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Home My Public Portal About5317 ENCINITA AVE_Plumbing__ 76A667 (CE-817) - 5/73 APPLICATION -OR PLU ING�"PERMIT' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY 'DIVISION " MAKE CHECKS PAYABLE TO 1BUILDING _ ADDRESS /.t �Ti19 HARVEY T. BRANDY, COUNTY ENGINEER .r. LOCALITY' / FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS,ST. NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1.75 : r c OWNER - / �� ti, ., • y MAIL ¢ �A BATH TUB 1.75 ADDRESS SHOWER -1,•78 - CITY ��r ,TEL NO.' c' LAVATORY1,75 CONTRACTOR SINK '1.75 ADDRESS DISHWASHER 1.75- I T TEL NO i CLOTHES WASHER 1.75 STATE . s LIC SWIMMING POOL RECEPTOR 1.75 LICENSE NO �',9G// L'CLASS DIST�CT No UP NE F OC ESS D BY LAWN SPRINKLER SYSTEM 1.75 �`,QQJJ p •• t, WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL }: GAS SY M O ETS 1.75 INSPECTION RECORD O OUT T OVER30 1 r r c:0 5 R STEM - � � CDW Plan check fee See Reverse „ PLUMBING PERMIT ISSUING FEE S 3 00 TOTAL FEE APPROVALS DATE INSPECTOR 5 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 REATHIS APPLICATION AND READ THIS THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES , WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING - GAS TEST - I I HEREBY CERTIFY 'THAT I AM PROPE REGISTERED AND/ORI UTILITY CO NOTIFIED ' LICENSED, AS REQUIRED OS ANGEL OUNTY AND STATE OF _ CALIFORNIA OR THAT M {E LEGAL NER OF, AND INTEND TO ,RESIDE IN THE ABOV S IB D REST N_IAL PROPERTY FINAL lo-34— .may/ SIGNATUREOF PERMIT - ' PERMIT VALIDATION Co CASH; PLAN CHECK VALIDATION CK M �/ 6 4..7-5 . 76A 667 (CE-817)-8-71 7_r /�C. APPLICATION FOR PLUMBING RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER o BUILDING AND SAFETY DIVISION BUILDING ADDRESS LOCALITY le7l FOR APPLICANT TO FILL IN (PRINT OR TYPE' NEARESTee CROSS ST. NUMBER FIXTURE OR ITEM @ FEE O OWNER - u WATER CLOSET 1.75 O MAIL BATH TUB 1 75 7 ADDRESS ST.2 7 SHOWER 1 75 j CITYt TEL NO. LAVATORY 1 75 CONTRACTOR �� SINK 1 75 ADDRESS DISHWASHER 1 75 / CITY NO.2g6 r CLOTHES WASHER 1 75 STATE �./ LIC LICENSE NO J s CLASS SWIMMING POOL RECEPTOR 1 75 DISTRICT NO GROUPZONE ROCESSED-BY, LAWN SPRINKLER SYSTEM 1 75 ` rya WATER HEATER 1 75 INDUSTRIAL V WASTE APPROVAL A GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD V OUTLETS OVER 5 PER SYSTEM 30 Q O IOW t Zi - r Plan check fee See reverse. PLUMBING PERMIT ISSUING FEES 3 00 TOTAL FEE APPROVALS D T PECTO R'S 51 NATURE . Plan check applicant UNDER SLAB W RK rz Name ROUGH PL A `- 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 CP E-i- I HEREBY CERTIFY THAT I AM PROPER RE ISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELE COU Y,AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL WNE F, AND INTEND TO RESIDE IN THE ABOVE DE5CR BED R ]DENT L P OP TY FINAL SIGNATURE OF PERMITTE ' PERMIT VALIDA N cK M o CASH PLAN CHECK VALIDATION cK ;M o cn o e ,R 7N JUL 2F^ � 0 `, `t • t 78 A887-C Eu817 10-67 / Y APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION iBUILDING s JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W JENKINS. SUP T OF BUILDING LOCALrTx 7o -1 44 FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEARESS CROSS ST: NUMBER FIIXTURE OR ITEM EACH FEE / .OWNER WATER CLOSET 1 50 [MAIL _ BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY TEL. NO.,09 4,0 LAVATORY 1 50 CONTRACTOR SINK 1.50 ADDRESS le e DISHWASHER' 1.50 C TEL. NO a CLOTHES WASHER 1 50 'STATE - - LIC LICENSE NO CLASS � SWIMMING POOL RECEPTOR 1.50 DISTRIC]Np�� R GZONE P O D B - LAWN SPRINKLER SYSTEM 2.00 (�Jn- i U WATER HEATER 1 50 INDUSTRIAL - WASTE APPROVAL � - O GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD ~ U OUTLETS OVER - --= •• LL.I 5 PER SYSTEM •30 CL Cn _ Z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE APPROVALS DATE INSPECTOR S SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel No. 'HOT WATER HEATER - I HEREBY ACKNOWLEDGE THAT 1 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 1 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 D GCRI BED RESIDENTIAL PROPERTY FINAL SIGNATURE OF PERMITTEE JACK R. ALLEN, SU PERVISIN CH ANICAL EN G'R PERMIT VALIDATION CK M O CASH ,PLAN CHECK VALIDATION CK M O CASH 4 LAW 5 s.8'4 1Q3 A u G 1,2 5 0 WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBI MIT.• I hereby Qffirm,that I have a certificate,of consent to self 76A667A Y• I ( ; rPsure?,o,'`$ certificate of Workers' Compensation Insurance, CE 817(REV 10/81) or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES .,BUILDING AND SAFETY Policy Company ❑ ert6ried copy is hereby furnisfi.cl FOR APPLICANT TO FILL IN'(PRINT OR TYPE) BUILDING • Cert;fied copy is filed with the county building inspec- ADDRESS i tior department NUMBER_ FIXTURE OR ITEM @ FEE LOCALITY _ Dat 'J Apph4ant WATER CLOSET' NEAREST ) d CERTIFICATE OF EXEMPTION FROM WORK S' BATH TUB CROSS ST /- COMPENSATION INSURANCE OWNER �/-�/� ' - SHOWER (This section need not be completed if the work involved by ' MAIL the permit is for one hundred dollars($100)or less.) , LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL NO so,as to become subject-to the Workers'Compensation Laws DISHWASHER CONTRACTOR 5a Date Applicant CLOTHES WASHER ADDRESS ,( f NOTICE TO APPLICANT If, after making this Certificate of ,v Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code„you must forth- CITY TEL N /� .i LAWN SPRINKLER SYSTEM 4f with comply with such provisions or this' permit shall be STATE �J LIC deemed revoked WATER HEATER LICENSE NO 6 y CLASS LICENSED CONTRACTORS DECLARATION, DISTRICT NO R�ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS ((�/ I/// (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER �r D (, d and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINAL VALI ATION DATE License NumberClass y FI L O Contractor Date _ ~ ❑ ai I am exempt under Sec r M • N B 8P C for this reason Plan check fee , Date PLUMBING PERMIT ISSUING-FEE$ Signature c�3 0 5 $ A TOTAL FEE Plan check applicant 0 — # 00005 SINGLE FAMILY - HOME OWNER-BUILDER DECLARATION Name a o 3 G5 0 1 hereby affirm that I am exempt from the Co6tractor's License ' Law for the following reason (Section 7031 5, Business and Address ' o o,• 3(15-0 C Professions Code) Gty Tel No ( a O 3^ 8 Jr = ❑ 1, as owner of the property, will do the work and the structure is not intended or offered for sale (Section Pilo7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for o 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, acid hereby authorize representatives of this County to enter upon the above-mentioned property for-inspection purposes SEE REVERSE FOR,EXPLANATORY LANGUAGE ' nature ermrtt COUNTY OF LOS ANGELES TEMPLE CITY # 050.8 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1209190026 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE- (626) 285-0488 EXT , (LEGAL ID- I FEES PAID I BUILDING ADDRESS 1 IBK 43 PG 93 PC 3 I 1 5317 ENCINITA AV 1 I IFEE DESCRIPTION QUANTITY- UOM- AMOUNT-1 TEMP CA 917803115 1 (ASSESSOR INFORMATION NUMBER I . . I NEAREST CROSS STREET- 1 15388-008-031 101 PERMIT ISSUANCE FEE 27 80 1 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl 11 107 BATHTUBS/SHOWERS 3 00 FIX 48 60 1 1 ITENANT 113 DISHWASHER(S) 1 00 FIX 16 20 (ISSUED ON PROCESSED BY PLAN BY 1 1 125 LAVATORIES/SINKS, 5 00 FIX 81 00 109/19/12 SR 1 1 145 WATER CLOSET/URINAL 3 00 FIX' 48 60 1 (OWNER TEL NO 164 WATER PIPNG <= 1 1/2 1 00 LIN 16.20 1F DATE FI By CODE 1 IQUAN TRAN (626) 616-2889- 1 TOTAL FEES 238 40 1 15317 ENCINITA AV ITEMP 917803115 1 1D CR PT ON OF WORK 1 I I IPLUMBING FOR NEW BATHROOM, REMODEL KITCHEN, 2 BATHROOMS AND 1 1 1REPLACE WATER MAIN 1 1APPLICANT TEL NO 1 I ITAM, KEN (626) 616-2889- 1 1 I 111104 CAMPBELL I ISPECIAL CONDITIONS 1 JALHAMBRA CA 91803 1 1 I ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE I IJIN INVESTMENT GROUP INC (626) 484-3573- I 1 I 1243 ABOGADO AVENUE LIC NO I (UNDER SLAB WORK 1 (WALNUT, CA 91769-2502 925183 B I. 1 I I I IWATER SERVICE I I - I IPLASTIC YIN METAL YIN 1ARCHITECT OR ENGINEER TEL NO I I I I IJIN INVESTMENT GROUP INC (626) 484-3573- i IROUGH PLUMBING I 1 1 1243 ABOGADO AVENUE LIC NO i I 1 IWALNUT, CA 91789-2502 925183 B I IGAS PIPING I 1 I I IGAS VENT I 1 1 I I IHOT WATER HEATER I 1 I 1 IPLUMBING FIXTURES I 1 I I ILAWN SPRINKLERS I 1 I I IGAS TEST I I I (UTILITY COMPANY NOTIFIEDI I 1 - 1 ICWV I I I II I I I I I 1GRAY TER SYSTEM I I I I I I I I I I I I I I I I I I I I IREPORT ID DPR263 - ROUTE TO BS0508 I I I I I