The URL can be used to link to this page

Home My Public Portal About5719 ENCINITA AVE_Plumbing__ 76A660 19 11-45 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �{ [� COUNTY OF LOS ANGELES �L�U M �0 H U WILLIAM J. FOX, CHIEF ENGINEER OISTRICT NO. G P ZOHMIT NU. FOR APPLICANT TO FILL IN PLUMBER 1_ /" /'O RECEVVevsy READY FOR (DATE ISSUED (� FIRST INSPECTION _4i —2��/ / ADDRESS aY 7S �. A/S'D A-GF_ S / , AA _ BUILDING . �� y��Q / �//.T. /i ADDREBB Fs �7 CITY M T fj0, (/'fid`V.S COUNTY LOCALITY _ LICENSE ND. S -M EXPIRES NEAREST /J PER FEES caoss ST. NUMBER TYPE OF FIXTURE OR ITEM FEE TVNER� �• / A// NY�X�C� MAIL �, WATER CLOSET(TOILET) @ 0.50 3 BATH TUB @ 0.50 CITY SHOWER @ 0.50 I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BA91N) @ O.SD APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES / KITCHEN SINK @ O.SO AND STATE LAWS REGULATING PLUMBING. LAUNDRY TUB OR TRAY @ O.SO I CERTIFY THAT I LICENSE, POSSESS THE ABOVE VALID LOS ANGELES COUNTY LICENSE, RT I ES THE LEGAL OWNER GAS SYSTEM OUTLETS @ O.SO OF THE RESIDENTIAL PROPERTY OE5CRIBE/DJ ABOVE. SIGNATURE EE ��1/ 26F / A J/�/ WATER HEATER @ 0.501 PERMITTEEU/ �1XCG��' �r•/I __d. SLOP SINK @ O.SO INSPECTION RECORD PLOOR BINK @ D.50 FLOOR DRAIN @ O.SO Pt C..E. 'CIo LO4I DI6HWA9H ER @ 0.50 ` DRINKING FOUNTAIN @ D.SO C URINAL @ 0.50 J a HOUSE SEWER @ 0.50 Z MISCELLANEOUS APPROVALS / DATE— INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING. GAS VENT CESSPOOL @ 1.001 CESSPOOL / SEPTIC TANK: SEPTIC TANK / DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT - 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE S / 0 FINAL WORKERS' POMPENSATION DECLARATION - APPLICATION FOR Trp UMBING PERMIT r I hereby, affirm-that I have a certificate of consent to self in- 20A0b6]ADPW.4/9D - IL tLY9V7 YG T(�VB /--1 sure,or a certificate of Workers'Compensation In ro rice,or a " L I certified copy thereof (Sec. 3800, Lab. C.) - IILJII Policy No.(a11deg? OZCompony t C T40< Co. COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ❑ Certified y hereby fu iehed. BUILDING FOR APPLICANT iPFILL IN (PRINT GR.TYPE( I^'l 'C, ❑ - depart is£ile nth the county building inspection - - ADDRESS �/4 department. t NUMBER FIXTURE OR ITEM- @ FEE LOCALITY - ///f WATER CLOSET(TOILET) 'G Dote � 6 Applicant 0.-14ra vC�lf � CROSS ST. IFICATE OF EXEMPTION FROM WORKERS' BATH TUB COMPENSATION INSURANCE 'SHOWER OWNERA Fa — thesection need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) ' LAVATORY ADDRESS 19 C 1'IJ e 1 Q I certify that in the performance of the work for which this per- giv mit is issued, I shall not-employ any person in any manner so SINK CITY '' L� TEL. NO. as to become subject to the Workers'Compensation Laws. DISHWASHER /i CONTRACTOR C— i ^GILT li"&- C' ee` —,a Date �+ Applicant lS:u� crz.�r.]rr.0 rL CLOTHES WASHER NOTIC TOC TO A�If, after making this Certificate of Ex- ADDRESS �30 IIJ' ^ A SWIMMING POOL RECEPTOR l S-;-+-L)S emotion,you should become subject to the Workers'Co CITY ` TEL. NO. ��ql sation provisions of the Labor. Cocomp-rte, you must forthwith comp- LAWN SPRINKLER SYSTEMS ' Z ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. C, - 10 bo CLASS C LICENSED CONTRACTORS DECLARATIONDISTRICT NO. PROCESSED BY I hereby affirm that i am licensed under provisions of Chapter GAS SYSTEM OUTLETS ryy �i 9(commencing with Section 7000)of Division 3 of the Business _ OUTLETS OVER O s.PER SYSTEM VALIDATION and Professions Code, and my license is in full force and ef- FINAL ' fact HOSE BIB DATE ba License Nu er r'oy�D �/(]_ ic. Class - a FINAL O Contract ' l� BY V Q ❑ O. I am exem under Sec. F U B.BP.C. for this reason Plan check fee LU ate: h PLUMBING PERMIT ISSUING FEE.$ O _ Signature we4r, - TOTAL FEE 5 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant - ACCT.AT I hereby affirm that]am exempt from the Contractor's license Nome ' Law for the following reason (Section 703).5, Business and - 3303 43.40 Professions Code): Address 1 ITEMS ❑ I, as owner of the property, will do the work and the City Tel. No. TOTAL {F,.'.S� arQ structure is not intended or offered for sale(Section 7044, Business and Professions Code). - CHECK 43.40 CONSTRUCTION LENDING AGENCY CHANGE .00 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.). _ ' . 0000-0001 - bl 6l96 Lender's Name - 6771 1 AM 9:10 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 r ¢resentative f th ist County to enter upon the above t,aned prop for inspect pu os s. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1102230016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: 1 FEES PAID BUILDING ADDRESS: ON FILE 5719 ENCINITA AV I EEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917802418 I 1ASSESSOR INFORMATION NUMBER: i NEAREST CROSS STREET: LIVE OAK 15387-018-015 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: S3 LOCALITY: TEMPLE CITY, Cl 1 164 WATER PIPNG , 1 1/2 1.00 LIN 16.30 (TENANT: 192 NO PERMIT OWNER-BLDR 257.00 DOL 257.00 (ISSUED ON: PROCESSED BY: PLAN BY: ! I I TOTAL FEES 301.10 102/23/11 SR 1 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: GHAVEZ SULIAN E;KATHLEEN K (626) 285-3196- 1��f I -p 15719 EN CINITA AV G ` TEMP 917802418 (DESCRIPTION OF WORK (WATER MAIN LINE REPLACEMENT I I I I (APPLICANT: TEL. NO: SAME AS OWNER - I I (SPECIAL CONDITIONS: 1 � �I' ! X1 6 �IDOY c1 t)=�� \tif'8Y I itlf I\4t 'vv CONTRACTOR: TEL. NO: i IAPPROVALSj DATE INSPECTOR SIGNATURE. SAME AS OWNER - I + I 1 V LIC. NO 1 (UNDER SLAB WORK IWATER SEEVY E (PLASTIC Y N METAL N ARCHITECT OR ENGINEER: TEL. NO. [ROUGH PLUMBING- LTC. LUMBING LIC. N0: !GAS PIPING IGAS VENT HOT WATER HEATER PLUMBING FIXTURES I I I LAWN SPRINKLERS GAS TEST (UTILITY COMPANY NOTIFIED( I I I ICW� I I I [ (GRAY WATER SYSTEM I I I I I I I 111 I I 111 REPORT IT: DPR263 ROUTE T0: 2SO508 COUNTY OF LOS ANGELES TEMPLE CITY tf 0508 PLUMBING"PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS OL_0508-9709110007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL - FEES PAID BUILDING ADDRESS: ON FILE 5719 ENCINITA AV FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: TEMP CA 917802418_ ASSESSOR INFORMATION .NUMBER: NEAREST CROSS STREET: 5387-018-015 01 PERMIT ISSUANCE FEE 27.75 THOMAS-PAGE: 596--GRID: J3 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 2.00 FIX 32.70 WANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.35 ISSUED ON: PROCESSED B : PLAN BY: EXPIRES ON: 25 LAVATORIES/SINKS 2.00 FIX 32.70 09/11/97 VG 09/11/98 45 WATER CLOSET/URINAL .2.00 FIX 32.70 OWNER: TEL. NO: 51 LOW PRS GAS 5 OUTLET 1..00 SYS 16.35 FINAL DATE FINAL BY: CODE: CHAVEZ JULIAN E-KATHLEEN K (818) 285-5799- TOTAL FEES 158.55. /�,L 5719 ENCINITA AV - TEMP 917802418 DESCRIPT ON OF WORK PLUMBING FOR ADDITION APPLICANT: TEL. O: SAME AS OWNER - - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - Q LIC. NO ®p /J UNDER SLAB WORK ec� / WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. N0: - ROUGH PLUMBING LIC. NO: - -- ..� j GAS PIPING GAS VENT UU -��p/ �'�� Q j 4 HOT WATER HEATERPUU �. } MSING FI TURES LAWN SPR N LERS GAS TEST _ UTILITY COMPANY NOTIFIED C V GRAY WATER SYSTEM REPORT IO: DPR263 ROUTE TO: BS0509