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Home My Public Portal About5432, 5434 ENCINITA AVE_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1007080008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626)+285-0488 EXT ILEGAL ID I FEES PAID BUILDING ADDRESS 1 ON FILE I 5432 ENCINITA AV IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803116 (ASSESSOR INFORMATION NUMBER I _ I NEAREST CROSS STREET BROADWAY I 18588-031-018 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 1 00 FIX 16 30 I 1 ITENANT 121 HOSE BIBB(S) 1 00 FIX 16 30 11SSUED ON PROCESSED BY PLAN BY I I 125 LAVATORIES/SINKS 1 00 FIX 16 30 107/08/10 SR 1 1 145 WATER CLOSET/URINAL 1 00 FIX 16 30 1 I 10WNER TEL NO I TOTAL FEES 93 00 IFINAL DATE FIN BY CODE (EDEN, DEAN & SANDRA (626) 309-9991- 1 1 15432 ENCINITA AV I ITEMP 917803116 1 IDESCR PTI N OF WORK 1 I IPLUMBING FOR NEW BATHROOM I I I I 1APPLICANT TEL NO I INYBORG, SCOTT (626) 614-4874- 1 1 1 14499 VIA MARISOL 116 I ISPECIAL CONDITIONS I ILOS ANGELES CA 90042 1 1 I I I 1 I I I I ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 1EDEN, DEAN & SANDRA (626) 309-9991- 1 1 I 15432 ENCINITA AVENUE LIC NO I 1UNDER SLAB WORK I I I )TEMPLE CITY, CA 91780 NONE 1 1 1 IWATER SERVICE I I I IPLASTIC YIN METAL YIN I I I 1ARCHITECT OR ENGINEER TEL NO I I I I I IROUGH PLUMBING I LIC NO I 1 I 1 IGAS PIPING IAj I 1 IGAS VENT I I I I I I I I 1 IHOT WATER HEATER 1 1 I 1 I I I IPLUMBING FIXTURES I I I I I I I I I (LAWN SPRINKLERS I 1 1 I IGAS TEST I I I I I 1 11 1 I 1UTILITY COMPANY NOTIFIEDI I I I 1 1 1 ICWV I I I I I I IGRAY WATER SYSTEM 1 i I I I I I I I I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I 1 IREPORT ID DPR263 ROUTE TO BSO508 ( 1 1 I I I I I I I D B S 17 25M SETS 2-47 APPLICATION FOR PERMIT TE�ARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING r " r Wm J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE I 65/,-,/Co HEATER CESSPOOL —I SEPTIC TANK RECIEIIVVEEDDIBY READY FOR DATE ISSUESD A � GAS MISCELLEOUB -^GSC/ FIRST INSPECTION 'q ,_,]_l_ _ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY J JOB `^ ` d. NAM _ ADDRESS ✓ • •�Qs W / m ADDRESS/ L LOCALITY ONEAREST .J CITY/--,-/— �.. m TEL No. CROSS ST. COUNTY _ CERT No EXPIRES m NAME • LOCATION OF SEPTIC TANS, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY TEL No. IAM THE LEGAL P066ESSOR OF THE ABOVE LOS ANGELES COUNTY C RTAT//IFICUALIFICATION. ..fir PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK Z HATH TUB FURNACE 5 HOWER DISHWASHER D LAVATORY – REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP GLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'!NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I METER GAS SODA FOUNTAIN GAS PIPING OUTL i GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES / SEPTIC TANK Ay p CESSPOOL-------SEPTIC TANK / SEWER f UTILITY CO NOTIFIED I I TOTAL FEE r/ FINAL D B S 17 25M SETS 2-47 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY '! COUNTY OF LOS ANGELES PLUMBING 1 r= Wm J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRIC O. (;IllllllllftOUP ZONE I!ERMIT NO. ROUGH FIXTURES COMPLETE _ HEATER CESSPOOL —I SEPTIC TANK RECEIVED BY READY FOR DA ISS D GAS MISCELLA EOU ,/ .�I FIRST INSPECTION APPLICANT FI IN HEAVILY OUTLINED PORTION ONLY JOB NAME ADDRESS /'n m ' / ADDRESS LOCALITY NEAREST J CITY TEL No. CROSS ST. "-,R- COUNTY CERT EXPIRES m NAME 100 Cl) LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL 3 ADDRESS NORTH O �r CITY NO IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS // a-r J__ v h ax-7`-f dl a,,7 y i n w SOUTH J DESCRIPTION OF WORK i BATH TUB FURNACE Q' SHOWER DISHWASHER Q LAVATORY REFRIGERATOR -KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING i METER .13 GAS SODA FOUNTAIN GAS PIPING OUTL e, " GAS VENT CESSPOOL I Y I \ TOTAL NUMBER OF FIXTURES SEPTIC TANK �CESSPOOL-------SEPTIC TANK 0�� Cpp��''' SEWER $ d-7 UTILITY CO NOTIFIED TOTAL FEE - FINAL 7 PLUMBING 2 DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING AND SAFETY i PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING {� �y` WILLIAM J. FOX, COUNTY ENGINEER ADDRESS v+ T E NGI tj ITR a FOAPP CANT TO FILL IN LOCALITY 1 C— BUILDING4 E14Cl 7,01 � NEAREST ST �"'�1� W ADDRESS lY CROtg Y� NDISTRICT NO GROUP ZONE PERMIT NO LOCALITY r r r' T1 /� � r,9 NEAREST �n D v e • _/ k ion T CROSS ST ri YV RECEIVED BY Reedy for Inspection DATE,SSUED OWNER LEI C �R �L �` MAIL INDUS RIAI ADDRESS WASTE APPROVAL CITY TEL NO INSPECTION RECORD PLUMBER �, A I O R VJ I Cr ADDRESS 410 -S0.QiqI? FjELQ His CITY Q NT 1� TEL.NO � l (-0 4 ��jj(� TATE LICENSE NO 4-1- 5.7 / C3 COU PERMIT FE S � NUMBER TYPE OF FIXTURE OR ITEM FEE a WATER CLOSET(TOILET) Cd 080 $ a ] BATH TUB @ 080 O SHOWER @ 080 I LAVATORY(WASH BASIN) @ 0 80 i Iy— KITCHEN SINK @ 080 j LAUNDRY TUB OR TRAY @ 0 80 SLOP SINK @ 0 80 \� FLOOR SINK @ 080 FLOOR DRAIN @ 080 DISHWASHER @ 080 DRINKING FOUNTAIN @ 080 URINAL @ 080 I GAS SYSTEM OUTLETS @ 1.00 Old WATER HEATER @ 1 00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THI APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED.RESIDENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE FINAL T6A607 DBS 17 av 19-53 RKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT 76A663 DPW 4/90 I he,{,gby m that I have a certificate of consent to self in- 76A66�. , .� sure,orG certificate of Workers'Compensation Insurance,ora 1% 1-1 (� Policy No Company certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy is hereby furnished BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) 2— ` l Certified copy is filed with the county building inspection ADDRESS department NUMBER FIXTURE OR ITEM @ FEE LOCALITY Tp,M t Date Applicant WATER CLOSET(TOILET) NEAREST 1 ��1 CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST c-) COMPENSATION INSURANCE SHOWER OWNER , ill (This section need not be completed if the work involved by MAIL 1 the permit is for one hundred dollars($100)or less ) LAVATORY ADDRESSMn SL_ I certify that in the performance of the work for which this per- i' SINK CITY TEL NO mit is issued, I shall not employ any person in any manner so '30as to become subject to the Workers'Compensation Laws DISHWASHER CONTRACTOR Date. Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY TEL NO sation provisions of the Labor Code,you must forthwith comp- - LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC ed WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS G Q� 6 J 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER G and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION fect HOSE BIB DATE >.License Number Lic Class CLI FINAL O Contractor Date BY 5 V Q I am exempt under Sec ACCTos 3303 B&P C for this reason V Plan check fee , 1 ITEMS b4.40CL CL Date PLUMBING PERMIT ISSUING FEE$ Z Signature TOTAL FEE d TOTAL m -� SINGLE FAMILY CHECK 64°40 HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name CHANGE vaQ Lawfo the following reason (Section 7031 5, Business and Prof Bions Code) Address MQO—�01 7/20/95 I, as owner of the property, will do the work and the by Tel No structure is not intended or offered for sale(Section 7044, 1460 1 AM 927 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 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 a horize representativ s of this County to enter upon the a ve-mentioned prop r y for inspection purposes 7-a 6_r1,5;_ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date