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Home My Public Portal About9725 WOOLLEY ST_Plumbing__ BS-17 DBS-17 APPLICATION FOR PLUMBING PERMIT BB.17z"DMSION OF BUMI)ING AND SAFETY 1 Depmb hent of County Engineer County of Los Angeles NG WM.J. FOX, COUNTY ENGINEER ADDREBUILDSS ( f✓ '�I J'Cl%�-- CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY —7::.1a FOR APPLICANT TO FILL IN NEAREST I�` CROSS ST. ' OWNER i F' ry i DISTRICT O. GROUP �O E READY FOR INSPECTION MAIL e ADDRESS e"r e ��-. / INDUSTRIAL CITY �A r..L�" TEL. NO. ) .>/ �r'i WASTE APPROVAL PLUMBER (/ j�I[0. P INSPECTION RECORD e � j • ADDRESS +J.J�i• q r " /D CITY j /. Y TI TEL. NO. Ij i" fiaiJ �� f '. Ive �� LA v f LICENSE NO. C.r ) L_ra.Ee To 7AIAP NUMBER TYPE OF FIXTURE OR ITEM FEE . WATER CLOSET (TOILET) $ MP BATH TUB _ SHOWER - qrrd ~mLQw peaLAVATORY (WASH BASIN) ® urs rag 2Z AV •' KITCHEN SINK Iv DISHWASHER .Soy As rrA; ® LAUNDRY TUB OR TRAY CLOTHES WASHER n C' n-71- 1 C.14A TOTAL NO. @ 0.80 APPROVALS �•. �• y _GAS SYSTEM OUTLETS @ 1.00 VV DATE INSPECTOR'S SIGNATURE h UNDER.SLAB WORK WATER HEATER 1.00 1 °� LJ ROUGH PLUMBINGCiWiQs PERMIT $ 1 00 GAS PIPING TOTAL FEE ,y(� GAS VENT P t I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES / PLUMBING. GAS TEST 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO.NOTIFIED 1/- CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE' S -e.11 FINAL WILLIAM J.FOX,COUNTY ENGINEER VALIDATION L ICO 5 7 9 7 ,M 19 .3 8.6 0 BY DEPUTY ® � ei�6' B -17 DBS-17 APPLICATION. FOR PLUM13ING PERMIT 'Z'DIVISION OF BUILDING AND SAFETY Department of Couaiy Engineer County of 1.08 Aagelee BUILDING WM.J.FOX. COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN,SUPT OF BUILDING r LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. OWNER DISTRICT NO I GROUP_ IQN READY FOR INSPECTION MAIL ADDRESS 66 INDUSTRIAL CITY L.NO. WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS CITY � TEL. NO LICENSE NO. .ter NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) $ BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER TOTAL NO. / ® 0.80 APPROVALS DATE INSPECTORS SIGNATURE GAS SYSTEM OUTLETS @ 1.00 UNDER SLAB WORK WATER HEATER @ 1.001� r L - _ ROUGH PLUMBING td. SS' 1 RAf/' dX ' PERMIT GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO.NOTIFIED CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROD&TY. SIGNATURE OF PERMTEE / "``��iiii ^ FINAL WILLIAM J.FOX,COUNTY ENGINEEel, VALIDATION ACO $ 5 4 AUG 18 3 1 .8 0 BY DEPUTY 76A687-CF;#B17 2-62 APPLICATION FOR ' PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING I.;Z •z JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY 7— L FOR APPLICANT TO FILL IN NEAREST CROSS ST. 7✓ NUMBER FIXTURE OR ITEM EACH FEE VA OWNER A,, �^ WATER CLOSET $1.25 MALL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY � LAVATORY 1.25 CONTRACTOR SING 1.25 ADDRESS .� n DISHWASHER 1.25 CITY '3,*F ,TEL. NO.ye) Z LAUNDRY TUB 1.25 CONTRACTOR'S •. STA [y' REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY WATER HEATER 1.50 t GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD {J F V W D. APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK �/ ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT eO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY LE COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER . Y CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES n " AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �✓ i+" i �+•J, �' A OR THAT 1 AM THE LEGAL NER OF,AND INTEND TO GAS TEST `/v,•?•Ir'�i,. ;"CeS, ..--1;(// THE AB ESCRIB D REBID TIAL PROPERTY. �'at` UTILITY CO.NOTIFIED RE i ..p�r: _// Fr MITTEE - FINAL �(t�fAV (;�ILLIDATION ROBERT A.WOOD M.O. CASH SUPERVISING MECHANICAL ENG'R ,� 4 7 $2 SEP23 5 0 .3zo-- 1 76A667-CE#817 5/63' tA APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUII.DING AND SAFETY DMSION FADDRESS JOHN A.LAMBIE. COUNTY ENGINEER 1725. ( ol_ WILLIAM A.JENSEN,SUPT OF BUILDING FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM EACH FEE - OWNER ) _ WATER CLOSET $1.25 BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY~ TEL. LAVATORY 1,25 CONTRACTO %ly �• SINS 1.25 ADDRESSL - DISHWASHER 1.25 CITY A. ic-ir, TEL. Nd5 SD CONTRACTO 'SSTATE LAUNDRY TUB 1.25 REGISTRATION NO' AcZ COUNTY CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONEBY WATER HEATER 1.50 T' o $ polp PR E$ D } GAS SYSTEM OUTLETS 1.50 �g APPa -APPROVAL IL OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD z ` APPROVALSTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK lj J y ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGRE ETO COMPLY WITH ALL COUNTY ORDINANCES AND STATE •LAWS REOULATINa. PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALLOFPERMITTEE ORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO HE ABOVE DE I. RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED E FINAL DATION ROBERT A.WOOD CK. M..O. CASH SUPERVISING MECHANICAL ENG'R i 9 8 1 6Q SEP 5 5 0 32 5m ION a r tyOthat I have a certificate of consent to �M66878ADPW e/89 APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self Insure, or a ceytiflcate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab.C.) -7 ter., '`^ COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No/� Company G��Vu_ y � Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS '� Certified copy is filed with the county building inspection department. I r NUMBER FIXTURE OR ITEM ® FEE LOCALITY .�/ 7 WATER CLOSET Dat V — Applicant NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST. COMPENSATION INSURANCE BATH TUB ASSESSOR (This section need not be completed if the work Involved by the SHOWER / MAP BOOK,aj 5� PAGE 016?1 PARCEL permit is for one hundred dollars($100)or less.) J OWNER p I certify that in the performance of the work for which this permit LAVATORY r Is issued, I shall not employ any person in any manner so as toSINK ADDRESS '' become subject to the Workers'Compensation Laws. DISWASHER CITY TEL.NO. ) Date Applicant CLOTHES WASHER CONTRALTO NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY ' TEL.NO 2/ CL I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER �u °O'' (commencing with Section 7000)of Division 3 of the Business and GAS SYSTEM OUTLETS LICENSE NO.� L'C. S �' 0 Professions Cade,and my license is in full force and effect. OUTLETS OVER DISTRICT NO. PROCESSED BY tE 5 PER SYSTEM License Number Lic.Class + _� / ®� FINAL�/ E VALIDATION �DAT �v ContractorJUrl Date ElI am exempt under Sec. BY AL BAP.C.for this reason Date: Plan check fee Signature PLUMBING PERMIT ISSUING FEE$ ❑ TOTAL FEE SINGLE FAMILY Plan check applicant �v HOME OWNER-BUILDER DECLARATION Name 4f o4 I hereby affirm that I am exempt from the Contractor's License Law77u for the fallowing reason (Section 7031.5, Business and Professions Address 50 Code): 1 ITEM F1 1, Tel.No. I,as owner of the property,will do the work and the structure TOTAL 97.50 is not intended or offered for sale(Section 7044, Business and Professions Code). ® CHECK 97,511 CONSTRUCTION LENDING AGENCY CHANGE .00 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.) WMI—CM1 9/ 119A Lender's Name C� JJ0Y Ptt 1 AHII001 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 010. and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned pro r inspect r Vis. SEE REVERSE FOR EXPLANATORY LANGUAGE Ignature of PerM1t1e Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0806160021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: I FEES PAZD I BUILDING ADDRESS: 1 ON FILE 1 9725 WOOLLEY ST 1 (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801446 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 15383-016-009 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Cl 1 125 LAVATORIES/SINKS 1.00 FIX 16.20 [ 1 1TENANT: I TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I I (06/16/08 SR 12/13/08 10WNER: TEL. NO: I ]FINAL DATE FINAL BY: CODE: I IFENG, JILL (626) 416-9690- I ] ] 19725 WOOLLEY ST I I ITEMP 917801446 ] IDCRIPTION OF WORK IK TCHEN SINK ] I (APPLICANT: TEL. NO: ] I I ISAME AS OWNER ISPECIAL CONDITIONS: I I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I I 1 ILIC. NO I [UNDER SLAB WORK I 1 IWATER SERVICE I IPLASTIC Y/N METAL Y/N I ] 1ARCHITECT OR ENGINEER: TEL. NO: 1 I I I ] - I TROUGH PLDMBING LIC. NO: I CCI�1OO (7 IGAS PIPING I 1 IGAS VENT I 1 I I I IHOT WATER HEATER [ 1 [ I I IPLUMBING FIXTURES ] I ] 1 I ILAWN SPRINKLERS 1 ] 1 1 IGAS TEST I I I 1 I (UTILITY COMPANY NOTIFIED( I ICWV I I I [GRAY WATER SYSTEM I 1 [ I I I I I I I ] I i I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I