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HomeMy Public PortalAbout5428 CAMBURY AVE_Plumbing__ 7eAe6T IT 5-50 (a APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES {' WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE 4 PERMIT NO. 1 S 196 0 3�, 3 PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS $300 EAST VALLEY BLVD. ' f� s ROSEMEAD n•2J19 1(f ADD BUILESNs CITY TELnNO. AT. Z COUNTY 93M 6.30•,si LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES C"S"T. T .� NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNERAl L WATER CLOSET (TOILET) @ 0.50 ADDRESSTS .tb / �e�) �� /y BATHTUB @ 0.501 O CITY � AZZZ•(� TEL. NO.h'7 4��6 SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK@ 0.50 p STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS I LAUNDRY TUB OR TRAY @ 0.50 SO ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE, GAS SYSTEM—OUTLETS @ 0.50 5_0 SIGNATURE WATER HEATER @ 0.50 ry ERM T 5 rTEF,1c•-' �/2/�Ai1/�-�/.''//��s 1t"� SLOP SINK @ o.sol INSPECTION RECORD FLOOR SINK @ 0.501 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.501 URINAL @ 0.501 J HOUSE SEW ER @ 0.501 Q Z_ MISCELLANEOUS 0 1 Ft0 � 1 I � I tI I APPROVALS /DATE. INSpPECTOR'S NAME iROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.001 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( I PIT ( ) @ 1.00 SEWER PERMIT . I 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE $ 0 FINAL '�/' 2-64 7ewee7 -tE#91`7 APPLICATIONFOR P UM ING PER IT L B COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER A BUILDING AND SAFETY DIVISION BUILDINGcid( /'6v s-42s 'gy /4if JOHN A. LAMBIE, COUNTY ENGINEER 11 ADDRESS /� COLEMAN W. JEN KINS, SUPT OF BUILDING ,. LOCALITY �'9�Jl�u G/7 FOR APPLICANT TO FILL IN NEARRS T . oz-1v o.4c,a tl✓iTn! NUMBER FIXTURE OR ITEM EACH FEE OWNER Q� l /-/I�S �/� E d° a1.2s I 25 MAIL BATH TUB 'flQgIN 1.25 ADDRESS A ©�/ SHOWER 1.25 CITY / /yT p[6 C tri TEL. NO. KT717 -r LAVATORY 1.25 CONTRACTOR Q(A)N SINK 1,25 ADDRESS DISHWASHER 1,25 CITY TEL. NO. LAUNDRY TUB 1,25 CONTRACTOR'S ._._ STATE El REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25DISTRICT N{� _ OU ZO E P BY WATER HEATER 1.50 C//J C-JJj GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL d OUTLETS OVER 5 PER SYSTEM .SO I iNSPECTIONIRECORD (j , A • (� LAI C A r%YJI/1t� z Tf 4- APPROVALS /DATE INSPECTOR'S SIGNATURE PERMIT S 2 00— UNDER SLAB WORK / r � ROUGH PLUMBING TOTAL FEE GAS PIPING I_ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GASVENT AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANOIOR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.ANO INTER TO RESIDE IN, THE ABOVE ESCRIBEO ZENT P Pe RTr. UTILITY CO.NOTIFIED SIGNATURE �/'�-9r el J�*'SuV�IrL� OF PERMITTEES FINAL rn{.aDATION ROBERT A. WOOD cK. M.o. cnsH SUPERVISING MECHANICAL ENG'R ' LACo69691-. NOV 1 5 0 4.75 a 76AG67A (CEI8I18) -a/]T �I APPLICATION FOR PLUMBING PERMIT y'LIII BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM ® FEE ADDRESS WATER CLOSET LOCALITY"T—�ENp� NEAREST BATH TUB CROSS ST. \ u II SHOWER OWNER rr �� ,Pcc p2,z 0 LAVATORY MAIL ADDRESS SINK CITV�^ (,^ ( TEL NO. ` - DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS I) 3 SWIMMING POOL RECEPTOR CITY L'N TEL NO.L.'L� S(y l� LAWN SPRINKLER SYSTEM STATE q i WATER HEATER LICENSE NO. � Q l� CLASS ` GASSYSTEM OUTLETS DISTRICT NO. GAP N ROC SED BY 3 D� �sOUT -0s7 /�� 55 PERESYSTTEMR INDUSTRIAL O C.A WASTE APPROVAL � INSPECTION RECORD U W LL h Z Plan check fee PLUMBING PERMIT ISSUING FEE 8 o TOTAL FEE /p On Plan check applicant APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING rf _ City Tel.No. GAS PIPING Zy 7j1 ��"✓P--•r I HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 'AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF.AND INTEND 510 IN E ABO BE 5 BED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERM ITT FINAL W C 'CCOM F9E/1N�SAr�S.I Of"i 2 9, 7�'inP�.�ERMIS�VALIl�4T�N 1cK .� �cnsH POLICY HOLDERw ` POLICY NUMBER: 3 7y- -CI"7� 76A667A 14E 617BI-11/76 ` ` APPLICATION FORPLUMBING PERMIT BUILDINC,i/AND SAFETY DIVISJ�N FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM ® FEE ADDRESS D ' WATER CLOSET _ LOCALITY BATH NEAREST 2 BATH TUB CROSS 5T. SHOWER 3 OWNER C) LAVATORY MAIL T 1 3 ADDRESS— f]Wf SINK CITY ( CJ4 TEL NO DISHWASHER - CONTRACTOR T )l CLOTHES WASHER ZI ADDRESS F� C SWIMMING POOL RECEPTOR CITY B 1 TEL.NO.Z �� W N SPRINKLER SYSTEM ' STATE ��[[ LIC. LATER HEATER LICENSE NO.� `y � CLASS C— G�SSYSTEM OUTLETS , RICiN GROUP /ECESSE�BY, p OUTLETS OVER c lyy 5 PER SYSTEM INDUSTRIAL A ' WASTE APPROVAL V / INSPECTION RECORD 0 W 6 V/ Z Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTALFEE Plan check applicant ASCP QVALS DATE INSPP.E�CTORR'5 SIGNATURE Name UNDERWORK A`1`7 /,41Ay e• Address ROUGH PLUMBING [S City Tel.No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE HEAD TH15 APPLICATION AND STATE GAS VENT THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORD I NANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER HEREBYV�E �T AM PflOPERLY REGISTERED ANO(OR LICENSED AS PLOMBNG nXTURES REQUIRED BY LOUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GA$TEST LEGAL OWNER0 TO RE51DE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. - UTILITY CO.NOTIFIED SIGNATUREoNATURITTFINAL S;OMFtNFwBkTIGmN PERMIT VALIDATION cK. No cnsH POLICY.yOL®ER:, POLICY NI1MBERet, 1,7Od 7GA6671,ICg BnBI -A/TT a - APPLICATION FOR ,PLJBING PERMIT r BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPEI BUILDING NUMBER FIXTURE OR ITEM ® FEE ADDRESS It- WATER CLOSET LOCALITY NEAREST BATH TUB CROSS ST. 1 SHOWER OWNER 6$ GJ O 3 MAIL LAVATORY ADDRESS SINK CITY �� TEL.NO. 0 DISHWASHER CONTRACTOR 0 '- CLOTHES WASHER y ADDRESS G SWIMMING POOL RECEPTOR _ CITY OV J TEL.N0.3 Z LAWN SPRINKLER SYSTEM. STATE / LIC. WATER HEATER LICENSENO. CLASS GAS SYSTEM OUTLETS DISTRICT NO. GROUP ZONE P SSED BY OUTLETS OVER `S✓ D� � ���� O 5 PER SYSTEM INDUSTRIAL c.R WASTE APPROVAL K INSPECTION RECORD � U W a y Z Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTALFEE Plan check applicant APPROVALS DATE INSPECTOR SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel.No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELE UNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF. D INT T RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITYCO.NOTIFIED SIGNATURE OF PERMITTEE FINAL r� `� '�K-� M.o. cnsH 5 6 1Pti r' tD VAI&ATIT D cc. Ff 7.5 1.,;0 ( HOLDER: ll 76A667-CES17-8-57 COUNTY OF LDS APPLICATION FOR PLUMBING PERMITANGELES 1 DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D, GRIFFIN, SUPT OF BUILDING LOCALITY I�. FOR APPLICANT TO FILL IN NEAREST CROSS ST. ''" NUMBER FIXTURE OR ITEM , OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY ��,�J_ TEL.NO. LAVATORY CONTRACTOR /,q ,nt tt `` SINK ADDRESS DISHWASHER CITY TEL.NO. LAUNDRY TUB CONTRACTOR'S i STATE 166 REGISTRATION NO. I S J 3 S 4 COUNTY ❑ - CLOTHES WASHER - DISTRICT NO. - GROUP ZONE eEAOY FOR INsve[tl0x VkA*LR HEATER pp(� 3 INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS I @ S1.00 PER ITEM DATE INSPECTOR'S SIGNATURE OR FIXTURE S UNDER SLAB WORK ROUGH PLUMBING PERMIT s i 00 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. iHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS AN ELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 M THE Gj�L OW R OF THE ABOVE UTILITY CO. NOTIFIED DESCRIBLD RESIDENTIA P OPE TY ( / SIGNATURE : / OF PERMITTEE FINAL ROBERT A. WOOD. © ALIDATION SUPERVISING MECHANICA L ENG'R [N. M.O. CASH !;A` 4<2-4 8 P, AM?6 5 A 2.0 0 P Vat, 76A667-CEE V-8.57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION eU1LDING SS JOHN A. LAMBIE. COUNTY ENGINEER ADDA£ CASSATT O. GRIFFIN, SUPT OF BUJLDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. GL [= NUMBER FIXTURE OR ITEM L C - Fig WATER CLOSET OWNERMAIL BATH TUB ADDRESS G G Z G U S/pp•' SHOWER CITY;2710r'i E �:• TEL. LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY S /d C77f". TEL.NO. i LAUNDRY TUB CONTRACT R'S STATE CO REGISTRATION NO.��{ G UNTY CLOTHES WASHER DISTRICT NO. I GROUP NE READY FOR INSPECTION WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL moi./ N/1C/NG SOL INSPECTION RECORD A- 'Z; .�S \ 4 APPROVALS $1.00 PER ITEM DATE INSPECTOR E OR FIXTURE $ / UNDER SLAB WORK PERMIT ROUGH PLUMBING S 1 00 EGAS PIPING TOTAL FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER D ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL.000NTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES ;Yf PLUMBING. 1 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 DESCRIB''-D RESIDENTIAL PROPERTY. SIGNATURE �n/s GCL3 ,FINAL OF PERMITT ROBERT A. OOdD. ©+ VALIDATION SUPERVISING MECHANICAL ENG'R c M.O. CASH (,C3 6 8 4'u' AUG 8 5 A 2'.0 0 76AG67-CE617 B-57 COUNTY OF LOS APPLICATION. FOR PLUMBING PERMITANGELES 1 DEPARTMENT OF COUNTY ENGINEER 13UILD NG e BUILDING AND SAFETY DIVISION ADDR SS� V JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN,.SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY eil TEL.NO. l^ Q 6 ,f^7 LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY TEL.NO. / /H,h LAUNDRY TUB CONT ACTOR'S /5 53 ��TATE LJ REGISTRATION NO. / COUNTY ❑ CLOTHES WASHER " ' DISTRICTN O. GROUP $,CZN AE/oY FOR INSPECTION WATER HEATER GAS SYSTEM INDUSTRIAL r WASTE APPROVAL INSPECTION RECORD APPROVALS @q $1.00 PER ITEM / �. DATE INSPECTOR'S SIGNATURE OR FIXTURE IS UNDER SLAB WORK 5 1 00 ROUGH PLUMBING r PERMIT GAS PIPING TOTAL FEE GAS VENT i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES A PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND, STATE OF CALIFORNIA OR THAT I AV THE LEGAL OWQ OF THE ABOVE UTILITY CO. NOTIFIED r DESCRIBED RESIDENTI L P�� iEwa SIGNATURE FINAL OF PERMITTEE © VALIDATION ROBERT A. WOOD. SUPERVISING MECHANICAL ENG'R _ C0..' M.0. CASH q�p 4 2 3 9 Am;2 6 5 A 2.0 0 WORKERS'COMPENSATION DECLARATION APPLICA' ION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667A u� uvu ev insure, ar acertificate of Workers Compensation Insurance, CE 817(REV. 10/81) T D or a certified copy thereof(Sec. 3800, Lab. C. COUNTY OF LOS ANGELES r / BUILDING AND SAFETY 4 5C�958588CPA Aetna Casualty & Surety P❑o icy o. Company y Certified copy is hereby furnished. BUILDING ® FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS 5428 N. Cambur Ave. Certified copy is filed with the$,o�ymy byil ng insye4-, -- y Too de artmem. SEKV AMA1r SQLAI( NUMBER FIXTURE OR ITEM LrD FEE P LOCALITY 9/2/83 SYSTEMS, INC. WATER CLOSET Temple Cit Date9/2/83 Applicant NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER pOZZEBON, LEWIS & KAROL (This section need not be completed if the work involved-by - - MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS SAME I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO: 285-5033 so as to become subject to the Workers'Compensation Laws. _ DISHWASHER coNrRAaoli SERVAI']ATIC SOLAR SYSTEMS Date Applicant 'CLOTHES WASHER ADDRESS 20290 E:. Cadre . Road NOTICE TO APPLICANT: If, after making this Certificate of )' Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions.of the Labor Code, you must forth- CITY -LAWN SPRINKLER SYSTEM Walnut % 91789 TEL. No.:595-7433 with comply with such provisions or this permitshall be STATE 390645 LIG C36 SC4,4 - deemed revoked. 1 WATER HEATER solar 20 00 LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. OCESSED Bv.� I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000).of Division 3 of the Business OUTLETS OVER O } and Professions Code,and my license is in full force and effect.. 5 PER SYSTEM FINAL a 390645 C36 SC44 DATE 9 'W 7-- VALIDATION O License Number Lic. Class C SERVAMATIC SOLAR SYSTEMS 9/2/83 FINAL O Contractor Date BY V W ❑ I am exempt under Sec. �/ ( �y � y B.BP.C, for this reason D t.5 1 5 8 A Plan cheek fee - _ Date: PLUMBING PERMIT ISSUING FEE$ 10 50 # o o a a e 5 Signature - - ' TOTALFEE 30 rjQ .. 2 0 a 5 Q 50 Plan check applicant 0 0 0 5 0 4 0 L SINGLE FAMILY HOME OWNER-BUILDER DECLARATION. Nome Q 9, ��—8 v i I hereby affirm that l am exempt from the Contractor's License Address - Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. - ❑ I, as owner of the picperty, will do the work and the structure is not intended or offered for sale (Section D 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 NONE Lender's Address - - certify that have read this application and state that the above information is correct. agree to comply with all County ordinances qnd State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the /o//y��/eepppe-meentntiioonneejd property for inspection ction purposes. 1 ?W� /' s 2 83 SEE REVERSE FOR EXPLANATORY LANGUAGE E ooLure of Per iFe Date