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HomeMy Public PortalAbout9657 CRAIGLEE ST_Plumbing__ 76A667 (CE-817)-8-71 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 9657 E. Crai lee LOCALITY Temple City FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. Temple Cit .Blvd. NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1.75 OWNER Mr. John .Pene MAIL BATH TUB 1.75 ADDRESS 9657 E. Crai lee SHOWER 1 .75 CITYTe _IQ 'ityTEL. NO. 445-7059 LAVATORY 1.75 CONTRACTOR E. L. Payne Co. SINK 1.75 ADDRESS 166 W_ Live Oak Ayp, DISHWASHER 1.75 CITY TEL. NO. Arcadia 446-6118 CLOTHES WASHER 1 .75 STATE LIC LICENSE NO.120228 CLASS C20 SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GROUP IZONE1 PROCESSED BY LAWN SPRINKLER SYSTEM 1 .75 ,- ,-rte - _ c � � r WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL 0. / GAS SYSTEM / OUTLETS 1.75 INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM .30 /�(o'.e "J//j ,vJ//j r z dU LLII r 06 z Plan check fee See reverse. PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING- City Tel. NO. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL- COUNTY ORDINANCES AND 'STATE LAWS REGULATING PLUMBING. GAS TESTS-�'�� � I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF; AND INTEND O RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPE T FINAL SIGNATURE OF PERMITTEE PERMIT VALIDATION CK. M.O. CAS�- () 1 ' PLAN CHECK VALIDATION CK.. M.O. CASH 9 "8. 6�:iUL 11 5 II 4.7 5A' 98 ..7$A&S7 7 S's° ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING I WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTR�PT NO. GROUP ZONE PERMIT NO. ifs—/4�2 ' PLUMBER VALLEY. BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED FIRSTINSPECTION ADDRESS 900 EAST VALLEY BLVD. BUILEsq ROSEMEAD AT. 2-2719 ADDRESS CITY TEL. NO. n'7 '� .CLc�.c.•e� �,11 C ({/� COUNTY :731'v} 6-30- „ter LOCALITY ...�i�Z+-g-)— L_ LICENSE NO. EXPIRES NEAREST ¢"� '� f f PERMIT FEES CROSS ST. OWN E R NUMBER TYPE OF FIXTURE OR ITEM FEE MAIL 7- / / ADDRESS / ?� d' ^RJ ✓ ._ems/ 1si7."`"., WATER CLOSET (TOILET) @�0.50 $ hS D _ '/� BATH TUB tr 0.50I S© CITY A TEL. NO. 9-4<3.K301� SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS j LAVATORY (WASH BASIN) @ 0.50 �,}d APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 I so STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O.SOI ,g ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL'PROPERTY DESCRIBED ABOVE. GAS SYSTEM�OUTLETS @ 0.501 I (��,p/�� SIGNATURE OF RY/WATER HEATER @ 0.50 I � �� PERMITTEE SLOP SINK @ 0.501 1 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50, DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50, IHOUSE SEWER @ 0.501 I a' MISCELLANEOUS I 0 I I I I I� APPROVALS DATE INSPECTOR'S dNAME ROUGH PLUMBING GAS PIPING F— GAS VENT CESSPOOL @ 1.00I CESSPOOL SEPTIC TANK: I� SEPTIC TANK I DRAIN ( ) PIT ( @ 1.00 I SEWER PERMIT I 1.00 GAS TEST I UTILITY CO. NOTIFIED Z"Z"�� M�7ER ��1/TOTAL FEE � $ �JJ��{{ �{O FINAL r daea segi s-so KO' APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES L , E WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUPZONE PERMIT NO, BOULEVARD PLUMBING CO. I 9DATEE IS /e� RECEIVED BY READY FOR DA PLUMBER bJUU ISSUU ED FIRST INSPECTION ADDRESS ST VALLEY BLVD. ' 9114? BUILDING AT. 2-2719 ADDRESS 1/ ifd.L CITY TEL.'•NO. ry COUNTY 93M LICENSE NO. EXPIRES 6-30. �� LOCALITY NEAREST 'Y PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OW.NE 2a t,MAIL WATER.CLOSET (TOILET) @ 0.50 $ ADDRESS I BATHTUB 0.50 CIT f SHOWER @ 0.50 I [-HEREBY ACKNOWLEDGE THAT �1. HAVE READ THIS LAVATORY (.WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WtTH ALL COUNTY ORDINANCES AND ; KITCHEN SINK - @ 0.50 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 I ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL.PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.501 '`' < ' SIGNATURE OFn WATER HEATER @ 0.50 I PER �' '-- � •?� '4-' d° "' '� a SLOP SINK @ 0.501 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.501 URINAL @ 0.501 J /I HOUSESEWER @ 0.501 5_0 Q MISCELLANEOUS I 2 I� O ° APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 i f' CESSPOOL `` SEPTIC TANK: SEPTIC TANK /0 I DRAIN ( ) PIT ( .) @ 1.0011 SEWER PERMIT . . I 1.00 GAS TEST UTILITY CO. NOTIFIED a, Q I TOTAL FEE Is cpiI ` FINAL IrJ WORKERS'COMPENSATION DECLARATION 'zeaeszA `p �C n T I O �I FOR PLUMBING PERM0T I hereby`of irm that I have a certificate of consent to self eE e»'(z-ao) I� !r A insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. FOR'APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS 44S_7 E. �. (ems Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM O FEE • 'lepartment. WATER CLOSET LOCALITY e- Date Applicant NEAREST f BATH TUB CROSS'ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER �f i P ✓� (This section need MAIL not be completed if the work involved LAVATORY ADDRESS � a by the permit is for one hundred dollars ($100) or less.) SINK3 O CITY TEL. 0 I certify that in the performance of the work for which this' DISHWASHER 6 cc permit is issued, I shall not employ any person in any manner CONTRACTOR 0 so as#CE b ome subject to th rker6 Com ADDRESS nsation Laws. ' CLOTHES WASHER U Date ��� Applicant �" SWIMMING POOL RECEPTOR UJ CL SNOT O APYLICANTr If, after,making this certificate of CITY TEL.NO. Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Z Compensation provisions of'the Labor Code, you must forth- lLICENSE NO. CLASS with comply with such provisions or this permit shall be l (NATER HEATER 3 deemed revoked. DISTRICT NO. PR CESSED BY ' GAS SYSTEM OUTLETS 3 _ - LICENSED CONTRACTORS DECLARATION OUTLETS OVER S -V I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL ness and Professions Code, and my license is in full force and DATE ,0 — VALIDATION effect. FINAL License Number Lic.Class BY. ��—• Contractor Date I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer acting in my professional capacity (Section 7051, Bus- iness and Professions Code). . TOTAL FEE Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address 2d((4 a 2 A License Law for the following reason (Section„7031.5, Busi- City Tel.No. ness and Professions Code): o 0 0 0 o 5 I, as owner of the property, am exclusively contracting Z o 0 3 1.0 0 with licensed contractors to construct the project (Section 7044, Business and Professions Code). _ 0•0 0 31,00 CONSTRUCTION LENDING AGENCY 0 3; 1 81-81 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the abov - entioned prope6y for inspection purpos it V6.ZAJ S Signature of Permittee ate