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Home My Public Portal About9564-66 GARIBALDI AVE_Plumbing__ 7aAM7-C=7-II-V APPLICATION FOR PLUMBI G PERMIT 1 COUNTY OF LOS ANGELES DEPARThUM OF COUNTY ENGD� BUILDING SAFETY DIVIffiON ytru.m C�Tr D. �°o�tTtTari � r oc,ttzrr Temple City FOR APPLICANT TO FILL IN MFAHM NUMBER FIXTURS:OR ITHAI 2 Wiffi cLowr owmm xAIL yay"TUB ADDHFN SBX)WEY CETT 7m. X0. LAVATOHT coNmacTOR Joseph Cadilli P3.bg, Co DI2UWAISEM crff S TEIL No, LAST Toa Bsaram77oa as 134935 C-36 COUNTY CLOS WABSEH DI ICT >'R.IIirl[c71o. #ASIS EM&TM Nae MEEK 2MUBTRUL WAM APPROVAL oa t WI; / O I<1-OD PII mma DATE 1MBPECTOR'S SIGRATUBE 115 on ' 15.00 UNDER SLAB WORK PERMIT S ROUGH PLUMBING n TOTAL FEE I 17J00 GAB PIPING 2 - -�• I HEREBT ACKNOWLEDGE TRAt 1 HAVE READ TjnS APPLICATION GAS v>SM y AND STATE TEAT THE ABOVE ?¢ CORRECT AND 110 TO COIPLT HOT WATER HBAT6R WITH AJ,L COUNTT ORDINANCES AND STATE LAWS REGULATING LDISCRIBIED BING. OLUMBING P`IXTUMW EREBY CERTIFY 'fH�1T I Al PROPH LT REGISTERED AND/OR GAS T7Ea . SED AS YEpUIY M $T LOS ANGELES COURTT AND STATE OF ORAIA OR THAT I THE LEGAL OWRE!? 7fiE ABOVE UTILITY Ctl.NOTIFIED RESIDENTIAL ATUREFINALP1sR)i -3 ROBERTA.WOOD. \ VALIDATION 5UPER)nSING MEcHANfcAL F—mrm ■.o_ Cara l�7` '� _ 7, 5 5 D -WOMOERS'COMPENSATION DECLARP'1ON APPLICATION FOR PLUMBING PERMIT I hereby off lrm that I have a certtftcate o� 'consent to self 20-0028 DPW,3/87 'Insure, or a certificate of Workers'Compensation Insurance, 76AB67A or a certified copy thereof (Sec. 3800, Lob. C ) COUNTY QF LOS ANGELES DEPT.OF PUBLIC WORKS Policy NoL6�'�Compony/Tt&,Zdk r Certified copy is hereby furnished. FOR APPLICJINTTO ALL IN(PR1Nf OR TYPE) ADDRESS tion department.fld copy Is filed with the county bullding Irnped NL mM a FIXTURE OR ITEM Q FEE tion department. LbCALfrY r DateAppllypn A'azig WATER CLOSET D ! CERTIFKATE OF EXENIPT1pN FROM WORSRi� ' BATH TUB' ' •✓C� COMPENSATION INSURANCE SHOWS CP lNER y ��✓ r �� lA�� Mtn soman.•.� *-d rW be coesplet*d IF the work I..va d by /s / thl.petm#t Is for one hundred dollars ($700)or less.) LAVAL RY -ADDRESS 411fCDel �' !�/�✓ Pyr I certify'6dt In the performance of the work for which this �, " � permit Is Issued, I shall not employ any Person In any monner C1TY44 /Af g/7/ TTEL, -�yv 467 to as to become subject to the Workers Compertsatlon Lawn Datr DISHWASHER CONTRACTOR 1— F aOT� WAcanD 41n --::FAmoss �� . � c�!�7 NOTICE TO APRLPC NT: If, after making this Certificate of SWIMMING POOL RECTOR Exemptloo, you should become wbject to the Workers' Pn Cie ' A /Q / `3 / Compensatloo provisions of the Labor Code, you must forth- LAWN SPRINIQHt SYSTEM J ��7 El'!� +o with Comply with such provisions or this permit "ll be STATE �p p UC,. deemed revoked. 'NATER HEATER Lt� PCLIAMh LICENSED CONTRACTORS DECLARATION DMTRICT NO. PROCESSED B I hereby affirm that I amIk sed under proVlslons-of Cho pter 0 GAS SYSTEM OUTLETS (4ommerx1ng With Section 7000) of DU+lsloh 3 of.the-Business OUTLETS OVER d and Prbf*Worn Cods,aro my Jtoense Is in full fora 4nd effect. s PER SYSTEh4 FINAL bATE r V8LID/4TFOK � License Number /�fLlc. Class t� /�) FIW f Contractor 4- " �. T Dote BY y. ❑ I am'sxempt under Sec., B.BP.C,for this reason Plan check fee. PLUMBING PERMrr ISSUING FEE$ Signature TOTAL F�EE Plan check applicant SINGLE FAMILY - HOME OWNER-BUILDER DECLARATION Name - I hereby affirm that I am exempt from the Cohtractors Llcewe h�'T•T Law for the following reason (Sectlon.7031.5, Buslness and Addfep � -Profealorts Code): � City. - Tel. No. ❑ I, as owner of the property, wIII do the work and the 1 ITEM structure Is not Intended or offered for sale (Sectionlop, . -- TOTAL 40 —20 704", Business and Profeuiohs Code). coNSTRUCfION LENDING AGENCY 410s20 I hereby affirm that there Is a construction lending agency for M ' .00 the performance of the work for which this permit Is Issued (Sec. 3097, Clv. C.� Lenders Name IM-00GI 8/30/917 Lender's Address _.. 1444 1 Ali 9:56 1 tertlfy that I have road this application and state that the ► above Information Is correct. I agree to comply with all County ordinances and State tows regulating Plumbing, and hereby puthorl pre�entatives of this County to enter upon the abo me Ion property for rnspectlon purposes. �� SEE REVERSE FOR EXPLANATORY LANGUAGE SI)rMq;T19of 4rmittee Date COQNTY OF LOS ANGElaS T)G`LR CITY ff 0508 PLUMIM PERM= DEPART715ENT OF PUBLIC WORKS 9701 LJLS TUNS PL 0508 1211060001 BUILDING AND SAFETY / LAND DEVELOPMENT TZPaYLE CITY CA 91780 PHONE: (626) 285-0488 ETT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 210 9564 -66 GARI&ALDI AV FEE DESCRIPTION: QUANTITY: UCH: AMOUNT: Tfi34P CA 917802060 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREgT: 5385-013-001 01 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C 21 HOSE BIBB(S) 1.00 FIS 16.20' TENANT: TOTAL FEES 44.00 ISSUED ON: PROCFSSED BY: PLAN BY: 11/06/12 SR OWSER: TEL. NO: FINAL DATE FINAL BY: CODE: LAM, STEVEN (626) 278-5788- 6057 TT3fII7 u CTTY BL TEMPLE CITY CA 91780 DESCRIPTION OF WORK INSTALL (1) HOSE BIBB APPLICANT: TEL. NO: L" STEVEN (626) 278-5788- 6057 TEMPLE CITY BL SPECIAL CONDITIONS: TEMPLE CITY CA 91780 COItTRACTOR: TEL. NO: APPROVALS DATE INSPECLUR SIGNATURE MODERN CONSTRUCTION G DEVELOPMENT (626) 278-5788- , 1908 DOR= AVENUE #A LIC. NO UNDER SLAB WORK SOUTH EL MONTE CA 91733 544090 WATER SERVICE PLASTIC 7/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: - - ROUGH PLUMB IIdG LIC. NO: GAS PIPING GAS VENT HOT WATER HEATHY PLUMBING FIXTURES LAWN SPR-TN[LJQ GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPP-263 ROUTE TO: BS0508 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0505 9912170007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 E)(T: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 210 9564 GARIBALDI AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802060 NEAREST CROSS STREET: TEMPLE CITY BLVD. 5385-013-001 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TOTAL FEES 43.95 ON: 12/17/99 UT /00 i WANG KO MING;YU YING (909) 621-9402- 304 GEORGETpWN ST CLMT 917111985 DESCRIPTION OW W06M INSTALL NEW GAS PIPE FROM THE G METER APPLICANT: TEL. NO: DZEN-KUO PAN (626) 284-5721- 1604 S. MONTEREY ST. SPECIAL CONDITIONS: ALHAFBRA, CA 91801 CONTRACTOR: TEL. NO: --7 1110 5 NGELES CO APPROVALS DATE INSP DoKUO PAH (626) 284-5721-i 160h MONTEREY ST LIC. NO ALHAMBRA CA 91801 518456 C36 PLASTIC YIN METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: rMING LIC. N GAS P WING llllll GAS VIENT U E'0�5)L C W G K 2 HOT 4RItK Ht:AII:X PL ES LAWN JEMNICLERS ❑ GAS T EST _ .o4b,'c 0 Ser vice i • I i • REPORT ID: DPR263 ROUTE TO: BS0508