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Home My Public Portal About6046 ENCINITA AVE_Plumbing__ 76Ae67 APPLICATION FOR PLUMBING PERMIT 4 DBB-IT(DIVISION OF BUILDING AND SAFETY - Deportment of County Engineer - - '' County of Los 'Angeles 6uILDING /n �' [ 4, C�.0 / N l 1A .JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN- SUWT OF'BUILDING LOCALITY TL'd M P c— F�n APPLICANTJO-FILL I NEAREST I' CROSS ST. `OWNER 7y{'/.N=y •� ��%� DISTR T NO. GROUP ZO��jE READY FOR INSPEC ION 1 / / 4 J /`` MAIL /' Z / N +ADDRESS y� L. p� =- T Y; - INDUSTRIAL + CITY / / / TEL. NO. WASTE APPROVAL PLUMBER G INSPECTION RECORD ADDRESS CITY /y1ri 1,ATEL._NO., .i4 i U J/ ! LICENSE NO. -% Y' )4�; tJ - - - NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET)- @ S1.00 $ �' .BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK r@ "$LOO DISHWASHER @. $1.00 LAUNDRY TUB OR TRAY - @ $LOO ' CLOTHES WASHER @ $1.00 - - WATER HEATER @ .$1.00 GAS SYSTEM @- $1.00 , 1 APPROVALS_ - DATE -- INSPECTOR'S SIGNATURE UNDER SLAB WORK ' ROUGH PLUMBING PERMIT 5 1 00 - - GAS PIPING TOTAL FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND'STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER - WITH ALL COUNTY-ORDINANCES AND STATE' LAWS REGULATING PLUMBING FIXTURES PLUMBING. 1HEREBY CERTIFY THAT 1 AM PROPERLY' REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE — '. CALIFORNIA OR THAT 1 AM THE LEGAL OWNER- OFi TE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY) _ ! - SIGNATURE R OF PERMITTEE - - -`- � 6'k'� r; FINAL JOHN A. LAMBIE, COUNTY ENGINEER • VALIDATION ROBERT A. WOOD,CHIEF PLBG. INSPEj/TOR + CK. N.0. 1 CASH 1 ; 0-;- 9se4- tr 4 ti WORKERS' COMPENSATION DECLARATION p l�Pp IC A TIQU F®® PLUMBING p p pp BIN�s PERMIT I hereby, affirm that I have a certificate of consent to self in- Zo-Do4b DPW a/9D PYIr IL i'Y Y '1sL FOR IL 4JYVY YCI M9 PERMIT 75A66]A sure,or a certificate of Workers'Compensation Insurance,ora certified copy thereof (Se//cc/�..{{3800, Lab. C.) �I'LIIII Policy No 3 f' 99 ampany - COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy is hereby furnished. L/ I thFOR APPLICANT TO FILL IN(PRINT OR TYPE) BUADDILDING J/ Certified copy is filed with ecountybuildin inspection RESS Qy NUMBER FIXTURE OR ITEM FEE LOCALITY department. � 'Le'' � . Date - .{ 'T—,! APPlica WATER CLOSET(TOILET) CROSS /, - CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB ' n AWL COMPENSATION INSURANCE SHOWER OWNER C.. (This section need not be completed if the work involved by MAIL , the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CITY TEL. as to become subject to the Workers' Compensation Laws. DISHWASHER CONTRALTO Dote Applicant CLOTHES WASHER ADORESw NOTICE TO APPLICANT: If, after making this Certificate of Ex- Oil SWIMMING POOL RECEPTOR emotion, you should become subject to the Workers'ith con - CI EL. NO). J J7�73p5 cation provisions of the Labor Code, you must forthwith comp- - LAWN SPRINKLER SYSTEMS O ly with such rovisions or this permit shall be deemed revok- STATE / GG LIC. ed. - p p WATER HEATER LICENSE NO. (Q��D ( CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEMOUTLETS 9(commencing with Section 7000)of Division 3 of the Business - OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION fect. �( Q/ HOSE BIB DATE (� License Number Lia,.Closs ` 36 , MAO /�/s FINAL. O Contractor 6001 Date �12 -9 BY Hf.i-�l :iIx I am exempt under Sec. B.BP.C. for this reason 1 g t t�' 6 Plan check'fee _ _ Date: O 9�2 PLUMBING PERMIT ISSUING FEE$ - Signature v TOTAL FEE SINGLE FAMILYHi-E O01 HOME OWNER-BUILDER DECLARATION Plan check applicant ¢9'17 I hereby affirm that I am exempt from the Contractor's License Name _ Law for the following reason (Section 7031.5, Business and fiEl_Ic1—�1_)I)1 71 1"R4Professions Code): Address ❑ hNo. - — 1 iiti:i1 as owner of the properly, will do the work and the City - Tel. No. - C'tr'-U structure is not intended or offered for sale(Section 7044, Business and Professions Code). 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 represent fives of this County to enter upon the _ v - entioned p pert for inspection purposes. /?%._L2-1 t/ SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Permittee Date COUNTY CF LOS ANGELES TEMPLE CITY # 0508 PLL;MBING PERMIT I DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0407140015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (526) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 8 6046 ENCINITA AV FEE DESCRIPTION: QUANTITY: COM: AMOUNT: TEMP CA 917801934 ASSESSOR INFORMATION NUMBER.: NEAREST CROSS STREET: GARIBALDI 5385-004-003 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C _ 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PkOCESSEO BY: PLAN BY: EXPIRES 0;:: .45 WATER CLOSET/URINAL 1.00 FIX 16.20 07/14/04 JK 01/10/05 I __ TOTAL FEES 7'6.35 _ OWNER: TEL. NO: FINAL DATE INAL Y: i-0LE: TAM, QUACH (626) 298-251S- 16046 ENCINITA AVE _._. TEMP 917801934 DESCRIPTION WOE, PLUMBING FOR NEW BATH APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL COND1770NSo LTRACTOR: TEL. NO APPROVALSi DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAB WORK. WATER SERVICE _ iPLP.STIC Y/N METAL Y/N (!5?CHITECT OR EAG[H 'r,: TEL. NO: i __ �-- iRGUGH PLUMBING i GAS—PI P. GAS VENT NOT WATER HEfJ cR — _ -- PLUMBING Fi XTUP.'cS LAWN SPRINKLFkB - GAS TEST UTILITY COMPAN?' NCfrF-ED -- GRAY WATER TY GRA STEM REPORT ID: DPR263 ROUTE TO: BS0508 _.._ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0206240009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 8 6046 ENCINITA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801934 ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: GARIBALDI 5385-004-003 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY _ 25 LAVATCRIES/SINKS 1.00 F)X 16.20 TENANT: 45 WAIER CLOSET/URINAL 1.00 FIX 'i6.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 60.15 06/24/02 JK 12/21/02 OWNER: TEL. NO: TI-NAL DATE FINAL BY: CODE: LOPEMAN;PHYLLIS (626) 285-5981- 6 _a1v 2 ENCINITA6046 91780193 AV - TEMP 917801934 FINAL—DESCRIPTION WORK FINfiLIZE EXPIRED PERMIT FROM 1956 FOR 1/2 BATH (SINK81011ET) APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: ��r. /1� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC.-No �� - �..�� ' UNDER SLAB WOR WAIER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT 0 ENGINEER: L. NO: �� r- —•.fl- r 1 ROLGhI M LIC.-NO: I �) - ' i _ �- gTVU- GASP N�(� GAS VENT HOT WATER HEATER PLUMBING FIXTURES Y'G �V LAW SPRINKL R GAS TEST t u ' UTILITY COMPANY NOTIFI D CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508