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Home My Public Portal About6214 BURTON AVE_Plumbing__ - DES17) APPLICATION FOR PLUMBING PERMIT 1 Be IT DIVISION OF BUILDING AND SAFETY Deparinent of County Engineer pAF County of Los Angeles BUILDING -/ JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN,SUPT OF BUILDING A LOCALITY FOR APPLICANT,TO FILL IN NEAREST CROSS ST. OWNER 177, DISTRICT NO. rt ROUP ZONE I READY FOR INSPECTION MAIL MAILADDRESSILC CIT TEL. N — INDUSTRIAL WASTE APPROVAL PLUMBER l INSPECTION RECORD ADDRESS / << (( CITY •/ TEL. N -CV LICENS O NUMBE TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 S BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUBORTRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 G S SYSTE @ $1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING %� TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 1 HEREBY CERTIFY THAT AM P LY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED B OS ELES COUNTY AND STATE OF CALIFORNIA OR THAT I T LEGAL OWNER OF THE ABOVE U ILITY CO.NOTIFIED DESCRIBED RESIDENTIA RO RTY. SIGNATURE OF PERM=E FINAL JOHN A. LAMBIE. COUNTY ENGINEER VALIDATIROBERT A. WOOD. CHIEF PLBG. INSPECTOR ON. M.0. CAS ACC 4 348 JAN 21 3 2.0 0 In 'BABE° oes.l> APPLICATION FOR PLUMBING PERMIT 1 TO-55 OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BU ILO(NG JOHN A. LAMBIE. COUNTY ENGINEER - ADDRESS CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN I NEAREST //q �i / / � ) `,� CROSS ST. / OWNER / L% C='�iC..4. K..//✓/ DISTRICT NO. GROUP HONE I IRADY FOR INSPECTION MAIL ADDRESS INDUSTRIAL CITY TEL. NO. = WASTE APPROVAL PLUMBER ,4SCr9!F"� INSPECTION RECORD /.S � ADDRESSp�� /[/� / A5AIf /..oV wfkSJ/�E' .(/elle CITY�2 TEL. LICENSE NO. .0 0vT NUMBER TYPE OF FIXTURE OR ITEM FEE // S9 Ar, WATER CLOSET (TOILET) @ $1.00 $ l �/ 1 BATH TUB @ S1.00 ! SHOWER @ $1.00 - TO /ti05? Si A7'r'y vi�, Aoq LAVATORY (WASH BASIN) @ S1.00 OTU /I}}Gy.�. - KITCHEN SINK @ $1 ' , .00 — Ov _ TqI-+ �F��r� /NA- V-0 'LA-ye DISHWASHER @ SI.00 � .� Lsir . LAUNDRY TUB OR TRAY @ S1.00 CLOTHES WASHER @ S1.00 WATER HEATER @ $1.00 OZI GAS SYSTEM @ $1.00 5 APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK 0 PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS TING PLUMBING FIXTURES PLUMBING. I HEREBY CERTIFY T 1 A PROP EGISTERED ND/OR GAS TEST LICENSED AS REOU BY A G OUNT N TATE OF CALIFORNIA OR AT THE OWNE THE ABOVE UTILITY CO. NOTIFIED .,$" DESCRIBED RE ENT( ROPE SIGNATUR LL�� OFPERMI • FINAL / -aW--.S7 //. JOHN A. LAMBIE. COUNTY ENGINEER ,-�ALIDATI.ON ROBERT A. WOOD, CHIEF PLBG. INSPECTOR CK, 11 •, CASH UALCO' 1 0 2 7 tg OCT 5 3 8.i 0 0 WORKERS'COMPENSATIONDECLARATI°" - APPLICATION FOR PLUMBING PERMIT IYiereby, affirm that have a certificate of consent to self in- 76�67APW 4/B7 sure, or a certificate of Workers'Compensation Insurance,or a CE 817(REV_0/86) certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING / I// ,r / �uYZ-�.O 9V 6T . Certified copy is filed with the county building inspection ADDRESS B 7 7vr fir' department. NUMBER FIXTURE OR ITEM @ FEE OCALITY T� tPL� CIT Date Applicant WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. Ldar r'r�E'� �� COMPENSATION INSURANCE SHOWER OWNER K nI TI Mf t"D TD (This section need not be completed if the work Involved by MAIL c� �7 _P- LAVATORY permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS D�-�0 be Y aAJ ST' I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CITY S Gf E L TEL. N as to become subject to the Workers'Commensal n L w� DISHWASHER _ CONTRACTOR Dote LL &� Applicant .2tM CLOTHES WASHER NOTICE TO APPLICANT: If, after making t I "iftm of Ex- ADDRESS emplion,you should become subject to th orkers' ompen- SWIMMING POOL RECEPTOR sation provisions of the Labor Code, you must forthwith cam CITY tEL NO. P Y P' LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATE UC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS ^0 9(commencing with Section 7000)of Division 3 of The Business OUTLETS OVER and Professions Code , and my license is in full force and ef- 5 PER SYSTEM FINAL ALIDATION > fact. DATE Z_ 2`.967 2 License Number Lic. Class - Q U FIN � Contractor Date BY - O H 1 am exempt under Sec 1147W IL B.BP.C. for this reason Plan check fee Poo. g Date: PLUMBING PERMIT ISSUING FEE$ Signature �8 9 9,6 A TOTAL FEE o 0 o e 05 SINGLE FAMILY 12— 4Plan check applicant ( o e (a 50 HOME OWNER-BUILDER DECLARATION PP I hereby affirm that I am exempt from the Contractor's License Name e o o 6,5 Law for the following reason (Section 7031.5, Business and 06 Professions Code): Address 0 222-88 d1, as owner of the property, will do the work and the City T.J. No. structure is not intended or offered for sale(Section 7044, Business and Professions Code). ► CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the Per(oimonce 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 oboe - ention rope I for " spection put oses. �.jyZ/y5f SEE REVERSE FOR EXPLANATORY LANGUAGE n Jn Signatur of Permitt Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0011150022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: BK: 12 PG: 92 PC: 3 6214 BURTON AV N FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752633 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 5386-006-048 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROC SSED BY: PLAN BY: EXPIRES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 11/15/00 UT 05/15/01 TOTAL FEES 76.35 OWNER: TEL. NO: FINAL�DATE ' h: CODE: PENG YAO JU;AKA PENG KUI YAO;YEE ME ZI I IZ 6214 BURTON AV �(!� SGAB 917752633 DESCR PTION OF WORT PLUMBING FOR NEW BATHRO M APPLICANT: TEL. NO: YONG MA (626) 575-4670- 10451 MULHALL ST #41 SPECIAL CONDITIONS: EL MONTE, CA CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE CHI KEUNG NG (626) 286-7593- ' DBA: N & M CONSTRUCTION LIC. NO UNDER SLAB WORK 10351 MULHALL ST. #41 654841 C20 EL MONTE, CA 91731 �. WATER SERVICE ARCHITECT OR ENGINEER: TEL. N0: PLASTIC Y/N METAL Y/N / LIC. N0: ROUGH PLUMBING GT I GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST /-/74 UTILITY COMPANY NOTIFIED r _ - CWV GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508