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HomeMy Public PortalAbout9843 WENDON ST_Plumbing__ MBU-=17 3-59 APPLLICATON FOR PLUMBRNG PERMIT 9 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ..[� BUILDING AND SAFETY DIVISION ADDR SS 3 6, /i(/�i1L -yLJ OHN A. LAMBIE, County��neer SATT D. GRIFFIN,Sup 4 of Building LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM . OWNER WATER CLOSET BATH TUB ADDRESS SHOWER CITYgwiA&LAI: TEL.NO. LAVATORY CONTRACTOlf SINS ADDRESS DISHWASHER CITY TEL, NO. _ CONTRACTOR'S STATE ❑ . LAUNDRY TUB , REGISTRATION NO. COUNTY , CLOTHO WASHER DIST NO. GROUP ZONE P OCESSED BY WATER HEATER �� GAS SYSTEBd INDIISTRIAL WASTE APPROVAL / INSPECTION RECORD _ 177- 11j;4j1j /2 /f0`7<r✓Ta /'ah�a�c.�: min-spr✓ OBFRE APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING GAS PIPING I HEREBY ACKNOWLEDGE THAT I 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 THE ABOVE DESCRIBED RESIDENTIAL_PROPERTY. UTILITY CO.NOTIFIED SIGNATURE ` OFPERMITTE1 FINAL '2 —60 ®v, a VALIDATION ROBERT A.WOOD, pUPERVISING MECHANICAL ENG'R DE08 0 4 0S MAR 22 5 A 300 � 78MU/--CE917 3.59 APPLRCAT�ON FOR PLUMBNG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER o BUILDING AND SAFETY DIVISION BUnR�s 9813E Wen on AVee , _J_OHN A.LIMBIE, Co�mty Engineer CASSATT D. GRIFFIN,Supt of uildim LOCALITY Q FOR APPLICANT TO FILL IN NEAREST _ �q NUMBER FIXTURE OR ITEM CROSS ST. OWNER Ce e B e Crawford WATER CLOSET ADDRESS 9843 E. Wendon Ave. D BATH TUB crrY Temple City TEL NM SHOWER LAVATORY CONTRACTOR Anth®ng Pools, Ince,0 SINK ADDRESS 5871 Firestone Blvd o, DISHWASHER crriBouth Gate �7 TEL. NO.SP-322L 0 STATE LAUNDRY TUB nc0fsTRACTIONSNO 901 9 8C" 3 COUNTY o CLOTHES WASHER DI §=lGa NO. 1,19ROUP I NE P OCESSED BY WATER HEATER ° O�t11/ GAS SYSTEM INDUSTRIAL WASTE APPROVAL a INSPECTION RECORD 1Fresh water pipingto pool ' OS°FIXTURE $ f APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE 3�a ROUGH PLUMBING GAS PIPING I HEREBY ACKNOWLEDGE THAT I 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 HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERE AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND ST 7E OF GAS TEST CALIFORNIA OR THAT I AM HE LEGAL OW ER TH ABOVE DESCRIBED RESIDEHTI PR BTT. r UTILITY CO.NOTIFIED r SIGNATURE OF PE mil NAL ®e ALMATION ROBERT A.WOOD. M,O, CpgR SUPERVISING MxcHANICAL ENG'R �,' �5 1. 7 9� AUG 5 D 3.v 0 `� WORKERS'COMPENSATION DECLARATION A FOR PLUMBING PERMIT I herelly affirm that I have a CH 81 certificate of consent to self ce ear(,-,,) APPLICATION insure,or a certificate of'Wdrkers'Compensation Insurance,or a certified colfy thereof(Sec.3800,Lab.C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company �� 0 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING M ADDRESS Gc�� Q� .Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM ® FEE department. WATER CLOSET LOCALITY- Date Applicant NEAREST �iG•8�� ��...�I�— CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE L SHOWER OWNER C- JC[...,. MAIL ` } (This section need not be completed if the work involved I LAVATORY ADDRESS (L by the permit is for one hundred dollars ($100) or less.) SINK CITY TEL.NO.2 U I certify that in the performance of the work for which this DISHWASHER permit is issued, I shall not employ any person in afiy manner I CONTRACTOR 0 so as to become subject to the Workers'Compensation.Laws. CLOTHES WASHER ADDRESS. ' V Date Applicant UJ SWIMMING POOL RECEPTOR CITY O. y, NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Compensation provisions of the Labor Code,you must-forth- WATER HEATER LICENSE CLASS e with comply with such. provisions or this permit shall be deemed revoked.. / GAS SYSTEM OUTLETS DISTRICT NO. O ESSE 'BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL l —lc `^ / VALIDATION ess and Professions Code,and my license is in full force.and V t effect. FINAL .cense Number Lie.Class BY Contractor Date I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my, professional capacity (Section 7051, Bus- iness'apd.Pcofessions Code)., ,_t_...., ', � TOTAL FEE � ®� Lie.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address 7 3 �) License Law for the following reason (Section.7031.5, Busi- City`r G l Tel.No. f'(e ness and Professions Code): ;94229A, I, as owner of the property, am exclusively contracting f} a c o o a 5 with licensed contractors to construct the project (Section 7044,Business and Professions Code). 2 o c 1 0 0 0 CONSTRUCTION LENDING AGENCY G O 0 1 Q O O v I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is 0226-81 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 unty to enter upon the above-mentioned property for i ection purposes. , r -kSignatur of Permittee Date WQRKERS'COMPENSATION DECLARATION 76AS67A I herebi affirm that I have a',gertificate of consent to self cE ei7 (z-eo) APPLICATION FOR PLUMBING PERMIT insure,or a certificate of,,Workers'Compe'lisation Insurance,or ace tified copy thereof(Sec.3800,mzc� COUNTY OF LOS ANGELES - BUILDING AND SAFETY any Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ifie copy is filed with th ZV c n building inspection NUMBER FIXTURE OR ITEM • FEE ADDRESSC/ d/� LOCALITY ' 11 t �— WATER CLOSET ate pplicant NEAREST BATH TUB CROSS St CERTIFICATE OF EX PTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER 4 j 6k)-v-1 LAVATORY MAIL (This section need not be completed if the work involved ADDRESS _ } by the permit is for one hundred dollars ($100) or less.) SINK a CITY ,� �� TEL.NOyj�� V 1 certify that in the performance of the work for which this DISHWASHER ` permit is issued, I shall not employ any person in any manner CONTRACTOR ��� / so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER ADDRESS o Date Applicant SWIMMING POOL RECEPTOR NOTICE TO APPLICANT: If, after making this Certificate of CITY �Q/' TEL.N � a Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE ...,, LIC. ��tt' rn Compensation provisions of the Labor Code, you must forth- LICENSE NO. CL SS J Z with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS DISTRICT 00 r,6& CES D BY LICENSED CONTRACTORS DECLARATIONOUTLETS OVER t I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL / ness and Professions Code, and my license is in full force and D}� 'Lr • DATE r 2 – l S -r 'r VALIDATION effect. 1 FINAL License Num jyQ L'c.Class '�yf BY Contractor 7," date F1 I am exempt from the licensing requirements as I am a Plan check fee ' licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ 1_30 7 3 6 A acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEET o 0 0 0 0 6 w Lie.or Reg.No. Date Plan check applicant 2 ° ° 1 0.00 HOME OWNER-BUILDER DECLARATION Name o o ° 1 0,0 0 U I hereby affirm that I am exempt from the Contractor's Address 0 8 1 2-81 License Law for the following.reason (Section 7031.5, Busi- City Tel.No. ness and Professions Code): ❑ 1, as owner of the property, am exclusively contracting 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 State laws regulating Plumbing, and hereby authorize•represent ives of this County to enter upon the above-m i operty for inspection purposes. Si at r of erm' ee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0407150001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: L GA ID: EES PAID BUILDING ADDRESS: TR: 11386 LT: 3 BL: A UN: .003 9843 WENDON ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801727 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GOLDEN WEST 5385-022-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS 2.00 FIX 32.40 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY:- PL.N 8 EXPIRES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 07/15/04 JK 01/11/05 TOTAL FEES 92.5 OWNER: TEL. NO: FINAL D E FINAL BY: CODE: LIU, CHUNG YUAN (/ 9843 WENDON ST TEMP 917801727 DESCRIPTION OF WORK PLUMBING FOR THE NEW BATHROOM APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAB WORK WATER SERVICE ARCHITECT OR ENGINEER: TEL. NO: PLASTIC YIN METAL YIN TAI, CLEMENT (626) 286-0079- ROUGH PLUMBING 9552 WENDON ST LIC. NO: 16 TEMPLE CITY CA 91780 NONE GAS PIPING GAS VENT HOT WATER HEATER PLL94BING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIF ED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508