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HomeMy Public PortalAbout5524 HALLOWELL AVE_Plumbing__ DBS-17 :., APP L:ICA FO IVG PERMIT .1 DBS-167 OF BUILDING AND,.SAFETY. Department-of•'County Engineer County of Los,Angeles Ao LDING RESS rJ 24 Z10w �� JOHN A. LAMBIE. COUNTY ENGINEEF2 CASSATT D.GRIFFIN,SUPT OF BUILDING Arcadia LOCALITY FOR APPLICANT TO FILL IN p NEAREST CROSS ST. Live Oak Avea Dain OWNER DISTRICT NO. �•G�tPj.l ZONE I READY FOR INSPECTION MAIL ADDRESS 524 H BP A5fv7 INDUSRIAL CITY Arcadi TEL. NO. GT 42866 WA TE APPROVAL PLUMBER Sanset Pools —,47 INSPECTION RECORD_; ADDRESS 4063 Radford StudioCity CITY TEL. NOF O 39184 p � o LICENSE NO. 144380 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER - @ $1.00 - LAVATORY (WASH BASIN) @ $1,00 ' KITCHEN SINK @ $1.00 DISHWASHER @-$1.00 LAUNDRY TUB OR TRAY - @ $1.00 CLOTHES WASHER - @ $1.00 WATER HEATER @ $1.00 GAS SYST M @ $1.00 APPROVALS • DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK - ROUGH PLUMBING > � PERMIT $ 1 00 ,`'f - } GAS PIPING r' TOTAL FEE p GAS VENT 1 HEREBY ACKNOWLEDGE THAT-I HAVE READ-THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1� I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES-COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OW ER-OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDE R1?r+ERToO SIGNATURE GG vv - OF PERMITTEE FINAL JOHN A. LAMBIE, COUNTY ENGINEER V V LIDATION ROBERT A.WOOD. CHIEF PLBG. INSPECTOR 0. CASH E 4C�9 6. 6 3 . JUU 26 3 -2 .00 " .;,WORKERS: COMPENSATION DECLARATION ,t -APPLICATION FOR PL.UMBIN•G,.PERMIT'', " 20-0026 DPW•4/87 1 hereby, tafflrm,thdt I have a certificate of consent to self in-: j6A667A sure;o"r a certificate of Woikers'Compensation`Insurance,ora -CE 877(REV•6%86)• { certified copy,thereof (Ser,3800;,Lab'C )•' COUNTY OF LOS'ANGELES, DEPT. OF:PUBLIC WORKSti, yPolicy No, Compan _ Y' �• . Certified copy is hereby furnished I t, ° - -,FOR APPLICANT TO FILL IN`(PRINT OR TYPE)' `BUILDING !� Certified eopyls filed with the�county•building inspection. ;ADDRESS;�`5� deparime'r tS NUMBER_ - 'FIXT,URE OR ITEM „FEE r, LOCALITY s, 'WATER,CLOSET,(TOILET)' s.e•, ? ' Date Applicant � NEAREST. CERTIFICATE OF EXEMRfO PTIONtFM WORKERS'' BATH TUB,' _ CROSS;Sf COMPENSQTION;INSURANCE r. •L,. ` SHOWER OWNER s _ ' '(This.section;need not be completed if the work'involved by e ": MAIL the•perrnit'is.for one,h'undred dollars ($100)or less.)"• LAVATORY ADDRESS I certify;tl at.iri`the performance of;tfie'wock;for.which'tfiis per mit is issued, I shal"noi.employ any person"•,m any manner so _ SINK CITY TEL°NO 6s to become aublect,tb n"s the Workers'Gompedtion Laws`" _ DISHWASHER - - �t,; CONTRACTOR Datei +_•• APPlicant -+ '. CLOTHES WASHER t r• ADDRESS:,LfL v NOTICE�TO APPLICANT: If, after•making this.Certificate,of'Ex-: ' SWIMMING POOL RECEPTOR` emptlon,you should become subject to-the Workers'Compen, CITY ;TEi s'ation provisions of'ihe'Labor Code, you mu'f:forthwith comp-_ LAWN SPRINKLER SYSTEM'; lywvith''-such"provisions:or this permrt'shall.be,deemed.revok-• ' STA 'LIC Z O t - ed. x t ' WATER HEATER , - _ LICENSE NO ' h, CLASS LIG_EN_ SED'CONTRACTORS DECLARATION " DISTRICT NO SSED'B;• _ GAS SYSTEM / OUTLETS- - I hereby affirm that`I am licensed under:provisionstdf Chapter ` -9(commencing with Section 7000)'of Dimsibn 3 of ihe'Business OUTLETS OVER " +•, '�" fed•Professions Code„and'my'license is in full force and,ef- 5 PER'SYSTEM FINAL (J _.�/'' VALIDATION d c' e � ��ct DATE-- O Li Brise Numb 2 Lic:'Claes_' ,z /' q FINAL' Contrae L' :D6teD •��©�_/ ,. BY 0 I am•exempt'und'er Sec. B &P C`for this reason ► N - '•r PIa'n check fee.: Date PLUMBING PERMIT ISSUING,FEE$• ?J 0.Signaturea- s- n� TOTAL, SINGLE-,FAMILY s.. ' ;HOME OWNER-BUILDERDECL'ARAT.ION ' Plan check applicant I hereby,affirm that,l.am,exempffrom fh'e Contractor's License Name ' ["-for the•following_'reason,(Section 7031 5, Business and ' ' Y = ah3't a`y2 `.s'i PPofessions.Gode) : Ad'dress' j I;•as owner 'of'the'property,'will"do•fRe'work ar d the ' City ' "s' {: '.. Tel No 2! �:Ir,; - ,-b structure is not intend`ed,or offered for sale,(Sechon/U44, r. x - • TOTAL I- ��®. - Bus)ness'arid'P-rofess,onslCode) ' 'CONSTRUCTION LENDING AGENCY, I hereby affirm:fhat there;is1o'cbnstruction lend mg agency for the performarice of,the work'for;which'this permit is issued • ,s,• „ r,y� L, r; (S`ec'r 3097,.Civ'C.)' ,; �?cp Lerider's Name L'ender�s-Address' - ' ' }+. I certify -thot.,l"have�,read this applieatron;'and•state that the, F' t• y; ; above information is correct I agree to camply'with all County r'' ordmonces and State laws regulating,Pluinb'irig, and hereby K - - • ui ; '�' aufhorize're resentatrves of this Count to enter-upon on the above-mint rep property for inspection purposes p e SEE REVERSE-FOR EXPLANATORY LANGUAGE ignature of Permittee 4 • Date e COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0205080023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 12392 LT: 11 5524 HALLOWELL AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ARCD CA 910078417 ASSESSOR INFORMATIO NUMBER: NEAREST CROSS STREET: LIVE OAK 8586-013-017 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PAN BY: EXPIRES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 05/08/02 JK 11/04/02 TOTAL FEES 76.35 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: RULON MARGARET R TR (626) 442-5628- O L �c7 5524 HALLOWELL AV ARCD 910078417 DESCRIPTION OF WOR BATHROOM ADDITION APPLICANT: TEL. 0: R J A DESIGN (626) 339-4655- 1144 N EDENFIELD AVE SPECIAL CONDITIONS: COVINA 91722 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE ALL TRADES CONSTRUCTION (626) 286-0087- 5812 TEMPLE CITY BLVD #208 LIC. NOUNDER SLAB WORK TEMPLE CITY, CA 91780 705760 B �� - WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITE T OR ENGINEER: TEL. NO: -- � ROUGH PLUMBING LIC. N0: GAS PIPING WATERGAS VENT HOT HEATER PLUMBING FIXTURES 4 - �'- LAWN SPRINKLERS A UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508