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Home My Public Portal About5729 ENCINITA AVE_Plumbing__ 78A667-CE817 12/59 \d '{ 1 \j �r `--!"— t �Y APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING - - / BUILDING ANDE,S JOHN A. LAM BI OI�FETY DIVISION UNTY ENGINEER WILLIAM A JENSEN, SUPT oP BUILDING . ., LOCALITY FOR APPLICANT TO FILL IN CROSS r. NUMBER FIXTURE OR STEM OWNER " E7' L WATER CLOSET MAIL ADDRESS tG BATH TUB �- _ CITY TEL. NO, SHOWER lolcW _ CONTRACTOR ��-�� ,c„•,��/JL k?r LAVATORY - ADDRESS '4) '7 i f,!/• .^:J{-'>- / " SINK DISHWASHER CITY- 1!•'1 , TEL. NO.' 1/[_- j (O CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. /U Z COUNTY ❑ CLOTHES WASHER DISTRICT NO. I GROUP ZONE PROCESSED BY WATER HEATER /CJ �L - i:✓r.-✓," w[� -.� GAS SYSTEM INDUSTRIALS ._ WASTE APPROVAL INSPECTION RECORD �• O U G O , F z 0 $1.00 PER ITEM / OR FIXTURE. s APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING ' GAS PIPING I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE JQFABOVE lij'G HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLYQUIREDREGISTERED /OR r. PLUMBING FIXTURES LICENSED E OF CALIFORNIA S ORE THAT([ BAM S AN LEGA 0 NENTY GAS TEST DESCRIBED RESIDENTIAL PRO P ER . UTILITY CO.NOTIFIED SIGNATURE A �. OF PERMITTER / FINAL ®� CK.0ALIDATION ROBERT A. WOOD, R.o. CASH SUPERVISING MECHANICAL ENG'R LAAO 3 5 2 9 t 1 R g 5 D 3 .0 0 /7 .I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0509070026 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0408 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 781 BL: .001 5720 ENCINITA AV FEE DESCRIPTION: QUANTITY: CUM: AMOUNT: TEMP CA 917802417 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS B587-003-017 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: S3 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 26 MISCELLANEOUS FIXTUR 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 09/07/05 SK 03/06/06 TOTAL FEES 92.55 OWNER: TEL. N0: FINAL Oa�/E� FINAL CODE: TONY, TONY 5720 ENCINITA AV TEMP 917802417DESC IPS T OWORK REMODEL ONE SHOWER PAN, REPLACING WATER CLOSET AND 2 PRESSOR APPLICANT: TEL. NO: OLIVERA (000) 522-7449- 3307 ALANREED AVE SPECIAL CONDITIONS: ROSEMEAD, CA 91770 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE C.O. PLUMBING CO. 1800) 522-7449- ' 3307 ALAN REED AVE LIC. NO �'.� UNDER SLAB WORK ROSEMEAD, CA 91770 754458 C36 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. N0: ROUGH PLUMBING LIC. N0: GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES n // LAWN SPRINKLERS (/ GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM o S - REPORT ID: DPR263 ROUTE TO: BS0508 WpRKERS'COMPENSATION DECLARATION 40-0026 DPW 4/90 APPLICATION FOR PLUMBING .PERMIT 1 hereby,affirm that have a certificate of consent to self in- 76A667A sure,or a'certificate of Workers'Compensation insurance,or o certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. - FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ,7 t Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Dote Applicant WATER CLOSET(TOILET) NEAREST - CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB. CROSS ST. COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed.if the work Involved by MAIL the permit is for one hundred dollars($100)or less.) / LAVATORY ADDRESS 7 t I certify that in the performance of the work for which this per- SINK CITY/ mit is issued, I shall not employ any person in any manner so TEL. NO 2 0 6 b as to become subject to the Workers'Compensation Lows. DISHWASHER CONTRACTOR If Date Applicant - CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS � emtion, you should become subject to the Workers'Com en- SWIMMING POOL RECEPTOR P Y P CITY TEL. NO. lotion provisions of the Labor Cade,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE - LIC. ed. _ WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM � OUTLETS 0� 9(commencing with Section 7000)of Division 3 of the.Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM E_ FINAL '77 VALIDATION fect. / HOSE BIB DATE t��LZ - > License Number Lic. Class .. �y. y a FINAL A%CTs* O' U Contractor Date BY I am exempt under Sec. 3303 188.34 V I B.BP.C. for this reason LU Plan check fee ® a N Dote: PLUMBING PERMIT ISSUING FEE$ 2 Signature TOTAL FEE SINGLE FAMILY - � � 1 ITEMS HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name TOTAL 188-30 Lawf r the following reason (Section 7031.5, Business and CHECK 188.32 Prof Bions Code): Address - I, as owner of the property, will do the work and the City Tel. No. CHANGE r44 structure isnot intended or offered for sale(Section 7044, Business and Professions Code). 95 CONSTRUCTION LENDING AGENCY ® 2426'0001 AM : 2426 1 AM 1 hereby affirm that there is a construction lending agency.for P8:46�l 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 Slate lows regulating Plumbing, and hereby out rite reposeatives of This County to enter upon the ab v mention prop t for inspection purposes. yf_ SEE REVERSE FOR EXPLANATORY LANGUAGE Ignotur f Permittee Date � • 11 - ;6A659 ,•IHSH sETs 7',1. APPLICATION FOR PERMIT r' ' • ,. `DEPARTMENT OF BUILDING AND SAFETY (�n ,� COUNTY OF LOS ANGELES Lr- ENGINEER FSU M tr` WILLIAM J. FOX, CHIEF i _ FORAPPLICANTTO FILL I/N/�� DISTRICT NO. GR P ZO""IT—mu. PLUMBER 1 1 I� ✓ •� / / l �V O�D REC VED BY READY FOR pATE'IS$UED R /� (� /� /1 FIRST INSPECTION '] ADDRESS L fJ 2S � ��`1 ��/y�� 7/�� JE Q' TELf N9� U�J6JU�T/SA� ADD RE 99 G YE� (� LICENSE`NO. c3 �-/-/COLN EXPIRES ^J Ddrx�u LOCALITY ,..1 CERTIFYTHAT I POSSE99 THE ABOVE VALID LOS NEAREST ANGELESyCOUNTY LICENSE.r,. CROSS ST. ,o QL� - ✓^irj� ' OWNER F 4IAl �, MAIL ' IF "it PLUMaER 11 ADDRESS 'PERMIT FEE 19 $1.00 FOR THE FIRST FIXTURE OR CITY :TEN EACH SEPTIC TANK AND PIT LISTED BELOW, PLUS 500 FOR EACH ADDITIONAL 1 AM THE LEGAL OWNER 0F�THE RESIDENTIAL PROP- OR GRAINFIELD ERTY DESCRIBED ABOVE. I' _ $1.00. MINIMUM FEE FOR ANY-PERMIT $1.00. EACH GAS SYSTEM IS A SEPARATE ITEM. OWNER NUMBER TYPE-OF FIXTURE OR ITEM WATER CLOSET (TOILET) CORRECTIONS BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK P. LAUNDRY TUB OR TRAY GAS SYSTEM-3—OUTLETS WATER HEATER SLOP SINK J a FLOOR SINK Z FLOOR DRAIN E7 DISHWASHER O: O DRINKING FOUNTAIN URINAL MISCELLANEOUS dfi AI{JL� P APPROVALS DATE INSaECTOR'S NAME ROUGH PLUMBING 112 I GAS PIPING GAS VENT /1�1 CESSPOOL_ SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK CESSPOOL $ SEWER HOUSE SEWER $ GAS TEST TOTAL FEE c� UTILITY CO. NOTIFIED 115( IA Y &o FINAL • � I` ` • —WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT /JJTII Inhereby affirm that I have a certificate of consent to self 20.0026 DPW 6/87 insure, or a certificate of Workers' Compensation Insurance, 76A667A or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. �J OFOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS r/ Certified copy is filed with the county building inspec- tion NUMBER FIXTURE OR ITEM FEE �^ department. LOCALITY j. ��70 V Date Applicant WATER CLOSET NEAREST N . CERTIFICATE OF EXEMPTION FROM WORKERS' BATHTUB COMPENSATION INSURANCE SHOWER OWNER G Rjf rL,V,4 4{//t (This section need not be completed If the work involved by MAIL 1 y L��t`•��/lr� . the permit Is for one hundred dollars ($100)or less.) LAVATORY ADDRESS J I certify that in the performance of the work for which this SINK CITY TEL. NO/p.s/1 permit is issued, I shall not employ any person in any manner jw C- e 2- (•,� Q� T� so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITY TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS D $. (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 �, —q L VALIDATION O License Number Lic. Class- FINAL V. FINAL 0 Contractor Date BY am exempt under Sea 0W B.BP.C. for this reason ILI Plan check fee y Date: Z PLUMBING PERMIT ISSUING FEE E Signature TOTAL FEE Q Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name nr s I hereby affirm that I exempt from the Contractor's license H_•v��r Law for the followingg r reason (Section 7031.5, Business and Address Professions Code): City Tel. No. I, as owner of the property, will do the work and the ? 1 fEii_) structure is not intended or offered for sale (Section 7044, Business and Professions Code). -'gym ) CONSTRUCTION LENDING AGENCY •Il-r�! . I hereby off irm that there is a construction lending agency for =S'�= the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). lender's Name 4i4T Lender's Address I certify that I have read this application and state that the ® -- iiC1 , •IJ7 above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentione r rope y for inspection purposes. 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 0405260007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID - - BUILDING ADDRESS: ON FILE 5729 ENCINITA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802418 ASSESSOR INFORMATION NUM NEAREST CROSS STREET: ' 5387-018-013 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C 25 LAVATORIES/SINKS 1.00 FIX 16.20 TENANT: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PIAN BY: EXPIRES ON: 47 WATER HEATER(S) 1.00 WTH 16.20 05/26/04 'VG 11/22/04 TOTAL FEES 76.35 OWNER: TEL. NO: FIN D"-'- RY: CODE: TAM, SIMON 5729 ENCINITA AV .• TEMP 917802418 DESCRIPTIO -bF 'WORK PLUMBING FOR WORKSHOP APPLICANT: TEL. NO! PETRA CONSTRUCTION MANAGEMENT INC. (626) 233-8148- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE PETRA CONSTRUCTION MANAGEMENT (626) 233-8148- 2550 W. MAIN ST., #211 LIC. NO UNDER SLAB WOR( ALHAMBRA, CA 91801 761300 B WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR . GI EER: TEL. NO: - ROUGH PLUMBING LIC. NO: GAS PIPING ' GAS VENT j HO ATER HEATER PL IPG FI TURES ( LAWN SPRIN ERS GAS EST UTILITY COMPAQF�� CWV GRAY WATER S S EM REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0405260011 BUILDING AND SAFETY I LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: EES PAID BUILDING ADDRESS: ON FILE 5729 ENCINITA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: .TEMP CA 917802418 ASSESSOR [NFORMATI ON NUMBER: .. NEAREST,CROSSSTREET: 5387-018-013 01 PERMIT ISSUANCE FEE -' -- 27.75 THOMAS PAGE:_596 GRID: J3 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS 1.00 F;X 16.20 TENANT: 25 LAVATORIES/SINKS 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLA BY: EXPIRES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 05/26/04 VG 11122/04 47 WATER BEATERS) 1.00.WTH 16.20 OWNER: TEL. NO: TOTAL FEES 108.75 FINAL DATE, - - �Jlkl- BY: . CODE: TAM, SIMON - / L'i�� r 5729 ENCINITA AV. .CRIPTI TEMP 917802418 DESCRIPTION Or WORK - PLUMBING FOR CONVERSION APPLICANT: TEL. NO: PETRA CONSTRUCTION MANAGEMENT INC. (626) 233-8148- , SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE PETRA CONSTRUCTION MANAGEMENT (626) 233-8148- ` 2550 W. MAIN ST. ., #211 LIC. NO UNDER SLAB WORK ALHAMBRA, CA 91801 761300 B WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. NO: GAS PIPING i GAS VENT - HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508