Loading...
HomeMy Public PortalAbout9854 WENDON ST_Plumbing__ COUNTY OF LOS ANGELES k6lPLE CITY ,t 0508 PLUMBING PER!tl DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 040;' "^ BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 LE L I • FEES . ID BUILDING ADDRESS: TR: 11386 LT: 9 BL: B 9854 WENDON ST FEE DESCRIPTION: QUANTITY: L101'.1- AMOUNT: TEMP CA 917801726 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5385-025-009 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED Y: PLA Y: EXPIRES ON: - 09/14/04 JK 03/13/05 OWNER: TEL. NO: FINAL VAT- F L BY: CODE: ARREDONDO RICHARD;REBECCA M (626) 286-8849- 9854 WENDON ST TEMP 917801726 D�SCR ION RK GAS LI t FOR NEW HVAC SYSTEM APPLICANT: TEL. O: CONNOR AIR (626) 286-3151- 4931 ENCINIIA AVE SPECIAL CONDITIONS: TEMPLE CITY.CA 91789 CONTRACTOR: TEL. NO: APPROVALS DAT[ -:L3PECTOR SIGNATURC �I CONNOR AIR CONDITIONING (626) 286-3157- 4931 ENCINITA AVE LIC. NO UNDER S AB WORK TEMPLE CITY, CA 91780 403735 C20 WATER SERVICE A�F!C I.EC! 0: E.:-:"°_... -T--.-un: PLASTIC Y/N METAL Y/N LIC. N0: ROUGH PLUMBING GAS IP PING _ -�- GAS VENT HOT I:A ERER-HEATER PLUMBING FIXTURES AWN SPRINKLRS �- GAS TEST -- ��- UTILITY COMPANY NOTIFIEff W - - CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 •,.•, " 'WdRKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT ,t, n •+d he?eby affirm that I have a certificate of consent to self 20-0026 DPW 6/87 C,IL.III issue,.or a certificate of Workers'Compensation Insurance, 76A667A �at a eWtlfjed copy thereof(Sec, 3800,Lob, C.) COUNTY OF LOS ANGELES •DEPT.OF PUBLIC WORKS Policy NdN"!*02732 Compony Frg.-�. d !a-r� ,..sr✓r^i r Certified copy is hereby furnished. BUILDING FOR APPLICANT TO`FILL IN(PRINT OR TYPE) ADDRESS 25 S�( 'LJ 'Qy Q Clyll Certified copy is filed with the county building inspec- tion cjepartment. NUMBER FIXTURE OR ITEM ® FEE LOCALITYa Date Appligan •�� 2,9- ,w c WATER CLOSET NEAREST (C Y T' ERT FICATE OF EXEMPTION FR6A WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER /` r 1 (This section need not be completed If the work involved by O at✓ P SHOWER 0 :Cu 4r� !'e dGsvC�G the permit is for one hundred dollars($100)or less..) ©sy LAVATORY ZDRESS 9,4.'tit dt-S C,w-e I certify that In the performance of the work for which this permit,Is issued, I shall not employ any person in any manner Qo✓e SINK 0. CITY TEL.NO. 2 g SSC�.r so as to become subject to the Workers'Compensation Laws. N P DISHWASHER 40CONTRACTOR Date C"Applicant .�-v[ lL_1 G` CLOTHES WASHER - ADDRESS NOTICE T A LICANT: If, after m ing this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Z, Compensation provisions of the Labor Code,you must forth- LAWN SPRINKLER SYSTEM CITY• d✓ .c 4 TEL.NO. A 6-rS 1?Al with comply with,such provisions or this .permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. S 2 g C �- CLASS LICENSED CONTRACTORS DECLARATION TJNQ- DISTRICT NO. PROCESSED BY I hereby affirm•thot I am licensed under provisions of Chapter 9 N el GAS SYSTEM OUTLETS d Q (commencingwith Section 7000.) of Division 3 of the Business � a `� 5 PER SYS EM ge, and Professions Code,and my license is in full force.and effect. FINAL VALIDATION DATE License Numbers L.ic.-Class ' Z C J �o AL IZ Contractor L,�A r� �m(ate ate BY I C ❑ I am exempt under Sec. I I W BAP.C.for this reason O. Plan check fee Cf —Date- ri % i i D Z PLUMBING PERMIT ISSUING FEE$ Signature - , TOTAL FEE r`5 Plan check applicant v .�+C <� SINGLE FAMILY D HOME OWNER-BUILDER DECLARATION Name & I hereby affirm that I am exempt from the Contractor's License Address v 2 o Lar.. C. ��� yil r '3 Law for the following reason (Section 7031..5; Business and Professions Code): City O--00 C• Tel. No. &6 g S `� `)� r` `'k' . ❑ I, as owner of the property, will do the work and the ,i 1 77 MC structure is not intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY '. ]=t j; 65.15i.� I hereby affirm,that there is a construction lending,agency for' i ; the performance of the work for which this permit is issued CHANGE oD 9 (Sec. 3097, Civ. C.). Lender's Name I.i+.il IIJ�FJIiIJ 1 �Jir 11lr•�1 Lender's Address - I ,. . I certify that I have read this application and state that the ! l 1 fI=3': above information is correct. I agree to comply with all County ordinances dnd State laws regulating Plumbing, and hereby ' authorize representatives of this County to enter upon the above-mentioned'propert for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE r � l Si ure mitteep6te i