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Home My Public Portal About5203 DEGAS AVE_Plumbing__ Taneai-DE«eIT la-az 4 Ate/ APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONUl FFDJOHN A. LAMBIE. COUNTY ENGINEER DRESSC203 De as Ave. WILLIAM A. JENSEN, SUPT OF BUILDING FOR APPLICANT TO FILL IN CxOA ss S7. Randwlck NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 or MAIL Dnal p. 1 BATH TUB 1,25 1.25 ADDRESS 2 SHOWER 1.25 2. CITY TEL. NO. LAVATORY 1.25CONTRACTOROven Bros. Plumbing, Inc. 1 SINK 1.25 1.25 ADDRESS ho 1 DISHWASHER 1.25 1.25 CITY El Monte TEL. NO. 443-0078 LAUNDRY TUB 1.25 CONACTOR'S STATE REGISTRATION ON NO. 231741 COUNTY ❑ 1 CLOTHES WASHER 1.25 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY 1 WATER HEATER 1.50 1.50 5. rlr 1 5 so 1. 50 INDUSTRIAL CAS SYSTEM OUTLETS O WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD V 3 LS(A S-- Lt)04- E o a �_7�(6� PIIIM�tx1L- L T'h -r6 "ya Irntoue:;.4(' Ame'k 'to '.E'E,t�1P.l.�4"' -SLWSK- PCPB C.2e:ta APPROVALS DATE Iry ECTG BIONAj U.E PERMIT S 2 00 UNDER SLAB WORK A' ROUGH PLUMBING TOTAL FEE O GAS PIPING HEREBY THAT TH ABO THAT HAVE READ THIS E APPLICATION GAS VENT ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDOR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN, THE ABOVE O SCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED 4 SIGNATURE OF PERMITTEE I/ FINAL �-..F{ALIDATION ROBERT A. WOOD U cH. M.O. CASH SUPERVISING MECHANICAL ENG'R LMLO 9 3 5 2:o IYlfZ 8 5 D 20.00- `v WORKER'Shave a c0-OON COMPENSATION DECLARATION 76A6670PW 9/89 APPLICATION FOR PLUMBING PERMIT ' 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.) 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 �, E] Certified ' � ),-... - Certified copy is filed with the county building inspection ADDRESS )�,V �,6.)%.Iar /I(iL department. NUMBER FIXTURE OR ITEM FEE - Date Applicant / WATER CLOSET LOCALITY / � NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' fGUJ,+✓� t./ BATH TUB CROSS ST. 734( l. �. COMPENSATION INSURANCE / ASSESSOR r +/ (This section need not be completed if the work involved by the SHOWER MAP BOOK f�-.7 ` PAGE�,� PARCEL permit is for one hundred dollars($100)or less.) OWNER I certify that in the performance of the work for which this permit f LAVATORY /iv--'AG •A-�rf ,f '�!.-r/L is issued, I shall not employ any person in any manner so as tor MAIL SINK - • ADDRESS z U� rJ�' become subject to the Workers'Compensation Laws. J TEL.NO. DISWASHER CITY e. �;7/% t✓i+(, G t J (f Date '7/ �� Applicant • 1 CLOTHES WASHER NOTICE TO APPLICANT: If, after making this'Certif ,ite of CONTRACTOR J^fL> "IOC• �.�� `,•;L i•... Exemption.you should become subject to the Workers' Compensation SWIMMING POOL RECEPTOR 1" provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM } LICENSED CONTRACTORS DECLARATION CITY TEL.NO. O I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER (commencing with Section 7000)of Division 3 of the Business and STATE LIC. - 0 — Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS LICENSE NO, CLASS W OUTLETS OVER DISTRICT NO. % PROCESSED BV J_ 5 PER SYSTEM •� / LL License Number Lic.Class DATE VALIDATION Q Contractor Date Q ❑ 1 am exempt under Sec. - By CL _ 8.8P.C.for this reason W Plan check fee Date: ly Signature PLUMBING PERMIT ISSUING FEE$ ❑ TOTAL FEE SINGLE FAMILY ;- Plan check applicant Mt.r I 4 HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's license Law for the following reason (Section 7031.5, Business and Professions Address Code): - ! w t ,E •: City Tel.No. i� I,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). D CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction tending agency for the , performance of the work.for which this permit is issued (Sec. 3097, Civ.C.) )).)`1:�if i Lender's Name .-:u 1. J rti�t. Lender's Address I certify that I have read this application and stale that the above D 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-mentioned property for inspection purposes ' SEE REVERSE FOR EXPLANATORY LANGUAGE ,Signature of NtttiAee Ewe 20-0026 WORKER'S th'at ; COMPENSATIONDECLARATION 76A667APW9f89 APPLICATION FOR PLUMBING PERMIT � lJ I hereby affirm that 'have a certificate. of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified - - copy trill(Sec. 3800 Lab.C.) -- COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No Company ti F-1Certifiedcopy is hereby furnished �t ❑ Certified copy is filed with the county building.inspection - FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS jf & 'I>„r x department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY P�G -1 e- /T Date Applicant ` WATER CLOSET S CNEAREST ROSS ST. ,Cd[I /ivJ� A L/C CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB COMPENSATION INSURANCE / ASSESSOR p cJ55 /7tr',, (This section need not.be completed if the work involved by the \ SHOWER MAP BOOK (/ /] PAG `� PARCEL. Y� permit is for one hundred dollars($100)or less.) / OWNER �' Cf..Zf['J C2, 2- I.J i✓12/' I certify that in the performance of the work for which this permit LAVATORY is issued, I shall not employ any person in any manner so as to MAIL Z0_3 n' 14LI� SINN ADDRESS Gr---/T became subject to the Workers' Compensation Laws. DISWASHER CITY �m/�l �J( TEL NO. Date j'/5;Y Applica CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Cert' i ale of CONTRACTOR Exemption,you should became 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. I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER d (commencing with Section 7000),of Division 3 of the Business and STATE LIC. 0 GAS SYSTEM OUTLETS LICENSE NO. CLASS Professions Code, and my license is in full farce and effect. OUTLETS OVER DISTRICT NO._D PROCESSED BY Q 6 PER SYSTEM JC Q License Number Lic.Class FINAL VALIDATION w DATE IL Contractor Dale (1) EJI am exempt under Sec. FINAL Z B.&P.C.for this reason BY Plan check fee Date: Signature PLUMBING PERMIT ISSUING FEE ❑ TOTAL FEE r J/� IT Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law '�I_f.j for the following reason (Section 7031.5, Business and Professions Address Code): City Tel. No.1/ 7 _ c I, as owner of the property,will do the work and the structure ;i i j yL f a r-_r is not intended or offered for sale (Section 7044, Business _ and Professions Code). > :;{t:1t; 1L.75 CONSTRUCTION LENDING AGENCY CHANGE i AIaV 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. Vt Lender's NameS'- }, I 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-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS PL 0508 1212120016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: ITR: 29569 LT: 16 1 5203 DEGAS AV I (FEE DESCRIPTION: QUANTITY: ROM: AMOUNT: 1 TEMP CA 917803322 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GREEN 18585-003-046 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I 1 1TENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.40 (ISSUED ON: PROCESSED BY: PLAN BY: 1 1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 112/12/12 SR I TOTAL FEES 92.60 OWNER: TEL. NO: I FIINAL DATE FIN BY CODE: 1500, VIV IAN (323) 3s3-s791-AS ✓ 'V 15203 DEGAV TEMP 917803322I DESCRIPTION OF WORK REPLACING SINK, REMODELING SHOWER, LAVATORIE AND WATER ICLOSET I 1APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: I I I I CONTRACTOR: TEL. NO: JAPPROVAIS DATE INSPECTOR SIGNATURE 1SAME AS OWNER - 1 I I LIC. NO (UNDER SLAB WORK I WATER SERVICE (PLASTIC YIN METAL YIN (ARCHITECT OR ENGINEER: TEL. NO: II - ROUGH PLUMBING LIC. NO: I IGAS PIPING GAS VENT I I (HOT WATER HEATER (PLUMBING FIXTURES I I (LAWN SPRINKLERS I I I I I (GAS TEST I I I I I I I I (UTILITY COMPANY NOTIFIED( I I I I I (GRAY WATER SYSTEM 11 aA kV I r I I I I I I I I (REPORT ID: DPR263 ROUTE TO: HS0508 I I I I I I I I I I