HomeMy Public PortalAbout9734 WEDGEWOOD ST - Plumbing - 1964-07-27 7GAG87C (CE-8176) -8/75 '
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM @ FEE
ADDRESS'
WATER CLOSET LOCALITY
NEAREST //00
BATH TUB CROSS ST. tp0 �l�►��
SHOWER OWNERN
LAVATORY M IL
ADDRESS
SINK CITY TEL. NO.
DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL. NO.
LAWN SPRINKLER SYSTEM
STATE LIC
WATER HEATER LICENSE NO. CLASS e}
GAS SYSTEM OUTLETS DISTRICT NO. GROUP ZONE R '-E D BY
C 7
OUTLETS OVER J, I CD
CD
5 PER SYSTEM
INDUSTRIAL
WASTE APPROVAL y�i
0
INSPECTION RECORD Z
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
n
City Tel. NO. GAS PIPING -'�0�7j
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT V
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES .eA
LICENSED AS REQUIRD BY LOS ANGELES COUNTY AND STATE OF GAS TEST �i
CALIFORNIA OR E
THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVESC�RE51�6(JTIAV �ERTY., UTILITY CO. NOTIFIED
SIGNATU RE ��JJ
OF PERMITTEE FINAL f-771 a+ ,7
w
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. .O. CASH
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78A887•CE#Ix7;.9/89
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ,
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LA E. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST ,
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAILLol
BATH TUR 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DIS TRI NO. GROUP ZONE P CESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS D.
1.50 WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
O
F-
' U
W
Q.
U)
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND'/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PR RTr. UTILITY CO.NOTIFIED
SIGNATURE 046 1
OF PERMITTE
INAL
VALIDATION ROBERT A.WOOD
CK. M.0. GASH SUPERVISING MECHANICAL ENG'R
L&1 8 5 O% JUL27 5 0 3.25NCQ
76,SBA"fCEgI7APPLICATION FOR PLUMBING PERMIT
BUILDING AND.SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDINGr
QC
NUMBFIXTURE OR ITEM ® FEE
ER
ADDRESS Vy
WATERCLOSET LOCALITYL Cl J
NEAREST
BATH TUB CROSS ST. V V
SHOWER OWNER
/ LAVATORY 13MAIL
ADDRESS C
SINK CITY TEL.NO..
DISHWASHER CONTRACTOR
Igo 4f-
CLOTHES WASHER
ADDRESS.
SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM:
STATE LIC.
WATER HEATER LICENSENO. CLASS
GAS SYSTEM OUTLETS DTRICT�{Q GROUP I ZONE P p7e�ESS_ED BAY
OUTLETS OVER rz
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD u
fig
A.
W
z
Plan check fee
PLUMBING PERMIT ISSUING FEE$ 'V
TOTAL FEE
Plan check a licant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
.I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT _
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES HOT WATER HEATER
AND STATE LAWS REGULATING PLUMBING. '
I HEREBY CERTIFY THAT I AM PROPERLY.REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST OF
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE V. DESCRIBED RESIDENTIAL -
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE _
0
OFPERMITTEEArz FINAL
PLAN CHECK VALIDATION CK. M.O. CASH' PERMIT VALIDATIONcK. M.O. CASH
7 7 ,4 r DEC 20 5 .0 ' 1 3.5 0
®s
76A667-CE#617 10-62 /c
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 'q
FNEAREST
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, Sup'T of BUILDING
7
FOR APPLICANT TO FILL IN .
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 51.25 MAIL 2 1
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL NO.
LAVATORY 1.25 CONTRACTOR
SINS 1.25 ADDRESS -
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE [I
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP Z7NE 4 PROCESSED BY
WATER HEATER 1.50 5
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD L.7
OC
0
F
U
W
IL
Vf
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED Z.
SIGNATURE
OF PERMITTEE
FINAL
VALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
WORKERS'COMPENSATION DE 'TION 7A
I hereby affirm tha$ I have a' certificate of consent toself 1. .17lzSi «A P P L C A T I O eFOR PLUMBING PERMIT
insure,
or a certificate of Workers'Compensation Insurance,or
a certified copy thereof(Sec.3800,Lab.C.) COUNTY OF LOS ANGE LES ,BUILDING AND SAFETY
Policy No. Company
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
ADDRESS {Id
Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM O FEE
department. LOCALIT
Date Applicants WATER CLOSET I I LI
NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' BATHTUB CROSSST.
COMPENSATION INSURANCE r SHOWER OWNER G �!
(This section need not be completed if the work involved LAVATORY �y MAILESS r }
EL
by the permit is for one hundred dollars ($100) or less.) SINK CITY- (. C'1- TEL. U
F
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner DISHWASHER CONTRACTOR 0
so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER ADDRESS (--
Date Applicant SWIMMING POOL RECEPTOR a
NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL.NO. to
•Zxemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Z
Compensation provisions of the Labor Code, you must forth- LICENSE NO. CLASS
with comply with such provisions or this permit shall be WATER HEATER
deemed revoked.. a -GAS SYSTEM OUTLETS DISTRICT NO. ESSED Y
i
LICENSED CONTRACTORS DECLARATION OUTLETS OVER
I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM
9 (commencing with Section 7000)of Division 3 of the Busi- FINAL �/l VALIDATI N
ness and Professions Code, and my license is in full force and DATE L7 �f-
effect.
License Number FINAL
Lie.Class — FI r
BY
Contractor Date
I am exempt from the licensing requirements as I am a Plan check fee
licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$
acting in my professional capacity (Section 7051, Bus-
iness and Professions Code). '
TOTAL FEE G
Lie,or Reg.No. Date Plan check applicant E\1 i K 81,F CC!YN
HOME OWNER-BUILDER DECLARATION Name • dry )
I hereby affirm that I am exempt from the Contractor's Address -'3 5 9 C A
License Law for the following reason (Section 7031.5, Busi- City �^� ` �� C,] Tel.No. - ( �4 c o 0 0 0
ness and Professions Code):
I, as owner of the property, am exclusively contracting 'l_ 0 0 ,6 5 J
with licensed contractors to construct the project
(Section 7044,Business and Professions Code), 0 0 0
CONSTRUCTION LENDING AGENCY (; Q 9_Q 2
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 State laws regulating Plumbing, and hereby
authorize representatives of this County to enter upon the
abo' -mentio d pr e y fo inspe tion purpos�.
' � c
Signature of ermittee Date
WORKERS'COMPENSATION DECLARATION P k . ° APPLICATION FOR PLUMBING PERMIT
I hereby'affirm that I have a certificate cif consent to self 76A667A-~~ U
insure, or o certificate of Workers'Compensation Insurance, CE 817(REV. 10/81)
or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES �j 6 BUILDING AND SAFETY
Policy No. Company {
Certified copy is hereby furnished.
❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
Certified copy is filed with the county building inspec- ADDRESS q 1
7)4 C-AC-1- %44MEVOOZ St
tion department. i NUMBER FIXTURE OR ITEM @ FEE
LOCALITY'raCA 1711)
Date Appli4ant WATER CLOSET NEAREST .�
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST.. Qr
COMPENSATION INSURANCE r SHOWER OWNER t
(This section need not be completed if the work involved by MAIL
the permit is for one hundred dollars($100)or less.) I LAVATORY ADDRESS
I certify that in the performance of the work for which this
permit is Issued,.I shall not employ any person in any manner SINK CITY TEL..NO.
so as to become subject to therker Cogry e!43 ion Laws. DISHWASHER
(i\y{ `4 CONTRACTOR
Date 12-21-V Applicant CLOTHES WASHER
NOTICE TO APPLICANT: If, after making this C tificate of ADDRESS
,
Exem tionyou should become subject to th Workers' SWIMMING POOL RECEPTOR
P Y I CITY TEL.NO.
Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit .shall be. STATE LIC:
deemed revoked. WATER HEATER LICENSE NO. CLASS
LICENSED CONTRACTORS DECLARATION tl DISTRICT NO. P CESSED BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS
(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER
and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATION 0
DATEza' W
License Number Lic. Class
FINAL / O
Contractor Date BY
❑ u.
I am exempt under Sec. up
B.BP.C. for this reason I Plan check fee
Date: I PLUMBING PERMIT ISSUING FEE$ Cl
Signature.
II TOTAL FEE � (�
SINGLE FAMILY Plan check applicant
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor's License 8 6 65
Law for the following reason (Section 7031.5, Business and Address
Prgfessions Code): City Tel. No. 0 0 0 0 0 5
tLarjJ I, as owner of the property, will do-the work arid the o o 2 250
structure is not intended or 'offered for sale (Section
7044, Business and Professions Code). c.0 0 2 2 5 L}
CONSTRUCTION LENDING AGENCY 1 12 2 9—8 2
I hereby affirm.that there is a construction lending agency for
the performance of the work for which this permit is issued i
(Sec. 3097, Civ. C.).
Lender's Name i
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 prope ty for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1406190014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 11131 IT: 7 I 1 9734 WEDGEWOOD ST
[ASSESSOR INFORMATION NUMBER: IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917802535 I
1 I I NEAREST CROSS STREET: GOLDEN WEST
8588-010-001
101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 2.00 FIX 32.40 1 1
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY:
145 WATER CLOSET/URINAL 1.00 FIX 16.20 106/19/14 SR [
I TOTAL FEES 92.60 I I
[OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: [
IFU/DONG, JENNIFER/PAUL ( I I I
19734 WEDGEWOOD ST
ITEMP 917802535 1 1DE C PTION F WORK I
I IBATHROOM REMODEL - TO REP CE WATER CLOSET, SHOWER, BATHTUB
I 1 [AND LAVATORIE I
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER
I 1 ISPECIAL CONDITIONS:
I
I I I I
ICONTRACTOR: TEL. NO: I IAPPP.OVALS DATE INSPECTOR SIGNATURE
[SAME AS OWNER _
I LIC. NO [ [UNDER SLAB WORK I I I
IWATER SERVICE
IPLASTIC Y/N METAL Y/N I I I
(ARCHITECT OR ENGINEER: TEL. NO: I I I I
I - [ [ROUGH PLUMBING I
I LIC. NO:
I [GAS PIPING [ [ [
I [GAS VENT I I I
[ [ [HOT WATER HEATER I [ [
1 [ [PLUMBING FIXTURES I I I
[ [LAWN SPRINKLERS
[ [GAS TEST I I
I (UTILITY COMPANY NOTIFIED[
[ I IcWV
I I IGRAY WATER SYSTEM [ [
I I [ I 1
I I I I I
I I I I I I
I I I I 1 I
IREPORT ID: DPR263 ROUTE TO: BS0508 I I I
I I I I [
' COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
PL 0508 1005120001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I SIIILDING ADDRESS: 1
ITR: 11131 IT: 7 I 1 9734 WEDGEWOOD ST I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917802535 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GOLDEN WEST
18588-010-001 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
I 107 BATHTUBS/SHOWERS 2.00 FIX 32.40 1 1
ITENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 IISSUED ON: PROCESSED BY: PLAN BY: 1
145 WATER CLOSET/URINAL 1.00 FIX 16.20 105/12/10 SR 1
I I TOTAL FEES 92.55 1 1
(OWNER: TEL. NO: 1 IFINAL DATE FINAL BY: CODE: 1
IFU, JENNIFER JILIN ( I 1 I
19734 WEDGEWOOD ST 1 I I � I
ITEMP 917802535 1 ID SCRIPTION OF WORK 1
1 I [PLUMBING FOR BATHROOM REMODEL I
(APPLICANT: TEL. NO: 1 1
ISAME AS OWNER
I I ISPECIAL CONDITIONS: 1
I I I 1
ICONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - 1
1 LIC. NO 1 [UNDER SLAB WORK
I I IWATER SERVICE !!
I IPLASTIC Y/N METAL Y/N [ [ I
[ARCHITECT OR ENGINEER: TEL. NO: [ I I I I
I - I IROUGH PLUMBING /�
1 LIC. NO: 1 I 01 k 1
1 I [GAS PIPING I 1 I
1 1 GAS VENT 1 I I
1 I IHOT WATER HEATER I I [
I 1 IPLUMBING FIXTURES I I I
I I I
ILAWN SPRINKLERS I I I
I I
1 I IGAS TEST I I I
I 1 (UTILITY COMPANY NOTIFIED( 1 1
I I ICWV I I I
IGRAY WATER SYSTEM
1 I I I I I
1 I 1 I I I
I I I I I I
I I 1 I I I
I I I 1 1 I
I I I I 1 I
1 [REPORT ID: DPR263 ROUTE TO: BS0508 1 I I I
I I �