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