/KUO, MAUREEN/JAMES TSL NO I �FI DAATE FINAL BY CODE
19837 VAL STREET i �M
TEMP 01442 9178
I Dt.SCRIPTION OF WORK
ICHANGE CONTRACTOR SEE ALSO PL 1304030011 FOR A NEN 3/4
BATHROOM
NO NO
TSL
AFSHARIAN ANDRE (6261 383-0069-
11605 E ELIZABETH ST ISPECIAL CONDITIONS
PASADENA CA 91104
ICONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE
AFSHARIAN ENTERPRISES INC (626) 797-7177-
1605 E ELIZABETH ST #1009 LIC NO UNDER SLAB WORK
PASADENA CA 91104 965237 1 /
I IWATER SERVICE
I IPLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER TEL NO
TROUGH PLUMBING
LIC NO
GAS PIPING
I I
GAS VENT
HOT WATER HEATER
1 (PLUMBING FI%TURES I 1
MANN SPRINKLERS
IGAS TEST I I
UTILITY COMPANY NOTIFIER
1 I CWV 1
1 GRAY NATER SYSTEM
I I
I
I
I
I (REPORT ID DPR263 ROUTE TO 890508