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HomeMy Public PortalAbout6008 ENCINITA AVE_Plumbing__ 76A667 OB517 11.50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY O L U I N I COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER 6 R O. R P I ZUNI= FO/R/ A PPLICAN T TO FILLIN ,( L L 1 PLUMBER /IJt Xl// Q, RECEIVED BY REAFOR J DATE ISSUED M ,y / FIRST IDNYSPECTION A 'y ADDRESS I3 BUILDING CITY (:L.1.f/ TEL No.' -ADDRESS Y6ftn.v COUNTY I In n o LICENSE NO. N '7 EXPIRES LOCALITY n/1��n�j f)1. I•/ it NEAREST I PERMIT FEES CROSS ST. NUMBER TYPE.F FIXTLRE OR ITEM FEE OWNER �OMMM l0`4NV✓4.NlA/!/ MAIL WATER CLOSET(TOILET) O.SO B ADDRESS �Z U'�i � II((�,yy.. U/U BATH TUB ® 0.50 CITY JQ.('�R'i/YH.�V U TEL No. SHOWER Cq 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK ® 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED BOVE. GAS SYSTEM-OUTLETS ® 0.50 e». SIGNATURE OF WATER HEATER !� 0.50 I.TU PERMITTE - GLOP BINK ® 0.50 INSPECTION RECORD FLOOR BINK 0.50 FLOOR DRAIN 0.50 DISHWASHER ® 0.50 DRINKING FOUNTAIN ab 0.50 URINAL ® 0.50 J Q HOUSE SEWER 0.90 _Z MISCELLANEOUS E9 Q' O APPROVALS DATE INBPECTOR'S NAME ROUGH PLUMBING GAS PIPING DAB VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK• SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PERMIT l.aG GAS.TEST TOTAL FEE $ UTILITY CO.NOTIFIED / _ 2/ FINAL (l �7Yfi'�l� J 0 WORKERS'COMPENSATION DECLARATION APPLICATION Ir®II'f. PLUMBING PERMIT i+- hereby affirm that 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 r� / 1 ,l I Certified copy is hereby furnished. BUILDING / - Q ,-i tion APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS 6 40134$ Certified copy is filed with the county building inspeo- tion depart ent. NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET Date Appi4a nt NEAREST CERT ICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS 57. COMPENSATION INSURANCE OWNER e (This section need not be completed If the work involved by SHOWER MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS le 64 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO. 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 'V f�(fFYG SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITYTEL. NO.,G Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM �� ( F r� $//� with comply with such provisions or this permit shall be STATE �( � ^7/ LIC. deemed revoked. WATER HEATER LICENSE NO. O / f7 CLASSC �C LICENSED CONTRACTORS DECLARATION DC O.IS RIPROC ED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER r } and Professions Code,and my license is in full force and effect. 5 PER SYSTEM' FINAL , ALID TION p] n r f 1 7/ C��C3� DATE U License Number f�a J FJ Uc. Class U FINAL Contractor < Date. BY O ❑ / IS I am exempt under Sec. U B.BP.C. for this reason of Plan check fee to Date: O Z' PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATIONName I hereby affirm that I am exempt from the Contractor's Li cerise ACCTse •T Law for the following reason (Section 7031.5, Business and Address 7 _ Professions Code): City Tel. No. 3307 20 U.5CI ❑ I, as owner of the property, will do the work and the 1 ITEMS structure is not intended or offered for sale (Section TOTAL 2113 -50 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY CHECK '10.`0 1 hereby affirm that there is a construction lending agency for CHANGE .011 the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name 131300-0001 5125]90 Lender's Address 0943 1 AM nJ:54 1 certify that I hav r od this applicti aon and state that the above information orrec t. agree to comply with all County ordinances andS e laws regulating Plumbing, and hereby authorize repr relives of this County to enter upon the ti property for inspection purp es. ab -men SEE REVERSE FOR EXPLANATORY LANGUAGE Signatu e WORKER'S COMPENSATION DECLARATION 20-0026 DPW 9/09 APPLICATION FOR PLUMBING PERMIT I herby affirm that Ihave a certificate of consent to self insure, 76A667A or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab.C.) Policy No. C - 0 STAT6-F 11f) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. ompany ® Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING aO '/..-ti r-rr-r./t ❑ Certified copy is filed with the county building inspection ADDRESS �.c1_�1�. rT department NUMBER FIXTURE OR ITEM © FEE Date to-z7 Applicant Fsj7z^ Gii, LOCALITY vt'�'�1 e WATER CLOSET NEAREST �ijAA-„`� �p r r ("L CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST. V Y Lam/ F,K�f BATH TUB COMPENSATION INSURANCE ASSESSOR (This section need not be completed If the work Involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) LAVATORY OWNER M G I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to SINK - MAIL 00T @y become subject to the Workers'Compensation Laws. ADDRESS /_WLjg (/ry DISWASHER CITY � (� TEL.NO. Date Applicant CLOTHES WASHER CONTRACTOR Fe J-P NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR �-�/ 2 � A provisions of the Labor Code, you must forthwith comply with such ADDRESS 11 7 � D�-P Icor 15� provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION WATER HEATER CITY TEL.NO rL'j !3' a hereby affirm that I am licensed under provisions of Chapter 9 TATE ,1 (commencing with Section 7000) of Division 3 of the Business and LICENSE NO.T1 ✓Ll CLASS rLIC. rz Professions Code, and my license is in full force and effect. GAS SYSTEM OUTLETS r7 OUTLETS OVER DISTRICT NO. p PROCESSED BY Q 7� r�f 5 PER SYSTEM till O License Number `41 1/ I "I Lic.Class 'rJ ' / eO I.- FINAL 0 ATE D F �7LUI3S* � Z_Z VALIDATION UJI DATE Contractor r Date CL ❑ FINAL Z I am exempt under Sec. gY _I B.BP.C.for this reason Plan check fee � ACCT.z /�/�,� Dat : n 11 Signature y w'v PLUMBING PERMIT ISSUING FEE$ JJ ❑ TOTAL FEE 1 ITEMS* Plan check applicant Till AL 4- 1 a 85 SINGLE FAMILY _ HOME OWNER-BUILDER DECLARATION Name :HE_f, I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Address CHANGE •1;11 Code): ❑ City Tal. No. I,as owner of the properly,will do the work and the structure _,i 1U is not intended or offered for sale (Section 7044, Business [II IIJ_I i I_{I I'y ,_;/ Lr and Professions Code). t, 741 FII I r 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 authorize re esentatives of this County to enter upon the above-mentioned p erty for i s coon Purl SEE REVERSE FOR EXPLANATORY LANGUAGE �0^ Z lgnature ernnttee Date ' GOUNTY OF LOS ANGELES TEMPLE CITY # 0508 LUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL_0508-99051-10002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: AL ID: FEES PA G ADDRESSr--- TR: 6561 LT: 367 BL: .001 - 6008 ENCINI TA AV � FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: "LA-9'780193 ASSESSOR OR AT ION UMBER: NEAREST CROSS STREET: WOODRUFF 5385-004-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY 25 LAVATORIES/SINKS 1.00 FIX 16.20 TENANT: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 ED ON: PROCESSED LAN B EXPIRES ON: TOTAL FEES 60.15 05/11/99 UT 11/07/99 OWNER: TEL. NO: FINAL DATE',.�w FINAL BY. CODE: LIU;STEVEN (626). 285-2389- It6,/T{(`Q�' 6008 ENCINITA AV _ TEMP 917801934 - _ MC PTk NOF w R' R ' PLUMBING FOR 1/2 BATH ADDITION APPLICANT: L. SAME AS OWNER - SPECIAL CONDITIONS: PNGELES CO CONTRACTOR: TEL. NO: ��J ��/�, APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNERJ- LIC. NO UNDER SLAB WORK WATER SERVICE / PLASTIC Y/N METAL Y/N ARCHITECT ORENGIN 0: ROUGH/ PLUMBING LIC. N0:1 / 1111111 G S PING �L GA 9 VENT U p II 111 \71!\\1/0�IK( \1 OT WATERHEATER IIISSS \V�� V �l Ll�]N NJJ -PUW FIXTURES - OO ,,,. Ali L SPRINKLERS Q 0 GAS TEST UTILITY COMPANY NOTIFIED Gb/7O 0t c ServiOce Tha GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 - P.L'UMBINGPERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS �PL_D508-0005.110004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FES PAID UIL ING ADDRESS: TR: 6561 LT: 367 BL: .001 G6008�ENC1 NiT-IAV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA-917801934 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WOODRUFF 5385-004-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 05/11/00 UT 11/07/00 ' ,�-f- 47 WATER HEATER(S) 1.00 WTH 16.20 OWNER: L- TEL. N0: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINAL DATE FINAJ.,pBY: CODE: 01.TRUST (818) 287-0202- TOTAL FEES 108.75 6008 ENCINITA AV �� �� TEMP 917801934 D SCR -TION OF WORK C RtUMBIN�G-FCZEULL BATHROOM APPLICANT: L. NO: SAME AS OWNER - SPECIAL CONDITIONS: P�VGELES CO CONTRACTOR: TEL. NO: OS ���, APPROVALS DATE INSPECT NATURE SAME AS OWNER LIC. NO UNDER SLAB WORK �Z6 WATER SERVICE vv I/ PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. 0: ROUGH PLUMBIN LIC. N0: G 1111117 G A­S­PT p P[ Wd— GAS V NT � )� UC VAJOLI IIUUn� S HOT WATER HEATER PLUMBING FIXTURES c d 8 .) LAWN SPRINKLERS O f El GAS TEST A ❑ ®�®6 UTILITY COMPANY NOTIFI D `6'rC Servii a T'n"* CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: SS0508