HomeMy Public PortalAbout9891 WENDON ST_Plumbing__ 78A667-CE#817 5-81• ,
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS-ANGELES
DEPARTMENT OF COUNTY ENGINEER -
BUILDING AND SAFETY DIVISION BUMI)ING J
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALL=Y
FOR APPLICANT TO FILL IN CROSS ST
NUMBEA FIXTURE OR ITEM OWNES
WATER CLOSET NAM
BATE. ADDRESS
TUB od
SHOWER CITY TEL.
CONTRACTOR
LAVATORY
SmADDEESS /0
DMEWASEEB CFT TEL.NO.334as/d
TE
LAUNDRY TOB REGRiTEATION�INO. p�Q�o?a CO=IIPTY
CLOTH=WASHER DISTRICT NO: GROUP ZONE PROCESSED BY
WATERr-
GAS SYSTEMENDUSTEM V
WASTE APPROVAL
,r MSPECTION RECORD
O
I-
v
W
• Z
S 11. 0 PER ITEM I
OR FDCTIIRE $ APPROVALS DATE' INSPECTOR`S SIGNATURE
PERMIT $ 2. 00 UNDER.SLAB WORK
TOTAL FEE �( ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL dOUNTY00$DINANCES AND STATE LAWS REGULATING
PLUMBING. HOT.WATER HEATER
-
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �i .
LICENSED AS REQUIRED BY LOS,ANGELES COUNTY AND STATE OF. GASTEST tl
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE F�0
DESCRIBED IDENTIAL PROPERTY: UTILITY O.NOTIFIED
SIGN.
OF FINAL (MIy -50S
ALIDATION ROBERT A.a1NOOD
.L`K. M.o. cgSH SUPERVISING MECHANICAL ENG'R
l r'►�o 5 8 3 1:o NOV 12 5 D 4.7 5-
q
76A667-CE*817 9/63' i
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS-ANGELES'
DEPARTMENT. OF COUNTY ENGINEER
BUILDING AND:SAFETY DIVISION BUILDING
JOHN A:.L-AMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING
FOR APPLICANT TO FILL IN NEAR -.
CROSS QST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER gal h T1 Clarksonr
WATER CLOSET $1.25
MAIL
BATH TUB 1,25 ADDRESSSame
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1,25 CONTRACTORAnthon Pools., InC.
SINS 1,u ADDRESS 5871 .Firestone Blvd,
DISHWASHER 1.25 CITYRa rZ4 i- TEL.NO.
LAUNDRY TUB 1.25 REGIS SAT ON NO. 1.90 17 9' ATE C-5.3 CO CTOR'STUNTY ❑
CLOTHES WASHER 1.25 DISTRICT N ol9oup ZONE P. O BY
WATER HEATER 1.50 a ,D "Cc
1.50 INDUSTRIAL - n.
GAS SYSTEM OUTLETS WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 U
INSPECTION RECORD 1
O swim pool - 00
711 +' r*'A.t Pf vL:y.+ •�- �st'�"!'(Ir'. �'i Y.�c,Y' ?Cry '`11�::� a .
d^j 7 C z
f
APPROVALS DATE INSPECTDR-S SIGNA];!�R
PERMITS 2 00 UNDER SLAB WORK. f1
v r
ROUGH PLUMBING.
TOTAL FEE Q .00. GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
L HEREBY CERTIFY THAT IAM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY L08 ANGELES.COUNTY ANTATE OFGAS'TE$T•
CALIFORNIA OR THAT I AM THE LEGAL OWNER ,ATEND TO
RESIDE IN,THE.ABOVE DESCRIB P71 IENTIA OP UTILITY CO.NOTIFIED
SIGNATURE \
OF PERMITTEE
FINAL
.IDROBERT A. WOOD
C M.Q. CASH - SUPERVISING MECHANICAL ENG'R
LAC0 4 683%-D OCT $ 5 D 4.0 QN 4
FP '
RORS'COMPENSATION DECLARATION
y' 20-0026 DPW 4187 APPLICATION FOR PLUMBING- PERMIT
re y, affirjn that I'have a certificate of consent to self in-i 76A667A., r a certificate of Workers'Compensation Insurance,,oro GE 817(REV.8/8ti). '
L cegtifkied copy.thereof-(Sec. 3800, Lab. C.)
Policy No. 580792 Company. State .Fund I' COUNTY OF LOS ANGELES ; DEPT. OF PUBLIC WORKS '
Certified copy is hereby furnished. CA A.
BUILDING
FOR APPLICANT TO FILL IN(PRINT OR TYPE)
Certified copy is filed with the county building inspection ADDRESS 98.91 Wendon
department. 1 NUMBER FIXTURE OR ITEM @ FEE LOCALITY
Date "5-23-.89 Applicant Oakridge Const:,1 -WATER CLOSET(TOILET)
NEAREST
.ti
• CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. ,
COMPENSATION INSURANCEOWNER
SHOWER Mr & Mrs 'Oberholtz
(This section need not be completed if the work involved by ' MAIL
the permit is for,orie hundred dollars($100)or less.) 2 LAVATORY ADDRESS 9891 Wendon
I certify that.'in the performance of the work for which this pery {{ SINK f� CITY TEL..IVO.
mit'is issued, I.shall not employ any person in any manner so 1 U Temp le Cit 286-76.68
as to become,subject to the Workers'Compensation Laws.
DISHWASHER CONTRACTOR
Date Applicant CLOTHES WASHER Gakrid a Construction
ADDRESS
NOTICE TO APPLICANT: If,-after making this Certificate.of Ex- 5842 Al.e.ssandro-
emption;you should become subject to the Workers'Coinpe.n..-' SWIMMING POOL RECEPTOR
CITY TELNO
•sation provisions of the Labor Code,you'Must forthwith cornp.- LAWN SPRINKLER SYSTEM Tem le Cit . . 280-1544
ly with such,provisions or this permit shall,be deemed.revok- STATE LIC.
ed': +,:'� WATER HEATER ;/\O -LICENSE NO:' 505643 CLASS B'-1
LICENSED'CONTRACTORS DECLARATION _ V DISTRICT N� P CES ED BY
I hereby affirm that 1 am Licensed under provisions of Chapter GAS SYSTEM OUTLETS
9(commencing with Section 7000)of Division 3 of the Business,I OUTLETS OVER
and Professions Code, and my license is in fullforce and,ef- 1 5 PER SYSTEM.. TINA _ p VALIDATION
fect. 1 DATE Z 7
License Number• -- L'ic. Class 1 O v
505643 B� --- -:.. . V
I F)NAL
Contractor Oakridge 13on-s`t. Date 5-23=89 By' O
I am exempt under Sec. W
I j LU
B.&P.C. f '
orthis reason i H
• Plan check fee.
- •'' • _ - ,
-- Date. '-• I .
PLUMBING PERMIT ISSUING FEE$
Sighature -
- TOTAL FEE
SINGLE FAMILY.
l
Pancheck applicant . ' ..
1 hereby affirm.that I am exempt from the Contractor's License dame y '
Low for the-following reason (Section 7031.5, Business and
Professions'Code): Address ' ACUMV...•'
6450
I, as owner of the property, will do the work and. the City Tel. No. "'" " O
3M7
structure is hot intended or offered for sale(Section 7044, , „....... , _ i ITM
Business and Professions Code).
464.
a CONSTRUCTION LENDING AGENCY ® YAL 0
I hereby affirm that there is a construction' lending agency for i 'C 64°'0
the performance of,the.work.for which 'this permit is issued i
(Sec. 3097;.Civ. C.)..:' ........•........
°
L I t
Lender's Name
• � - DDi �I�f89
Lender's Address_ 1 r 3W i M 80-3
1 certify-that I have.jead this application.and state that the
above information is correct. I agree to comply with all County I
ordinances and State laws regulating Plumbing; and hereby
author' repre tatives of this County to 'enter upon the
bov.e- ti 'ed. petty for inspection purposes. I
2. f SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee. ate i
C RKERS'COMPENSATION DECLARATION (.�{� /� �p n � (��n 2
•�.t 1 _ , affir that I haven certificate of consent to self in- 20-0026 DPW 4/87 All'"U"��Cb=���®ll`�,I FOR p° L�Vd ENG PERMT
Y 76A667A
sure,pr a certificate of Workers'Compensation Insurance,ora CE 817(REV.8/86)
'fl
• ce5tified copy thereof(Sec. 3800, Lab. C.)
Lp q COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
Poli y No. 580792 Company State Fund
R Certified copy is hereby furnished. 11 �'
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
' 0Certified copy is filed with the county building inspection ADDRESS 9891 Wendon
department. NUMBER FIXTURE OR ITEM @ FEE
{, LOCALITY
Date 5-23-89 Applicant Oakridge Const, ! WATER CLOSET(TOILET) NEAREST Temple City
BATH TUB CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE SHOWER OWNER Mr & Mrs Oberholtz
(This section need not be completed if the work involved by MAIL
the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS 9891 Wendon
I certify that in the performance of the work for which this per- SINK ''11// CITY TEL. NO.
mit is issued, I shall not employ any person in any manner so ' Ul Temple Cit 286-7668
as to become subject to the Workers'Compensation Laws. 1 DISHWASHER
1 CONTRACTOR Oakridge Construction
Date Applicant CLOTHES WASHER O ADDRESS
NOTICE TO APPLICANT: If, after making this Certificate of Ex- 5842 Alessandro
emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR
CITY TEL. NO.
sation provisions of the.Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM Tem le City280-1544
ly with such provisions or this permit shall be deemed re.vok- STATE LIC.
ed. WATER HEATER i\ LICENSE NO. 505643 CLASS B—
GAS SYSTEM OUTLETS 1
LICENSED CONTRACTORS DECLARATION ' _ V DISTRICT NQ, P CES ED BY
I hereby affirm that I am licensed under provisions of Chapter
9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER �J
and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINA VALIDATION
DATEfect. �
a
License Number 505643 Liic. Class B-1 0
FINAL _f 0
Contractor Oakridge Const. Date 5-23-89 BY v� p
t-
❑ I am exempt under Sec. V
I W
B.&P.C. for this reason Plan check fee W
Date: PLUMBING PERMIT ISSUING FEE$ So
Signature
_ TOTAL FEE JA
SINGLE FAMILY Plan check applicant
HOME OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Name ACC
Law for the following reason (Section 7031.5, Business and CiCC a a 17
Professions Code): Address
I, as owner of the property, will do the work and the City Tel. No. 33667 64°50
structure is not intended or offered for sale(Section 7044, - 11 ¢�
Business and Professions Code). D TOTAL 64-.510
CONSTRUCTION LENDING AGENCY i
I hereby affirm that there is a construction lending agency for CECR 64M
the performance of the work for which this permit is 'issued ` ►�}�> �D
(Sec. 3097, Civ. C.).
Lender's Name dif
i
Lender's Address1 �„ju°n
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
Kt7!��
of this County to enter upon the
for inspection purposes.
_ SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee ate
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0206120010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
FEES-MDLEGAL ID: B G ..
ON FILE 9891 WENDON ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801727
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GOLDEN WEST
5385-023-022 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
13 DISHWASHER(S) 1.00 FIX 16.20
TENANT: TOTAL FEES 43.95 ISSUED 0 0 L EXP .
06/12/02 JK 12/09/02 .
OWNER: TEL. NO: FIN1L DATE FI CODE:
OBERHOLTZ MICHAEL L;GLADYS R (626) 286-7668- 6 26�Z
9891 WENDON ST
TEMP 917801727 U99MMION
C/O DISHWASHER
APPLICANT: TEL. NO:
APPLIANCE INSTALLERS INC (562) 986-5511-
3823 INDUSTRY AVE SPECIAL CONDITIONS:
LAKEWOOD 90712
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
APPLIANCE INSTALLERS INC. (562) 986-5511-
3823 INDUSTRY AVE LIC. NO UNDER SLAB WORK
LAKEWOOD CA 90712 594252C36
WATER SERVICE
PLASTIC Y/N METAL Y/N
CT OR ENGINEER: 0:
ROUGH-PLUMBING
LIC. N0:
GAS PIPI G
G..S
HOT WATER HOMV-
PLUMBING
FIXTURES
AWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER MUM-
REPORT ID: DPR263 ROUTE TO: BS0508