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Home My Public Portal About9456 BLACKLEY ST_Plumbing__ r 78A667< APPLICATION FOR PLUMBING REKNIT CE 117 8-I&ALDING AND SAFETY DIVISION Department of County Engineer County of Los Angeles 'ole / JOHN A LAMBIE,COUNTY ENGINEER ADDRESS gyp yi CASSATT D GRIFFIN,SUP T OF BUILDING LOCALITYu�fii �C G /¢'v FOR APPLICANT TO FILL IN NEAREST CROSS ST OWNER DISTRICT NO GROUP I ZONE I READY FOR INSPECTION MAIL �/ �rr ✓'� j ` ADDRESS �j „J»• /`fes INDUSTRIAL CITY TEL NO WASTE APPROVAL INSPECTION RECORD ` PLUMBER ADDRESS a r� ;9 y �, / i] I 4E -- CITYr� @LIP 6 AV TEL NO 6 I LICENSE NO NUMBER TYPE OF FIXTURE OR ITEM FEE MM WATER CLOSET (TOILET) @ $100 $ 0 V BATH TUB @ $100 SHOWER @ $1 00 190 , LAVATORY (WASHBASIN) @ $100 19 KITCHEN SINK @ $1 00 DISHWASHER @ $100 LAUNDRY TUB OR TRAY @ $1 00 CLOTHES WASHER @ $100 oD ` WATER HEATER @ $100 00 GAS SYSTEM @ $100 Loo APPROVALS ` DATE t SPECTOR'S SIGNATURE UNDER SLAB WORK ' PERMIT $ 1 00 ROUGH PLUMBING ZA 1` ` IAT A GAS PIPING TOTAL FEE d GAS VENT 1 D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER Zj ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM,#THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTI 7PrdER fiSIGNATURE OF PERM TFINAL ROBERT A WOOD, JOHN A LAM I COUNTY ENGINEER VALIDATION SUPERVISING MECHANICALENG'R M O CASH 9483L jum20 3 7.00 7EAS67 APPLICATION FOR PLUMBING PERMIT ,1 DBS 17 TO OF BUILDING AND SAFETY Department of LSUP Engineer County of eles BUILDING JOHN A LAMBIEY ENGINEER ADDRESS CASSATT D GRIFFIOF BUILDING LOCALITY C/,eppiZ/ P ti� �`- FOR APPLICANT TO FILL IN NEAREST CROSS ST r OWNER - DIS GROUP NE READY FOR INSPECTION MAIL ADDRESS i / '- INDUSTRIAL CITY �� TEL NO WASTE APPROVAL C -g, PLUMBER .., INSPECTION RECORD ADDRESS r s CITY TEL NO i LICENSE NO 17803 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $I 00 $ BATH TUB @ $1 00 SHOWER @ $1 00 LAVATORY (WASH BASIN) @ $100 KITCHEN SINK @ $1 00 DISHWASHER @ $1 00 LAUNDRY TUB OR TRAY @ $100 CLOTHES WASHER @ $1 00 WATER HEATER @ $1 00 GAS SYSTEM @ $I 00 APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT $ 00 ROUGH PLUMBING 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 PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PROPERTY SIGNATURE _7O OF PERMITTEE -;1��-� `^ FINAL JOHN A LAMBIE COUNTY ENGINEER ! LIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR CK d 0 CASH UAGo 5 7 0 1 L-n RPR 2 4 5 A 3.0 0 M 2�� 76A667-CE817-8-56 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE, County Engeer ADDRESS �nC CASSATT D. GRIFFIN,Sup t of Buildhng LOCALITY ��7yJ f FOR APPLICANT TO FILL IN NEAREST ,� NUMBER FIXTURE OR ITEM CROSS ST. ��E� WATER CLOSET OWNER • O ,-,e e7lv MAII. BATH TUB ADDRESS CITY TEL. NO. SHOWER ANA PLUMBING CONTRACTORS LAVATORY CONTRACT SINS ADDRESS 13329 ctor treet DISHWASHER CITY I Oindustry, I iO ' 1-7226 CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTRICT NO GROUP4OJE PR CESSED BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL SPECTION RECORD 725-7 / a � w G� 7- APPROVALS $1 PER I%TURE $ Yt DATE INSPECjOR`S-SCGNATURE OR oV UNDER SLAB WORK yb� PERMIT 2 00 ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING +p PLUMBING PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I A THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL P ERTY SIGNATURE 4 FINAL OF PERMITTE a ROBERT A WOOD OF, VALIDATION SUPERVISING MECHANICAL ENG'R CK M 0 CASH 5529 R� � 5 A 6.00 M ` t COUNTY OF LOS ANPELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT QF PUBLIC WORKS 9701 LAS TUNAS PL 0508 9906100031 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE. (626) 285-0488 EXT LEGAL ID: FEES PAID BUILDING ADDRESS- TR: S-TR: 14572 LT: 54 9456 BLACKLEY ST FEE DESCRIPTION: QUANTITY UOM: AMOUNT. TEMP CA 917803140 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8590-008-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID J4 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON. PROCESSED EXPIRES 0 06/10/99 UT 12/07/99 OWNER: TEL. NO- FINAL DAT I B : CODE HOPKINS PATRICK A;MARY T (818) 287-8341- q q 9456 BLACKLEY ST TEMP 917803140 D OF CHANGE OUT OF WATER' H TER- USING REHAB APPLICANT: TEL. NO. WILDE'S CONSTRUCTION (626) 448-2175- 4905 BALDWIN AVE. SPECIAL CONDITIONS: TEMPLE CITY, CA ES Co CONTRACTOR: TEL. NO: OBJ �fv- APPROVALS DATE INSPECTOR SIGNATURE WILDE'S CONSTRUCTION (818) 448-2175- 4905 BALDWIN AVE LIC. NO UNDER SLAB WORK TEMPLE CITY CA 91780 401407 B WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: L. 0: ROUGH LIC. NO: 1111111 � S P ING I� -GA-SVMT j LJ US L `V V ��KSHOT WATER HEATER 0 PLUMBI G FIXTURES o a O DLAWN SPRINKLERS It O ❑ GAS TEST A ® ®y NO tr Cu e c vice Thi GRAY WATER S S * ADDITIONAL DATA ON FILE REPORT ID DPR263 ROUTE TO: BS0508 WORKERS'COMPENSATION DECLARATION 20-0026 DPW 4/90 APPLICATI® PR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 76A667A sure,or a certificate of Workers'Compensation Insurance,or a - certified copy thereof (Sec 3800, Lab C ) w d No 3 � � I� COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy Company Fj Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING MV Certified copy is filed with the county building inspection ADDRESS i f4 department NUMBER FIXTURE OR ITEM @ FEE LOCALITY DdteO'I� Applicant WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL / the permit is for one hundred dollars($100)or less) LAVATORY ADDRESS 97-6 I certify that in the performance of the work for which this per SINK CITY �l TEL NO mit is issued,.l shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER NOTICE TO APPLICANT If, after making this Certificate of Ex- ADDRESS emtion,you ' G� should become subject to the WorkersCom en- SWIMMING POOL RECEPTOR P Y I P CITY /mss, /,gyp �r TEL NO sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC ed WATER HEATER LICENSE NO S 7 CLASS LICENSED CONTRACTORS DECLARATION /c7- DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM JP ))/OUTLETS � �D 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION fest � _ HOSE BIB DATE License Number s—Lic Clas d • FINAL O V ContractorBY - tz j am exempt under Sec A(CT°a O}- B &P C for this reason - U Plan check fee ® �Q31 ITEM 43.40 y Date PLUMBING PERMIT ISSUING FEE$ d TOTAL -&� z Signature TOTAL FEE LrLD SINGLE FAMILY CIIECK 43.40 HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name aQ0 Law for the following reason (Section 7031 5, Business and Professions Code) Address 0000--OWI 3/14/96 I, as owner of the property, will do the work and the City Tel No structure is not intended or offered for sale(Section 7044, c 1 AM 9 10 Business and Professions Code) Y 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 m pection purposes - �G2 SEE REVERSE FOR EXPLANATORY LANGUAGE . Signature of Permittee Date err: -