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APPLICATION FOR PLUMBING PERMIT 1
DriMON OF BUILDING AND SAFETY
Dep-tment of Coont7 F-gft—
Coamt7 of Los AnQgan E u l LD I N S
JOHN A.LAMBIE. COUNTY NOINF-IrR ADDR[6S
E
CAGSATT 0.GRIFFIN QUr,T OF BUILDINd
LOCALI
FOB APPLICANT TO FILL IN "�g$T
1
OWN DISTRICT NO. G OU ZONE n[ADY FOR INSPECTION
blAIL
ADDRESS
I ND U STR IAL
WAGTKAPPROVAL
PLUNDER ENSP=ON $$CORD
ADD RIGS
CITY TEL N fic0d:2
LICENSE NO. 7 7 SAO �7
NUMNKR TYPX OF rTXTURi OR rr DI F[i
WATER CLOSET (TOILKT) 40 fl.00 s
BATH TUB 9 ql.(>O
GHOYM 01.00
LAVATORY (WADH ENGIN) sl.co
KITCHEN SINK $1.00
DISHWASHER 1.00
LAUNDRY TUE OR TRAY 1pI.00
CL.OTHEG WASHER 41.00
WATER HEATER 1100
GAG SYSTEM/ (s 1.00
APPfiOVAIS
DAT[ INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING a.
TOTAL FEE GAS VENT
1 HEUBY ACRNOWLEDpE THAT 1 HAVI 'kEAD TH111 APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATIER
WITH ALL COUNTY ORDINANCES AND STATE LAWS tiEGULATING
PLUMBING. PLUMBING FIX REE
1 HEREBY CERTIFY THAT 1 AM PROPERLY REbISTERED AND/OR GAB TEST -z I rCo
LICENSED AS REQUIRED BY LOS ANGELES CQUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWhNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL OPER
SIGNATURE
OF PERMI FINAL L Gr-
JOHN A LAMBIE COUNTY ENGINEER vAI.IDA ROBERT A_WOOD, CHIKF PLBG. INGPICTOR
c><. ■.o. cArII
. 3 5 8 1N Da 20 3 2.0 0 in
7eAee7-cE0e1; Io-e� ) .Y (� � •i• " 7���j� - -
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APPLICATION FOR PLUMBING - PERMIT
COUNTY OF LOS ANGEI.ES•
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION n
JOHN A. LAMBIE, COUNTY EwummR
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCAUTT
TemP 1 e City
FOR APPLICANT TO FILL IN R O TYPE MAMT
CROSS ST.
NUMBER FIXTURE OR ITEM EACH PEEK
WATER CLOSET 1.50
owl= George, Granandnc>
K&M
BATH TUB 1.50 ADDEM
SHOVER 1.50 C1TT TEL SC'
LAVATORY 1.5 0 COxTIACTOE
BINK 1.50 )LDDE= 7821 E Clarve Ave
DESHWABHHR 1.50 TEL SO• 8 Q
CLOT#MS WASHER 1,50 STATE LIC
LICEN/E NO. Uqlr, CLASS
BWD041I QG POOL R4C3P-kOR 1.50' DI ICT N GROUP N SY
LAWN SPRE KLK9 8YSTXm 2.00
WATER HEATHR 1-50 Imp
APPROVAL J
GAS 8Y8THl[ OLiTLHTB 1.50 WASTE numgqnom 1ECORD
OUTLETS OVER .30
5 PIER SYSTEM
Plan check fee 2516 of above, See reverser
f PLUMBING PERMIT ISSUING FEE S 2 00 -
TOTAL FEE -
APPROVALS DATE IH/PEGTOIe'■1'1a HATURK—
Plan check applicant UNDER BLAB WORK
Name ROUGH PLUMBING _
Address GAS PIPING
GAS VENT
City. Tel. No. HOT WATEFt HLATIk
I HSRnY ACKNOWLm *
ai THAT 1 KAYE RiAD THIS APLICATION
AND HE STATE THAT T /JOVE in COMPNCT AND AGMM TO COMPLY PLUMBING FIXTURES- - -
WITH AL1, COUNTY ORDIMANCZ/ AND STATE LAW/ REOULATIN• GAS TEST
PWM■IN/.
1 HIlQ17 CLRTIFY THAT I AM PROPERLY IQaI/rElem AND/ore UTILITY CO.NOTIFIED
LICLf/m A/ IRQU11® LW A►1aiL[/ COUNTY AND STATE Of
CALIFORNIA OR THAT 1 THE LEGAL OWNtR AND IIT KND TOej
ea/IOE IN THE"OVE IVIED eSi/ID[MIA ATS' FINAL
•13NATUR[ JACK R. ALLEN, SU PERVIeINO HANICAL ¢NO'R.
R
OF P[ MITTi[
PERhffr VALK)ATION CK. M.0. CASH
PIAN CHECf V_'/kMA110N CK. M.O. CASH
LALOV234 5 8 � MAY 8 5 D 3.50- Q
' 7&^'97 D617 7-51 APPLICATION FOR PE UGT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX. DHIEF [}IMINE[R PLUMBING -1
FOR APPLICANT TO FILL IN DISTRICT N13. GROUP ZONE PERMIT NEI.
-4 � � /'/-%'
1 ,� /, y2,3
PLUMMERAl�r—
KrVKD MY READY FDR DATE ISSUtD
Fl REIT INeP[OT10N
ADDR
■UILDINM
DITY l y TIL HD. /C ADDRON r .�
DDUNTY � / / !IR" j—3�� Gr. C! f
O+ AD C �n1,.� MY f^e-
PER�IIT FEES OROGNI�r.
MUMSCJi TVT[OF FTXTlIIIi OA TQI FIE
OWNERMAIL
WATER MONET(TOILK-0 • 0.60 10 ADDREES
■ATH TLIB 4 0.60 DITY TIL. No.
6HOW[R 4 0.60 I HWqRNL13Y A13KNOWLrDME THAT I HAV[ READ THIN
[KITOHEN
AVATORY (WANH SALIN) 0 0.60 APPLIDAT1ON AND STATE THAT THE ABOVE IS CORREOT
AND AMRQ TD OOMPLY WITH ALL OOUNTY ORDINAHOEs
■INK a 0.613 AND STATE LAWO RMLIL.ATINM PLUMBING.
1OERTIFY THAT I POSSUM THE ABOVE VAUD LDS
AUNDRY TU6 OR TRAY a 0.60 ANMEL.C1iOOUNTY u SE. OR I AM THE LE [R
AS 8V K UTLITS Q 0.60 NI NAT REBID[ Or[ IS[D
WATIR HEATER 0.60 ■IMN � O
0LO-P BINK Q 0.SO INSPECTION RECORD
FLOOR ■INK a 0.60
FLOOR DRAIN 0 0.60
DIOHWASHER 41 D.S13
DRINKIN13 FDUKTAIN 0 0.60
URINAL 0 0.80
HOUSE SIWQi 40 O.SO Z
M16OL U "[OLIS
(Y
0
APPROVALS
DATE Iraoprml3" lb1M1C
ROUSH PLUMSINO
MAP rIPINM
a" VENT
O[SSPOOL 1;00 OEMPOOL
SirTl O TAN K7 ■EFT7 O TANK
DRAIN PIT ( 1.00 SEWt7!
PECRMIT171
CET MAIM TT
• r'd
TOTAL FEE uT1uTY co.NOTIFIED
*�
F I HAL
ION
OM
"`°` 8�" 'oate°SATtto °P`"°/(° APPLICATION FOR PLUMBING PERMIT
I hereby affirm that I have a certffloate of convent to self Insure,
or a certfflcate of Worker's Compensation Insurance, or a certlfled
oopy thereof(Sec.3800 Lab.C.)
COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV.
Policy No Company
❑ Cartmed copy Is hereby furnished. FOR APPLtcawr To Fel (PLANT OR TYPq BUADo Ns�s� Yy
F] Certified!copy a 111ad with the county branding tnapoot,er,
dep.rtrr»nL NUMBER FI)(TURE OR ITEM • FEE LOCALITY f
Date ANM WATER CLOSET NEAREST
ATE OF EXEMPTION FROM WORKER CR(M ST.
BATT+Tire
COMPENSATION INSURANCE IASSESBOR
(rhla sectlon need not be oompleted tf the work Involved by the SHOWER MAP BOOK PAGE PARCEL
permit 1•for on*hundred dollars($100)or Isla.) OWNER
I oarlfy that In the performance of the work for which this permit' LAVATORY
is Issued, I shall not employ any person In any manner so as toMArl-
gp ADORERS �3 3
beoorne subject to the Worker'Compensatlon Laws.
DISWASFIER GTY No. .y!
Date APP u CLOS WASHER CONTRACTOR
NOTICE TO APPLICANT: If, after making this Certificate of
Exsmptfon,you should become sub)ect to the Workers'Compenaarion SVMh(M POOL REC�
provisions of the Labor Code, you must forthwith comply with such
provisions or this parmh shall be deemed revoked. LAWN SPRINKLER SYSTEM
LICENJ CONTRACTORS DECLARATION Crry TEL NO. a
I hereby affirm that I am licensed under provisions of Chapter 9 WATER FE6TER
(commencing whh Section 7000) of DtvWon 3 of the Business and STATE LIC. O
G'.8 SYSTEM OUTLETS LICANO. CLASS
Profsssbns Code,and my DDanse is In full force and effect. (-
5 PER SYSTEM 7Z7�� Q
License Number uoa clave
s TE VALIDATION W
Cont'sctor Dote cn
❑ I am exempt under Sea TAL
Z
B.aP.C.for tri,reason
oarx Plan check fee '
PLUMBING PERMIT ISSUING FEE$ Q
❑ TOTAL FEE
J
Plan Check appii'-M `
SMILE FAMILY ACCT.*
HOME OWNER-BUILDER DEC-ARATION Nemo
I hereby affirm that I am exempt from the Contractors Lloenae Law
for the following reason (Seotlon 7031.5, Busln&w and Professions Address
Coda): 1 ITEM' Tel.No.
F-1 1,as owner of the property,will do the work anCityd the structure TOTAL 4- 1� 85
Is not Intended or offered for sale (Seotlon 7044, Buslneea i
and Profession Code). , ��{yy���,yy��i 1•{
CON8TRUCTION LENDING AGENCY tr7�r ■u-)
I hereby affirm that there Is a construction lending agency for the
performance of the work for which this permh to Issued (Sea. 3097,
ctv.C.) lei 9/23/9-3
Indere Name 1 1 Ali 9:Z{
Lsrxiers Address
I ca"that I have reed this application and state that the above ►
Information Is ooreot. I agree to comply wkh all County ordinaraae
and State laws regulating Plumbing, and hereby authorize
repreeentativev of this County to enter upon the above-mentlooned
p �Pu - - � - � 7^/� SEE REVERSE FOR EI01nJJiATORY LANfi1.lAQE
SIgnatUre of Perm)ttee Date)
COUNTY OF LOS ANGELES TrEXPLR CITY # 0508 PLAIB IHO PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TONAS PL 0508' 1112070037
BUIIaIW AND SAFETY / LAND DEVELOPME4T T KPLE CITY CA 91780
PRONE: (626) 285-0488 ETT:
LJEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 9538 GIDLEY 9T
FEE DE9CRIPTION: QUANTITY: DOM: Aloj=: T12-EP CA 917804213 _
AS8FS9OR 13FORMATION NUMBER: NEAREST CROSS STREET:
8592-004-843 01 PERMTT ISSUANCE FEE 27.80 TNOP01.9 PMS: 597 GRID: A5 LOCALIT'Y: TEMPLE CTTY, C
25 LAVATORT&S/SINKS 2.00 FII 32.50
TENAAST: 45 WATER CLOSET/URINAL 2.00 FII 32.50 ISSUED ON: PROCESSID BY: PLAN BY:
BEYOND BODY SHOP - TOTAL FEES 92.80 12/07/11. SR
OSINER: TEL. NO- FINAL FPULL BY: CODE:
RFTE CHLRT, AMIR
9538 GII)LEY STREET X11
TEMPLE CITY CA 91780 D&CRIPTION OF STORE
TENAffT IMPROVEMENT PLUMBING
APPLICANT: TEL. NO.
ZHU, BENJAMIN (626) 203-9639-
SPECIAL CONDITIONS:
CONTRACTOR: - TEL. NO: APPfjOVAL9 DATE IM PECTOR SIGNATURE
HUM ER CONSTRUCTIOiN INC. (626) 357-1600-
5441 COGSWELL ROAD #E LIC. NO UNDER SLAB WORK
ARCADIA, CA 91006 824226 B
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR E INFER: TEL. NO:
BY DE9IGN GROUP (626) 294-9638- ROUGH PDOMING
111 S WALNUT GROVE AVENUE LSC. Nu:
SUITE 201 35693 GAS PIPING
SAN GABRIEL, CA.91776
GAS VENT
HOT WATER FIEATER
PLU?4BINO FIXTUR&S
.. LAWN S Pc nUMZF'R.S
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY SISTER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508