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Home My Public Portal About9547 GARIBALDI AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 2 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER ADDRESS FOR APPLIC6NT TO FILL IN LOCALITY Lw BUILDING i 14 NEAREST ADDRES S ' It: .af?.. c &� p ./� CROSS ST.Q't DISTRICT NO. GROUP �ZONF_ PERMIT NO. LOCALITY a t„'`" ""��' ,#_ t NEAREST ''�'�^ y ""1 _;z�`Y r 1 ' CROSS ST, /'lMr+'�i_ d: C�'A417'• s �y a 1,�1« REgEIVReady for Inapootion DAjE I S'VJ ED OWNER t.et 1, ►y'' @"`t s Vie' � s `- vj` MAILINDUSTRIAL ADDRESS t. l,`4/'i ,'Pi,"jj7rft J) WASTE APPROVAL `` � a INSPECTION RECORD CITY r?�'_ I=1 A/ TEL.NO,4 ,g f - PLUMBER '% ADDRESS CITY TEL.NO. ❑STATE LICENSE NO. n COUNTY W PERMIT FEES Q v NUMBER TYPE OF FIXTURE OR ITEM FEE ...I CL WATER CLOSET(TOILET) @ 0.80 $ BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOORSINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM..............OUTLETS @ 1.00 WATER HEATER @ 1.00 MISCELLANEOUS F� m' / APPROVALS DATE INSPECTOR'S SIGNATURE UNDERSLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI. GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCCR! E D RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATUREp { , OF PERMITTEE ,i "� -•-•• - - -.....----- FINAL 76A667 DBS 17 1/53 78Aee7{ue17 z-ee G'/TY O T- -1-7 C.T APPLICATION FOR PLUMBING PERMIT COUNTY OF LAS ANGELES DEPARTMENT OF COUNTY ENGINEER JOHN A LAMB E,SAFETY EING�ER ADni�a 4 Garibaldi Ave. COLEMAN W. JENKINS. SUI-•T. OF BUILDING LocAL= Temple City FOR APPLICANT TO FILL IN T C Blvd NUMBER FI?(TURE OR ITEM SACH FSE owlet M. Anderson WATER CI.OM Sim was above BATH TUB 1.25 asov►n 1.26 cmr TEL wo. 286-8169 LAVATORY Im coifTuCTOB W g Graham am 1m ADDnw 9127 E. Las Tunas Drive DMHWARHEE Im an T. C. TEL. xo2 /-+9293 STATELIC LAMORY TUB 1_U LICENSE NO. l� CLASS C3 CLOTHES WAEFIEH 1S5 DISTRICT NO. aR!QUL ZONE [D EY WATER HEATER roplace 130 GAS STRTEx OUTI= Im 11MUSTRIAL WASTE APPROVAL p OUTLETS OVER bPES /78TEM 70 DMPECT70N RECORD C� 0 W Z APPROVALS DATE IN&'[CTOR'S SIGNATURE PERMIT f Y pp UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 315 GAS PIPING 1 H�WRY ACKNOWLCDG[ THAT I HAVE READ THIS APTLIGATIOM GAS VENT AND STAT[ THAT THE A!•OV[ Is CORR*CT AND AGES= TO CONFLY WTTH ALL COUNTY OO DINANCIS AND STAT[ LAWS REGULATING PLUMBING. HOT WATER HEATER I H[1laY CERTIFY THAT I AM PROPERLY R[GIST[1aD ANDJoR PLUMBING FIXTURES LICININD AS R=QUIR>D ■Y LOS ANGLES COUNTY AND /T OF �$TEST U LIFORHIA OR TRAY 1 AM THE LEGAL OWN[R ,AND 1 TO MWID[ IN,THE AMOV[DESCRIBED RESID<NTI P[RTY. UT{CITY CO.NOTIFIED SIGNATURE OF r[RMITT FINAL ATION JACK R. ALLPtr 0". O. CASH SUPERVISING MECHANICAL ENGIR. LA�o1 1 9 2E.- OCT 16 5 D 3.50- s"''v 'Rlc>Rs'o°n"PENSATIbr' DEaARaTlo" C A4 LIGATION FOR PLUMBING PERMIT ,f hlreby dWrm that I have a certificate of consent to self 21)- 0 d DPW 6/87 Insure-, or'a certificate of Workers'Compenyatlon Insurance, 76A867A cr a,certif*copy thereof (See. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Po11cy No9±M-? 3 1Compony IfJkXKctAL. JdublAw7fY #-IS, Certified copy Is hereby furnished. ❑ Certified copy Is filed with the co ty building I FOR APPIJG�tlT TO FI LL IN(PRItNT OR TYPE) AMR t`,4 7 tion department. ITJ FIXTURE OR ITEM 0 FEE LOCALITY C� 7Y 9i;W Date E'K+189 Appli ant WATER CLOSET NEAREST I C>RTIFICATE OF EXEMPTION FR M R1�RS' BATH RJ8 02055 ST- 7 l C044PENSATION INSURANCE FY''I (This section need not be cornpfefed If tlswr e ork involved by S OWNFR �l D the permit Is I"ono hundred dollars(=100)or foss.) LAVATORY AD[ME55 . 1. W . .'R&VA I certify thdt In the performance of the work for which this ) . . NO permit Is Issued, I shall not employ any person In any manner 54 NC CITY TEL to as to become subject to the Workers'Compersotion Laws. DtSHWASI-IER CcNTRACTOR ly ' L Date-1 Arsplicant QOTHESWASI-" NOTICE TO APPLICANT: If, after making this Certificate of A0D55 Exemption, you should become subject to the .Work"' SWVAWNG POOL RECEPTOR 57 Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY TEL tN0. J J � with comply with such provisions or this permit shall be SFU NO 6 8 �� C_ deemed revoked. , WATER HEATER Q LICENSED CONTRACTORS DECLARATION tSTRICT NO. PROCl�9Y I hereby'affirm that I am Ilk»+rMd under provisions of Chapter 9 GASOUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professlonk Code,and my license is In full forte and effect. 3 PER SYSTEM FINAL VALIDATION G_3` DATE License Number�6 6 7 B Llc. Class^ Contractor GU�'IVA� Date +��I6 BY ❑ I am��i f Jl�ef 5e� B.BP.C. for this reason Plan check fee Date: PLUMBIN_G PERMIT ISSUING FEE$ S l g rwtu TOTAL FEE Plan check applicant SINGLE FAMILY 5 HOME OWNER-BUILDER DE¢ARATK3N Nome I hereby affirm that I am exempt from the Contractors License AMM Law for the following reason (Si ction 7031.5, Business and Addfees Professions Cg3307 112.50de): City Tel. No.❑ 1 ITS I, as owner of the property, will do the work and-the shucture Is not Intended dr offered for sale (Section , TO 7D44, Business and Professions Code} I,JT�. 112.50 LONSTRUCTION LENDING AGENCY OECK 112.50 1 hereby affirm that there Is a construction lending agency for CWNE r00 the performance of the work fpr which this permit is Issued (Sec. 3097, Civ_ C.). C' L Lender's Name— ODUO-0 051 16app Lenders Ack ress 3312 1 AM 9134 1 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 repreTentatives of this County to enter upon the Zomentloned'prGlowty for Insiiectlon purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature cparmithm Date ✓..WORKERS,COMPENSATION DECLARATION hirehy affirm that I have 9 certificate of consent to self ��6 D'W 6/87 APPLICATION FOR PLUM�B114G PERMIT Insure; cr'a certificate of Workers'Compensation jnsurance,' 76A867A I or cgcertlfl Copy tfleneof (Sec. 3800, Lab. C.) [."1— ' COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS �J ecy-NoyCt X53 t.rhpuny, 1'KWS-r�L( Y tOJ 5 1. r .3 ( -3 !� ... .'. I .,.1 . 10. Certified copy It hereby furnished. 1❑ BUILDING FOR APPIJCAM TO FILL IN(PRINT OR TYPO' Certified copy is filed with the unty building InsT»c- ADDRESS tion department. NUMBER FIXTURE OR ITEM 0 Fa ' c� LOCIUJTY Date, 4--16- +. App IrWnt WAT1RCLOSET NEAREST CERTIFICATE OF EXEMPTION FROM k10 RS' 3 BAT)i TUB COMPENSATION INSURANCE pyo (This"etll— need not be by I � the permM is for mw hundrreid dollart ($100)or tow.) LAVATORY t certify that In the performahce of the work for which thlt permit is Is4ued, I shall not employ any(xenon In any manner CfTY TEL so ab to become wbject to the V%rkets Compensation Laws. DISHWASHER o0N1RACTM L Dater A—Irmnt / CLOTHES WASHER ADDRESSNOTICE TO APPLICANT: If, after making this Certificate of POOL L or- Exemption, you should become subject to the Workers Compensation provrslons of the Labor Code, you must foah- LAWIN SYSTEM UfY NO. �1 J` with comply with such provisions,or, this permit shall be ATE teemed revoked.. WATER BEATER LK1NSE NO-36"�r& CLASS G` LICENSED CONTRACTORS,DECLARATION ISTRICT td0. ¢Y I hereby affirm that I am 4keo6ed under provisions of Chapter 9 QM SYSTEM OUTLET5 ^6 � d {comnmencing with Section 7000) of Dlvlsfon 3 of the Busirmn OUTLETS OVER and Profs sloes Code,and Ikense Is In full force ardeffett. 5 PER SYSTEM ^'�' FlNAL1/AF.�DATFON � License Num Ic. Class i, DATE CCC Cantroctor Date S�� / BY 0 ❑ 1 am exe p er B.BP.C. for thIi season Plan check fie Date: Z PLUMBING PERMIT ISSUING FIS p Signature � - ' TOTAL FEE SINGLEFAMILY Pion check applicant . OJ IiOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractors Llcecse Addreo AMT.4 Law for the following reason (Section 7031.5, Buslnea and. Professions Cade): City Tel.-No. 33D7 112.50 ❑ I, os owner of the property, wilt do the work and the 1 ITEMS struttUrt is not Intended or offered for sale (Section 7044, Buttness and Profe"lons Code). Tffk- IL 1 50 CONSTRUCTION LENDING AGENCY GECK 112°50 1 hereby affinLn that there Is a construoon lendfnp agency for the performance of fhe,work for which this permit is Issued .00 {Sec. 3047, Clv. C.) 'iender's Name 10100H OO1 5/fur[r7 Lendgri atIAM 9=3+Address that , 3'511 1 I certify that 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 outhoriz& repreTentotives of this County to enter upon the ab-o mentloned property cr Inspection purposes. SEE REVERSE FOR EXPLANATORY Lo►NGUAGE IgnatuM qf Permittee Date 146RKERS'QOMPENSATIbN DATION APPLICATION FOR PLUMBING PERMIT .J"hdreby affirm That L have a certificat4 of consent to self 26-OG28 DPW 6/87 Insure,,o4'a certificate of Worker'Compensation'Jnsurance, 76A887A or a ceritfipd copy thereof (Sec 3800, Lab. C.) G .L COUNTY OF LO$ANGELES bEPT. OF PU$LFC WORKS w '� ) Pollcy'No.,4= ompany IAAU TPA AL Jpb5C&&XTY INS, Cerillted copy Is hereby furnished. ❑ FOR APPILKANr TO FU IN(PRrNT OR TYPE) BUILDING Certified copy Is filed with the co ty building Irnpec- 51-7L tlon department. FIXTURE OR rTEM 0 f$`SLOG4LTf1 / pGy "fPLE 1ZY Date -•f6_� . Apel l4ant WATER QOSET MEARIESr CERTIFICATE OF EXEMPTIpN FROM WO RS' 3 BATH R1B CROSS ST. 4 l.E LV COMPENSATION INSURANCE 5 O'WtB7 D (This section need not be coffW6ts4 If the work Imrohred by MAJI Ow permit Is for one hundred dollah ($100)or low.) LAVATORY NGORESS w!� L I certify that In the performance of.the work for which this pbrmlt Is Issued, I shall not employ any Person In any manner SINK CM'Y TEL �,Z� _ so as to become subject to the Worker Compensation Laws, DISHWASHER Date Arpllcant (3OTHE5 WASE ADDRESS fttLCA— � NOTICE TO APPLICANT: If, after making this Certlflcate of Exemption, ydu should becpme subject to the Wbrkenl SWMWNG POOL RECEPTOR Compensatlbn provisions of the Ldbor Code, you'muss forth- LAWN SPRINICLE1t SYSTEM CITY SO, frNQ"TF— with comply with such provisions or thls permit shall be STATE UC . ! deemed revoked. f WATER HEATERUCENSE110. Am G�3v LICENSED CONTRACTORS DECLARATION F DISTRICT NO- BY I hereby affirm that I am Ilcenled under prgvWons of Chapter 9 1 GAS SYSTEK '¢ OUTLETS (comnenaing with Sectlon 7800) of Divhlon 3 of fhc Business OUTLETS OVER V�n artd Profeslpns Code,'and rry li4ense 1s M full foeeffect. 3 FSYSM FI rA41DATlO License Numbet.-�� 67A , Ice claDA 4/6 �f f I NAL Contractor Date !�— - BY I arrr exe pt r B.BP.C. for this,reason Plan check fee Date. PLUMBING PEPMrr ISSUING FEE S $Ig na to re TOTAL FEE Ptan check appllcan# - - SINGLE FAMILY FIOME OWNER-BUILDER DECLARATION Name I hereby 6fflrm that I am exempt from the Contractor's Llcerge Address Law for the following reason (Sectlon 7081.5, Bvslhes and Professions Code): City T01. N9. 331D7 112■50 ❑ T, as owner-of the property, wlll do the work end ttae 1 .UEMS structure Is not Intended of offered fc{ sale (Section 70 ", Buslneq and Profesions Code). VT/L 112 1d.50 CONSTRUCTION LENDING AGENCY DECK 112.50 1 hereby affirm thgt there Is a consfructloh lending agency for the performancb of the work for which this permit Is Issued awe (Sec. 3097, Civ. C.). .00 Lenders Name 1 J/10I07 Lenders Address; ► 3310 1 AM 9:34 I certify that 1 have read ihls applTcatlon and state that the above Information Is correct.J agree to comply with 611 County ordinances and State laws regulating Plumbl6g, and hereby authorize repreIantatives of this County to enter upon the abo -m entloned'property f Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of ermlttee Date I `1�W° RS' D4 '"°" `'n°N APPLICATION. FOR PLUMBING PERMIT I hereby, rm that I have a certificate of consent to sotf • 20-0026 DPW 6M7' lInsures, o a certificate of Workers' Compensation Insurance, 76A667A or d certtfjed copy thereof (Sec. 3800, Ldb. C.) G/'[_ DEPT. OF PUBLIC WOF SCS rcy No..CM ompany IIIMA4,0w b.budw7Y sic, S�� .q't Certl71ed copy Is hereby fumished. BUILDING - FOR,s,PPiIC/1NT TO RLL IN(PRINT OR TYPE) Certtfled copy Is filed with Acotybuilding Ition deportmenl. NUMBR FIXTURE OR ITEM 0 FE£ LocALrrY WATER a0$ETDate S21L^l�� Appll4ant NEARESTTCERTIFICATE OF O(EMPT)O3 BATH TUB . . COMPENSATION INSURANCE l SJ-IOWER OWNER, 0-a(This section need not be cof bpiefed If the work Imrohrod by the peretlt Is-for one hundredi"lors ($100)or kwm) LAVATORY tin , 1N VALA 'BLY I tertlfy thatI the performance of the work for which this permit 10 issue ' I shall not employ any Person In any manner ar1 Q fQ TEL NO. L-2n b as to become sub(ect to the Workers Compensation Laws. / N"ASHER _4+ L L I(j L Date An Icant _ aOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of ADo SS 631 J Exemption, You should become sublgtt to The Workers' SWVAMINGd POOL f�TOR' r S= CrryTEL tJ0 b d-KO Corhpotsation provisions of the Labot.Codo;you must forth- LAWtySPRIMQER SYSTEM SP !►�o+•�c with comply with such'provisions or this pormlt ,shall be. STATE LK__ deemed#evoked. WATER HEATER Lamm NO. 6 7 CLASS C 3!0 LICENSED CONTRACTORS DECLARATION ICT NO. BY affirm-that hereby athat I arri llcerA d under'provisions of Ckaptor 9 GAS SYSTEM OUTam (commencing wlth Section 7000) of Division 3 of the Business OUTLETS OVER and Profspelons Code,and m Ilcerrae Is fn'full force and effect. 5 PER SYSTEM Y FINAL VALIDA'taON � License Number 04?66 7.g 41, ClassC:�3 5, DATE �y FJ NAL Contractor e n� BY ❑ 1 am exe p under Sec.- 9.&P.C. for this reason Plan chock fee Z Data: PLUMBING PERMIT ISSUING FEE j Signature^ T� TOTAL FEE Plan check applicant SINGLE.FA A I L Y 5 FLOW OWNER-BUILDER DECIARAnQN Name I hereby affirm that J am exempt from the Contractofi Llcer" Address ACCT.0 Law for the following reason (Section 7031.5, Business and Professions Code): Ciy ?el. No. 3307 112.50 ❑ I,, as owner of the property, will,do the werk.6nd the 1 ITEMS structure Is not Intended or offered for sale (Section rryr� 7044, Buss sineand Professlons Code) 112.50 CON$TR UCTI ON LENDING AGENCY GEC 112.50 1 hwebycrffirm'tftat there Is construction lending agency for /��y.�� M the performance of the work for Which this permit is Issued owe 00 (Sec. 3097, Clv. C-). Lender's Name — MOD—W01 5/1&/39 Ldnder's Address 3313 1 {}`, I certify that I have read this application and state that the AM above Information Is correcf. I agree to comply wlth,all County ordinances and State Jaws regulatfng Plumbing, and hereby authorize repretantatives of this County to enter upon the abov entloned property for Inspectlon purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of m ttee Date