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Home My Public Portal About6039 ENCINITA AVE_Plumbing__ TBA66T EE*i01T=-BAPPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING ) ( 6039 Ercinita .JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BuILDINa Locum Tem»le City FOR APPLICANT TO FII.L IN Ceo�Sr . I,a.s Tunas NUMBER FIXTURE OR ITEM OWNER V.A. Johnson 2 WATER CLOSET MAIL 1 BATH TUB ADDRESS Cm TEL.NO. 1 SHOWER CONTRACTOR Olsen Bros. Plumbing 2 LAVATORY ADDRESS 525 N. Baldc•in Ave. 1 sum DISHWASHER CITY El Monte TEL NO. GI-37644 CONTRACTOR'S STATE LAUNDRY TUB REGISTBATION NO. 197184 COUNTY 1 CLOTHES WASHER DIST�R1/ NO GROUP �Z)O7N/E P SBED BY/ 1 .� WATER HEATER .J i(/ k i✓ / /��//'C-s.�i`j� d ]. CA9 SYSTEM MDUSTRIAL i— 1 V WASTE APPROVAL INSPECTION RECORD ID_' O u U W a 2 ® S1.00 PER ITEM 10 OR FIXTURE $ 20.00 APPROVAL'SDATEINSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER.SLAB WORK^ %!Y-ROUGH PLUMBING TOTAL FEE 7/�a(L, (2 �,�.,.�_ GAS PIPING ' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TX19 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGO"TING HOT WATER HEATER PLUMBING. i� 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES '1I I {�(.�.It,/1�� LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �U 16 �A/ V'�"r�Y /1I1 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 'T DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED I SIGNATURE /( II A /�/.24 111 n 1AIVW OF PERMITTE FINAL I I ' ' LY L "//� t' 17 VALIDATION O ROBERT A.`WOD U CK. M.0. c:SH SUPERVISING`MECHANICAL ENG'R LACo 9 2 9 7 1 AR 8 5 D 1 2 .0 0 . 76 A 667 - CE 817 7-69 CITY OF TEMPLE CITY APPLICATION FOR PLUMBING. PERMIT COUNTY OF LOS ANGELES B50644 ' DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONRUILBING JOHN A. LAMB/E. COUNTY ENGINEER ADDESs 6039 Encinita F COLEMAN W. JENKINS. SUPT. OBUILDING LOCALITY emnle City FOR APPLICANT TO FILL 1N PR NT OA TYPE) NEAREST NEARS sr. Garibaldi NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1.50 'OWNER Robt: Hamilton MAIL BATH TUB 1.50 ADDRESS Same SHOWER 1.50 CITY TEL. NO. LAVATORY 1.50 CONTRACTOR SINK 1.50 1 ADDRESS 6668 West Blvd a nC DISHWASHER 1.50 CITY Los lA Ogeles tf TEL. NO. PL �YW41 SATELIC CLOTHES WASHER 1.50 LICE NSE NO. 636. 151830 CLASS SWIMMING POOL RECEPTOR 1.50 'DISTRICT N P ZONE PLO ES QV LAWN SPRINKLER SYSTEM 2.00 ✓ ll WATER HEATER 1.50 INDUSTRIAL Q WASTE APPROVAL V GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD OUTLETS OVER c Z 5 PER SYSTEM .30 Re8dv for ILSlleet on NOW' 'Q�.. 1 WATm sommEN 50 W Lu N Z Plan check fee'25% of above. Sce. reverse. - PLUMBING PEHMIT ISSIJING FEE: $ 2 00 TOTAL FELE 3 50 APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City. Tel. No. S HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING [ GAS TEST " PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED _ LICENSED AS REQUIRE. BY LOS ANGELES COUNTY AND STATE OF ^ CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RE51DE IN, THE ABOVE DESCRIBE. AFT. PROPERTY. FINAL U SIGNATURE G(!// JACK R. ALLEN SUPERVISING MANICAL ENG'R. OF PERMITTEE SEA �S PERMIT VALIDATION ED M.O. CASH PLAN CHECK VALIDATION CK. M.0. CASH ipr 9 8 1 6APR 21 5 0 3.50- WOthat I have a certificate DECLARATION 76A667A 9/89 qPF)CATIPN- FOR PLUMBING PERMIT �' 76A66]A 1 hereby affirm that 1 have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, 6r a certified C1 y o Temp e City copy thereof(Sec.3800 Lab. C.) Policy 6969-00��C,1Onipany NMIC COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy No. 16026 ❑ Certified copy is hereby furnished. ® FOR APPLICANT TO FILL IN(PRINT ORTYPE) BUILDING ADDRESS 6039 Encinita Ave. Certified copy is filed with the county building inspection _ department. NUMBER FIXTURE OR ITEM 0 FEE LOCALITY Temple Cit Dale 4/1 /91 Applicant GQn Yah InSta1 1. WATER CLOSET , NEAREST n en CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB f CROSS ST LodAve COMPENSATION INSURANCE 11ASSESSOR (This section need not be completed if the work involved by the SHOWER MAP 900K PAGE PARCEL permit is for one hundred dollars($100)or less.) LAVATORY OWNER James 11 Norris I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to SINK MAIL ADDRESS 6039 Enein ita Ave - become subject to the Workers' Compensation Laws. DISWASHER CITY g3'V 2 86-8516 Date Applicant CLOTHS WASHER NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR Exemption, you.should become subject to the Workers'Compensation SWIMM OOL RECEPTOR you must forthwith-complych ADDRESS provisions of the Labor Code, y with su provisions or This permit shall be deemed revoked. LAWN SP ER SYSTEM - LICENSED CONTRACTORS DECLARATION WgTERHEATeSi�. CITY LOS Angeles 1EL.N175342541 d I hereby affirm that I am licensed under provisions of Chapter 9 — TATE 151 39 LIC. C36 (commencing with Section 7000) of Division 3 of the Business and Professions Cade, and my license is in full force and effect. GAS SYSTEM OUTLETS LICENSE NO. CIASS U OUTLETS OVER DIST IC S ED BY CC 5 PER SYSTEM O License Number 151839 Lid.Class C36 FINAL VALIDATION d Contractor W. O. PrOVll'bate 4/91 DATE Z FINALZ I am exempt under Sec. By B.BP.C.for this reason Plan check fee > 0 Date: Signature PLUMBING PERMIT ISSUING FEE$ 13 00= ❑ TOTAL FEE , t Plan check applicant 5 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5. Business and Professions Address _ y Code): 1 I)ENIS ❑ City Tel. No. e20 - 50 d� I, as owner of the property, will do the work and the structure TOTAL 20 n 50 is not intended or offered for sale (Section 7044, Business �� and Professions Code). > CHECK �4-•'i(1 CONSTRUCTION LENDING AGENCY CHANGE .011 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.) i]-Ij4�jQ-QOU1 S/14/90 Lender's Name 2355 i. Nr1111155 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 representatives of this Oounty ent r upon the above-mentioned property for inspection p r ses. SEE REVERSE FOR EXPLANATORY LANGUAGE o�� ✓ 1 8/9/90