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Home My Public Portal About9711 WOOLLEY ST_Plumbing__ PLUMBING DWARTBEKI OF COUNTY ENGINEER f' 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION C TI= OF LOS ANGELES BUILDING WILLIAM J..FOX, COUNTY ENGINEER ;•ADDRESS x. FOR APP ICA T TO ILL IN LOCALITY BUILDING NEAREST ADDRESS CROSS ST. DISTRICT NO. GROUP I �iONE PERMIT NO. LOCALITY NEAREST CROSS ST. e4TCEIVED BY Ready for Inspection DAGE ISSUED OWNER MAIL NOUSTRIAL ADDRESS WASTE APPROVAL CITY TEL.NO. INSPECTION RECORD PLUMBER ADDRESS CITY ZO I Yf� Z'j TEL.N0. - ,c'!S USTATE ►Y 6'f" Q aw hy LICENSE NO. yz .&�4 n COUNTY J PERMIT FEES z •IUMBER TYPE OF FIXTURE OR. ITEM FEE a WATER CLOSET(TOILET) @ 0.80 $ 0: BATH TUB @ 0.80 O SHOWER @ 0.80 LAVATORY(WASH BASIN) q 0.80 �• KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY Q 0.80 SLOP SINK 0.80 FLOOR SINK 0.80 - r FLOOR DRAIN @ 0.80 DISHWASHER @ -0.80 DRINKING FOUNTAIN Q .0.80 URINAL @ 0.80 GAS SYSTEM....--•..-OUTLETS @ 1.00 C WATERHEATER @ 1.00 0 MISCELLANEOUS ' APPROVALS DATE INSPECTOR'S SIGNATURE UNDERSLAB WORK _/7 I f PERMIT $ . 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE C 0 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT CATION AND.STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULAWNG PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED _rP AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GASTESTL AND STATE OF CALRNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DIF CRIB D RESIDENTIAL PROP RTY. UTILITY CO.NOTIFIED SIGNATURE - OF PERM)TTEE••.. -•-•. --.._•.. .......•. FINAL 76A667 DBS 17 7BA657(CE-817)- 8/73 APPLICATION FOR UMB G PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING n ADDRESS �t''}�1 t �' u/ HARVEY T. BRANDT, COUNTY ENGINEER . LOCALITY 7—( FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST NUMBER FIXTURE OR ITEM @ FEECROSS,ST.. WATER CLOSET 1,75 OWNERMAIL BATH TUB '1:75 ADDRESS WOOL4 E SHOWER 1.75 TEL. NO. C L LAVATORY 1,75 CONTRACTOR SINK 1.75 ADDRESS 1 O DC G' h.fy f*.. DISHWASHER 1.75 CITY -1 >Q�N �`�� TEL. NO. CLOTHES WASHER 1.75 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GROUP NE 2P1:C:E:SjZD B'YLAWN SPRINKLER SYSTEM 1.75 r+ • d � WATER HEATER 1.75 INDUSTRIAL y. WASTE APPROVAL- p, GAS SYSTEM OUTLETS 1.75 t �tj' INSPECTION RECORD V OUTLETS OVER 5 PER SYSTEM .30 0 CD • V � W LL Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE 14 2 j APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ••- ROUGH-PLUMBING - Address GAS PIPING City Tel. No. GAS VENT S �r�S�J HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY TNAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I'AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTI Q\L PROPERTY. FINAL SIGNATURE .��^,� OF PERMITTEE -7C��'J I (CKM.O. PERMIT VALIDATION CASH PLAN CHECK VALIDATION CK. M.O. CASH4 2 8:L,-GGT 22 5 , 4,7 5 AW WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT {] � L1 I horeby affirm that I have a cortificntc• of consent to s(rlf 76A667A insure, or o.yertificote of Workers' Compensation Insurance, CE 817(REV 10.81) or a certified copy thereof(Sec. 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No 51135Compony__STATR COMPENSATION JOB # 7947 Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BL:'LDING 9711 WOOLEY ST. ❑X Certified copy is filed with the county building inspec- -- -DRESS tion department. NWABFR FIXTURE OR ITEM (o FEE 4/15/87 TERRY TILE WATER CLOSET W-.ALITYTEMPLE CITY Date Applicant NEAREST CITY BL. & BALDWIN CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB COMPENSATION INSURANCESHOWER PAN REPLACEMENT 115.00 OWNER VELMA K MOOR (This section need not be completed If the work Involved byMAIL the permit is for one hundred dollars($100)or less.) LAVATORY A'JDRE I certify that in the performance of the work for which th-s permit is issued, I shall not employ any person in any manner SINK CITYTEL. N0447-9623 so as to become subject to the Workers'Compensation Laws DISHWASHER CONTRACTOR TERRY TILE Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of 5200 W. WASHINGTON BLVD. Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY O TEL NO. LAWN SPRINKLER SYSTEM ANapir-iss, 931—118115 with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. 105264 CLASS C54 LICENSED CONTRACTORS DECLARATION DISTRICT NO ROCESSF�D BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS �/g (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER �" and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALID G License Number 105264 Lic. Class E DATE, C54 Fil C Contractor TERRY TILE pate 4/15/8 7 B ❑ C I am exempt under Sec. O �',� L B.BP.C. for this reason ® C Plan check fee oil 0 0 0 5 Dote: PLUMBING PERMIT ISSUING FEE$ in gn Z Signature o o / Q I F TOTAL FEE 16150 Plan check applicant o ^ , 7 I i SINGLE FAMILY fl 2, [+ 8 HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No ❑ j, 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) 0110 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 00 ordinances and State jaws regulating Plumbing and hereby authorize reprelontatives of this County to enter upon the above-mentionnd property for inspection pure^.sr•s SEE REVERSE FOR EXPLANATORY LANGUAGE 4/15/87 Signature Opermittee Date • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0709270006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: FEES PAID I BUILDING ADDRESS: I (LEG ON FILE I I 9711 WOOLLEY ST I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801446 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 15383-016-020 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY, Cl 163 WATER PIPING BR/FIX 8.00 FIX 54.00 I I TENANT: 64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I TOTAL FEES 97.95 109/27/07 SR 03/25/08 (OWNER: TEL. NO: 1 IFINAL DATE FINALS , CODE: IYUK FAI LEE - I I 19711 WOOLLEY ST I I ITEMP 917801446 1 IDESCIRIPTION dF WORK IRE-PIPE 8 PLUMBING FIXTURES AND WATER MAIN I 1 I (APPLICANT: TEL. NO: I IHO WING LEUNG (626) 286-2038- 15171 SERENO DR. I (SPECIAL CONDITIONS: I I (TEMPLE CITY CA 91780 I I I CONTRACTOR: TEL. NO: [ v (APPROVALS DATE INSPECTOR SIGNATURE IHO WING LEUNG (626) 286-2038- I ( I [ I 15171 SERENO DRIVE LIC. NO I IUNDER SLAB WORK (TEMPLE CITY, CA 91780 693825 B I I I I WATER SERVICE I I I IPLASTIC YIN METAL YIN 1 (ARCHITECT OR ENGINEER: TEL. NO: 1 I I 1 _ I ROUGH PLUMBINGi LIC. N0: I (GAS PIPING 1 IGAS VENT I I I 1 [HOT WATER HEATER I I I IPLUMBING FIXTURES [ I ILAWN SPRINKLERS [ I I 1GAS TEST I I I 1 1UTILITY COMPANY NOTIFIED( i 1 1 ICWv I I I 1 [ I I I I (GRAY WATER SYSTEM I 1 I I I I I I I I I I I 1 I I I I I 1 I I 1 I REPORT ID: DPR263 ROUTE TO: BS0508 I [ I I I