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HomeMy Public PortalAbout9448 WOODRUFF AVE_Plumbing__ 76A6641 � CEe�8l7(REV.11/78) APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUIL DI G SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS O ©QuFI� NUMBER FIXTURE OR ITEM ® FEE LOCALITY WATER CLOSET NEAREST BATH TUB CROSS ST. ®� SHOWER OWNER ✓�S LAVATORY MAIL0v02vF?m ADDRESS SINK CITY TEL.NO. DISHWASHER CONTRACTOR �C1 5,= CLOTHES WASHER ADDRESSL ' !� SWIMMING POOL RECEPTOR w CITY TEL.N LAWN SPRINKLER SYSTEM ISTATE LIC. &9 2389 N WATER HEATER ICENSE NO. 302-5'o 0 CLASS (f 2 d GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES ] GAS TEST w Plan check fee UTILITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ TOTAL FEEIzFINAL O Z Plan check applicant PLAN CHECK VALIDATI Name Address 8 0 7.'5 A City Tel.No. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE #,oaoo.'o5 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES q AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION 2 O D I 0 0 0 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICE AS o O O 1 Q 0 U REQUIRED BY LOS ANGELES COUNTY AND STATE O ALIFO IA OR THAT THE LEGAL OWNER OF.AND INTEND TO RESIDE IN H BOVE SCRIB I NTIAL PROPERTY. 1204-79 SIGNATURE OF PERM ITTEE DISTRICT NO. SSEP BY INDUSTRIAL WASTE APPROVAL 76 A 667- CE 817 7-69 City of TEMPLE CITY B 41446 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING ADDRESS 9448 E Woodruff JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple City FOR APPLICANT TO.FILL IN PR NT OR TYPE) NEAREST caoss sr. NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1.50 OWNER R.- Bradford BATH TUBIL 1.50 ADDRESS Smile SHOWER 1.50 CITT TEL.NO. LAVATORY 1.50 CONTRACTOR SINK i m ADDRESS 6558 West Blvd. DISHWASHER 1.50 CITY TAs Amgeles TEL. NO. PL 8-2541 CLOTHES WASHER 1.50 STATE LIC LICENSE NO. G36 151839 CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP I ZONE PR CESS Y LAWN SPRINKLER SYSTEM 2.00 1 WATER HEATER 1.50 1. 50 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 _ INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM .30 Ready for Inspection Now WATER SOFTMUM ?xt— D cA b6. r�gpa Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE .50 APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel, No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES yp /•./ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST y fj V PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO A RESIDE IN;THE ABOVE DESCRIBED RES TI PROPERTY. FINAL b� SIGNATURE • JACK R. ALLEN, SUP RV•SING HANICAL ENG'R. OF PERMITTEE PERMIT VALIDA117IOP CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH WORKER'S COMPENSATION DECLARATION r6A%7APw9ie9 APPLICATION FOR PLUMBING PERMIT I hereby affirm•that I have a certificate of consent to self insure, ora certificate of Workers Compensation Insurance, or a certified copy thereof+(Sec.3600 Lab.C.) 43 COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No. Company. , ❑ Certified copy is hereby furnished: BUILDING J_ _-,� ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy Is filed with the county building Inspection department. NUMBER FIXTURE OR ITEM ® FEE LOCALITY Date Applicant WATER CLOSET , NEAREST CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB ASSESSOR COMPENSATION INSURANCE (This section need not be completed if the work Involved by the SHOWER MAP BOOK PAGE PARCEL permit Is for one hundred dollars($100)or less.) OWNER /q„ I certify that in the performance of the work for which this permit LAVATORY b is issued, I shall not employ any person In any manner so as to 1SINK MAIL ADDRESS \l become subject to the Workers'Compensation Laws. • DISWASHER CITY ' RA TEL.NO. IF 7 Date Applicant CLOTHES WASHER CONTRACTOR NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO.• I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER d. (commencing with Section 7000)of Division 3 of the Business and STATE LIC.GAS SYSTEM OUTLETS LICENSE NO. CLASS C Professions Code,and my license is in full force and effect. OUTLETS OVER DISTRICT NO. PROCESSED BY cc 5 PER SYSTEM License Number Lic.Class. ¢� FINAL.. ATION....... DATE �-, Contractor Date NAL FI -L.L .......-.....!.�. �i•asp- i i Z I ENG.. - ❑ I em exempt under Sec. FI - _ 7 3011 B.aP.c.for this reason TO�A�= — �� Plan check fee ® CHECK ="' ° Date: •a i� ;IJ Signature PLUMBING PERMIT ISSUING FEE$ (� CHANGE - - .60 ❑ TOTAL FEE SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name .21t34' - I Ake TJ I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Address Code)- city Tel.No. I,as owner of the property,will do the work and the 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.) Lender's Names ) 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 ordinances and State laws regulating Plumbing, and hereby authorize represent Ives of this County to nter upon t eabove-mentioned -props r inspectio purpos SEE REVERSE FOR EXPLANATORY LANGUAGE nature of Pe ttee ' Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0103200002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES P S : TR: 6561 LT: 328 9448 WOODRUFF AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802039 ASSESSOR INFORMATION NUMBERi NEAREST CROSS STREET: OAK 8587-008-014 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY 05 BACKFLOW DEVICE(S) 1.00 DEV 16.20 TENANT: TOTAL FEES 43.95 ISSUED : PROCESSED : PLAN BY: EXPIRE ON: 03/20/01 UT 09/16/01 OWNER: TEL. NO: FINAL DA E FINAL BY CODE: 94�►8KA-DENWOODRUFF NIS (626) 288-1278- 2 ,b /L� CCJJ + 00 TEMPLE CITY, CA DESCRIPTrON OF WORK vu LAWN SPRINKLERS APPLICANT--. TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: +` ' " t��'� `� APPROVALS DATE INSPECTOR SIGNATURE s''r�• += SAME AS OWNER _�. j LIC. NOUNDER SLAB WORK i' WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. 0: J + ROUGH PLUMBING LIC. NO.: � � - GAS PIPING - - GAS VN - - - - - - PLUMBING S +4 LAWN SPRINKLERS Gs TEST UTILITY COMPANY0 I D GRAY WATER S S E REPORT ID: DPR263 ROUTE TO: 8S0508 ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0101040002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 • PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING DDRE S: TR: 6561 LT: 328 9448 WOODRUFF AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802039 ASSESSOR INFORMATION NUMFE-R.- NEAREST CROSS STREET: OAK 8587-008-014 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT- 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 01/04/01 UT 07/03/01 TOTAL FEES 76.35 OWNER: TEL. NO- FINAL D TE FINAL CODE: KA-DENNIS (626) 288-1278- r� Z �� 9448 WOODRUFF 3 °� 6A- TEMPLE CITY, CA DESCRIPTION OF WORK PLUMBING FOR BATHROOM PPLICANT: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: :.;� i'r ;'iy,.: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO UNDER SLAB RK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. N0: ROUGH PLUMBING 2�} LIC. NOL II GAS PIPING h -- - - - - - -- GAS VENT l_�� +' ' i HOT WATER HEATER + - --- - PLUMBING FIXTURES = LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED _ CWV = GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508