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Home My Public Portal About4855 BIRCHLAND PL_Plumbing__ �GA56' APPLICATION FOR 'PLUMBIN.G. PERMIT q,• DAWON-OF B . IIADIDIG AND $AFE'PY . Depmtmatl,df County Engbiow Coaaty of Las Angel.. W ti WM.J. FOX, aOuNTY ENaIN®r ADDRESS Cjk�ATT q_0 1 PFI N, 6Ur'T OF■U I LEY NO mmommmofts o FOR APPLICANT TO FILL IN NEARESToss 'C uT O OWNER DI 1-CT NO, aRoup ONIS LADY FOR I"FicTION MAIL AD D R ESB • CITY TEL ]NbURIA- NO. W AIS b VAL IIQSPECTION BECORD ADDREeH O 'CITY TEL-'NO. ' LICENSE NO Ilo NUMm[R -tYr[OF rgxr RI 011 rrLm FRI WATER CLOS& (TOILET) s' - BATH TUB SHO ER LAVATORY CWASH BASIN) KITCHEN SINK. DISHWASHER LAUNDRY TI-18 OR TRAY CLOTHES WABHER • TOTAL No. 0.00 APPEOvALB DATP- INSPECTOR'S SIGNATURE GAS fIYGTEM OUTLETS 1.00 UN ER SLAB WORK WATER HEATER 1.00 lo ROU H PLUMBIN PERMIT >♦ 1 00 GAB PIPING TOTAL FEE L GA$VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI£((k�TIQN HOT WATER HEATER AND STALE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINAN CEI! AND STATE LAWS REGULATFNG PLUMBING FIXTURES PLU"rNG. 1 HEREBY CERTIFY THAT 'I All PROPERLY REGISTERED AND/OR- GAS TEST LI GEXSED AS REQUIRED BY LOS ANGELES L NTY ANa NATE 0 CALIFORR--S�IA OR THAT I AY T E HE ABOVt UTILITY CO. NOTIFIED DES CRIBRD RESIDENTIAL PROPE "IGINE _ ITTEE FINAL WILLIAM J. FOX, Courier ENQINzj�IR- VALIDATION R.A.WOOD, CHULF PL,o. INSPacTol4" L-jf06675n AWj5 3 2.00 m 70AG47 Des-17s-iss APPLICATION FOR PLUMBING PERMIT 7� j)ry ION OF BUUW1NG )UD SAFE7t i. D.po�z+�tm�in�t of-County En�Nr �^+m+++7 of Los AnQelK DUILDJNGr- WM.J. FOX, COUNTY ENGHY[[R ADDRESS 'L CASAIATT D. GAIMN, Suer o!F EU I LD INa LOCA Li TY FOR APPIXANT SO Fn1 IN NEAREST. CROas ST. f4F"&koZ141 OWNER bl NO. GROUP ZONE ■GCDT Moe garacrioll MAIL AbDRESS ..�0 CI `r FNDUBTRIALAQVIA4, pL11 M B R ENWEMON RECORD ADDRESS - CITY r/ TEL NO. � •� 1 - LICENSE NO. f r 3 NUMBaR Tyra or FIXTURa OR 17pf Fri WATER CLOSET (TO1LET)- s BATH Ttie - SHOWKR LAVATORY (WASH BASIN) K TCHEN SIN DISHWASHER LAUNDRY TUJ3 OR TRAY CLOTHES WASHER TO`TAL NO. 0.80 Q • APEavAts D GAS G''YSTElo1 OUTLETS 1.00 ATE INSPECTOR'S SIGNATURE UNDE SLAB WORK WATER HBATER 1.00 ROUGH PLUMBING PERMIT • 1 00 OAB PIPI G. TOTAL FEE I GAS VENT I HEREBY ACK OWLED9E THAT I 'HAVB"OE-A6 THIS APPLICATIOR HOT WATER HEATER AND $TAT{: THAT tHE DHOVE IS CORRECj AMD AGREE TO COMPLY WITH AIL COUNTY ORDINANCEB AND Q'fATE LAWS REGUU�TII�G PLUM1111`46 P`IkTURFS PLUMBING. 1 HEREBY CERTIFY THAT 1 l�M PROPERLY REGISTERED AND/OR OAS TEST - ICENBED AS REQUIRED BY LOS. ANGELES COUNTY AND VATE,Op UTILITY CO.NOTIFIED . LIFpR�i IA OR rH � AM THE 15GAL OWNER OF fH A90VE i)ESCRIP D RESID t PROPERTY. y SIGNATURE OF PEhMITTEEpIN L Ij 444 W"IAM J.FOX, COUNtY ENGINK]UZ VAIM4TION R.A.WOOD, 614Im7 PLia. jNfr[CTcfk 8003 Sul 5. 1 .80 r � WORKERS'C°""PENS^„°" °fC,A>ZAT'°" APPLICATION FOR PLUMBING PERMIT I here afflem that 1,,have o "rtlflcate of consent to self 2Q-W28 DPW 8/87 Insure, or a rartificate of Workers' Com nsallon Insurance, 78AM7A or a certified copy thereof (Sec. 3800 a . C.) GOUNTY OF LOS ANGELES DEPT, OF PUBLIC WORKS Policy No. Compa Cwttfled copy Is hereb urntahed. ❑ FOR APPLICAtJi TO FILL IN(PRINT OR TYPE) BUILDING Certified copy Is fII with the couhty'bulldlnp Inspec- ADDRESS Non department. NUMBER FLXTURE OR ITEM 0 FEE LOCALITY Date Applltarit WATHtC1o5EI Q NEAREST CERTIFICATE OF OffMPTION FROM WORKERS' BATHTUB O Cl o ST. C.OMPQNSATION INSURANCE OWNER (This t{o secn need rwt be completed If the wrot involved by Sa tOIAIER a the permtt is for one hundred dollars ($100)or len.) LAVATORY. spp I certify that In the performance of the work for which this permit Is Issued, I}hall.not employ any�enron In any manner SING 0 CITY TB- NO. so as to betome subject to the Workers Compensation Laws. DISHWASHER 0 CONTRAL7DRA Date lcant l CLOTHES WASHER O NOTFCE TO I : If, after making this Certlflcat of ADDRESS de,wc4tA ez-ti. Exemption, you should become sUblecf to the Workers' SWIMhUNG POOL RECEFTOR Compensation rovlsionk of the Lob-or Code, you must forth- CITY TEL p LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STLit deemed revoked. WATER HFATt`R LKINSE No. 7 CLASS 3 C UCENSEI)CONTRACTORS DIECLARATION f O DISTR}CT NO. PROCESS®BY I hereby affirm-that I am Ilceneed under provisions of Chapter 9 QTS r0 p (comrnencIng with Sectlon 7000) of Dlvlsion 3 of the Business OUTLETS OVER a and Professions Code,and my license Is M full forte and effect. S PER SYSTEM FINAL ``7� 0 DATE 3� 2 VALIDATION Ucense Number�� / I I/ I Ic Ckiss _ FINAL Contractor Date 70 BY lam. exempt under Sec. B.&P.C, for this reason 44 . DaNv Plan check fee PLUMBING PERMIT ISSUING FEE$ ,Sj) Signature TOTAL FEE 5 Plan check applicant 1 SINGLE FAMILYr�L•l•�.z HOME OWNER$UIL ER TION Name'�� 1�i�.4Ll I hereby affirm fhat I am exempt from tis niwctors Ucerne Law for the following reason (Sectio 1.3, Business andAdd1 �1 Professions Code): City Tel. No. TOTAL �vr I, as owner of the property III do the work and the structure Is not Intended offend for sale (Section 7044, Business and Pro ons Code). CONSTRUCTION DING AGENCY I hereby afffl-m that there is construction Tending agency fbr the performance of the for which this permit Is Issued (Sec. 3097, Clv. C.). Lenders Name D111 1 AN11%4 Lendees Address I certify that J have read this applicatlon and state that the , above Inforrrxrtlon Is correct. I agree to comply with all County ordinances and Sate laws regulating Plumbing, and hereby authorize repre;entatives of this County to enter upon the aboveendo perry for Insi5ectlon purposes. 'Q SEE REVERSE TOR EXPLANATORY-LANGUAGE goo re of Permittee Date l WORKER'S COMPENSATION DECLARATION Sze DPW Q189 7� erab�afflrm that I haves aerdfloate of consent to self Insure, APPLICATION FOR PLUMBING PERMIT ILII Looq s oerthlcate of Workers Compensation Insuranos, or a oerthled yy thereof(Sao.3800 Lab.C.) cp,,y S-7,4 7e 15:nW COUNTY OF LOS ANAL IF DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Certtfled copy In hereby furnished. FOR APPLICANT TO FILL IN(PFwT OR TYPE) BUILDING �sS EJ ^ H CeritM1ed copy M Ned with the Canty bu6ding lnepeoilon departrr—t � NI-11413MI D(TUIR£OR ITEM FEE , Dale 'Z I-q APPd 7A 4c-- "� WATER CL06Ef tJ N EARE9T CEFITIFICATI OF EXEM FROM WORKERS' CF1068 ST. C0IMPEN _RANGE a BATH TUB l�f� (rhfs section need nort be mpleted H the work hrvofved by the BEIOWER DMAP BOOK�QO PACIE(7(� PAFICr3001 pwmtt to for one hundred dbUm(=100)or Mea.) LAVATORY OWNER I certify that In the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to6MK d ADDRESS ss /1,;C, become sub)ect to the Workers' Compefts"on Laws. DISWASHERQ Crry C� DaisTEL.NO. DAPAI� a-UMEB•WA81 RR NOTICE TO APPLICANT: Lf, atter making this Certificate of 0 OA er (� Exnpd-,you should bsoome sub)eot to the Workers'Comperrmdlon SWSAWI NG POOL RECEPTOR provisions of the Labor Code, you must forthwtth oompty with such ADDFE88 provision or this perrnh shall be deemed revoked. LAWN 8PR1NKLE7R SYSTEM E N� NTRAdORSCLAT) W^��T �X. �"0317 I hereby affirm that Iunder provisions Chapter o (oommencing with Section 7000) of Division 3 of the Business and STATE LIC' Profsesfons Code,and my license Is In full force and efloct. GAS SYSTEM OUTLETS LICEI7WE NO. ti CLAM VVV OSS OVER DISTRICT NO. PPOCE58ED BY 5 PER SYSTEM License Number -r /Z 7 G� Lk,Glass D b , v� )� FINAL DATE �_Z VAUDIATION Cornfaolor nate `Z- ❑ I am p empt under Sea FV"L BY B.BP.C.for thle meson Plan check fee p ' PLUMBING PERMIT ISSUING FEF$ /W ❑ TOTAL FEF Pen o ebk� i ITER. SINGLE FAMILY HOME OYNNERZUILDEA DEC4ARAT70N Name R +t T j } ? . 60 F I hereby affirm that I am exempt from the Contractors Uoonee Law ��{{++ for the following reason (Section 7031-.6, Business and Professions Addreee Code): F-11, as owner of the .'� / T.I.No. property,will do the work and The structure Is not Intended or offered for sdle(Ssotloh 7044, Business andPro}dssiorts Cods) CONSTRUCTION L E NDUJG A004CY �,�p I hereby afflrm that there Is a construction lending agenoy for the l!W 1 AM11:`4 performanoe of the work for which this permit Is Issued (Seo. 3097, Ctv.C.) LW deer Name Lenders Address i I certify that I have road this applloatlon and state that the above , Information Is oorrecL I agree to oomply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to errter upon the above-mentioned propbrty Tor Inspection purposed, SEE REVERSE FOR EKPLAHkTORY L kKWAGE COUNTY OF LOS ANGII,EB TM1PLY CITY # 0508 PLID®ING PERMIT DEPARTM30 T 01 PUBLIC WORKS 9701 LAB TUNAS PL 0508 0607280009 BUILDING AND SAFETY / IA19D DEVELOPMXlFT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 IZTr LEGAL ZDr FEES PAID BUILDING ADDRJSS: TRr 14771 LTr 37 4855 BIRCHLAND PL FEE DEBCRIPTIOXr QUKUTITYr UM. AMOUNT: TEMP CA 917804013 ASSESSOR INFORMIATION NUMBER. NXAREST CROSS BTR33Tr LOWER AMSUBA 8585-011-006 01 PERMIT ISSUANCE FMD1 27.75 THOK S PAGE. 497 GRID: BS LOCALITYi TEMPLE CITY, C 07 BATHTUBS/SHOWERS 1.00 PIX 16.20 TINAIT: 25 LAVATORIES/BIIZB 1.00 FII 16.20 ISSITID ONr PROCESSED BY: PLAN BY. EZPIREB ONr 45 WATER CIASrP/n2Ty►T, 1.00 FIX 16.20 07/28/06 Jx 01/24/07 60 DWV REPAIR OR ALTER 1.00 SYS 16.20 OWNER. TEL. NO: 63 WATER PIPING{ BR/FIX 1.00 FIX 6.75 FIrDT? .F B7 t CODE, CHRAH HAI YUAN;XARII J (626) 442-6794- TOTAL YIES 99.30 4855 BIRDA PL TEMP 917804013 DESCRIPTION OF WORK REPLACE LAVATORY, REPLACE BATHTUB REPLACE WITH PREFAB SHOWER STALL REMOVE MOP SINX (LAUNDRY) APPLICAMTT. TEL. NOr CBEI (626) 284-4009- 2171 W. II SSION RD SPECIAL CONDITIONS: ALHAMBR , CA, 91803 CONTRACTOR: TEL. IOr APPROVALS DATE INSPECTOR SIGNATURE SWS DESIGN QWUP, INC. (626) 284-4009- 2121 W. MISSION ROAD #303 LIC. MIO UNDER SLAB WORK ALHA fBRA, CA 91803 726785 B WATER SERVIC7 PLASTIC Y/N MQTAL Y/N ARCHITECT OR ENGINEER: TEL. 110: - ROUGHS PLUMB IMG LIC. MIO. GAS PIPING GAB VENT HOT WATER BYATER PLUMBING FIXTURES LAWN 9PRTvrr.p s GFS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM i REPORT IDr DPR263 ROUTE TOr B80508