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Home My Public Portal About5932 HART AVE_Plumbing__ 7enee7 17 13-60 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMENIVp I WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. PLUMBER � H g r&R M'q.A o RECE.11.D BY READY FOR DATE ISSUE FIRST INSPECTION ADDRESS l _.,Q. W -11 .. _ ry 9y BUILDING ADDRESS /v H. r CITY L 1 �� C) TEL. NO. ��/- I J /ry� ��• y i� COUNTY �i; LOCALITY / LICENSE NO.Z tf l'1 6C EXPIRES 4 4 L1 NEAREST / / � / lAj PERMIT FEES CROSS ST. [ a /17 /� c�c�/� NUMBER ,TYPE OF FIXTURE OR ITEM FEE OWNER A A 0[.f 1 MAIL WATER CLOSET (TOILET) @ 0.50 $ ADDRESS BATH TUB @ 0.50 I I CITY TEL. NO. SHOWER @ 0.5011 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAVATORY (WASH BASIN) @ 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. LAUNDRY TUB OR TRAY @ O.50 I AN1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS ANGELES COUNTY LICENSE, OR 1EAM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DSCRIBED ABOVE. ' GAS SYSTEM OUTLETS @ 0.501 SIGNATURE OF � ^ / I WATER HEATER @ 0.50 I PERMITTER DA 1 _J SLOP SINK @ 0.501 INSPECTION RECORD FLOOR SINK @ 0.501 lS aib FLOOR DRAIN @ 0.501 IDISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.501 1 J HOUSESEWER @ 0.501 1 z MISCELLANEOUS - n�A !c Y,�f r S-� �.... 0 Rvr- 11 12-r- !fi r tf I� I I APPROVALS DATE INSPECTOR'S NAME 1 ROUGH PLUMBING 1 I GAS PIPING GAS VENT CESSPOOL @ 1.00 I CESSPOOL SEPTIC TANK: I SEPTIC TANK 1 DRAIN ( ) PIT ( ) @ 1.001 I SEWER PERMIT . . I 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE I $ �( _� ® FINAL 9HA8e7 17 5-50 i® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES P IRL O I WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT-NO.O. GROUP ZONE PERMIT NO. PLUMBER a2—�'.-�L-�!X..�" -r w BY READY FOR DAT ISSUED " _ p,,.e � FIRST INSPECTION � ` n I ADDRESS - - - - -- - 7" BUILDING CITY',v. `8, p p'.' .{'•1' TEL. NO�:-y - `�;,:i�Y � ADDRESS /""� �® Df',=-l•:�/�j -> COUNTY fid W LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS.ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) C 0.50.1 S I ADDRESS BATHTUB 0.50 I CITY TEL. NO. SHOWER 0.501 I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS J LAVATORY (WASH BASIN) @ 0.50 I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @a 0.501 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q 0.501 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 9� GAS SYSTEM OUTLETS [moi O.50 I SIGNATURE OF l•�/l� WATER HEATER @ 0.501 PERMITTEEf � J f- SLOPSINK 0.501 1 INSPECTION RECORD FLOOR SINK Cil 0.50 I " FLOOR DRAIN [Qi 0.501 IDISHWASHER (a 0.501 DRINKING FOUNTAIN tt 0.501 I URINAL n 0.501 J ' Z I HOUSE SEWER cQ O.50 I m I MISCELLANEOUS I� O I 1 I I 1 APPROVALS 1 DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING _ GAS VENT CESSPOOL C 1.001 CESSPOOL _ 1 SEPTIC TANK: I� SEPTIC.TANK II j .I DRAIN ( ) PIT ( ) a 1.001 1 SEWER —(3�S PERMIT I 1.00 GAS TEST ' TOTAL FEE UTILITY CO. NOTIFIED I S FINAL I Z�l� 571v✓V , 76A667 1'4�11-a9 APPLICATION FOR PERMIT V EPARTM.ENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN 019TRICT NO. GRUPI ZO P 1 /( • l� C� PLUMBER' Belvedere Plumbing RECEIVED BY READYi FOR' I DATE ISSUED FIRST INSPECTION // /� ADDRESS 136 So. Palm Ave, BUILDING 326�No Hart Avenue CITY Alhambra TEL. NoAT 9-5025 ADDRESS COUNTY LOCALITY Temple City LICENSE NO. EXPIRES NEAREST . .Garibaldi Ave. PERMIT FEES D �p NUMBER TYPE OF FIXTURE OR ITEM FEE * OWNER R. & A. Mey,j.ZZana I.r lIo MAIL WATER CLOSET(TOILET) @ 0.50 $. 50 ADDRESS 330 NO Hart AVe. BATH TUB @ 0.50 ( 50 CITY Temple City. TEL. NO. 1, SHOWER @ 0.50 5OI HEREBY,ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.501 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 I 50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY .THAT I POSSESS THE ABOVE VALID LOS I LAUNDRY TUB' OR TRAY @ 0.50 I ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP FY DESCRIS ABOVE. GAS SYSTE-4-_OUTLETS @ 0.50 1 SIGNATURE OF I WATER HEATER @ 0.50 PERMITTEE i SLOP SINK @ o.sD I(� INSPECTION RECORD FLOOR SINK @ 0.501 FLOOR DRAIN @ O.SO DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.50 I URINAL @ 0.50 I_ Z-g- I (OSA-Jyt� F/1,(M-L l°L-8 6— Q HOUSE SEWER @ 0.501 ® f� 1V P-7 (n/ (I- 7_V a z (MISCELLANEOUSI .I EU A"s -r'r Lt__ —I Da' W /7L.li A. jI'M 7- r's�X111 APPROVALS } DATE IN/SPECTOR'S. NAME ROUGH PLUMBING' GAS PIPING II GAS VENT CESSPOOL @ 1.,00 CESSPOOL - SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT . . . . . . 1 1.00 GAS TES ,c• T/' • - UTILITY CO:NOTIFIED ' TOTAL FEE �;SYo 00. 11 FINAL 76A6B7 *7 9-49 ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES L i : WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NCO. GROi P ZPERMIT 2O._ " PLUMBERS RECEIVED BY READY FOR l DATE ISSUED FIRSTINSPECTION r V. v _ ADDRESS �� q BUILDING Ale" CITY -8 TEL. NO. ADDRESS , o ,llA.,/A COUNTY LOCALITY A-1 JC.id. -PA LICENSE NO. EXPIRES - NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 211,1, / MAIL I WATER CLOSET (TOILET) I I ADDRESSp � � A BATH TUB @ 0.501 I CITY G / r TEL. NO. v ISHOWER a 0.501 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS _LAVATORY (WASH BASIN) a 0.501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @a 0.50 I STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 I ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS a 0.501 SIGNATURE OF Al [' WATER HEATER @ 0.50 IPERMITTEE `-A! } I SLOP SINK t@ 0.501 INSPECTION RECORD _.� FLOOR SINK a 0.50 1 , FLOOR DRAIN 0.501 IDISHWASHER 0.501 _ DRINKING FOUNTAIN a 0.50 IURINAL Q 0.501 HOUSE SEW ER @ 0.50I I Z MISCELLANEOUS CS' l/CrD �.G•��.� � i I _ E2th o I I -I 1 APPROVALS I ' � 1 DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING, GAS VENT 1 CESSPOOL 1.00 1 I CESSPOOL {{ —� M 141 SEPTIC TANK: 1 I SEPTIC TANK I I I' DRAIN ( ) PIT ( ) , Q 1.00 I SEWER PERMIT . . I 1.00 GAS TEST " i� UTILITY CO. NOTIFIED I TOTAL FEE A I yam' C FINAL J WORKERS'COMPENSATION DECLARATION /p1 PPUCAMH FOR PLUM p MG PERMS` I hereb*ffirm that I have a certificate of consent to self 76A667A PERM 57 or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- ADDRESS i tion department. ` NUMBER FIXTURE OR ITEM rOr FEE LOCALITY WATER CLOSET Date �J Applicant NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCEOWNER a�� , SHOWER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRE 92-2- I —Z1 certify that in the performance of the work for which this TEL. SINK CITY permit is issued, I shall not employ any person in any.manner �- so as to become subject to the Workers Compensation Laws. DISHWASHER CONTRACT Date Applicant CLOTHES WASHER ADDRESS �A// NOTICE TO APPLICANT: If, after making this Certificate of Ale Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITY mo�ii-- Q TEL. NO� r'�/! Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM v� with comply with such provisions or this permit shall be STATE LIC. }� _�, deemed revoked. WATER HEATER LICENSE NO. CLASS "+ LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter.9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL Q6G DATE — VALIDATION License Nu be r„ 7 j 24 Lic. Class��°�� f� C—, FINAL i Contracto evs BY p I am exempt under Sec. � B.BP.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING'FEE$ Signature TOTAL FEE Q Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section ' 7044, Business and Professions Code). D # o o 0 o - 5 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for ) o+- 1,650 the performance of the work for which this permit is issued (Sec. 3097, Civ. C'.•). o ono 1•(.5 0,x0 Lender's Name I Z 3.1 —8 5 Lender's Address I certify that I have read this application and state that the D above information i correct. I a e to comply with all County ordinances and S to laws re acing Plumbing, and hereby au ize repreontatives Whis County to enter upon the a ove-mentio oper f r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature f Per tt a94t.