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Home My Public Portal About9716 WOOLLEY ST_Plumbing__ DEP"ThUM OF COUNTY ENGINEER PLUMBING ' 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTS OF LOS ANGELES FAN LDINO //WILLIAMd.. FOX. COUNTY ENGINEERRES. �(o //&ri e FOR APPLICANT TO FILL IN LOCALITY BILDING L NEAREST ADDRESS 16 Wooley GROSS LOCALITY TOle Cit DISTRICT N0. GROUP NEAREST G ZONE #ERMIt N0. 3f I 9�lo NEAREST CROSS ST. RECEIVED BY Ready for Inspeotlon DATEISSUED OWNER WeltonD. Duncan MAIL INDUSTRIAL ADDRESS 8815 Longdon WASTE APPROVAL CITY Temple Cit+yTEL.NO. INSPECTION RECORD PLUMBER Belvedere Plumbing Co. ADDRESS 11990 E. Garvey Blvd. c CITY El Mon%@ TEL.N0. Fo 89836STATE ' LICENSE NO. 54932 O COUNTY J PERMIT FEES z iLIM9ER TYPE OF FIXTURE OR ITEM FEE 0 2 WATER CLOSET(TOILET) @ 0.80 S1 180 O BATH TUB d) 0.80 80 SHOWER @ 0.80 80 2 LAVATORY(WASH BASIN) @ 0.80 1 0 1 KITCHEN SINK d) 0.80 80 3. LAUNDRY TUB OR TRAY (R 0.80 80 SLOPSINK d) 0.80 FLOORSINK a O.SO r FLOOR DRAIN @ 0.80 DISHWASHER da '0.80 DRINKING FOUNTAIN 0.80 URINAL @ 0.80 GAS SYSTEM.. _..._OUTLETS 0 1.00 1 00 WATER HEATER a 1.00 1 00 MISCELLANEOUS disposal 80 APPROVALS DATE INSPECTOR'S SIGNATURE' UNDERSLAB WORK ` PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE 10120 GAS PIPING ' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP LI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER ''�G TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED p AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED REST ENTIAL P PERTY. UTILITY CO.NOTIFIED SIGNATURE /� ,,pper" OF PERMITTEE.( .. lLeS..r_. _ _......_.._._.... memm FINAL 7GA6e7 DB8 17 a 6 12-53 413 " WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT ' 9 here yi�. �ffirrn that I have;,a certificate of consent to self 76A667A ;&,.: s-•r insure, orb certifi&te of Workers;Compensation Insurance, CE 817(REV. 10/81) •- or acertified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES , BUILDING AND SAFETY Policy No.#0489604 Company_COntin n al—CAS. , Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE BUILDING Certified copy is filed'with the county building inspec- ) ADDRESS _9716 Woolley St. 1 tion department. NUMBER FIXTURE OR ITEM FEE LOCALITY Temple City P .'' Date 2-5-87 Appli4anQ9M q Rlb9 WATER CLOSET '� NEAREST -CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST., COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by SHOWER : ., :.S fila Cofist. the permit is for 3030 one hundred dollars($100)or less.) LAVATORY �� "^AIE Center•St.. ADDRESS,- I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner SINK CIN t:'Arcadia TEL.N044'S-1994 so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR ' .,• 'Owen Bros: Plumbing.,',-, Inc. Date Applicant CLOTHES WASHER 4265 N. Baldwin Ave.. NOTICE TO APPLICANT: If, after 'making this Certificate of ADDRESS:,.:; Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY El Monte TEL.No. 443-0078 with comply with such .provisions or this permit shall be STATE 231 741 LIC' C36-20 deemed revoked. / WATER HEATER -- LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. ED BY I hereby:affirm•that I am licensed under provisions of Chapter 9' GAS SYSTEM OUTLETS .�`.A (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER 01(f and Professions Code,and my license is in full force and effect. 5 PER SYSTEM. FINAL VALIDA N License Number 231 741 Lic. Clast'3h-2n DAT Z_; C FI IL Contractor(Iffin Br1ns- 21ha, Date 2-5-97 B ❑ '1 am exempt.under Sec. H C B.BP.C. for this reason L+ Plan check fee a Date: PLUMBING PERMIT ISSUING FEE$ (� Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOMEOWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address ;o.§ Law for the following reason. (Section 7031.'5, Business and # Professions Code): City Tel. No. :I o o 7 b 5 0 ❑ I, as owner of the property, will do the work and the o 00,7650 structure is not intended or offered for sale (Section 7044, Business and Professions Code). 1' CONSTRUCTION LENDING AGENCY 2.11 2 a:8 7 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 o dinances and State laws regulating Plumbing, and hereby thorize and of. this County to enter upon the bove Mioned prop rty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 2-S-R7 Si oature of Per itW Date `.yWORKER 'COMPENSATION'DECLARATION APPLICATION FOR PLUMBING PERMIT herel v,rjffirm that I have a certificate•lof consent to self 76A667A 'insure,ora certificotq•of Workess'Compensati=on Insurance, CE 817(REV. 10/81) or a certifi�c�oth (Sec. 3800; Lab. C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. ompan -•� , Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN,(PRINT'OR TYPE) BUILDING, 49716 Certified copy.is filed with the county building inspec- ADDRESS Q L l • flop department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY �- i .cam WATER CLOSET Date Appligant NEAREST CERTIFICATE OF EXEMPTION F ORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER d (This section need not be completed if the work involved by �a MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS l 1"J.46f� tf I certify that in the performance of the work for which this r permit is Issued,I shall not employ any person in any manner ( SINK v CITY �f�i� e TEL.N ,7 Q so as to become subject to the Workers'Compensation Laws. DISHWASHER � / a b 00 CONTRACTOR �/ Date Applicant CLOTHES WASHER ��11 ADDRFCC ' NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR V O ' Exemption, you should become subject to the Workers' GTY TEL.-N Compensation provisions of the Labor Code, you must-forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. Q 7 S CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. SS BY I hereby affirm that I.am licensed under provisions of Chapter 9• GAS SYSTEM OUTLETS C) (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions.Code,and my license is in full force and effect. 5 PER SYSTEM. FINAL VALID ION ��.��'�� License Number.��ZL?Lic. Class DATE007 nn , � r� FIN L Contractoja;�,�4 aAyD.1. ' c?—zv Z` .p ❑ I am exempt under Sec. ' C B.BP.C. for this reason 4 Plan check fee p Date: PLUMBING PERMIT ISSUING FEE$ L Signature TOTAL FEE SINGLE FAMILY Plan check applicant "7j�r � ' � HOMEOWNER-BUILDER DECLARATION Name J/vel I hereby affirm that I am exempt from the Contractor's License /� 6 4 Q Z A Law for the following reason (Section 7031.5, Business and Address -? c �T Professions Code): City Tel. N 7c) # o 0 0'0 0 5 ❑ I, as owner of the property, will do the work and the i structure is not intended or offered.for sale (Section ► ) 0107650 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 0 0 0 7 6 5 0 5 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued 0 1.2 6't,8 7 .(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 4abmenl'oned propert. for in 'ection Purposes.l SEE REVERSE FOR EXPLANATORY LANGUAGE e Z2-�-ure P ittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0202050008 BUILDING AND SAFETY J LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE PHONE: (626) 285-0488 ENT: LEGAL ID: --FEES PAnY- BUILDING ADDRESS: ON FILE 9716 WOOLLEY ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801445 ASSUSSOR INFORMATION NUMBER: NEAREST CROSS STREET: BARELA 5383-017-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: JI LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.20 TENINT: TOTAL FEES 43.95 ISSUED ON: FiWaTMED BY: PLAN BY: EXPIRES ON% 02/05/02 JK A 08/04/02 OWNER: TEL. 00: FIN L F(T BY: CODE: HOWLETT ROBERT S;MARGO E (626) 447-7385- 9716 WOOLLEY ST z 19 1 n-,,- TEMP 917801445 C ORK WATER HEATER C/O IPPLICANT: ACTION CONSTRACTORS (310) 515-1311- 17111 S BROADWAY ISPECIAL CONDITIONS: GARDENA 90248 CONTRACTOR: L. iAPPROVALS DATE INSPECTOR SIGNATURE ACTION CONTRACTORS (310) 515-1311- 17111 S. BROADWAY LIC. NO UNDER SLAB WORK GARDENA CA 90248 B/L 27i,53 WATER SERVICE ARCHITECT OR ENGINEER: TNO: PLASTIC Y/N METAL Y/N EL. ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT HOT WATER H5ATEW IPLUMBING FIXTURES ILAWN SPRINKLERIT GAS TEST UTILITY COMPAMOTFIFI-0 GRAY WATER SYS7ffff ADDITIONAL DATA ON FILE REPORT TO: DPR263 ROUTE TO: BS0508