The URL can be used to link to this page

Home My Public Portal About4947 WILLMONTE AVE_Plumbing__ 76A867C (CE2-B17B) -975 r� APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS WATER CLOSET LOCALITY BATH TUB NEAREST CROSS ST. SHOWER OWNER LAVATORY MAIL �?� ADDRESS SINK CITY TEL.JYO. DISHWASHER CONTRACTO G CLOTHES WASHER ADDRESS � SWIMMING POOL RECEPTOR LAWN SPRINKLER SYSTEM CI ei TEL. NO. STATE ^ a LIC /� n �I WATER HEATER LICENSE NO. '475- pz-p-Q CLASS (� a GAS SYSTEM OUTLETS oU DISTRICT NO. I GROUP 6SNEjr2R0SSE.Do Y OUTLETS OVER 5 PER SYSTEM v WASTE APPROVAL W d INSPECTION RECORD Plan check fee , PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel. No. GAS PIPING IHEREBY 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. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST AQ� - - - CALIFORNIA OR THAT I TH LEGAL OWNER OF, AND INTEND TO _ RESIDE IN THE ABOVE D CR O S DENTIAL PRt;,FE TY. UTILITY CO. NOTIFIED SIGNATU RE OF PERMITTE e7FINAL PLAIN%tCE1ECjCjV-/ - I;DATICEN7QM'Isrs- I � PERMIT VALIDATION CK. M.O. CASH POLICY HOLDER:-- � 9 NOV 14 5 � 7.5 0 A�� POLICY NUMBER: 6131 / 2- 1 � 76AG67 17 8-49® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING .AND SAFETY COUNTY OF LOS ANGELES P L U B I 0 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. PI.uMBER RECEIVED BY READY FOR DATE ISSUED _ f FIRST INSPECTION ADDRESS ` 1 BUILDING i CITY TEL. NO. ADDRESS � _ COUNTY LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) @ 0.50 8 ADDRESS BATH TUB @ 0.50 -k CITY I TEL. NO. SHOWER (� O.SO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY WASH BASIN) a O.SO APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE GAS SYSTEM OUTLETS A 0.50 SIGNATURE OF WATER HEATER @ 0.50 PERMITTER SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 „] J HOUSE SEWER @ 0.50 Z Z MISCELLANEOUS U� 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER ^� PERMIT . 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE I is, -" J/ ! � FINAL ,•'!. � D.B.B.17 25M BETS 10-47 APPLICATION.� AF®� ��j t )EPARTTMENT OF BUILDING AND ,SAF ETY COUNTY OF LOS ANGELES • . Wm.J. FOX.CHIEF ENGINEER PLUMBING NATURE OF INSTALLATIO --ai-sTRicr No. G O/U o PFAMIT NO. ROUGH FIXTURES Hl COMPLETEREADY.FORHEATER CESSPOOLSEPTIC'TANK RF,CEI ED DATE ISSUED FIRST INSPECTION � Z �� A& MISCELLANEO S APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOBB a. NAMEADDR9SB YI o ADDRESS �V�Y �� 6-''aq LOCALITY NEAREST CITY TEL.No. CROSS ST. COUNTY CERT.No. EXPIR ®�E® 0 NAME LOCATION OF SEPTIC TANK, OR CESSPOOL a MAIL 3 ADDRESS NORTH_ O CITY TEL.No. 1 AM THE. LEGAL PO®SESSOR OF THE ABOVE LOS ANGELES COUNTY CE FICATE ALIFICATION. C! 1� PLUNIMR I AM THE LEGAL OWNER OF THE PROPERTY D RIBED ABOVE. ow"m CORRECTIONS Cry t e ,O-e C SOUTH J DESCRIPTION OF WORK z_ ATH TUB FURNACE 19 ROWER DISHWASHER O / LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER r GCR SINK aAND TRAP `LLWA F COR;DRAIN URINAL APPROVALS T rRINKINd.FOUNTAINDATE INBPBCTOR'S NAb1E R - ^ENTALLAVATO.RY ROUGH PLUMINGAS QODA FOUNTAINdAS PIP_INdTL_ GAS VENTCESSPOOLR OF FIXTURES SEPTIC TANKSEPTIC TANK i SEWER I S UTILITY CO.NOTIFIED TOTAL FEE -% ® ® �, FINAL I . 4,' WORKERS'COMPENSATION DECLARATION APET"ERICA Yl O®N FOR PLUMBING PERMIT- I hereby affirm that I have a certificate of consent to self 76A667A insure, or a certificate of Worker'Compensation Insurance, CE 817(REV. 10/81) �orpati�fied copy thereof(Sec. ab. C,) COUNTY®jpLOS ANGELES BUILDING AND SAFETY ,ity'I�fo.ZWZa Comp. Z&Q&1� ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDINGq� ertified copy is filed with the county building inspec- ADDRESS /�V tion department. NUMBER FIXTURE OR ITEM @ FEE. LOCALITY _ ` y grppll4an�� , X1.1 WATER CLOSET NEAREST �J Date�` CROSS ST. '"(� CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB COMPENSATION.INSURANCE OWNER (This section need not be completed if the work involved by SHOWER the permit is for one hundred dollars($100)or less.) ' LAVATORY MAIL. I certify that in the performance of the work for which this ADDRESS -7' VVILLMOOM permit is issued, I shall not employ any person in any manner SINK CITY TEL.N so as to become subject to the Workers'Compensation Laws.' DISHWASHER CONTRACTOR. fq��S 0/U n, Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Exemption, ydu should become subject to the Workers' SWIMMING POOL RECEPTOR CITY TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. I C LICENSED CONTRACTORS DECLARATION DISTIRI NO ✓ ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER. and Professions Code,and my license is in full force and effect. , 5 PER SYSTEM FINAL VA (DATION O � `�j � License Numbe�r^�� DATE U S46 Lic. Class _ �Qt � r S�� f FINA ?F'NA ontrac or Date / t; ❑ I am exempt under Sec. to B.BP.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE o Q 3 4 7 0 A SINGLE FAMILY Plan check applicant # 0 0 0 0 0 5 �� HOME OWNER-BUILDER DECLARATION Nam — ( 0 0 3 0 5 0 I hereby affirm that I am exempt from the Contractor's License. Address S r Law for the following reason (Section 7031.5, Business and o 0030,500' Professions Code): City QLC Tel. No.�("?�' ❑ I, as owner of the property, will do the work and the J 1.14 —i;5 structure is not intended or offered for sale (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.). I '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 Poo ordinances and State las gulating Plumbing, and hdreby authorize representativ s o this County to enter upon the a e-mention ro rt spection purposes. _ SEE REVERSE FOR EXPLANATORY LANGUAGE • gnature o ermittee Date o COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9810060003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDR SS: TR: 9848 LT: 3 BL: .001 4947 WILLMONTE AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804045 ASSESSOR INFOR14ATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8589-023-015 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 SS D ON: -PROCESSED BY' PLA BY: EXPIRES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 10/06/98 UT 10 06/99 TOTAL FEES 76.35 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: 4947 WILLMONTE AV (626) 579-7220- 2-N-41 TEMP 917804045 DESCRIPTTIUN OF WORK PLUMBING FOR BATHROOM REMODEL APPLICANT--- TEL. 0: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATOR SAME AS OWNER - LIC. NO UNDER SLAB WOR WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TE 0: ROUGHP G ,y LIC. N0: 6 GAS PIPING GAS VENT OT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CW GRAY WATERSYSTEM REPORT ID: DPR263 ROUTE TO: BS05O8