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Home My Public Portal About9743 VAL ST_Plumbing__ DEPABTNOENT OF COUNTY ENGINEM PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES Bu1LDINa S WILLIAM L FOX, COUNTY ENDINEEM ADORE88 FOR APPLICANT T FILL IN 4 Vj- LOCALITY BUILDING Gf � NEAREST ADDRESS r CROSS ST O H �;;i DIST ND —Z 70Nfy (? Ir8 NOLOCALITY L / J �O.ZJ1 NEAREST EC 1 D.BY Ready tarlaOaU[[ DAATEISSUED In OWNER _ MAIL INDUSTRIAL [1 ADDRESS /�/1/yY�/�—�+ WASTE APPRUVAL CITY TEL NO INSPECTION RECORD -/� '/ PLUMBER /J(/J ///k � X Al ADDRESS L J £o I CITY ]j14Ld 611/11 /°fyt' o �J TATE LICENSE NO Q S rTL- / C)COUNTY .G (lfih+ Fin AC PLR6- J PERMIT FEES i �✓GT /?FN I)V �OMBCp TYIC OI PI%Tlllf[ Op li[M IS[ p WATER CLOSET(TOILET) @ 080 E p D BATH rue A e eo SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0 80 KITCHEN SINK @ 0 00 LAUNDRY TUB OR TRAY @ 080 SLOP SINK @ e80 FLOOR SINK @ 080 FLOOR DRAIN @ 080 DISHWASHER @ 080 DRINKING FOUNTAIN ® 080 URINAL @ 080 SAS SYSTEM OUTLETS @ 100 WATER HEATER @ 100 MISCELLANEOUS _ APPROVALS DATE INSPECTOR-6810MATURE UNDER BLAB WORK PERMIT f 1 00 ROUGH PLUMBING _SC /IYe{n. TOTAL FEE IS12.0 SAB PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- BAS VENT 'Z rATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATERNEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES AND%OR LICENSED AS REQUIREDTHAT I ABYPLOS ANGELES(COUNTY BASTEST /IVAL -/�' S41121 AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ADDY E flIBE RESIDERTI OPERTY UTILITY CO NOTIFIED SIGNATURE OFPERYITTEE F - - FINAL rdeddi DRB 11 Ob 12-59 D a S-17 25M SETS 12-+5 / APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY / e ��'�� COUNTY OF LOS ANGELES LL Wm .1 FOX. CHIEF ENGINEER it-665 rM73ATWR DIST GROUP ZONE4PER S � G IT NO ROUGH RIIITURES COMPI.RS T/READY FOR FIRST INSPECTIONMISC APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY Joe Harry E. Deem ADDRESS E Golderimeet Terrace O1 S t t LOCALITY Temple City[ California' REST El Monte TEL No.BU-89821 CRROOSSS SST EaIRES - � NAM[ N. J. llOrrieon OF SEPTIC TANS, OR CESSPOOL ; AAM RESS 2335 Goldenxeet Terrace NORTH O c,r Temple City TEL ND 1 AM THE LEGAL POSSESR F TH[ V[ LOS ANGELES COUNTY CERTIFICAT ;_ L J [A IAM THE LEGAL OWNER OF THE PJIO►[STY DESCRIBED ABOVE y OWNOI CORRECTIONS SOUTH DESCRIPTION OF WORK [TOTAL TUB FURNACE p ER DISHWASHER O TORY REFRIGERATOR HKN SINK WATER SOFTENER R SINK RANOTRAP SINK DDR DRAIN TRAY URINAL APPROVALS ER CLOSE' DRINKING FOUNTAIN DATE INR►RROR R NAM[ R HEATER DENTAL LAVATORY ROUGH PLUMSINS S OAS SODA FOUNTAIN GAS PIPING OUTL OAS VENT CESSPOOL L NUMBER OF FIXTURES RES SEPTIC TANK POO, SEPTIC TANK SEWER [ UTILITY CO NOTIFIED \ l '�f W D RS-17 26H SETS 17-45 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WN J FOX. CHIEF KNQUIIUM NATURE 6F INSTALLATION PeFtmrr No ROUGH FIXRIREB COMPLUTU -.r. Ago READY OR TE m HEATER CEMPOOL SUPTIC TANK RI 1 ON 1 LAN APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY ZOO ob (� NAME _ ADReSS J R ADDRESS / � ( • LOCALITY E CITY TEL No CcJs)Zy/S CROBSOQT COUNTY CERT No UMPIRES Z�' NAYt LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL a ADDRESS NORTH O CRY TEL No H GGrf/� 1 AM CTHEOU TY CII POSSESSOR OF OF THE TI LOS �j ANOULW COUNTY CeRTIPIGT OF IPI TDSIi "t-I r Pwlon N 1 1 AM THE LEGAL OWNER OF TXt PROPERTY D0011btD ABOVE OWNERCORRECTIONS SOUTH DESCRIPTION OF WORK PATH TUB FURNACE xoWew DuHWAexm 0 LAVATORY DIFRIGENATOR KITCHEN SINK WAYMOOFTUNER R SINK L4 ND TRAP P SINK DDR DRAIN WABH TRAY URINAL APPROVALS WATUR CLOSET DRINKING FOUNTAIN DATE 1NEMCTOR'E WYE WATER HEATER DENTAL LAVATORY ROUGH PLUMBING ETED DAS SODA FOUNTAIN OUTL OAS PIPING GAS VENT CESSPOOL TOTAL NUMBER OF FORURUS SEPTIC TANK EEBPODt GEPTIC TANK SKWER E UTILITY Co NOTIFIED TOTAL Feb l �/G Std 7SAW-M17-5.58 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPAHTEIENT OF COUNTY ENGINEER B ILDINN SAFETY DIVISION ADDRESS L S C.ESBAST D. ®ffPIIY.8oa1 a!bdt�nv LOCALITY eGcrG FOR APPLICANT TO I= II7 NUMBER FIXTURE OR ITEM OWNER WATER CLOBEI KAM 8878 YTJB ADDRESS BROWRB CRT TiJL NO LAVATORY CONTRACTOR TNN[ ADDRESSllbT-7" tiLCZV DEBNWASEER CTT TEL NO — 1TeA 8 `/ LAUNDRY TDB 166IBTRA O�1 NO I t1Y',7v r COUNTY CLOTHES WASEER DISTRICT NO O ZONE ROCESH D Y WATER BEATER KrJ,- OAS SYSTEM INDUSTRIAL WAGS APPROVAL ON REr-OBb T/NA: /N APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT S 2 00 ROUGH PLUMBING TOTAL FEE GASPIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS WIT AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PILUMBINO FIXTURES 1 HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED By I ANGELES COUNTY AND STATE OF GAS TEST CALFORNIA OR THAT T E LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED DESCRIBED RElID P TY SIGNATURE Q /( FINALOP PERMITTH ®r OVALMATION ROBERTA WOOD SUPERVISING MECHANICAL ENO R C[ ■ 0 CA3M Xo7160 —; KLy27 5 A 3.00 �05ti / WQRKERS'COMPENSATION DECLARATION 204Me DPW 4/87 APPLICATION FOR PLUMBING PERMIT I here�fi that I have a certificate of consent to self In 76AWA `I wrt or a cenrficote of Workers Compensatron Insurance or a CE 817(REV 8/80) IL JI rifled copy thereof (SacLoblob C ) Policy No 10Y73VS Cd'mpany 5(A16'FVWO COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING r/ r/11 I +r ® Certified copy Is fled with the county building inspection ADDRESS Y V r'1 department-Ott (� NUMBER FIXTURE OR ITEM ® FEE LOCALITY Date 12--it -611 Applicant /�U��1( 64" 1 WATER CLOSET(TOILET) 00 NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS ( BATH TUB CROSS ST G D W CN kit S-k COMPENSATION INSURANCE r SHOWER OWNER rAR5 ezro (This ssrcHon need not be completed if the work Involved byMAIL the permN Is for one hundred dollars($100)or less) ( LAVATORY ADDRESS 11 W%tt I comfy that in the performance of the work for which this per 1 SINK mit Is issued I shall not employ any person in any manner so CITY TEL NO as to become subject to the Worker's Compensation Laws DISHWASHER CONTRACTOR 5 Dole Applicant CLOTHES WASHER NOTICE TO APPLICANT If, after making this Certificate of Ex ADDRESS A bf YO UR emptton,you should become subject to the Workers Compen- SWIMMING POOL RECEPTOR CITY Pis N1� TEL NO sation provisions of the Labor Code,you must forthwith comp LAWN SPRINKLER SYSTEM (U lel '; ly with such provisions or this permit shall be deemedrevok STATE LIC QQ ed WATER HEATER LICENSE NO I L U CLASS V LICENSED CONTRACTORS DECLARATION DISTRICT NO P? I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETSTI 9(commencing with Section 70DO)of Division 3 of the Business OUTLETS OVER ZY and Profesvons Code and my license is In full force and of 5 PER SYSTEM FINAL VALIDATION Y factaa DAT d License Number bV6 L¢ Clan� U FINAL S Contractor P,Uss E11 S �AV-S Dare V-' BY p nL 5 j- 1 1 am exempt under Sec W B SP C for this reason Plan check fee ► 2 n '/ ,/Date PLUMBING PERMIT ISSUING FEE$ Signature�/+�s�'e`�n^�^"� TOTAL FEE SINGLE FAMILY HOME OWNER BUILDER DECLARATION Plan check applicant 5 1 hereby affirm that I am exempt from the Contractor:License Name ICT • Low for the following reason (Section 7031 5 Business and 'T Profeumns Code) Address 3307 40.50 ❑ I, as owner of the property will do the work and the CIN Tel No 1 ITEMS structure is not intended or offered for sole(Section 7044, Business and Professions Code) , TOTAL 40.?50 CONSTRUCTION LENDING AGENCY MCK 40.50 1 hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued CRANE DOI (Sec 3097 Civ C J Lender is Name 0000-0001 14/11/89 Lender's Address 7Q5 1 AM 8-656 1 certify that I have read this application and state that the , above information is correct I agree to comply with all County ordinances and State jaws regulating Plumbing and hereby authorize representatives of this County to enter upon the above mentioned property for Inspection purposes d/ a /A? SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date r WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I herebyt affirm that I have a certificate of consent to self in 7A 4/87 sure or o certificate of Workers Compensation Insurance or a CE 817(REV 8i8e) certified copy thereof(Sec 38W Lab C ) Policy No Company S7A-rE Ca AI COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS ❑ Certified copy Is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING C? '� J T rhbed copy is filed with the county budding Inspection ADDRESS �/ LK_Cedepartment NUMBER FIXTURE OR ITEM @ FEE ♦ L /s PFC !T ( Date 2'!2—g, Applicant . dG CO Nr WATER CLOSET(TOILET) NEAREST CERTIFICATE Of EXEMPTION FROM WORKERS BATH TUB CROSS ST G6 L p FN LL.7 EZ$T COMPENSATION INSURANCE SHOWER OWNER T,9 F S'Ci t2 K To (This section need not Ise completed If the viork involved by rIL the permit Is for one hundred dollars ($100)or less ) r LAVATORY D ADDRESS L. I certify that in the performance of the work for which this Per- ow CITYTEL is Issued I shall not employ any person In any manner so [ C (7 as to become subject to the Workers Compensation Laws DISHWASHER CONTRACTOR s C4 0 A�0 S T Dote Appllaant I / CLOTHES WASHER 1 46 ADDRESS NOTICE TO APPLICANT If, after making this Certificate of Ex 6G emptlon you should biome subject to the Workers Camper- SWIMMING POOL RECEPTOR sollon provisions of the Labor Code you must forthwith comp LAWN SPRINKLER SYSTEM CITY(E6 D TEL NOS 77 ly with such provisions or this permit shall be deemed revok- SiATF UC ed WATER HEATER LICENSE NO 00 `L. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO PR D B I herebyaffirm that I am licensed under GAS SYSTEM OUTLETS tun Bions a Chapter 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code and my license is in full force and of 5 PER SYSTEM FINAL VAL TION Y fect ' Q ' DATE 6 License Number b�6 Z7 L,c Class V //++ �./� FINAL Q Q Contracloilo.-4/(:`0 QST Dote 2-1 'Z BY ✓3J g p F El I am exempt under SecU B 8P C for this reason • • • 34.5 0 Plan check fee ► 0 21 2-88 = Date PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Pion check applicant I hereby affirm that I am exempt from the Contractor s License Name Law for the following reason (Section 7031 5 Business and Professions Code) Address I as owner of the property will do the work and the City Tel No structure Is not Intended or offered for sale(Section 7044 Business and Professions Code) ► CONSTRUCTION LENDING AGENCY I I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ C ) Lenders Name Lenders Address 1 certrfy that I hove read this application and state that the above mformation 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 inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date