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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 I �c - (GRAY WATER SYSTEM I , I I I I (REPORT ID DPR263 ROUTE TO BS0509 � I 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 I I I I I I I I I I I I I 1 I I 1 I i I I 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