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HomeMy Public PortalAbout4858 FIESTA AVE_Plumbing__ 78A887 CE4817 9/63 APPLICATION FOR PL MBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS g g Fiesta JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUP T OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN NEAREST CROSS S! NUMBER FIXTURE OR ITEM EACH FEE OWNER J. Oster acrd WATER CLOSET fl 25 MAIL DATH TUB 125 ADDRESS SHOWER 125 CITY TEL NO LAVATORY 125 CONTRACTOR Valley Plumbing a SINK 125 ADDRESS 442 W. Fleetwood Place DISHWASHER 125 CITY Glendora TEL No Ed 51293 CON1 LAUNDRY TUB 12S 1125 REGISTRATION HAT ON NO 209431 COUNTY p CLOTHES WASHER 1 25 DIST ICT NO GROUP ZONE PRO ESSED BY WATER HEATER 1 50 !7 — } GAS SYSTEM OUTLETS D_ 1 ERA0 OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD U 0 V � W d J��� JJ7,4j/a -myL�7 r'3.i' Z ..6� Z_ APP QQ pj5 DATE INSPECTOR S SIGNATIURE PERMIT s 2 00 UNDER'St B WORK ROUGH PLUMBING �!p? TOTAL FEE 3 25 GAS PIPING ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT 467 1d AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATERI �' PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURE LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST — T CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED ✓ .,,,,,, SIGNATURE / OF PERMITTEE FINAL ALIDATION ROBERT A WOOD cK M O CASH SUPERVISING MECHANICAL ENG R L�Co 9 4 h 811,03 MhR 10 5 D 3 25- F ION F VQthat I h ve aceSATate of consent to 76A666DPW9/89 APPLICATION FOR PLUMBING PERMIT 76A667A I hecoby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab. C.) '"T-- COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No. Company Certified copy is hereby furnished. FJ Certified APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �J��-(f 7 . , Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant ` WATER CLOSET /0 NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work involved by the SHOWER MAP BOOK © PAGE Q1,7' PARCEL permit is for one hundred dollars($100)or less.) tAD&EESS WNER L 1 I certify that in the performance of the work for which this permit LAVATORY lG>Jf/ C is issued, I shall not employ any person in any manner so as to SINK Abecome subject to the Workers'Compensation Laws. DISWASHER CITY �� r TEL.NO. 1 Date Applicant CLOTHES WASHER CONTRACTOR NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER A (commencing with Section 7000) of Division 3 of the Business and STATE bc. O Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS LICENSE NO. CLASS 0 OUTLETS OVER DISTRICT NO. 10MdESTED BY {•� ['[ 5 PER SYSTEM o i� 71.70 O License Number Lic.Class ��•��"R-v -j TT����{{ FINAL VALIDA4IUNS U n UJ Contractor Date DATE `r y TOTAL 9 :1 .70 CIL ❑ I am exempt under Sec. ;t FI AL ! CHECK g Lt B.&P.C.for this reason kw) IN o(�� Date: Plan check fee , Signature PLUMBING PERMIT ISSUING FEE$ TOTAL FEE 0000-000 l 1! 8/ 96 ❑ D 4126 1 AM10=04 SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name j� A/ 4:�, �r hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Address Code): ❑ !Q�2, ,� Tel.No. 1, as owner of the property,will do the work and the structure City 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 represen tiv Y6 of this County en t r upon the above-mentioned propert o inspe io purp / SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date t COUNTY OF LOS ANGELES TEMPLE CITY # 0508 (PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL-0508-9807230007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUI.LDING_ADDRESS: TR: 14647 LT: 7 4858 FIESTA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91.7803814 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA 8590-017-013 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY 25 LAVATORIES/SINKS 1.00 FIX 16.20 TENANT: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 60.15 07/23/98 UT 07/23/99 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: LIU STEVEN H;TRACY L (626) 285-2389- 4858 FIESTA AV TEMP 917803814 DESCR.IPT_ION-OF-WORK SOK KAAND I.LET-FOR_3RD-BATH=USE EXISTING-SHOWER APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: - ROUGH PLUMBING 10- `A LIC. NO: 6 GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508