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HomeMy Public PortalAbout5609 ENCINITA AVE_Plumbing__ 76.66, APPLICATION( FOR PLUMBING PERMIT 1 Des.IT(DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles * BUILD[NO L < ,/ p .JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS V 0.GRIFFIN, CASSATT APPLICANTDTO FILL IN LOCALITY NEAREST FOR CROSS ST. M&Cd4i 4 OWNER Iff A4 " DISTRI`CCTT NO. GROUP_ /Z/sOO / READY FOR INSPECTION MAIL ADDRESS INDUSTRIAL . CITY WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS bid o. Baldwin Avenue 4 P3A e— ►tel rca ia, California p� CITY TEL. NO. LICENSE NO. Xj� NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ S1.00 DISHWASHER @ S1,00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 r GAS SYSTEM @ 51.00 APPR VALS f)ATEj SPEOTOR'S IGNATURE UNDER SLAB WORK '� 1 ROUGH PLUMBING PERMIT $ 1 00 �� GAS PIPING TOTAL FEE cws VENT _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION . HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY pp WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES i 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 6 GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF DESCRIBED ES THAT 1 PR THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDEN L PROPERTY. WIT .. 1 OF PERMITTEE ' FINAL II 1g54 ..A^dpi.. JOHN A. LAMBIE, COVUNTY ENGINEER ALIDATION ROBERT A.WOOD. CHIEF PLBG. INSPECTOR V K. B.0. CASH 9. 5 1. 2—� AUS 22 3 6.0 0 m 76A607-CE81910.60 . FOR PLUf1NBll�t��i ERMIT � APPLICATION COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ButLDING TY s-�© D /✓[/ ?� JOHN A. LAMBIE. COUNENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALR'Y FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER �� �2!C WATER CLOSET MAIL wDKESs .S'/-2m Q BATH TOR l- CITY _ TEL. SHOWER L CONTRACTOR O lS /! LAVATORY "q BINE ADDRESS �s4� rjl S/q /W&44 21> x . cirY Yrro/!/Ufec`No. 0 �( a0 y�? DISHWASHER - p LAUNDRY TOB REGISTRATION NO. �C,C'j(J 7j 7 COUNTY ❑� CLOTHES WASHER DISTRICT NO. GROUP ZONE PROC Eq' Y WATER HEATER 7 - S 1:i l / GAS SYSTEM - INDUSTRIA, � }}- WASTE APPROVAL } Lu L� INSPECTION RECORD 0- 0 � V l mit Cl_A _ O d N Z PER TTE O FIXM TURE $ APPROVALS DnATTEI INSPECTOR'S $$I�G;NATURE PERMIT $ 2 00 UNDER SLAB WORK Yt/sem/LIW //6a�/I�IJ TOTAL FEE J ROUGH PLUMBING V.✓� _ /,'�.� 1 GAS PIPING .I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION / \ AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER I A LDESCRIGED CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/ORNG FIXTURES TI9 REOUIREO BT L09 ANGELES COUNTY ANO STATE OF GAS TESTOR THAT 1AM THE LEGAL OWNER OF T ABOVERESIDENTIAL PROPS TT UTILITY CO.. NOTIFIEDEITTE _ FINAL VALIDATION ROBERT A. WOOD CASH SUPERVISING MECHANICAL ENG'R 7 5 0 4. RPR 10 5 D 3.2 5~ Y V COUNTY OF LOS ANGELES TEMPLE CITY k 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0702280011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: 1 ON FILE 5609 ENCINITA AV IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802416 1 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LIVE OAK 1 15387-019-008 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, CI 1 163 WATER PIPING BR/FIX 6.00 FIX 40.50 TENANT: 164 WATER PIPNG m 1 1/2 1.00 LIN 16.20 11SSUE0 ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 1 192 NO PERMIT OWNER-SLDR 128.50 DOL 128.50 102/28/07 JK 08/27/07 1 1 1 TOTAL FEES 212.95 1 1 IOMER: TEL. N0 1 FINAL DATE FI CODE: 1 WEI LAND, MONIQUE (626) 286-4221- 1 15609 ENCINITA AVE. I 1 I I ' ( 1 ITEMPLE CITY CA 91780 1 IDESC�RI TTION OF WORK 1 IRE-PIPE HOUSE WITH COPPER 6 FIXTURES AND WATER MAIN 1APPLICANT: TEL. N0: - 1 I SAME AS OWNER - ISPECIAL CONDITIONS: CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE 1 SAME AS OWNER - I 1 LIC. NO 1UNDER SLAB WORK I I I I (WATER SERVICE (PLASTIC YIN METAL YIN (ARCHITECT OR ENGINEER: TEL. NO: 1 1 I IROUGH PLUMBING 1 I LIC. NO: 1 1 IGAS PIPING GAS VENT I IHOT WATER HEATER --I IPL UMBING FIXTURES I 1 1LAWN SPRINKLERS I I 1 (GAS TEST 1 1 1 (UTILITY COMPANY NOTIFIED( I I I I I I I ICWV I I I 1 (GRAY WATER SYSTEM 1 1 1 I I I I I I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE T0: BS0508 I I I I I I r, WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT ' . . .rh6by, affirm that I have a certificate•of consent to self in- 20-0026 DPW 4/8] 4SAmre, or a certificate Workers'Compensation Insurance,or o 7E 66 (REV. 8/86) . ., �. ».•` certified copy thereof (Sec. 3800, Lab. C.) " COUNTY OF LOS ANGELES =F'' DEPT.,OF PUBLIC:WORKS �'= Policy No.' Company ' ❑ ,Certified copy is hereby furnished - FOR APPLICANT i0 FILL IN(PRINT OR TYPE) BUILDING � Certified copy is filed with the county building inspection ADDRESS Sid Q 1 Gn li C-1 t4 %T A 'T1� department NUMBER FIXTURE OR ITEM @ FEE - LOCALITY WATER CLOSET(TOILET) �f Date' Applicant � r/ NEAREST. 1 ,. BATH TUB CROSS ST. �L V L:.- d7l'Y� "CERTIFICATE OF EXEMPTION FROM WORKERS - COMPENSATION INSURANCE :1 OWNER SHOWER V I T 'Le f?- (This section,naed not 6a completed if the work involved by the permit is for one hundred dollars($100)or,less.) LAVATORY d0 ADDRESS 05 C�ry(�1 '�A� �r Icertify that in the perforrnonce of the work'for which this per- SINK `= _ mit is issued, I shall not employ any p rson im any man r so CITY ^ P�,�, V1 TEL. NO, as to become subject to the Workers' ompe tion L- s. DISHWASHER ' /' CONTRACTOR Dote"_` r V V Applicant CLOTHES WASHER a ^ ADDRESS NOTICE TO APPLICANT: If, after ming this Cerlific e of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Worker ompen- CITY sation provisions of the Labor Code, you must forthwith comp- TEL. NO. P Y P LAWN SPRINKLER SYSTEM - ly with such provisions or this permit shall be deemed revak- l` STATE LIC. , ed. - / WATER HEATER V LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION T DISiRI Lwo. y /l P oCE55ED BY Thereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS L /1 S 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER VVV 000 S PER SVSTEM fact. 1 and'Professions Code,.and my license is in full force ondef- FINAL VALI TION DAT / License Number, tic Class - (�9 8 2 Q 0 T FI - 2 Contractor Date _ F # 'ie' a - 5 O ❑ ,I am exempt under Sec. V :1 • • 3450 W "B.BP.C. for this reason Plan check fee ` D !'• ^ 3 U,5 0 - Z Dater 'PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE 57 0624-88 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name Law for.the following reason (Section:7031.5, Business and Professions Code): . Address - 1, as owner of the property,.'will do the work and the City Tel. No. \ structure is not intended or offered for sale(Section 7044, 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 applicotiori and state that the above information is correct. I agree to comply with all County ordinances and State lows regulating Plumbing, and hereby author'ze representatives this County to enter.upon the 6Eme menti 'b ropert or inspection purposes. 9 6 B8 SEE REVERSE FOR EXPLANATORY LANGUAGE ignature o Permit - Dale COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT 'DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0308070018 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID BUILDING ADDRESS: ON FILE 5609 ENCINITA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802416 ASSESSOR T UMBER: NEAREST CROSS STREET: LIVE OAK 5387-019-008 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY 39 SWIM POOL TRAP/REC 1.00 SYS 16.20 63 WATER PIPING BR/FIX 1.00 FIX 6.75 ISSUED ON: PROCESSED : PLAN ON: 64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 08/08/03 JK 02/04/04 TOTAL FEES 66.90 OWNER: TEL. NO: FINAL DATE`X'pi R MY: CODE: WEILAND MONIQUE C (626) 537-2712-WK U 5609 ENCINITA AVENUE TEMPLE CITY 91780 DESCRIPTION OF WORK REPLACE POOL DECK, TILE, COVE TILE; PLASTER, REPLUMB 8 REQ ELECTRICAL AND MOVE POOL EQUIPMENT APPLICANT: JEFF KERBER POOL & PLASTER (909) 465-0677- 10841 FREMONT AVENUE SPECIAL CONDITIONS: . ONTARIO 91762 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE JEFF KERBER POOL PLASTERING INC (909) 465-0677- 10841 FREMONT AVENUE LIC. NO UNDER SLAB WOR ONTARIO, CA 91762 571304 C53 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECTENGINEER: 0: ROUGH PLUMBING LIC. N0: � GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIF CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508