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Home My Public Portal About9814 GARIBALDI AVE_Plumbing__ i i APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER No _ BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS I Q.ylJ 4 WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. (a Ide [ s NUMBER FIXTURE OR ITEM EACH FEE OWNER ` I WATER CLOSET $1.25 rt c! MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY TEL. NO. .a— LAVATORY 1.25 CONTRACTOR ja SINK 1.25 ADDRESS i DISHWASHER 1.25 CITY it TEL. NO. 7�'�GO 6 LAUNDRY TUB 1.25 CONTRACTOR �6 �� STATE REGISTRATION NO. 6 COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO WATER HEATER 1.50 GRSJ,{9-�. ZONE P ESSED BY � GAS SYSTEMOUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD m O O u LU B. t!} z AP OVALS DAT INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER BLAH WORK ' ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST - --- CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE D 'RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE ESC RIB FINAL LIDATIUN ROBERT A. WOOD CK. M. J. CASH SUPERVISING MECHANICAL ENG'R ... ,. I{. j' ..�.. ��.. D.B.S.-17 2SM SETS 1I-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ��'�� COUNTY OF LOS ANGELES WM.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO. ROUGH FIXTURES COMPLETE - - -V HEATER CESSPOOL 1-1 SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION GAS MISCELLANEOUS - APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY NAME} JOB E ADDRESS W m ADDRESS LOCALITY NEAREST ILIL CITY TEL.No. CROSS ST. COUNTY CERT.NO. EXPIRES d' NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 ADDRESS NORTH Q CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED q ABOVE. W 3 i OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK a z_ BATH TUB FURNACE [9 IY SHOWER DISHWASHER 0 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I METER_ GAS SODA FOUNTAIN OUTL GAS PIPING GAS VENT I I .'y (� CESSPOOL TOTAL NUMBER OF FIXTURES O` SEPTIC TANK I I LESSPOOI SEPTIC TANK G D SEWER i a�l UTILITY CO.NOTIFIED TOTAL FEE FINAL D.B.S.17 2SM SETS 2-47 APPLICATION FOR PERMIT DFP�LRTMENT OF BUILDING AND SAFETY COUNTY OFLOS ANGELES WM. J. FOX.CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION DISTRICT NO. F PERMIT NO. ROUGH FIXTURES COMPLETE t�) r HEATER CESSPOOL 1-1 SEPTIC TANK RFCEtVfD.BY READY FOR D ISSUE FIRST INSPECTION GAS MISCELLANEOUS ~� E f ') APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY E NAME ,/ ;• - ADDRESS W ® ADDRESS � _ � �'.E� � LOCALITY NEAREST fJi CITY TEL.No. CROSS ST. COUNTY CERT.No. EXPIRES W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL ADDRESS NORTH O CITY �� TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIF GATE OF GUALtFICATION. � � _ PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. 3 Y/ OWNER '1 CORRECTIONS SOUTH J DESCRIPTION OF WORK z BATH TUB FURNACE 6 SHOWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I METER.-GAS SODA FOUNTAIN GAS PIPING ` OUTL GAS VENT I I CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL_-------SEPTIC TANK SEWER I I S UTILITY CO.NOTIFIED I i TOTAL FES FINAL �' WOPrKERS'COMPENSATION DECLARATION 76A667A I hereby affirm that I have a certificate of consent to self ce en (z-s0) APPLICATION FOR PLUMBING PERMIT -` insure, or a certificate of Workers'Com nsation Insurance,or a cert i 'ed op t re f( ec. 3800,L . COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy /Compar i Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING OADDRESS 3 I Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE department. WATER CLOSET LOCALITY ctTliool Date Applicant NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER MAIL (This section need not be completed if the work involved LAVATORY ADDRESS a by the permit is for one hundred dollars ($100) or less.) SINK CITY GlL(TEL.NO.y- �� U I certify that in the performance of the work for which this DISHWASHER tlC permit is issued, I shall not employ any person in any manner CONTRACTOR U 7�;.� O so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADDRESS 1 U Date Applicant w SWIMMING POOL RECEPTOR NOTICE TO APPLICANT: If, after making this Certificate of CITY P&sh tcwd TEL. NO. '[ s Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Compensation provisions of the Labor Code, you must forth- LICENSE NO. CLA with comply with such provisions or this permit shall be WATER HEATER deemed revoked. DISTRICT NO O SSE Y 1 GAS SYSTEM OUTLETS � LICENSED CONTRACTORS DECLARATION OUTLETS OVER v(� �� I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL VALIDATION ness and Professions Code, and my license is in full force and DATE effect. FINAL License Number Lic.Class BY Contractor Date I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE O // Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name 93 1 9, 1 A I hereby affirm that I am exempt from the Contractor's Address # • • • • • 5 License Law for the following reason (Section 7031.5, Busi- City Tel.No. ness and Professions Code): 2 • • 1 Q'0 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project • • • 1 0.000M (Section 7044,Business and Professions Code). 11,2[t -80 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the abo men Toned propey for inspection purp ses. Signature of Permittee Dat COTY OF LOS ANGELES TEMPLE CITY f 0508 � PLUMB 8 PEIsltiT DEPARTMENT OF PUBLIC WORKS i 9071 LAS TAS PL OSOS UN9704160007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAt ID: FEES PAID BUIU ING AMM: TR: 6561 LT: 88 BL: '.DOI , 9614 GARIBALDI AV FEE DESCRIPTION: QUANTITY: L04: AMOUNT: TEMP CA 977801712 NEAREST CROSS STREET: TEMPLE CITY/BALDYIN 5385-027-029 j01 PERMIT ISSUANCE FEE 27.75 THOMAS PABE: 597 GRID: A2 LOCALITY: TEMPLE CITY 1 25 LAVATORIES/SINKS 1.00 FIX 16.35 TEST: TOTAL FEES 44.10ISSUED . PROCESSED BY: PLAN BY: EXPIRES ON: 04/16/97LC 04/16/98 OWNERTEL. NO: FINAL DATE FINAL B MOE: IMRIE'JOSEPH H CO TR.IMRIE FAMILY T (818) 256-847V- 9614 GARIIBBALD AVTEMP 91l. _ DESCRIPTION OF W0R)L DRAIN REPIPE TO KITCHEIi SINK WyEruarrT TEL. NO: MIKE DIAMOND. PLUMBING (310) 838-6197-CONTRACTOR: TEL. NO: I INSPECTOR SiGNATUffr Zi �• SPECIAL CONDITIONS: MIKE DIAMOND PLUMBING, 3108386197 (310) 838-6197- ri 'k 6ER d ° 9405 Y JEFFERSON LIC. NO � L � [� � � SLA13 WORK CLMLVEt CITY CA 399170/C36 i . S1�om p PLASTIC YIN METAL Y/N ARCHITECT OR ENfaINEER: ROUGH PLftINff LIC. NO:, - viii t GAS PiPIWG .`. LAWN FNINKLERS S3sGAS TEST GRAT TER SYSTEM 1 4 REPORT ID: DPR263 ROUTE TO: W50B