Loading...
HomeMy Public PortalAbout9231 WEDGEWOOD ST_Plumbing__ 76A667 (CE-817)-4/72 ..t..1` APPLICATION F PPL1CAIO !®R PLUMBING LUMB■NG PERM-IT ERM-IT COUNTY OF LOS ANGELES -. DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION '" MAKE CHECKS PAYABLE TO: BUILDING e7.0,7 HARVEY T. BRANDT, COUNTY ENGINEER ADDRESS LOCALITY FOR APPLICANT TO FILL IN (.PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1,75 OWNER MAIL BATH TUB 1`.75 ADDRESS SHOWER 1.75 CITY L. NO. LAVATORY 1.75 C ONTRAC TO! SINK 1.75 ADDRESS d DISHWASHER 1.75 CITY TEL. NO. CLOTHES WASHER 1.75 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.75 w: DISTRICT NO. G�P ZONE ESSED BY LAWN SPRINKLER SYSTEM 1.75 QQ WATER HEATER 1.75 INDUSTRIAL IIDD 171��`"�v WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD Pa OUTLETS OVER OC 5 PER SYSTEM .30 p Ow Plan check fee See Reverse PLUMBING PERMIT ISSUING•FEE $ 3 00 i TOTAL FEE APPROVALS DATE INS.PECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING AddreBS GAS PIPING City Tel. No. GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. . ' GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR �' UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY NGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM L GAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DES D DENTIAL PROPERTY. FINAL /" 3 SIGNATU RE OF PERMITTEE: ' PERMIT VALIDA`LJ6 ✓/rc.). M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH U 76AS67 (CE-817)-4/72_ 0 APPLICATION F R PLU 21NG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING � HARVEY T. BRANDT, COUNTY ENGINEER ADDRESS LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) CNEAREST ROSS ST. .� NUMBER FIXTURE OR ITEM ® FEE WATER CLOSET 1,75 OWNER '. MAIL BATH TUB 1,75 ADDRESS SHOWER 1,75 CITY 4L. LAVATORY 1,75 CONTRACTOR SINK 1,75 ADDRESS DISHWASHER 1,75 CITY TEL. NO. CLOTHES WASHER 1.75 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1,75 DISTRICT NO. GROUP ZONE PR CES ED BY LAWN SPRINKLER SYSTEM 1,75 _X7 R WATER HEATER 1,75 S INDUSTRIAL WASTE APPROVAL a GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v OUTLETS OVER 30 5 PER SYSTEM CD O W a h Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name tv. K ROUGH PLUMBING Address cZ,2 GAS PIPING City' 9 Tel. GAS VENT HOT WATER HEATER I IEREBY KNOWLEDGET AT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOV IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED 14 LICENSED AS RECIUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENT I PROPERTY. FINAL SIGNATURE ��"� ' . OF PERMITT PERMIT VALIDATION CK. M.O.'' SH PLAN CHECK VALIDATION CK. M.O. CASH 76 A 667—CE 817 468 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST - I CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 WAIL BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY TEL. NO. LAVATORY 1.50 CONTRACTOR O SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL. NO. CLOTHES WASHER 1.50 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUPZE OCESS Y LAWN SPRINKLER SYSTEM 2.00 � WATER HEATER 1.50 INDUSTRIAL 8 WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD 0 OUTLETS OVER 5 PER SYSTEM .30 413 De Vf Z. Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEE -3 APPROVALS DATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK • Name ROUGH PLUMBING Address GAS PIPING GAS VENT City. Tel. No. y HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION PLUMBING�IXTU RES AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY O. OTIF LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �) CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,kND INTEND TO V RESIDE IN.THE\ABBOVVE�DESCRIBED RESIDENTIAL PRO RTY. � FINAL SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL EN'G'R. OF PERM ITT E "" PERMIT VALIDATION M.o. CASH. PLAN CHECK VALIDATION CK. M.O. CASH f r�r 4 7= AFR 1 5 D 3:5`01N c I VVft',m that J have a certificate DECLARATION p PPLICATION FOR PLUMBING PERMIT I hereby, af�•�m that I have a certificate of consent to self in- 76�7A ��� 6% ®�9 PLUMBING F1F9'0 ' sure,or q gertWicate of Workers'Compensation Insurance,or a certifjdd copy thereof(Sec. 3800, Lab. C.) Policy No. Company COUNTY OF. LOS ANGELES i DEPT. OF PUBLIC WORKS Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) r Certified copy is filed with the county building inspection ADDRESS ��<< 14/WD GaW ZAP department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY7-0/PV/_/Z ���i. Date Applicant WATER CLOSET(TOILET) NEAREST / CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. 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.) LAVATORY ADDRESS rn 1 certify that in the performance of the work for which this per- SINK CITY TEL. ' mit is issued, I shall not employ any person in an manner so as to become subject to the Workers'Co pensation Laws. DISHWASHER CONTRACTOR J4 �./ \'Date t re Applicant CLOTHES WASHER ADDRESS �01 )5w Ao NOTICE TO APPLICANT: If, after making this C ificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CIN /;1;W f �, & TEL.NO. Q sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS `�s�� �1 ly with such provisions or this permit shall be deemed revok- STATE LIC. ` ed. WATER HEATER /� LICENSE NO. CLASS (O LICENSED CONTRACTORS DECLARATIONDISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER J_, 0)P 1 and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL / VALIDATION fect. HOSE BIB DATE License Number Lic. Class 4 � A I FINAL O V Contractor Date BY $ cc ©l`am exempt under Sec. ®�+% O U B.BP.C. for this reason _ Plan check fee ® a W y Date: PLUMBING PERMIT ISSUING FEE$ 02/ 0 � Signature . TOTAL FEE 3 All) SINGLE FAMILVF Plan check applicant HOME OWNER-BUILDER DECLARATION PP 5 1 hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and ACCT 8 oa Professions Code): Address 3303 43°40 ❑ I, as owner of the property, will do the work and the City Tel. No. 1 ITEMS structure.is not intended or offered for sale(Section 7044, Business and Professions Code). TOTAL 43.40 CONSTRUCTION LENDING AGENCY ' CHECK 43°40 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued CHANGE p00 (Sec. 3097, Civ. C.). Lender's Name 0000-0001 5/ 1/96 Lender's Address 6149 1 AM11:34 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 pro rty for' spection purposes. ApaSEE REVERSE FOR EXPLANATORY LANGUAGE c Signature of Permitte' Date I WORKERS'COMPENSATION DECLARATION 78A867 ) APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have g CIS of consent to self cetz z-eo insure,or a certificate of Workers'Compensation Insurance,or a certifiedopy the Sed 3800,Lab.C.) PI jc-06 V I certify that in the performance of the work for which this DISHWASHERL CONTRACTORLi, $IEQ r 0 permit is issued, I shall not employ any person in any manner S Date tDa Q 'Aso as to ppct to licant the orkers'Comp en atiork Laws. CLOTHES WASHER ADDRESS Fr i �� 0 pp SWIMMING POOL RECEPTOR ^ E. a NOTICE TO APPLICANT: If, after ma this Certific CITY 6� TEL.NO. �0 Q w Exemption, you should become subje to the Workers' LAWN SPRINKLER SYSTEM STATE �'l '7 LIC. /W Compensation provisions of the Labor Code, you must forth- LICENSE NO.Z$ 71 ® CLASJfL— with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS DIST T NO. P ESSE BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL VALIDATION ness and Professions Code, and my license is in full force and DATE /' effect. License Numb r��" Lic.Class r Jle.--v Contract e ❑ I am exempt m the Ii n.' g requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lic.or Reg.No. Date Plan check applicant ;21 9 b 8 A HOME OWNER-BUILDER DECLARATION Name 0 0 0 0 0 5 I hereby affirm that I am exempt from the Contractor's Address 0 0 1 0,00 OC License Law for the following reason (Section 7031.5, Busi- City Tel.No. ness and Professions Code): 1. 0 0 0 1 0.003 t3I, as owner of the property, am exclusively contracting ape—�� 4P with licensed contractors to construct the project. : (Section 7044,Business and Professions Code). 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and St to laws regulating Plumbing, and hereby Lqbve-mentioned e represen tives of this County to enter upon the pr perty for inF�� Signatur o Permittee 7 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0405140015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL PAID BUILDING-ADDRESS: TR: 7485 LT: 16 9231 WEDGEWOOD ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802437 ASSESSOR FO TION NUMBER: NEAREST CROSS STREET: ALESSANDRO 8588-001-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: A LOCALITY: TEMPLE CITY, C 47 WATER HEATER(S) 1.00 WTH 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 05/14/04 VG 11/10/04 OWNER: 9231 WEDGEWOOD ST TEMP 917802437 DESC IPTION )F WORK WATER HEATER CHANGE OUT PPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAB WORK MATER SERVICE y ARCHITECT OR ENGINEER: TEL. N0: PLASTIC Y/N METAL Y/N ROUGH PLUMBING LIC. NO: GAS PIPI C GAS VENT - +- NOT WATER HEATER PLUMBING-FIXTURES AWI�KSPRIN. LLERS GAS TEST TILITY COMPANY 'OTi� 1-0 CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 * COUNTY OF LOS,ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1307230023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 7485 LT: 16 9231 WEDGEWOOD ST [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802437 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 8588-001-018 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl 125 LAVATORIES/SINKS 1.00 FIX 16.20 1 TENANT: 147 WATER HEATER(S) 1.00 WTH 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: 1 TOTAL FEES 60.20 107/23/13 SR 1 OWNER: TEL. NO: I iF � ATE FI Y: CODE: IGRAINGER WILLIAM K;LOA L - [ '`/ 19231 WEDGEWOOD ST [ ITEMP 917802437 I IDD SC��F WORKWORK 1 I I ICLOTHESWASHER, SINK AND WATER HEATER I (APPLICANT: TEL. NO: I I I IPAUL DAVIS RESTORATION OF SO CAL (714) 228-0895- I I [ 14670 FIRESTONE BLVD i ISPECIAL CONDITIONS: I LA MIRADA, CA 90638 I 1 CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I ]PAUL DAVIS RESTORATION OF SO CAL (714) 228-0895- 1 I [ 114670 FIRESTONE BLVD SUITE 406 LIC. NO [ [UNDER SLAB WORK I ] ILA MIRADA, CA 90638 510431 * 1 ] I I I ] IWATER SERVICE i 1 I [ IPLASTIC YIN METAL YIN [ARCHITECT OR ENGINEER: TEL. NO: 1 I I I I ] - I IROUGH PLUMBING LIC. NO: I [ I ] 1 (GAS PIPING [GAS VENT I ] I 1 I (HOT WATER HEATER [ I [ IPLUMBING FIXTURES I LAWN SPRINKLERS ] I ] I ] I I I IGAS TEST [ I I I I I (UTILITY COMPANY NOTIFIED [ I ICWV [ I [ I IGRAY WATER SYSTEM I [ I I I I [ I I [ ] I 1 I I I [ [ [ I* ADDITIONAL DATA ON FILE [ [ [ [ IREPORT ID: DPR263 ROUTE TO: BS0508 ] [ I I [ I [ I I I