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Home My Public Portal About5936 ENCINITA AVE_Plumbing__ T8A0°)A GE Bf J IdEV.B/981 lP'JFP APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUD LD' L`_ n e' L// /TCS NUMBER FIXTURE OR ITEM ® FEE ADRE WATER CLOSET/ rl?° �O LOCALITYT-p07 7 NEAREST BATHTUB ./ DO CROSS ST. A{/ / SHOWER V BO OWNERAJv,,e - LAVATORY✓ MAIL DO ADDRESS SINK CITY ,e TEL.NO.-Z �JJ DISHWASHER CONTRACTOR 1 CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL.NO\ LAWN SPRINKLER SYSTEM STATE UC. � WATER HEATER LICENSE NO. !CLASS / GAS SYSTEM OUTLETS 60 APPROVALS DATE INSPECTOR s SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING / 0 O GASVENT V cc HOT WATER HEATER p0p. PLUMBING FIXTURES Y GAS TEST /-1 a `v. 110. N Pion check fee UTILITY CO.NOTIFIED Z PLUMBING PERMIT ISSUING FEE$ 6 TOTAL FEE 0 d FINAL PLAN CHECK VALIDATION Plan check applicant - ty Name Address 2 7 6 4 4 A City Tel.No. D 0-0 ° o rj HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION AND STATE THAT THE A BOVE ISCORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 2 O 02200 AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSED AS • •O O - 2200 fl EOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT AM THE 9 LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL I 0'7—7 9 PROPERTY, SIGNATURE 77 OF PE RMITiEE'• DISTRICT NO. P CESSEQ BY S, o � INDUSTRIAL WASTE APPROVAL 76i/7� �'- >BAQB>•CE#81> 963 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING 3 JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN. SUPT OF BW LOIN. LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL A " BATH TUB 1,25 ADDRESS SHOWER 1.45 CITY ° TEL. NO. LAVATORY 1.25 CONTRACTO t+L SINK 1,25 ADDRESS ,� DISHWASHER 1.25 CITY ,TEL NO.a LAUNDRY TUB 1,25 CONTRACTOR'S STATE [-3 REGISTRATION NO. Q COUNTY ❑ CLOTHES WASHER 1.25 DISTRcICT NO. GROUP NE PROCESSED BY WATER HEATER 1.50 ✓/ / GAS SYSTEM OUTLETS 1'50 INDUSTRIAL 1 WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD U O F- V W a h Z APPROVALS DATE INSPECTOR'5 SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE J -510 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT �( II oo WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER !/�D/, PLUMBING. _ HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES •- LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,ANO INTEND TO RESIDE IN. THE ABOVE DESCRIBED RESIDENTIAL PROPER r. UTILITY CO. NOTIFIED ✓ "••� SIGNATURE I .A OF PERMITTEE FINAL VALIDATION ROBERT D M.o. cnsN SUPERVISINGNG MECHANICAL ENG'R L1 C0 5 5 3 5. NOV 4 5 D 3.5 0� CE 8 17 1 (( QS APPLICATION( FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS NUMBER FIXTURE OR ITEM ® FEE LOCALITY WATER CLOSET NEAREST BATH TUB ' TP CROSS ST. ' SHOWER w r�O OWNER LAVATORY - '� MAIL ADDRESS SINK CITY TEL.NO. DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS , SWIMMING POOL RECEPTOR CITY TEL.NO. LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. CLASS GAS SYSTEM . OUTLETS "•J APPROVALS DATE INSPECTORIS SIGNATURE OUTLETS OVER UNDER SLAB WORK 6 5 PER SYSTEM ROUGH PLUMBING 'O GAS PIPING V W GAS VENT J LL HOT WATER HEATER PLUMBING FIXTURES Q GAS TEST O Plan check fee _ UTILITY CO.NOTIFIED d PLUMBING PERMIT ISSUING FEE S TOTAL FEE 4 �`, J D FINAL Plan check applicant PLAN CHECK VALIDATION Nome Address City Tel.No. y $:'e V p.eL I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 1 .• THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 'm 010 MHY y��) AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION �i . .I "' 1 I HEPEOY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS •Q ID O ~^V TMy� REQUIRED BY 105 ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE • . ./.I`-1 U!/ .' LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIALSL 'ry PROPERTY. _ I ^I•�1t E. •r, / T _ SIGNATURE .. _ _ •i�••T:-'fir f k... OP PERM ITTEE DISTRICT NO, PROCESSED BY INDUSTRIAL WASTE APPROVAL WORKERS'at I have a: ION DECLARATION 76A667A APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self ce eiz (a-e°) .insure, or a certificate of Workers'Compensation Insurance,or - a certified copy thereof, Sec. 3800,Lab.C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY IP00 ficy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING - ADDRESS,� Certified copy is filed with he county buil msp ection NUMBER FIXTURE OR ITEM O FEE � de rtmen t/, / WATER CLOSET LOCALITY Date + 1�ApplicanA � NEAREST / �^ BATH TUB CROSS ST. G ,r J CERTIFICATE OF EXEMPTION FROM WORKERS' , COMPENSATION INSURANCE SHOWER OWNER LAVATORY MAIL (This section need not be completed if the work involved ADDRESS by the permit is for one hundred dollars ($100) or less.) SINKd CITV TEL. NO2"_ - � O I certify that in the performance of the work for which this DISHWASHER U CONTRACTOR permit is issued, I shall not employ any person in any manner f so as to become subject to the Workers' Compensation Laws. CLOTHES WASHERK ADDRESS � /✓J / 0 Date Applicant SWIMMING POOL RECEPTOR NOTICE TO APPLICANT: It, after making this Certificate of CITY TEL. NW lyJ Exemption. you should become subject to the Workers' LAWN SPRINKLER SYSTEM a D S ATE J LIC. t/J Compensation provisions of the Labor Code, you must forth- LICENSE NO. �� CLASS ��- Z with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS „ DISTRICT NO. PROCESSED BY LICENSED CONTRACTORS DECLARATION - OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL �� _�� VALIDATION nes's and Professions Code, and my license is in full force and DATE effect. � License Number Lie. Class —J` – J _ FINAL y AL � Contract Date "ems 1 am exempt from the licensing requirements.as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Cade). . TOTAL FEE Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from. the Contractor's Address e67 , /� f License Law for the following reason (Section 7031.5. Busi- City Tel.No[` „r414,3 ness and Professions Code): 1, as owner of the property, am exclusively contracting with licensed contractors to construct the projects.3 9.1�6 A (Section 7044, Business and Professions Code). , CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency - .2,°i° 1 6 5 0 for the performance of the work for which this permit is issued (Sec. 3097,Civ.C.). e'e'e 1 6506 Lender's Name 0507-82 Lender's Address I certify t I I h e read this application and state that the above info mation i correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances an State laws regulating Plumbing, and hereby authoriz a re enta[ivEs of this County to enter, upon the above- en[io d operly for inspectioSintoreoPermttee _ Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMITT _ DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL-X0508_9709.180016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: L GAL . S D BUILDING-ADDRESS: TR: 6561LT; 380 15936 ENCINITA AVI FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801931 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:-ROSEMEAD 8587-001-020 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE:_596—GRID:=J3 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.35 TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.35 ISSUED N: PROCESSED BY: PLAN BY: EXPIRES ON: 13 DISHWASHER(S) 1.00 FIX 16.35 09/18/97 UT 09/18/98 25 LAVATORIES/SINKS 3.00 FIX 49.05 OWNER: TEL. NO: 45 WATER CLOSET/URINAL 1.00 FIX 16.35 FINAL DATE FINAL ,9Y: CODE: DESSOFFY, VALERIE (000) 000-0000- 64 WATER PIPNG <: 1 1/2 1.00 LIN 16.35 ►1_h ,� Fy.P,� 5936 ENCINITA AV TOTAL FEES 158.55 TEMP 917801931 DESCRIPTION OF WO K RESIDENTIAL REMODEL KITCHEN & BATH APPLICANT: TEL. NO: JIM GARZA PLUMBING CO. (818) 882-8216- SPECIAL CONDITIONS: LES C CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATOR JIM GARZA PLUMBING CO. (818) 882-8216- 19126 CANTARA ST. LIC. NO .00UNDER SLB WORK RESEDA, CA 91335 691603 WATER SERVICE / BPLASTICJ j ARCHITECT O Y/N METAL Y/N ENGINEER; TEL. N0: 6� - � ROUGH PLUMBING LIC- NO: GAS PIPING GAS PUBLWOR®R, SS ENT IIT�Q� HOT WATER HEATER PLUMBING FIXTURES h /� •`'® Q ! Lj �co LAWN SPRINKLERS (///// o n•, _ GAS T' U LI YY C_OIPAFI4NOTIFIED cuv GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508