Loading...
HomeMy Public PortalAbout6246 ENCINITA AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DSIONepartOF F BUILDING gi SAFETY of County Engineer DIVISION WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICTO. GROUP Z PER /ONE S PLUMBER v RECEIVED BY READY FOR DAT IBB ED FIRST INSPECTION � ADDRESS JJ 7/7 p— CITY /?/ G� TEL. NO!/, ADD RE95�(�� •ter!' r COUNTY /�s�. J LICENSE NO. �C O� EXPIRES f/l LOCALITY NEAREST PERMIT FEES CRIES ST. NUMBER TYPE OF FI%TITRE OR ITEM FEE OWNER < MAIL WATER CLOSET (TOILET) @ 0.50 $ ADDRESS BATH TUB @ 0.50 CITY TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS S LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER ❑F THE RE5IDENTIAPCRI D ABOVE. GAS SYSTEM-13--OUTLET9 ® 0.50 SIGNATURE OF WATER HEATER @ 0.50 PERMITTEE SLOP SINK @ 3.50 INSPECTION RECORD FLOOR BINK @ 0.50 �`/ l^—r`�{�• �/ / �. FLOOR DRAIN @ 0.50 Y DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 1 Q HOUSE SEWER @ 0.50 _Z MISCELLANEOUS EJ it APPROVALS �1 DATE INSPELTOR'8 NAME ROUGH PLUMBING h — 'i /Wtql / GAB PIPING GAS VENT ''jgll CESSPOOL @ 1.00 CESSPOOL ' SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.00 GAS TEST UTILITY ILITY CO.NOTIFIED TOTAL FEE $�C?� 6oJti(-1" `�� FIT'AL 76AG67 OBS# 17 6-52 7EII 4177 ',BARB>AaeB`,APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION N FOR APPLICANT TO FILL IN I PRINT OR TYPE I BUILDING / NUMBER FIXTURE OR ITEM ® FEE ADDRESS !Q r _ WATER CLOSET LOCALITYVn NEAREST n_»r K Gni BATH TUB CROSS ST. SHOWER OWNER LAVATORY MAIL / ADDRESS K7 SINK CITY 4:� TEL,NO '6• � DISHWASHER CONTRACTOR CLOTHES WASHER _ ADDRESS Vim, SWIMMING POOL RECEPTOR " CITY �� TEL NO, LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. I ©� CLASS GAS SYSTEM OUTLETS 3 , 6 TRIC,NFO. GROUP ZONE PROCESSED BY OUTLETS OVER o 5 PER SYSTEM INDUSTRIAL Ca WASTE APPROVAL C INSPECTION RECORD CD 227U W N Z Plan check fee PLUMBING PERMIT ISSUING FEE$ 7 TOTALFEE Plan check a scorn APPROVALS ,/// DATE IINNSPECTTOOR'5 SIGNATURE Nome ¢¢ UNDER SLAB WORK '.IJ,ax.c[� /7�/ryn� AAF�+a(— Address TFv''��ryt- ROUGH PLUMBING City Tel.No. ?,&!5;eZb1 GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING, HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED PND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST ,[/J-4e /j/'/y/w LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOT4PED o a 3i!i �! A o o e SIGNATURE 1 111 OF PERMITTEE FINAL O 1 i iN e P PLAN CHECK IDATION CK. M.O. CASH PERMIT 34Ud \TIQN, CHI CK. M.O. CASH m CD o CTI n A-po }. t-/-5O7 � WORKERS'COMPENSATION DECLARATION d" PF;LOrL.i"'iTI®IICI r-OR Ir ILYJIYtltlIDVIICI`!e9 IrlGll'l9tlOV0 I hereby affirm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec. 3800, Lab. C.) _ COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.638842 .Company S.t . Fund Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS 6246 N E n c i n i t a Certified copy is filed w'h th c my ui in spec- lion department. NUMBER FIXTURE OR ITEM ® FEE LOCALITY ��.�/ WATER CLOSET Temple CIt Date_J.J-1�:�L A p p I ica o NEAREST CERTIFICATE OF EXEMPTION FROM'WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER David e s 1 e (This section need not be completed If the work Involve y MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL NO. so as to become subject to the Workers Compensation Laws. DISHWASHER CONTRACTOR Ca l if . Energy B u r e a u Date Applicant CLOTHESWASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR 187 W . Orangethorpe Exemption, you should become subject to the Workers' ' Compensation provisions of the Labor Code, you must forth- CITY TEL. NO. LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LICENSE NO,3 2 3 7 D 5LIC' C 4 4 deemed revoked. WATER HEATER CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby off irm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER O d and Professions Code, and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATION O 1 Solar Domestic �U DATE ��" �'� u License Number 3 2 3 7 0 5 Lic. Class C 4 4 de lnstal'lati_on FINAL / O Contractor ECB./C E.B Date 1 1 ---1 7^83 . BY v f-s-K.f V ❑ Iam exempt under Sec. "� IL W N B.BP.C. for this reason Z Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ 15-0 Signature TOTAL FEE SQ Plan check applicant 6 9 21 A SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name P o o e o 0 5 I hereby affirm that I am exempt from the Contractor's License Address 2le ^ .3 Q'S 0 Low for the fallowing reason (Section 7031.5, Business and , Professions Code): CII Tel. No. 6 ❑ ee = 30.50 1, as owner of the property, will do the work and the structure is not intended or offered for sale (Section D i 1. 1 8-83 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 ave read t is application and stale that the D above informat n is correct V agree to comply with all County orch n an t ws eguloling Plumbing, and hereby authori a epr es this County to enter upon the above a tionty r inspection purposes. �l I� 3 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Dote COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0907220004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 6246 ENCINITA AV IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801639 1UMB ( EAREST CROSS STREET: 15385-001-008 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 113 DISHWASHER(S) 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 121 HOSE BIBB(S) 2.00 FIX 32.40 107/22/09 SR 07/22/10 125 LAVATORIES/SINKS 2.00 FIX 32.40 1 OWNER: TEL. NO: 145 WATER CLOSET/URINAL 1.00 FIX 16.20 1FINAL DAT FINAL BY: CODE: ILIN, KEIKO (626) 287-0407- 147 WATER HEATERS) 1.00 WTH 16.20 ���I/L/ 16246 ENCINITA AV 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 1 I ITEMP 917801639 160 DW REPAIR OR ALTER 2.00 SYS 32.40 IDESCRZ IONION OF WORK I I TOTAL FEES 205.95 PLUMBING FOR NEW BATHROOM, KITCHEN REMODEL AND RELOCATE I I I IWATER HEATER I 1APPLICANT: TEL. N0: IROBERTS (323) 377-4493- 1 1 5612 S. MULLEN AVE. I ISPECIAL CONDITIONS: ILOS ANGELES 90043 1 I I CONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE IJJ HERMAN HOME IMPROVEMENT, INC. (626) 202-5481- 1 1 1 1505 N NICHOLSON RD LIC. NO I 1UNDER SLAB WORK l I I IMONTEREY PARK CA 91755 870022 B I I I I 1WATER SERVICE 1 I I PLASTIC YIN TA N (ARCHITECT OR ENGINEER: TEL. NO: 1 1_ ROUGH PLUMBING / I LIC. NO: I I (/ I I GAS PIPING I I I IGAS VENT I I I I IHOT WATER HEATER I I I IPL UMB ING FIXTURES I I I ILAWN SPRINKLERS I I I IGAS TEST 1 11 1 (UTILITY COMPANY NOTIFIEDI I I I IGWV I I I (GRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPQRT ID: DPR263 ROUTE TO: B50508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY k 0508 PLUMBING PERMIT . DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0909150002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: 1 ON FILE I 1 6246 ENCINZTA AV 1 IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801639 (ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: 15385-001-008 101 PERMIT ISSUANCE FEE 29.95 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl 64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 (TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 109/15/09 SR 09/15/10 II TOWNER: TEL. N0: FINAL DATE FINAL. BY: CODE: LIN, KEIKO (626) 287-0907- 6246 ENCINITA AV TEMP 917801639 DESCRIPTION OF WORK REPLACE WATER MAIN (APPLICANT: TEL. N0: IROBERTS (323) 377-4493- 15612 S. MULLEN AVE. 1 1SPECIAL CONDITIONS: 1 1LOS ANGELES 90043 1 (CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE IJJ HERMAN HOME IMPROVEMENT, INC. (626) 202-5481- 1 1505 N NICHOLSON kD LIC. NO UNDER SLAB WORK MONTEREY PARK CA 91755 870022 B 1WATER SERVICE ARCHITECT OR ENGINEER: TEL. NO: I PLASTIC Y/N METAL Y/N I IROUGH PLUMBING 1 LIC. N0: 1 GAS PIPING IGAS VENT I (HOT WATER HEATER IPL UMBING FIXTURES I I I (LAWN SPRINKLERS I IGAS TEST 1UTILITY COMPANY NOTIFIED( I I I IGWV I I I (GRAY WATER SYSTEM I 1REPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I I