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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 i