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HomeMy Public PortalAbout9854 VAL ST_Plumbing__ D.B. „ $SM sETs ,$-aa APPLICATION FON PERMIT DEPARTMENT OF BUILDING AND SAFETY . -: COUNTY OF LOS ANGELES ' WM.J.FOX.CHIEF ENGINEER . ` NATURE OF INSTALLATION DISTRI � ; GROUP O PERMIT-MO. - c�3 ROUGH FIXTURES COMPLETE' _ READY FOR'.. HEATER . CESSPOOL -I SEPTIC TANK R EIVED ATE.ISSUED FIRST INSPECTION J ,R A13- -, MISCELLANEOUS' KV r t APPLICANT FILL IN HEAVILY OUTLINED `PORtTION ONLY JOB' E, NAM B f _ ADDRESS:( . . O Id A ADDRESSLOCALITY O ��yy NEAREST- . p1, CITY � /�l����� TEL.NO/IFi „ CROSS lwi . COUNTY -CERT.-No. `- EXPIRES I: NAMZEl LOCATION OF SEPTIC TANRr.OR CESSPOOL X. MAIL ADDRESS .� NORTH. _ CITY TEL.No'. I AM THE LEGAL POSSESSOR OF THE ABOVE LOB ANGELES COUNTYCERTIFI IFICATION. • � PLUM. I AM THE LEGAL:OWNER OF THE PROPERTY DESCRIBED ABOVE. .OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK i --/--- BATHTUB FURNACE HOWER DISHWASHER _ D AVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER. FLOOR SINK SAND TRAP GLOP SINK FLOOR DRAIN WASH:TRAY URINAL APPROVALS WATER CL08ET- DRINKING FOUNTAIN DATE:.- 1H6..scroRte`NAM1R :_WATER HEATER ^ENTAL LAVATORY ''RO .ON.'PLUMBING METER;IiA6 �ODA'FOUNTAIN AAS.PIPING OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES L SEPTIC TANK CE8g8�QQ1�•• '�r SEPTIC TANK i SEVIFER I S UTILITY CO.NOTIPIED TOTAL FEE FINAL ��. `'.>`✓�r D.D. 17 asM DErs fa-aa APPLICATION FOR PERIM DEPART&IENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING WM.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICTN . GROUP �O` _ PERMIT R5. ROUGH FIXTURES :COMPLETE. HEATER CESSPOOL H SEPTIC TANK R RIVED BY READY FOR DATE.ISSukD �� FIRST INSP§CTION /—1!5-- GAS- . MISCELLANEOU (J 5 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY T�� JOB E NAME iML/h�/IiGn..�-/ ADDRESS g ADDRRBB ,Z•P/G/ e-! I��T- � . LOCALITY ♦.�/ ! G.< 7NEAREST _CITY%jy--� �LR4�I4al ,, TEL.No. CROSS ST.. ✓(7 4/ . /... COUNTY C CERT.No. EXPIRES NAME /+LE°r%•tet . .LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 ADDRESS . NORTH O �J CITY � �M�-...P.JV"l. 'TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE,OF -.UALIFICATION. PLUNDER I AM THE LEGAL.OWNER OF THE PROPERTY DESCRIBED � ABOVE. _ 3 OWNER CORRECTIONS SOUTH 'r V17,° J DESCRIPTION OF WORK! V, _Z ATH TUB FURNACE 0 Q' SHOWER, DISNWASHER Q LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK - QAND TRAP LOP SINK OOR DRAIN WASH.TRAY - URINAL APPROVALS WATER CLOSET DRINKING'FOUNTAiN DATE iNSPECI WE NAME WATER NEATER DENTAL LAVATORY ROUGH PLUMBING' I 6TERGAS SODA FOUNTAIN GAB PIPING I OUTL GAS VENT I. CESSPOOL I .• TOTAL NUMBER OF FIXTURES SEPTIC TANK . �" GE8BP00tSEPTIC TANKSEWER S t TOTAL.FEE. 0 0 UTILITY CO.NOTIFIED RIVAL 0.B:B.11 USM 8M :-"° APPLICATION VOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ; - 1 `COUNTY OF LOS-ANGELES PLUMBING WM.J.FOX:CHIEF ENGINEER PERMIT A E OF INSTALLATION --DISTRICT ZAMEa' ROUGiH FDTTURES COMPLETE s HEATER CESSPOOL- �SEPTIC TANK R EIVED BY PI REINSPECTION DATE ISSUED GAB- t8 A S _ APPPLICANT FILL IN IIEAVI Y OUTLINED/PORTION ONLY_ �s NAME S C� tL'tf! I fj ADDRESSAAA 1 41, Y7'. j C ADDRESSS (rtn LOCALITY ' CITY S, (?)sar ss !el TEL.NO. t,�����d NEAREST CITY f_((pt COUNTY NO.. _ EXPIRES �C NAME a��� to R 141 J0 41= LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL ADDRESS NORTH O ` "—� CITT TEL.NO. I AM• THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CcIF LATE OF QUALIFICATION. s,9"T PLUMBUR I AM THE LEGAL OWNER OF THd PROPERTY DESCR/BEDi .ABOVE. Iq OWHEB CORRECTIONS- SOUTH- " .s DESCRIPTIOX OF WORK z ATH TUB' FURNACE IC - -SHOWER —DISHWASHER _AAVATORY REFRIGERATOR -xncmum SINK WATIM SOFTENER _..FLOOR SINK BANDTRAP k *SLOP PINK. F OOWDRAIN~ WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN _ _ DATE IHBPRCTOW8 HAMS }° WATER HEATER ENTAL LAVATORY ROUQH PLUMBING /! METER. SAS GODA'FOUNTAIN OUTL OAS PIPING 1 ' 'OAS VENT TOTAL NUMBER.OF FIXTURES + SEF"9C TANK �6 CESSPOOL 1°EPTIC.TANK' 'v 4 ''SEWER S / UTILITY CO.NOTIFIED TOTAL FEE WORKERS'COMPENSATION DECLARATION 20-0026 DPW 4/90 NATI1NP�LICATION FOR PLUMBING PERMIT I hereby, affLtm that I Have a certificate of consent to self in- 76A667A sure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800, Lab. C.) Policy No./V6/*61'> Company ,%;�, A.,� COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING (t e Certified copy is filed with the county building inspection ADDRESS ��3/ S" NUMBER FIXTURE OR ITEM LOCALITY �%d°���. •U%� department. @ FEE q Dtlte Applicant 'S I---- WATER CLOSET(TOILET) �U NEAREST s CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. (x �JL .r� COMPENSATION INSURANCE SHOWER ; OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars($100)or less.) I I certify that in the performance of the work for which this per ® LAVATORY ADDRESS 4!�?,57SINK CITY mit is issued, I shall not employ any person in any manner so f �' V-L—L'e/7' TEL.NO. Y as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant ® CLOTHES WASHER ' ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- emption,you should become subject to the Workers'Compen- CITY ®f,���� TEL.NO���{��/� sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATEC. ed. ® WATER HEATER LICENSE NO. 3 14 1LOol Q 419 LICENSED CONTRACTORS DECLARATION / DISTRICT NO. Eb BY I herebyaffirm that I am licensed under provisions of Chapter / GAS SYSTEM OUTLETS .,� 0 9(comencing with Section 7000)of Diviion 3 of the Business OUTLETS OVER !' 4 �� 188.30 and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINALr VAuaA WN3 fete. 21'(W i'1l ® HOSE BIB DATE -� �.- TOTAL i B33 r,-31i 4a. License Number Lic. Class / FINALrT • Contractor Date ��py BY CNEC11 1 193.399 V GE x0c, E] I am exempt under Sec. a V B.BP.C. for this reason Plan check fee � Date: ® CCCC-0081 3/ 6/96 w PLUMBING PERMIT ISSUING FEE$ `S8 Signature TOTAL FEE 1166 1 AN11" SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant /���.c47 I hereby affirm that I am exempt from the Contractor's License Name # glde4qlov .0 Law for the following reason (Section 7031.5, Business and Professions Code): Address f(Q5 aj2— 151'•9ft- /% � F-1d� �I, as owner of the property, will do the work and the City s✓ATel. No.r6.7/.1YM structure is not intended or offered for sole(Section 7044, Business and Professions Code). 10. 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. 3097, Civ. C.). Lender's Name Lender's Address I 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 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 f COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1004060007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: ITR: 12368 LT: 9 I I 9854 VAL ST I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801441 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN 15383-023-019 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Cl 1.13. CLOTHESWASHER(S) 1.00 FIX 16.20 1 I ITENANT: 113 DISHWASHER(S) 1.00 FIX 16.20 [ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I 125 LAVATORIES/SINKS 1.00 FIX 16.20 104/06/10 SR 04/06/11 I 1 TOTAL FEES 76.35 1 1OWNER: TEL. N0: I IFI DTE FINAL BY: CODE: IHIGUCHI JOHN (626) 292-1246- 1 19854 VAL ST 1 �� ITEMP 917801441 1 ID SCRI TION OF WORK 1 I I 1PLUMBING FOR KITCHEN REMODEL I 1APPLICANT: TEL. NO: 1 1 1JJ HERMAN HOME IMPROVEMENT (626) 202-5481- I I I 111232 WILMOT ST. i ISPECIAL CONDITIONS: 1 OAK HILLS, CA 92345 1 I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 1JJ HERMAN HOME IMPROVEMENT INC. (626) 202-5481- I 1 I 111232 WILMONT STREET LIC. NO (UNDER SLAB WORK I 1 (OAK HILLS, CA 92345 870022 B 1 I I I I I (WATER SERVICE I I I I [PLASTIC Y/N METAL Y/N IARCHITECT OR ENGINEER: TEL. NO: I II I I I - I IROUGH PLUMBING LIC. NO: 1 I I I GAS PIPING I IGAS VENT I I I I I IHOT WATER HEATER I I I I I (PLUMBING FIXTURES I I I I I ILAWN SPRINKLERS [ I I GAS TEST I UTILITY COMPANY NOTIFIED( I I I I ICwv I I I I I GRAY WATER SYSTEM I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1004060006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 12368 LT: 9 I 1 9854 VAL ST 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801441 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN 1 15383-023-019 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Cl I 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I 1 TENANT: III CLOTHESWASHER(S) 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I 125 LAVATORIES/SINKS 1.00 FIX 16.20 104/06/10 SR 04/06/11 1 I 145 WATER CLOSET/URINAL 1.00 FIX 16.20 1 1 (OWNER: TEL. NO: 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 [FINAL DATE FIW BY: CODE: 1 IHIGUCHI JOHN (626) 292-1246- 160 DWV REPAIR OR ALTER 1.00 SYS 16.20 I l I 19854 VAL ST I TOTAL FEES 124.95 I I ITEMP 917801441 1 ID&CRIVTION OF WORK 14 1 I I IPLUMBING FOR POOL HOUSE I (APPLICANT: TEL. NO: I I 1 IJJ HERMAN HOME IMPROVEMENT (626) 202-5481- I I I 111232 WILMOT ST. I ISPECIAL CONDITIONS: I (OAK HILLS, CA 92345 1 I 1 I I I I (CONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE 1 IJJ HERMAN HOME IMPROVEMENT INC. (626) 202-5481- 1 1 I 111232 WILMONT STREET LIC. NO [ (UNDER SLAB WORK I 1,^� (OAK HILLS, CA 92345 870022 B [ I I I•/ I I IWATER SERVICE I I I 1 I (PLASTIC Y/N METAL Y/N I I I [ARCHITECT OR ENGINEER: TEL. NO: 1 - I IROUGH PLUMBING LIC. NO: 1 I [GAS PIPING I I I I IGAS VENT I I I I I IHOT WATER HEATER 1 I I I IPLUMBING FIXTURES I I I (LAWN SPRINKLERS I I I I I IGAS TEST I I I I (UTILITY COMPANY NOTIFIED( I I ICWV I I I 1 I IGRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0911300002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: [LEGAL ID: I FEES PAID I BUILDING ADDRESS: [ [TR: 12368 IT: 9 [ [ 9854 VAL ST [ I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917801441 [ [ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN [ 15383-023-019 101 PERMIT ISSUANCE FEE 27.75 [ THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Cl I 107 BATHTUBS/SHOWERS 4.00 FIX 64.80 1 [ [TENANT: I21 HOSE BIBB(S) 4.00 FIX 64.80 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: [ [ 25 LAVATORIES/SINKS 4.00 FIX 64.80 111/30/09 SR 11/30/10 [ [ 145 WATER CLOSET/URINAL 2.00 FIX 32.40 1 [ [OWNER: TEL. NO: 147 WATER HEATER(S) 1.00 WTH 16.20 [FINAL D TE FI Y: CODE: [ [HIGUCHI JOHN (626) 292-1246- 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 1 19854 VAL ST 163 WATER PIPING BR/FIX 1.00 FIX 6.75 1 y [ [TEMP 917801441 I TOTAL FEES 293.70 1D SCRI TION OF WORK [ [ [ [PLUMBING FOR 2 BATHROOMS REMODEL, REPIPE EXIST MAIN FROM [ [ [ [METER TO DWELLING + 2 BATH DRAIN TO ABS PIPE, WATER HEATER [ [APPLICANT: TEL. NO: [ [TANKLESS 1 [JJ HERMAN HOME IMPROVEMENT (626) 202-5481- [ I 1 111232 WILMOT ST. [ [SPECIAL CONDITIONS: [ [OAK HILLS, CA 92345 I I I [CONTRACTOR: TEL. NO: [ [APPROVALS DATE INSPECTOR SIGNATURE [ [JJ HERMAN HOME IMPROVEMENT, INC. (626) 202-5481- 1 1 [ 111232 WILMONT ST. LIC. NO [ [UNDER SLAB WORK I I I [OAK HILLS, CA 92345 870022 B I I [ I IWATER SERVICE I PLASTIC Y/�YIN I��� I G1 ARCHITECT OR ENGINEER: TEL. N0: 1 [ - [ [ROUGH PLUMBING I [ LIC. NO: IGAS PIPING I I I [ [GAS VENT I I I I 1 1 IHOT WATER HEATER i [ IPLUMBING FIXTURES I I ILAWN SPRINKLERS I I [ [ GAS TEST I I I I I I [ UTILITY COMPANY NOTIFIED I I I I ICWV [ IGRAY WATER SYSTEM I I I I I I I I I I I i I I I [ [REPORT ID: DPR263 ROUTE T0: BS0508 I I I 1 I I I I I I