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Home My Public Portal About4943 ENCINITA AVE_Plumbing__ r76A667-CEIJ817 6-66 �/ l '• - t 15r e/ IgE t APPLICATION FOR PLUMBI G PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE COUNTY ENGINEER ADDRESS COLEMAN W JENKINS SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST ol CROSS ST NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1 25 MAIL BATH TUB 125 ADDRE SHOWER 125 ClTEL NO V7� LAVATORY 185 CONTRACTO SINK 125 ADDRESS DISHWASHER 125 C TEL NO STATE LI C LAUNDRY TUB 125 LICENSE NO CLASS CLOTHES WASHER 1 25 DISTRICT NOG ONE P D BY WATER HEATER 1 50 O / j GAS SYSTEM OUTLETS 1 SO INDUSTRIAL_ CL WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM 90 INSPECTION RECORD V O F- U Lu a N Z APPROVALS DATE INSPECTOR S SIGNATURE PERMIT 5 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REOU Y LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR T 1 THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE O E [BED REST ENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE OF PERU E INAL nVALIDATION CK M O CASH LPLO 0 6 4 3 SEP 14 5 D 3,50- 76A667 - CE817�5/70 APPLICATION FOR PLUMBING PERMIT r COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION f DDAESS JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS SUP T OF BUILDING CALITY FOR APPLICANT TO FILL IN PR NT OR TYPE) AREST / OSS ST NUMBER FIXTURE OR ITEM EACH FEE ,� / AT��7nAN WATER CLOSET 1 50 OWNER 0,-y• /7, _,�/ '/ BATH TUB 1 50 ADDRESS 4Z # AE/` l;f /MAILrA vei SHOWER 1 50 CITY TEL NO LAVATORY 1 50 CONTRACTOR SINK 1 50 ADDRESS /a L , DISHWASHER 150 CITY �Q�t TEL AO Y7�7d N CLOTHES WASHER 1 50 STATE -y/�, LICENSE NO �/ CLICASS / / y SWIMMING POOL RECEPTOR 1 50 DISTR CT NO GROUP ZONE CESSE LAWN SPRINKLER SYSTEM 2 00 160 WATER HEATER 1 50 INDUSTRIAL APPROVAL GAS SYSTEM OUTLETS 1 50 INSPECTION CORD OUTLETS OVER O 5 PER SYSTEM 30 7�r 3 / 1 u N z Plan check fee 2S% of above See reverse PLUMBING PERMIT ISSUING FEE 8 00 TOTAL FEE �Iy� APPROVALS DATE INSPECTOR S SIGNATURE Plan check applicant UNDER SLAB WORK Dame ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel No HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING - 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 TO RESIDE IN THE ABOVE DESCRIBED RESIDEWTI L PROPERTY FINAL SIGNATURE JACK R. ALLEN, SUPERVISIN ECHANICAL ENG'R OF PERMITTEE - PERMIT VALIDATION cK M•o CASH PLAN CHECK VALIDATION CK M o CASH I ACO=2� 3-s ?;: SEP 14 5 D 4.75- J VPLUMBING 76A667 (CE-817)-8-711350838 134APPLICAIONF PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FEARS 4943 Micinita Ave Temple 01ty FOR APPLICANT TO FILL IN (PRINT OR TYPE) er (a' NUMBER FIXTURE OR ITEM @ FEE OWNER ViltArmAn WATER CLOSET 1 75 MAIL BATH TUB 1 75 ADDRESS S m SHOWER 1 75 1 75 C ITY TEL NO 9863958 LAVATORY 1 75 CONTRACTOR Terry-Tile SINK 1 75 ADDRESS 5200 V Vashineon' Blv• DISHWASHER 1 75 CITY IA TEL N0931186 CLOTHES WASHER 1 75 STATE LIC SWIMMING POOL RECEPTOR 1 75 LICENSE NO105?64 CLASS DISTRI T NO G OUP ONE P S BY LAWN SPRINKLER SYSTEM 1 75 YS WATER HEATER 1 75 INDUSTRIAL lll��r 1. WASTE APPROVAL GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD V OUTLETS OVER 30 X 5 PER SYSTEM I A Lad 9. VL z Plan check fee See reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR 5 SIGNATURE Plan check applicant UNDER SLAB WORK 75 Name ROUGH PLUMBING Address GAS PIPING City Tel NO 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 PLUMBING FIXTURES ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING GAS TEST 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 TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL SIGNATURE OF PERMITTEE PERMIT VALID TIQN CK M o CASH PLAN CHECK VALIDATION CK M o CASH , .AC,0E0do;j OAYg 5 D 4.75- 764667 (CE,817)-4/72 APPLICATION OR PL MBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER NG BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO FBUILDI TY DDRESS ` i.� �%HARVEY T. BRANDT, COUNTY ENGINEER OCALIFOR APPLICANT TO FILL IN (PRINT OR TYPE) EAREST /ROSS ST NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1 75 OWNER MAIL .� BATH TUB 1 75 ADD ES SHOWER 1 75 CIS TEL NO / LAVATORY 1 75 CONTRACTOR f1 SINK 1 75 ADDRESS DISHWASHER 1 75 CITY,_ TEL NO CLOTHES WASHER 1 75 STATELIC Q� LICENSE NO — CLASS SWIMMING POOL RECEPTOR 1 75 DIrS[RICT NO G OUP ZO E PROCESSED BY LAWN SPRINKLER SYSTEM 1 75 \?J`1 (/1�JD WATER HEATER 1 75 INDUSTRIAL WASTE APPROVAL 4 GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD V OUTLETS OVER 30 oC 5 PER SYSTEM CD H U W h Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR 5 SIGNAT.RE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel NO GAS VENT HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, D INTEND TO L _ RESIDE IN THE ABOVE DESCRI D RESID NTIAL P E Y FINAL JI ✓1,,. SIGNATURE l OF PERMITTE _ PERMIT VALIDATION CK' M O CASH PLAN CHECK VALIDATION CK M 0 CASH \. 1 9 6 4731 JUL 2 5 D V�!4 .7 5 N WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers' Compensation Insurance, CE 817(REV 10/81) u or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company ❑ f Certified copy is hereby furnished BUILDING LQ [/ ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS / / 7 I C iH Certified copy is filed with the county building inspec- NUMBER FIXTURE OR ITEM @ FEE v tion department LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE OWNER ^0 �,� (This section need not be completed if the work Involved by SHOWER L) 5 {� 4tJd�r/ -n J 11 MAIL the permit is for one hundred dollars ($100)or less ) LAVATORY ADDRESS I certify that in the performance of the work for which this 1 permit is issued, I shall not employ any person in any manner SINK CITY 7'G le TEL NO so as to become subject to the Workers'Compensation Laws DISHWASHERA, CONTRACTOR pp /4",, Date) yA�1 D 7Applicant i CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If, after along this Certificate of 4 Exemption, you should, becom subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY /_ J d (A- TEL NO with comply with such provisions or this permit shall be STATE �-O LIC C 3 deemed revoked WATER HEATER LICENSE NO 4/3S Q1p S CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NOROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS 11J (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINAL J i V (DATION License Number!!�l ?G s Lic Class G` DATE 8 ai O �y FIN U Contractor&e/4-,., /�/b`y Date 3 T.�t! 7 BY ❑ I am exempt under Sec O F- B&P C for this reason W Plan check fee a Date PLUMBING PERMIT ISSUING FEE$ Z Signature TOTAL FEE Plan check applicant SINGLE FAMILY ;2 6 3 3.6 A HOME OWNER-BUILDER DECLARATION Name # o 0 0 0 0 5 I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031 5, Business and t( o o 2 a 5 0 Professions Code) City Tel No ❑ I, as owner of the property, will do the work and the o o .2 a cJ 0'9 structure is not intended or offered for sale (Section , 7044, Business and Professions Code) Q 1..13-87 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 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 jaws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 3 3.4.x/, 8 7 nature of Permittee Date WORKERS'COMPENSATION DECLARATION 76a667A I hereby affirm that I have a certificate of consent to self CE e17 (2-90) APPLICATION FOR PLUMBING PERMIT insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec 3800,Lab C) 1�1065372. yWest American COUNTY OF LOS ANGELES � � BUILDING AND SAFETY Policy No Compan El Certified copy is hereby furnished c;�_.,�,7e _r,2-', FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS 4943 Encinita ® Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM FEE Z;;a Datedp WATER CLOSET LOCALITY em Ci t M� T BATH TUB CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER Mr. & Mrs. J. rman LAVATORY MAIL >, (This section need not be completed if the work involved ADDRESS 4943 Encinita El by the permit is for one hundred dollars ($100) or less) SINK Q CITY Temple C1 t TEL NO 286-3258 L) I certify that in the performance of the work for which this DISHWASHER permit is issued, I shall not employ any person in any manner CONTRACTOR Universal P1 umbi n Q 0 so as to become subject to the Workers' Compensation Laws CLOTHES WASHER {— ADDRESS 2631 Lee Avenue � Date Applicant SWIMMING POOL RECEPTOR CIL LU NOTICE TO APPLICANT If, after making this Certificate of CITY S0. E1 Monte TEL NO 575-3 W Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC _ Compensation provisions of the Labor Code, you must forthLICENSE'N0386678 C ASS C-36 with comply with such provisions or this permit shall be WATER HEATER deemed revoked GAS SYSTEM OUTLETS DIST `T fyp i/ O ED LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL/ VALIDATION ness and Professions Code, and my license is in full force and DATE&- effect 386678 Cr-36 FINAL License Number Lic Class BY ContractJntversal P1mbDate 01/x/82 �� per J I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ �� 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 t I hereby affirm that I am exempt from the Contractor's 0 Address License Law for the following reason (Section 7031 5, Busi City Tel No ness and Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to'construct the project (Section 7044, Business and Professions Code) ;9 2 7 a 1 A CONSTRUCTION LENDING AGENCY # o o 0 0 0 5 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is 2'- 0 1 6 5 0 issued(Sec 3097,Civ C) Lender's Name o o o 1 65020: Lender's Address 0 '1.2'8—8 2 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 regulatingPlumbing, and hereby authorize representatives of this n to enter upon the abo a J4oned property r ect purposes 0 ( natur f P tee Date .� aI j" -#/JURKER'SCOMPENSATIONDECLARATION 200026 DPW 9/89 APPLICATION FOR PLUMBING PERMIT ��Sereby affirm that I have a certificate of consent to self insure, 76A667A or a certificate of 77orker'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 112946897 Company CNA Insurance Co - ❑ Certified copy is hereby furnished BUILDING ® FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS 4943 Enc finita Ave. Certified copy is fled with the county budding inspection department NUMBER FIXTURE OR ITEM p FEE - LOCALITY Temple City Date 9-8-92 Applicant Owen Bros. Plbg_ WATER CLOSET e i NEAREST � CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' r, BATH TUB ASSESSOR COMPENSATION INSURANCE { MAP BOOK �� PAGE Z,e PARCELODI/ (This section need not be completed if the work involved by the SHOWER permit,is for one hundred dollars($100)or less) / LAVATORYOWNER` A 0 K. Kennels I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to MAIL - 4943 ERClnita Ave become subject to the Workers Compensation Laws ADDRESS DISWASHER CITY Temple City TEL NO 286-3258 Date Applicant CLOTHES WASHER CONTRACTOR Owen BxOS Plumbing, Inc NOTICE TO APPLICANT If, after making this Certificate of Exemption,you should become subject to the Workers' Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS 4265 N. Baldwin Ave. provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION, J CITY El Monte TEL No443-0078 } I hereby affirm that I am licensed under provisions of Chapter 9 STATE LIC WATER HEATER O (commencing with Section 7000) of Division 3 of the Business and GAS SYSTEM OUTLETS LICENSE NO 231 741 CLASS C36-20-16 U Professions Code,and my license is in full force and effect OUTLETS OVER DISTRICT NO PR Y 0 5 PER SYSTEM ' License Number 231 741 Lic Class C36-20-16 U FINAL VALI TION a Jl, '��I Contractor Owen Bros Plbg Date 9-8-92 DATE ` � ❑ FINAL Z I am exempt under Sec BY ga�� - — B&P C for this reason Date Plan check fee , I ACCT.1 ' `� � T _ PLUMBING PERMIT ISSUING FEE$ 1 — Signature - .:._jt1 {� 2 ❑ TOTAL FEE v J�.77VV( i a+' Plan check applicant _ - i ITE{ SINGLE FAMILY - d-t HOME OWNER-BUILDER DECLARATION Name `� TUTAL 170-25 1 hereby affirm that I am exempt from the Contractor's License Law r M� for the following reason (Section 7031 5, Business and Professions Address r ,`nG�� - 170.25 'A d Code) ❑ 1 City Tel No 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) , —m ry/ 7/q: CONSTRUCTION LENDING AGENCY 7 7 1 hereby affirm that there is a construction lending agency for the 5~7+a 1 708 performance of the work for which this permit is issued (Sec 3097, Civ C) Lender's Name 1 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 artid State laws regulating/Plumbing, and hereby authorize rep?e entative of this County to nter upon the above mentioned pro rty for i t(an purp a SEE REVERSE FOR EXPLANATORY LANGUAGE 9-8-92 1pnature of Perml �; Date -