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Home My Public Portal About9647 WOOLLEY ST_Plumbing__ COUNTY OF LOS•ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9709290018 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: - LEGAL S PAID BUILMD S: ON FILE 9647 WOOLLEY ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801444 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BARELA 5383-013-025 07 BATHTUBS/SHOWERS 3.00 FIX 49.05 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY 21 HOSE BIBB(S) 2.00 FIX 32.70 TENANT: 25 LAVATORIES/SINKS 6.00 FIX 98.10 ISSUED 0 PROCESSED B ON: 45 WATER CLOSET/URINAL 4.00 FIX 65.40 09/29/97 UT 09/ 9/98 47 WATER HEATER(S) 1.00 WTH 16.35 OWNER: TEL. NO: TOTAL FEES 261.60 FINAL DATE FINAL BY: VAICODE: SPIROV IVANCO;VERA - 9647 WOOLLEY ST TEMP 917801444 nmi OR ADDITIONAL PLUMBING PERMIT FOR NEW ADDITION APPLICANT: 0: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO UNDER SLAB WOR WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL NO: VIGEN GHARIBIAN (818) 249-4017- ROUGH PLUMBING P.O. BOX 11086 LIC. NO: GLENDALE, CA 91226 2783 GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS S TESY _ UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9705060016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID -----BUILDING DRESS: ON FILE 9647 WOOLLEY ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801444 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BARELA 5383-013-025 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 TOTAL FEES 44.10 ISSU ON: PROCESSED BY: EXPIRES 0 : 05/13/97 TC 05/13/98 OWNER: TEL. NO: FINAL DATE ` Z -q FINA BY: C SPIROV IVANCO;VERA - Q! 9647 WOOLLEY S7 41� TEMP 917801444 CRIPTI0 OF OR PLUMBING FOR NEW ADDITION AND EXTEND GAS LINE APPLICANT: TEL. 0: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECTOR ENGINEER: 0: VIGEN GHARIBIAN (818) 249-4017- ROUGH-PLUMBING P.O. BOX 11086 LIC. NO: GLENDALE, CA 91226 2783 GAS PIPING 5 VENT HOT WATER HE PLUMBING FIXTURES--- LAWN SPRINMRS S TEST Ufn-l-'Y COMPANY NOT I PI ED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 J8A667 APPLICATION FOR •PL,UMBING PERMIT D95•I7 9.33 DNISION OF BUILDING AND SAFETY d T a Deportment of County Engineer County of'Los Angeles WM.J. FOX, COUNTY ENGINEER BUILDING ADDRESS qHNISPECTION CASSATT D.GRIFFIN,SUPT OF BUILDING 71LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. OWNERDI TR CT NO. GROUP ZONE READY F MAIL �' ADDRESS 4, .Ct6140 r I - I INDUSTRIAL CITY TEL.NO. -3L►D 'WASTE APPROVAL PLUMBER C� INSPECTION RECORD ADDRESS 3 Cp, �.CJ►G'r CITY [ TEL.'NO. / LICENSE NO. T`.3 C34 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) BATH-TUB SHOWER LAVATORY (WASH BASIN) �y J KITCHEN SINKZJ! DISHWASHER Alp j- I!�y-ri�„ /�''/7 ,f �=n LAUNDRY TUB OR TRAY �Q f ;7 CLOTHES WASHER �- C/J1130. Al--- 040,7' +'/;: .• '' 4WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT Ireby affirm that I have a certificate of consent to self 76A667A inre, oca certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) LJ V, r a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. BUILDING ❑ I FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS �t(pODG sr Certified copy is filed with the county building inspec- NUMBER FIXTURE OR ITEM e3 FEE 1 tion department. LOCALITY rXWZ, ' WATER CLOSETZ Date Applicant NEAREST CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB COMPENSATION INSURANCE SHOWER OWNER/y/�1�1�0/ (This section need not be completed if the work Involved by �/ ��9 (,(/0 MAIL the permit Is for one hundred dollars($100)or less.) LAVATORY DDRESS��y � 5 1 certify that in the performance of the work for which this SINK CITY TEL. NO. permit is issued, I shall not employ any person in any manner �If'G so as to become subject to the Workers mpensafion ws. DISHWASHER C NTRACTORR �� 0 Date -�• Applicant CLOTHES WASHERADDRESS 740 s, �� '� �.� NOTICE TO APPLICANT: If, after making Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subj to the Workers' CITY �j L. NO. - Compensation provisions of the Labor ode, you must forth- / A� & 97,7/2 with comply with such provisions or this permit shall be LAWN SPRINKLER SYSTEM STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS .7�a (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER iJ 6C / and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VA ATION DATE d License Number Lic. Class 0 FINAL U Contractor Date BY IM Ell am exempt under Sec. O i B.BP.C. for this reason W Plan check fee n- Date: Cn Signature PLUMBING PERMIT ISSUING FEE$ (� `9 TOTAL FEE v Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name ;2 6 2 5 4 A I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and # 0 0 a o 0 5 Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the ( 0 0 1 650 structure is not intended or offered for sale (Section ® 6 6 0 L5 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 ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above- ntioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE f -fz Signature Permittee Date