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76A607-CE81710-60 �2'L7 '2- '
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER -
BUILDING AND SAFETY DMSION eaaDlNc
JOHN A. LAMBIE. COUNTY ENGINEER ADaRE3S /G� FNG /AI"/
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY MPLF �/7 y
FOR APPLICANT TO FIIS IN NEARSCROSS ST /1'S 'Tii,✓s>, s
NUMBER FIXTURE OR ITEM OWNER
iIM/3?oaE
WATER CLOSET MAIL �1
ADDRESS
BATH TUB
'CITY TEL NO.
SHOWER /OA-A/ n
CONTRACTOH'—�t"]Z A!bCAI/ .AL.L�4
LAVATORY `
SINE
ADDRESS J Zd 2 W LA(S I/ln Tu L-A
DISHWASHER CITY-/A /6 TEL. NO.` .ECONTRACT
STATE
LAUNDRY TUB BEGImmTTION NO. le >?0 8 Z COUNTY
CLOTHES WASHER DICT NO. .7 ZONE• PROCESSED BY
WATER HEATER i P
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL r
INSPECTION RECORD D,
O
U
O
a
Z
a $1.00 PER ITEM
OR FIXTURE S APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 11 200 UNDER SLAB WORK _
TOTAL FEE ROUGH PLUMBING
GAS PIPING _
1 HEREBY-ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT ANO AGREE TO COMPLY GAS VENT
WITH ALLCOUNTY OROI ES AND STATE LAWS, REGULATING, HOT WATER HEATER -
PLUMBING.
1 HEREBY CERTIFY A M P Y REGIST AND/OR PLUMBING FIXTURES
LICENSED AS REGUI Y S ELE COUNTY N STATE OF `
CALIFORNIA OR T TH E OWNER THE ABOVE GAS TEST
DESCRIBED RESI L ROPE C7 _UTILITY CO. NOTIFIED . AI
SIGNATURE / / 1 i '• -•
OF PERM E �L
._%y�1 FINAL 4I A
VALIDATION `ROBERT AI. WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
5 O A 'i v 5 D
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76A667 (CE-817) - 5/73 ��J�� .,%_. <•_ ✓ „/
APPLICATION FOR PLUM ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING-AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: ONG GG �y ✓ /�
[ACl0)CDlEss G �V 1 L °U /h,JiHARVEY T. BRANDT,.COUNTY ENGINEER LOALITY �rr!•t..K r• �'/ •
FOR APPLICANT TO FILL IN (PRINT OR TV PEI NEAREST
CROSS ST.
NUMBER. FI%TURF OR'ISEM .;,.@' FEE
WATER CLOSET '1.75 OWNERC7
MAIL
BATH TUB' 1.05 ADDRESS �i-.�- _a,_ •�__.'
- SHOWER- 1.75 lCITY TEL. NO..�7r2 7 7e-2— _
' LAVATORY 1.75 CONTRACTOR ��/'��,I�: l.'�{. ��
SINK 1.75 ADDRESS/.%'J// �� ,• G1Cv.'
DISHWASHER 1.75 ✓I� - -�
C ITY, �' �{( fA1 TEL. NO.e,�CAfFj--��'
CLOTHES WASHER 1.75 STATE LIC ^J`
LICENSE NO. l'�? �� �` CLASS
SWIMMING POOL RECEPTOR 1.75 5 - -
DISTRICTNO. 'G OUP ZONE PROCESSED BY.
,'LAWN�SPRINKLER SYSTEM 1.75
WATEWHEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 �� INSPECTION RECORD
OUTLETS OVER 30
5'PER SYSTEM
Y
O
d
Pan check fee ,See Reverse
PLUMBING PERMIT ISSUING FEE 5 3 00 .
TOTAL FEE -
_ I -APPROVALS DATE INS PEC iOX'S 31.NATtIgE
Plan Check applicant �L. f J ef•..I. /�iI-.. 'UNDER SLAB WORK
Name ROUGH PLUMBING
Address/l/.5/7 , �( J1�,,.• L� GAS PIPING
City ,,f ,? / „/ / Tel. N0.ile ���}7 GAS VENT. ..
,✓: ✓e , JN HOT WATER HEATER
'I HEREBY ACKNOWLEDGE THAT'I 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 -
PLUMBING. - GAS TEST
1 HEREBY CERTIFY THAT 1 AM.PROPERLY'REGISTERED AND/OR UTIU-Ty CO. NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1.AM THE LEGAL OWNER OF, AND INTEND TO - -
RESIDE INQHE ABOVE DESCRIBED RESIDENTIALROPERTY. FINAL
y _
SIOF ATU RE
PERMITTEE %f'/1r� �' �•"`� .�t•ri"�+.�Aw�� 1
PERMIT'VALIDATION- CK: "M.G. CASH
PLAN CHECK VALIDATION - 'CK. M.O. CASH
J I calci - fi 5 u fa.:} G1 e.
DUS-17 APPLICATION FOR PLUMBING PERMIT 1
BS.IT 1099
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING ! /
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS CO
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY ,
FOR APPLICANT TO FILL IN NEAREST
i
CROSS ST.
OWNER DISTRICT NO. GROUP T=E/ I READY FOR INSPECTION
ADDRESS
Gfes Al �T-� J�/•r• ..
/ry- INDUSTRIAL _
CITY V TEL. NO. WASTE APPROVAL
PLUMBER INSPECTION RECORD
t
' ADDRESS
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ 51.00 $' 66
BATH TUB @ $1.00
SHOWER @ $1.00 OL o
LAVATORY (WASH BASIN) @ $1.00 0 1n- - 7
KITCHEN SINK @ $1.00 �" �'~ R� i�77�-/
DISHWASHER @ S1.00 /
LAUNDRY TUB OR TRAY @ 51.00 _
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00 OD
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK /
PERMIT $. 1 )00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE S150
' GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING i PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL QPRO�PE TY.
SIGNATURE
OF PERMITTEE / ' �' < FINAL n'7{'IJ'7
JOHN A. LAMBIE. COUNTY ENGINEER LIDATION ROBERT A. WOOD. CHIEF PLBG. INSPECTOR
LY. Y.0. CASH
11107 8 5DE. mAY 6 3 5 .00 In
'8A"'
DBS.IT 1254 APPLICATION FOR PLUMBING PERMIT' }
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles -
WM. J. FOX, COUNTY ENGINEER BUILOI NG 1' 'I)
ADDRESS p/0 S I &.Ue �
CASSATT D. GRIFFIN, SUPT DF BUILDING C o
LOCALITY
FOR APPLICANT TO FELL IN NEAREST r
(
CR
OSS ET.
OWNER DISTR�NO. I GROUP E/ READY 1013 IxseecTION
MAIL cV��A K -
ADDRESS
r INDUSTRIAL
CITV TEL. NO. WASTE APPROVAL
PLUMBER INSPECTION-RECORD
ADDRESS �TEAT�I 'V
/� '` p.
CITY � /OT 7
Y LICENS E.NO.
NUMBER TYPEOF FIXTUREOR ITEM 11FEE
¢¢
WATER CLOSET (TOILET) - /0,Ali/ /Vd 7-
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHENSINKA/ f/F �/l AP Lr�P`J:*fI .fzf YaJ
DISHWASHER I AI,) 1 M_.AT) �F Cl Lej,&,FJlGIdo,
LAUNDRY TUB OR TRAY
CLOTHES WASHER ..7 r-r-7 min
TOTAL NO. @ 0.60 APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM-OUTLETS @ 1.00
UNDER SLAB WORK
.L /
WATER HEATER @ 1.00
PERMIT $ 1 00 ROUGH PLUMBING.
GAS PIPING
TOTAL FEE I, QQ GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER '2
ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY / 7r.�^ q � .�_//
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES ^ / .C/
PLUMBING. -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED
CALIFORNIA OR THAT 1 AM.THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY: -
SIGNATURE t
OF PERMITTEE— 'ZS`A / t/N YLtL 71, 1lY
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION '
Y.
La,(, 7 7 2 I.1 RAY 1 3 5.0 U In
BT .
DEPUTY ,
WORKERS'COMPENSATION DECLARATION 7ep067A ^
1 hereby affirm that I have acertificate of consent to self caetriz-9a) APPLICATION FOR PLUMBING PERMIT SILfII
insure,or a certificate of Workers'Compensation Insurance,or
a'certified copy thereof(Sec. 3800,Lab .)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company /'1 rQA r�A— C i
11-1
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Vt— l�
Certified copy is filed with th ount build'ng inspection
NUMBER FIXTURE OR ITEM FEE ADDRESS
d a tmen . LOCALITY
WATER CLOSET
Dale Applicant NEAREST
BATH TUB CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE SHOWER OWNER
(phis section need not be completed if the work involved LAVATORY ADDRESS n. d
by the permit is for one hundred dollars ($100) or less.) SINK
CITY TEL. NO. / U
I certifythat in the performance of the work for which this a�1-9Y86
DISHWASHER Q
permit is issued, I shall not employ any person in any manner CONTRACT R
0
so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADDRESSr\ 0
Date Applicant SWIMMING POOL RECEPTOR O U W
2-fo7 4.
NOTICE TO APPLICANT: IG after making this Certificate of CITY TEL. NO.L ( to
Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM - STATE LIC. Z
Compensation provisions of the Labor Code, you must forth- •�f ^ LICENSE NO. OL�Ip p CLASS
with comply with such provisions or this permit shall be WATER HEATER J W
deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. PRO ESSED BV
LICENSED CONTRACTORS DECLARATION OUTLETS OVER (}�
1 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?'o ` VALIDATION
ness and Professions Code, and my license is in full force and DATE —Z�/
effect. {/-�
License Number 0"Ig9� ic. Class ��`-' FINAL
BV
Contractor are�.
I am exempt fro a licensing requirements as 1 am a plan Check fee
licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE S
acting in my professional capacity (Section 7051, Bus-
iness and Professions Code). TOTAL FEE
Lic.or Reg.No. Date Plan check applicant -
HOME OWNER-BUILDER DECLARATION Name (/
I hereby affirm that 1 am exempt from the Contractor's Address �Q T
License Law for the following reason (Section 7031.5. Busi- City Tel.No.
ness and Professions Code): _
F1 1, as owner of the property, am exclusively contracting
with licensed contractors to construct the project 2 a e 1 Q O O
(Section 7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY .a n -.1 a 0 0 mu
I hereby affirm that there is a construction lending agency R" /I q��
for the performance of the work for which this permit is - 1 Pfi4�/I/' ��R ® 1I gy 0'9,3,0 —81
issued (See. 3e Civ.C.). F"I�"�i'FY INSPECTION Lender's Name �1888aaa !{I 1X1 IJ��'f
Lender's Address
I certify that I have read this application and slate that the
above information is correct. I agree to comply wish all County SEE REVERSE FOR EXPLANATORY LANGUAGE
ordinances and State laws regulating Plumbing; and hereby
authorize representatives of this County to ender upon the
above-m• ned property for inspection purposes.
Signature o ermittee Date
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0503 0406220003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 293 UN: .002 6105 ENCINITA AV
_ FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801637
ASSESSOR INFORMATIONNUMBER: TCROSS REEALD
5364-012-029 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596GRID: JZLOCALITY: TEM:ILE CITY, C
_ 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED 0 PROCESSED BY: PLAN B IRIS !:
06/22/04 JK 12/19/04
OWNER: TEL. NO: F/Ip,AV DATE/ FINAL BY: CODE:
6105MCNAMARA CYNTHIA A (626) 287-4582- 7�/ /j�y - -
TEMP ENCINITA AV 1U
TEMP 917801637 �I N O WOR
EXTEND GAS LINE TO ATTIC AREA
APPLICANT: TEL. NO:
BRYANT HEATING AND AIR CONDITIONING (626) 286-1141- _
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
BRYANT HEATING AND AIR CONDITIONING (626) 286-1141- _
1350 E LAS TUNAS DR LIC. NU IUND R SLAB-WORK _�_
SAN GABRIEL CA 91776 221751 C20
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: L. NO:
RSH UM
PLB N�
LIC. N0:
CAS PIPING
-_
GAS VENT ---
HOT WATER HEATER
PLUMB N� G FIXTURES
LAON-SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CwV
GRAY WATER SYSTEM
I
REPORT ID: DPR263 ROUTE TO: BS0508