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HomeMy Public PortalAbout6418 ENCINITA AVE_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY $ 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0906100010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 6418 ENCINITA AV IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917801319 I ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN 15382-017-020 101 PERMIT ISSUANCE FEE 29.95 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY, Cl 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 1 TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I 106/10/09 SR 12/07/09 1 1 1 ITEL. NO: HARRIS, THEA (626) 675-1617- FCIIrly✓AIWLi✓DUE FI4 BY: CODE: 16418 ENCINITA AV ITEMP 917801319 IDESCRIPTION OF WORK IGAS LINE FOR CENTRAL AC/HEATING UNIT APPL ICANT: TEL. NO: SAME AS OWNER - ISPECIAL CONDITIONS: I 11 I I I (CONTRACTOR: TEL. N0: (APPROVALS DATE INSPECTOR SIGNATURE (SAME AS OWNER - LIC. NO (UNDER SLAB WORK I I (WATER SERVICE (PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. NO: 1 1 - IROUGH PLUMBING I I I LIC. NO: (GAS PIPING I GA5 VENT (HOT WATER HEATER I I PLUMBING FIXTURES I I I (LAWN SPRINKLERS I I I I I I I I (GAS TEST I I I 1 1 (UTILITY COMPANY NOTIFIEDI I I I I I Icwv I I I (GRAY WATER SYSTEM I I I I I I I I I I I I I I I I 11 II I I I I I 11 I I I I I I I I I I I I I I I I I I I 11 I 11 I I 111 I 111 I IREPORT ID: DPR263 ROUTE TO: BS0508 76.667 DES 10 7-51 . APPLICATION FOR PERMIT DEPARTMENT OF BUILDING 'AND SAFETY COUNTY F LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DI R GR U O E PRMIT . PLUMBER �l O Q f RECEIVED BY READY FOR . DATE ISSUED ADDRESS� � ^ FIRST INSPECTION � J', BUILDING 01 �- TEL ADDRESS (� Lr //�� ,�• COUNTY LOCALITY TF.1.r�P,C� NSE NO,p" XPIRE9 tP O ./ _- NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER �/O��I��✓�✓ _ MAIL WATER CLOSET(TOILET) a 0.50 $ ,j O ADDRESS BATH TUB @ 0.50 ' alT TEL.. No. SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT 'I• HAVE READ THIS LAVATORY (WASH BASIN) /@ 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE V#LID LOS LAUNDRY TUB O TRAY ® 0.50 ✓ ANGELES COUNTYy1BC E, OR THE O AM OWNER - OF THE RESIN MIA O ESCRIE LEGAL E. GAB SYSTEM 'OUTLETS a 0.50 / SIGNATU � WATER HEATER a 0.501 PERM_ SLOP SINK a O.SO INSPECTION RECORD FLOOR BINK 0 0.513 FLOOR DRAIN ® 0.50 DISHWASHER a 0.50 DRINKING FOUNTAIN 0.50yy,� /� " URINAL O.SD U �� -l1 7- (//J yl'J ` _0 yv/1/1 n -U a HOUSE SEWER a 0.50 q//,F A /' L '/ Z MISCELLANEOUS r/?Q M G✓df d F 'Tdt' I�KtiYJ PAr vP nL13)z. i- F ARv D /roil, F/Nt�Yo✓ 72F_/>'v. /�/�/E V ° 0 nR , AyN T✓B /A/ fl '7'6 /RF' jtt/LLF_ IJ hIJ--y _a c . APPROVALS (yDATE INSPECTOR'S NAME ROUGH PLUMBING (p ' 7a / M 6A9 PIPING AS VENT h(y A R Y"_ CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PERMIT Lap GAS TEST UTILITY CO.NOTIFIED TOTAL FEE S �ti .��� / FINAL 17YR .f I cEIT 8-5N APPLICATION FOR PLUMBING PERMIT 1 BUILDING AND SAFETY DIVISION Department of County Engineer County of Los LINTYAngeles AO.FDI.N JOHN A. LAMBIE,COUNTY ENGINEER o CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN I NEAREST CROSS ST. OWNER `�/[�('�`, z ,/j,Ia 1A DISTRICT NO. GRO�+ �NE I REA FOR Ins PEcn ON AO DRESS G( q1 �/Y[.�// / / K `Jl- — .— / INDUSTRIAL CITY 1 \ TEL. NO. WASTE APPROVAL PLUMBER Y nle. ' INSPECTION RECORD ADDRESS �} L[f /V UI&i,. CITY I AL �J p'TEL. NO,14 j LICENSE NO. _3 .r p NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00lyliw� DISHWASHER @ $1.00 / i ��.{� M/t..r L IA,(�g LAUNDRY TUB OR TRAY @ $1.00 /3<%-A-i/.f6 'T•�-IljO/1.f�A�3J.1/� CLOTHES WASHER @ $1.00 _•T/�� p� �� /0 �i,n,r�� WATER HEATER @ S1.00 GAS SYSTEM @ $1.00 % �A/ F eA/Tf,�F J/A61= ",41 -/n/f /.t AIA Y APPROVALS p g� DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 00 ROUGH PLUMBING �q A� +u GAS PIPING y.4 h �G fI /.//_a Ylll/M TOTAL FEE GAS VENT f p) A 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 PLUMBING. PLUMBING FIXTURES II QQ��ppLL I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST FI IV)EN, .L— '7—AA lJi/Mw�i�AJw LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT AM THE LEGAL OWN R OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED REBIDEEN AL' BftOPE a SIGNATURE OF PERM TTE / FINAL 2 23 !yG �C1.:wyL'Y fl/© ROBERTA.WOOD, JOHN A. LAMBIE, COUNTY ENGINEER VALIDATIOON---,, SUPERVISING MECHANICAL ENG'R LK. N. 0. CCAS LAC0 4 4 6 8 a DEC 17 5 A �`3.0 0 m WORKERShat I have ar ION DECLARATION r..a,re APPLICATION FOR PLUMBING PERMIT 1 hereby affirm that I have a certificate of conseo o Self' cE eI (z-eoj insure, or a certificate of Workers'C nsation Incur ce,or app ¢gpy,(herepf(Sec. 3800, ab C.) /G(y COUNTY OF LOS ANGE ES BUILDING AND SAFETY Policy No. Com any 0 Certified copy is hereby furnished. 7 / —1�—/ FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING fWI yl NUMBER FIXTURE OR ITEM O FEE ADDRESS LZF Certified copy is filed with the county building inspection department. / WATER CLOSET LOCALIT Date Applicant NEAREST BATH TUB CROSS ST. �s-✓ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNERAYSO MAIL (This section need not be completed if the work involved IF LAVATORY ADDRESS } by the permit is for one hundred dollars ($100) or less.) SINK CITYXG� TEL. NO. 0 I certify that in the performance of the work for which this DISHWASHERU permit is issued, 1 shall not employ any person in any manner CONTRACTI cc so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADDRESS 1 O Date Applicant SWIMMING POOL RECEPTOR dd L) NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL. NO.�'' 0 W Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM d STATE r LIC. / N Compensation provisions of the Labor Code, you must forth- ILICENSE NO. y�J -�7 � CLAS '�jp_� Z with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO !� ESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER / O 4^y/ / I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL VALIDATI N ness and Professions Code, and my license is in full force and DATE --I Z' effect. ` t'- / f� OJ �7 CXI"C fp^ rS FINAL License Number Lie.Class BY t, (/ Contractor Date TO 3 DI am exempt from the licensing requirements as 1 am a Plan Check fee 1, licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$' acting in my professional capacity (Section 7051, Bus- iness and Professions Code). - TOTAL FEE Lie.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION N ame me - 1 hereby affirm that 1 am exempt from [he Contractor'sLicense Law for the following reason (Section 7031.5, Busi- y Tel.No. ness and Professions Code): I 0 I, as owner of the property, am exclusively contracting 4 4 9,7 A with licensed contractors to construct the project (Section 7044,Business and Professions Code). s e e e e s CONSTRUCTION LENDING AGENCY 2 0 0 E10 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.). .e ro o 1 &005 - Lender's Name 0 3 2 3-81 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and to laws regulating Plumbing, and hereby authorize re es f this County to enter upon Lire . above-m y for i • 'an purpose . a3 / Sig e o Y rmittee DaY