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