HomeMy Public PortalAbout8711 WENDON ST_Plumbing__ FBA667-CE-817 12/59
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPART IMEE NT�ODF CO7UTT
YGBEEER Str�D1NG
BA.LAMSIEP CYNSEOERr ADDRESS {J 11 E• ri O S eWILLIAM A.JENSEN, ��@
DINGLOCALrrYSan Gab iel
FOR APPLICANT TO L IN CE T.
NUMBER FIXTURE OR ITEM OWNER Frank Verstuyft
WATER CLOSET MAIL
SATS T1rs
ADDRESS 8711 E. Wendon St.
SHOWER CITY Sari Gabriel TEL.NO.
LAVATORY CONTRACTOR Anthony Pools v I
Sm ADDRESS 5871 Fir a sto ne Blvd-*
DER WASIM CITY South Gate Tu- NO- SP-32210
CONTRACTOR'S190179 SOg53 Coulm ❑
LADNDRY TUB REGISTRATION NO.
CLOTHES WASSER DIS ICT N0. 1 GROUP /fZONE PR CESSED BY
WATER SEATER 1 I/
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD >.
a
Fresh water piping to v
O
F
0 $1.00 PER ITEM Da
OR FE[TORE $ I APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE 3 OO ROUGH PLUMBING
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
I HEREBY CERTIFY THAT 1 AM PROPERLY REG ?HlE
AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY L08 ANGELES COU ANTATE OF GAS TEST
CALIFORNIA OR THAT AM THE LEGAL R OF ABOVE
DESCRIBED. RESIDENT ERTY UTILITY CO.NOTIFIED
SIGNATURE
OF PERM! t t4 INAL
�P ATION ERT A.WOOD. -
CK. B.O. ME SUPERVISING MECHANICAL ENG'R
LAC04 2 4 7�3 JUL29 5 A 3.00
76A667-CE817-8-58
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER _
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS L J'
CASSATT D. GRIFFIN.Sup't of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER /Z 9 e r
WATER CLOSET MAIL
BATH TUB ADDRESS d f G� (N e Nf O
SHOWER CITY N' A TEL. NO. f 6 S^7
LAVATORY CONTRACTOR 0 u/7!
SINS ADDRESS Sq-yYLt .
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRICT NO. GROUP N I P SSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
OPER
R F LXTUBE $
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT 51 2100 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED -�RREEy/SIIDDE,N�TIAL PROPERTY.
SIGNATUR"1 J
OF PERMITTE `_ FINAL
ROBERT A.WOOD.
®F VALIDATION —-SUPERVISING MECHANICAL ENG'R
CK. Y.0.
76A667 DBB,7 7-61APPLICATION FOR PERDM
DEPARTMENT OFATG AND SAFETY
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
' a. ROUP
FOR APPLICANT TO FILL IN STRT� ZONE PERMIT
/v
PLUMSPLUMSFA VALLEY BOULEVARD PLUMBING CO. RECXkVEO BY READY FORDATE ISSUED
FIRST INSPECTION
ADDRESS 8300 EAST VALLEY BLVD. O' D iS v
ILDI
CITY ROSEMEAD TEL.No. AT. 2.2719 ADDRESS f 7// NZ11,111-4,ti
COUN93M6-30-,6;--1,— LOCALITY
C TY NO.BE EXPIRESti V
NEAREST
PERIM FSS CROSS ST. �•
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 6 ADDRESS
BATH TUB 0.50 CITY TEL No.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
GAB SYSTEM -R OUTLETS @ 0.50 OF THE RESIDENTIAL,PROPERTY�D�ESCRIBED AAB�OVE.
WATER HEATER 0.60 gIGFor
PERMITTE ,h
SLOP BINK 0.50 jNSPFXMON RECORD
RLOOR BINK 0.50
FLOOR DRAIN 0.50
DISHWASHER @ 0.50 q1�� p
DRINKING FOUNTAIN 0 13.00 � Fi� ( '�.P � � t1 SLAP
URINAL 6 0.50 U
Q
HOUSE SEWER 0 0.60 Z
MISCELLANEOUS 1„( ` ,1,{ }�f r
1J ,` I rV 6� w •11d I 1 r l g O
APPROVALS
DATE ��INSPECTOR-9 NAME
ROUGH PLUMBING —7 Li
GAS PIPING
GAB VENT
CESSPOOL 1:00 CESSPOOL
SEPTIC TANKe [SEWER
EPTIC TANK
DRAIN ( ) PIT ( ) 1.00 .! 1 PERMIT 1.013 AS TEST VIAL V
UTILITY CO.NOTIFIED
TOTAL FEE Wv ��
FINAL
WORKERS'COMPENSATION DECLARATION I7saee7A
I hereby affirm that I have a'certificate of consqpt 4o self !CE 84,712-80) ., APPLICATION FOR PLUMBING PERMIT
insure,or a certificate of Workers'Compensation Insurance,or I ' .
a certified copy thereof(Sec:3800';Lab.C.)
COUNTY OF LOS ANGE ES � BUI LDtNG AND SAFETY
Policy No.,. Company , a
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING / Q,
ADDRESS 11, �, WGf ,DD/tl 1'Z •
Certified copy is filed with the.county building inspection NUMBER FIXTURE OR ITEM • FEE
department. LOCALITY
Date Applicant WATER CLOSET 31 . NEAREST ,+-
BATH TUB CROSS ST.LOA($-Pe-'1 TI/�V 014
CERTIFICATE OF EXEMPTION FROM WORKERS' '
COMPENSATION INSURANCE SHOWER 3. OWNER Mr-FuRY
LAVA �
TORY MAIL ""�� >_(This section need not be completed if the work involved -3 ADDRESS l' �, WEa1�0 SrIQ�r Q-
by the permit is for one hundred dollars ($100) or less.) SINK fg O
CITY j TEL.NO. . 7 .15 (�
I certify that in the performance of the work for;which this DISHWASHER
permit is issued, I shall.not employ any person in any manner CONTRACTOR:
so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER
3. ADDRESS
Date Applicant SWIMMING POOL RECEPTOR LU
NOTICE TO APPLICANT: If, after making.this Certificate of
CITY TEL.NO. d
Exemption, you should become subject to the. Workers' LAWN SPRINKLER SYSTEM STATE LIC. 2
Compensation provisions of the Labor Code, you must forth- LICENSE NO. CLASS
with comply with such provisions or this permit shall be. WATER HEATER
deemed revoked. DIST NOES GAS SYSTEM OUTLETS . ED B
LICENSED CONTRACTORS DECLARATION OUTLETS OVER ( 8�.
I hereby affirm that I am licensed under provisions:of Chapter 5 PER SYSTEM
9 (commencing with Section 7000)of Division 3 of the Busi- FINAL VALIDATION
ness and Professions Code,and my license is in full force and DATE l! s VAi
effect.
FINAL.
License Number- Lic.Class BYa-�°�
Contractor Data
E]'I am exempt from,the licensing requirements as. I:am a rPlancheckfee
licensed architect or a registered professional engineerPLUBING PERMIT ISSUING FEE$ .�
acting in my professional capacity (Section 7051, Bus-
iness and Professions Code). TOTAL FEE
Lic.or Reg.No. Date Plan check applicant
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor a Address
Li cen a Law for the following reason ection, 03 .5; Busi-
nes and ProfessionsCode);
1 I, as owner of the property, am. exclusively contracting z 41 2 A
with licensed contractors to construct the project S # o o 0 o 0 5
(Section 7044 ,Business and Professions Code).
20 . 2500
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency o 0 0.2 5 0 0 C6
for the performance of the work for whichthis permit is
issued(Sec.3097,civ.C.). , 02 1 9-81
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 SEE REVERSE.FOR EXPLANATORY LANGUAGE \
authorize representatives of this County :to enter upon the h
above-mentioned pr erty for inspection purposes.
ign ure•o Pe i Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0301240005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL S PAID BUILDING ADDRESS:
TR: 17963 LT: 3 8711 WENDON ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752628
ASSESSOR NEAREST CROSS STREET: LONGDEN
5386-006-003 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TOTAL FEES 43.95 ISSUED 0 PROCESSED -PLANB S N:
01/24/03 JK 07/23/03
OWNER: TEL. NO: FINAL DATE FINAL BY:-� CODE:
TONG;JAMES K.W. (626) 497-8809-
8711 WENDON ST
SAN GABRIEL 91775 DESCRIPTION
NEW HVAC SYSTEM
EL. -
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. 0: ;;"- ��`,-� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO UNDER S B WORK
WATER
PLASTIC Y/N METAL Y/N
SERVICE-
ARCHITECT OR ENGINEER: 0; • � '
ROUGH PLUMBING
LIC. NOe l� - --__— i I� -- � I - _ '+, +,
i I
GAS PIPING
- - - - IGAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKL51F_
GAS TEST
•
UTILITY COMPANY NOTIFIED
����••. -- -- f
GRAY kTgRSYSTEM
I
REPORT ID: DPR263 ROUTE TO: BS0508
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