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Home My Public Portal About10637 BOGUE ST_Plumbing__ 7BS-17 APPLICATION FOR PLUMBING PERMIT 1 a BS.�T'DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER -ADDRESS p CASSATT D.GRIFFIN SUPT OF BUILDING v M22MMJ LOCALITY Temple City FOR APPLICANT TO FILL IN I NEAREST CROSS ST. OWNER Price DISTRICT N GROUP I ZQNE READY FOR INSPECTION MAIL ADDRESS 8640 E. Las Tunas Blvd. -f��+ 7L�eL, INDUSTRIAL CITY TEL. NO. WASTE APPROVAL PLUMBER ,Standard Plumbing Co a - INSPECTION RECORD ADDRESS 43':T:; E. Florence Ave. CITY 13P,11• TEL. NO. LLT 7-1124 LICENSE NO. '7)q 243 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ ' BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 c KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 , GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE QQ GAS VENT I D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER _ 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 AM PROPE LY REGIST D AND/OR GAS TEST LICENSED AS REQUIRED L ANGEL A ST CALIFORNIA OR THAT A , E LE L T VE UTILITY CO.NOTIFIED DESCRIBED RESIDENT, RT / SIGNATURE OF PERMITTEE FINAL fU- 7/SZ JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR 0. CASH L&19�z rn ocT 31 3 2.0 0 in r � QJ B D65S.17-17( APPLICATION- Y,.FOR PLUMBING PERMIT DBS-17 OF BUILDING•AND SAFETY _ Deportment of County Engineer County of Los Angeles- BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 10637 Bowe Street CASSATT D. GRIFFIN SUPT OF BUILDING LOCALITY Temple 61t FOR APPLICANT TO FILL IN I NEAREST _ CROSS ST. OWNER . Price DISTRICT NO. GROUP I ZONE I READY FOR INSPECTION MAIL ADDRESS 8640 E.- Las Tunas Bl7-3007 vd .9 INDUSTRIAL CITY Sari Gabrie} r EL. NO. AT -300 ! WA TEA PROVAL PLUMBER Standard Plumbing Company INSPECTION RECORD ADDRESS '4333 E. Florence Ave. CITY r Bell -TEL. NO. U !-1124 _ LICENSE NO. 39243 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 5 2 0 BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASHBASIN) @ $1.00 2 0 KITCHEN SINK @ $1.00 1 on DISHWASHER - @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 1 00 CLOTHES WASHER - - @ $1.00 1 WATER HEATER @ $1.00 1 00 GAS SYSTEM @ $1.00 1 00 APPROVALS DATE INSPECTOR'S SIGNATURE UN R C;E VNORK • ROUGH PLUMBING PERMIT $ •1 00 GAS PIPING TOTAL FEE --101 00 GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 1 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO-COMPLY HOT WATER HEATER 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 AN ELES OUN AND ATE F j CALIFORNIAOR THAT I EGA E A UTILITY CO.NOTIFIED DESCRIBED RESIDENTIA SIGNATURE OF PERMITTEE FINAL -' "9 JOHN A. LAMBIE, COUNTY ENGINEER ALIDATION- ROBERT A.WOOD, CHIEF PLBG. INSPECTOR CK N.O. CASH 26 WORKERS' COMPENSATION DECLARATION APPLICAT I FOR PLUMBING PERMIT �I h,reb4 affirm that F have 6 certificate of-consent to self in j6A667 DPW 4/87, TcLno�l sure,ord certficateof Workers'Compensation Insurance,ora �CE•817(REV 8/86) ON c fOec1�,�o f 00;Lab ) S� 1�7" OS'A GELES• 'DEPT. OF PUBLIC WORKS o icy o, o pant } 1 F , ertified•copy-is hereby,furnished', f FOR"APPLICANT TO FILL-IN (PRINT OR TYPE) BUILDING �.Certified copy'is"filed with the county builds ns tion ADDRESS rim-I oz department NUMBER FIXTURE OR ITEM Ca FEE LOCALITY WATER,CLOSET,(TOILET) Date, Applicant NEAREST CE TIFICAT ,OF EXEMPTI ROM S' BATH TUB s CROSS ST COMPENSATION INSURANCE. OWNER SHOWER (This,section need'not be completed;if the work.indolved by MAIL the permit,is For one hundred-dollars•(5100)or'less.) LAVATORY:, ADDRESS ' 1•certify that m•tFie performance of ihe,work for,which this per- SINK .� TQW _SL mit is issued, I shall not•employ any person.in any manner so - CITY as'to become subject to the Workers'.Compensation,Laws DISHWASHER CONTRACTOR Date A"pplicant + CLOTHES WASHER NOTICE.TO APPLICANT If;after m6kmg this•Certificate of Ex- SWIMMING POOL RECEPTOR ADDRESS emption,,you'should become subject io the•Workers'Compen- CITY EL• NO s6tion.prov(sions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM rk ly with such provisions or this permit shall be,deemed,revok= STATE LIC, ed *" WATER HEATER., LICENSE NO CLASS LICENSED,CONTRACTORS DECLA'RAT'ION ° DISTRICT NO P ED BY '1 hereby-affirm that 1 am licensed under provisions of Chapter GAS SYSTEM OUTLETS' _ 9(commencing with Section 7000)of Division 3 of the,Business OUTLETS OVER fe c Professions�Code;and my license is`in full force and of-— 5 PER SYSTEM FINA VALIDATION ']� DATE License Number' V Lic Class4�� FINAL U cc ContFdc,tof Date BY O U ET I am e Impt er3Sec.' 95 5.9:A a B.&P.C. for this-reason' Plan check-fee g Date . PLUMBING PERMIT-ISSUING,FEE Signature :'I'° ° 6 5 0 <. TOTAL FEE J SINGLE FAMILY 6,50Z HOME OWNER-BUILDER DECLARATION" Plan check applicant I hereby affirm.tF at l 6m exempt'f�om the Contractor's License Ndme ;0'5 0 9`$8 Law for••the following (eason`(Section 703b>5; Business`and ^ -^ Professions.Code) - _ "' . Address ; 1, as owner of the property, ,will do'the work and'the City :. Tel. No. structure,is not intended dr offered forsale(Section 7044, ; Business and Professions Code) 'CONSTRUCTION'LENDINGAGENCY• .. I hereby affirm that there irs a construction I hding'agency for �. 4 the performance of,the work for.Which'thispermit is issued (Sec 3097, Civ C.) Lender's Name { Lender's Address I certify that I 'Have read this application and,st6te that the 4 _ above information is correct. I agree to comply with oll,County , ordinances and State laws regulating Plumbing, and hereby authorize reen s,of this County to enter upon,the above-m ne perty for inspectio purpo es. _ SEE REVERSE FOR EXPLANATORY LANGUAGE ` 11 a ur r ittee D to f• , ION DECLARATI WORKER'S I have a certificate of consent to 76A666DPW9/89 APPLICATION FOR PLUMBING PERMIT 76A667A I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 LAb.C) 1 COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy No Company, ❑ Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS / D department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET Io NEAREST CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB C COMPENSATION INSURANCE MAP BOOK SCJ PAGEg PARCEL OR (This section need not be completed if the work involved by the SHOWER permit is for one hundred dollars($100)or less.) OWNER . L LAVATORY I certify that in the performance of the work for which this permit MAIL is issued, I shall not employ any person in any manner so as to SINK ADDRESS Q� f become subject to the Workers' Compensation Laws DISWASHER CITY TEL NO Date Applicant CLOTHES WASHER CONTRACTOR NOTICE TO APPLICANT- If, after making this Certificate-of �� Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL NO. d I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER (commencing with Section 7000 of Division 3 of the Business and STATE LIC O ( g ) LICENSE NO. CLASS Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS OUTLETS OVER DISTRICT NO p � PROCESSED BY cc 5 PER SYSTEM O,{ 00 License Number Lic.Class U _ 0 FINAL \ DATE P2- Z-�_ VALIDATIONa Contractor DateC0 ! _ ... El ° 'cZ FINAL ' t?!,, i I am exempt under Sec. BY B.&P.0 for this reason Plan check fee T i' r,L -f' P m -75 Date: PLUMBING PERMIT ISSUING FEE$ Q _•r=(_• 'r'i - Signature =° TOTAL FEEEl ,_.HARi,]C. + Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name - •I I hereby affirm that I am exempt from the Contractor's License Law i�js=-1l{l.LI_ii for the following reason (Section 7031.5, Business and Professions Address Code): City Tel. No ElI, 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). , 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 , ! �� `A — Sn t Lender's Addr ?� S I certify that I have ead tkilapplicaticiKand state that the above information is correct I agree to comply with all County ordinances ' and State laws regulating Plumbing, and hereby authorize r representatives of this County to enter upon the above-mentioned P Y - SEE REVERSE FOR EXPLANATORY LANGUAGE pro ert r in�pecfion es. t [, (> 7 L71 / ISIgnaturelbf Permit Date