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Home My Public Portal About6013 HART AVE_Plumbing__ 76AG67-CE#817 4-64 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION °BUILDING ADDRESS 60 3 W, I-ti R PL-T JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING ' LOCALITY �nrl i'?`,(? C FOR APPLICANT TO FILL IN CROSS ST . (T R h`l 9 VA(_ 1 NUMBER FIXTURE OR ITEM EACH FEE OWNER � WATER CLOSET $1.25 MAIL n �+ BATH TUB 1.25 ADDRESS Q I. N H R I -T SHOWER 1.25 CITY TIP(\.tP(-Z C I`` TEL. 110.7_7.5,50-) I LAVATORY 1,25 CONTRACTOR SINK 1.25 ADDRESS + q`,o (s[-aN ) DISHWASHER 1.25 CITY--'Gn P ZCi—,XTEL. NO.4441 91 LAUNDRY TUB 1.25 REGISTRATION NO. L I I `3 STATE 0 COUNTY CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE ROC If Y WATER HEATER 1.50 d D } GAS SYSTEM OUTLETS 1'50 INDUSRIAL CL WASTEAPPROVAL O OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U O H U W CL t� Z e APPROVALS DATE INSPECTOR'S SI_GNATU RE PERMIT_ $ 2 00 UNDER SLAB WORK ,n �O ROUGH PLUMBING TOTAL FEE - GAS PIPING ' o _ 1 HEREBY ACKNOW LG DGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST .,✓� J k CALIFORNIA OR THAT i AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED f � Q SIGNATURE OF PERMITTEE ��—�-'' FINAL d"'�A',. sE//-'.2 ALIDATION ROBERT A. WOOD cK. M.0. CASH SUPERVISING MECHANICAL ENG'R LJllo» 8 .6 4 JN 18 5 D 3 Q WORKER'S COMPENSATION DECLARATION 20-0026 DPW 9/89 (�p �p J I hereby affirm that I have a certificate of consent to self insure, 76A667A QI�'nI>✓L�DCQ��N FOR PLUMBNG PERNT or a c rtificate.p hVorkees Compensation Insurance, or a certified copy the!eof(Sec. 3800 Lab.C.) ❑ � Company- Certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy Com Certified copy is hereby furnished. ❑ - FOR APPLICANT.TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date w ApplicafL 6/n. e"Z& , WATER CLOSET NEAREST r CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST. BATH TUB COMPENSATION INSURANCE ASSESSORMAP BOOK PAGE PARCEL (This section need not be completed if the work involved by the SHOWER permit is for one hundred dollars($100)or less.) LAVATORY OWNER (�//� —^ .I certify that in the performance of the work for which this permit ( /nue Aw !r is issued, I shall not employ any person in any manner so as to SINK MAIL ADDRESS become subject to the Workers'Compensation Laws. DISWASHER CITY TEL.NO. Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR Exemption, you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS li/-- provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY j� TEL NO. I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER u O (commencing with Section 7000)of Division 3 of the Business and S ATE NO., CLASS Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS V DISTRICT NO. PROCESSED BY OUTLETS OVER , - 5 PER SYSTEM License Number L7h Lic.Class «0 W U FINAL 5—z!5-9 S DATE VALIDATION ul c� f/' Contracts �� Date n 03 ❑ I am exempt under Sec. BY y f/_ B.&P.C.for this reason Plan check fee Date: i PLUMBING PERMIT ISSUING FEE$ Signature ❑ TOTAL FEE �,D Plan check applicant oi_k_ SINGLE FAMILY +s HOMEOWNER-BUILDER DECLARATION Name ' �� I'� I hereby affirm that I am exempt from the Contractor's License Law _ I for the following reason (Section 7031.5, Business and Professions Address r Code): _1 RL. T.I. No ElCity 1, 0, I,as owner of the property,will do the work and the structure CHECK is not intended or offered for sale(Section 7044, Business - s.-• �;- and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is,a construction lending agency for the ;;;r-; - )= > c performance of the work for which this permit is issued (Sec. 3097, _ ,_I!:—,I�i _.; s Civ.C.) ii `I 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 ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 LUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS L;0508 991221.002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BU"I.NG-ADDRESS: TR: 5904 LT: 325 6013 HA1;LA.V� FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: MP-CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI/HERMOSA 5384-015-022 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 12/21/99 UT 06/18/00 OWNER: TEL. NO: FINAL DATEY: CODE: TOPRANI VIJAYSINH K;BHANU (626) 390-9838 6013 HART AV EXP I -- TEMP 917801915 DESCRIPTION OF WORK CHANGE OUT OF WATER HEATER APPLICANT: TEL. NO: A BUDGET ROOTER (909) 592-5855- 525 W. ALLEN AVE.#1 SPECIAL CONDITIONS: SAN DIMAS, CA ES CC) CONTRACTOR: TEL. NO: ®� ��/j. APPROVALS DATE INSPECTOR SIGNATURE A BUDGET ROOTER (626) 334-3533- 525 W ALLEN AVE # 1 LIC. NO UNDER SLAB WORK SAN DIMAS, CA 91773 763519 C36 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. NO: / 1111111 L � GAS PIPING GAS VENT UEIL�� WLJ LlK3 HOT WATER HEATER / PLUMBING FIXTURES S 00 S� LAWN SPRINKLERS O ❑ Z I KI GAS TEST El UTILITY UTILITY COMPANY NOTIFIED ElrL il�'0 CWV lepV6Ce "Th� GRAY WATER SYSTEM REPORT 1D: DPR263 ROUTE TO: BS0508 Ft l" COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0902110003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: ITR: 5904 LT: 325 I I 6013 HART AV 1 (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 91780 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS 1 15384-015-022 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE': 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl 160 DWV REPAIR OR ALTER 1.00 SYS 16.20 1 I TENANT: I TOTAL FEES 43.95 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 102/11/09 SR 08/10/09 1 I 10WNER: TEL. NO: 1 IFINAL DATE FIN Y: CODE: 1 1HALEN, ROSEMARY16013 I ITEMP 917801915 1 1 SCR PTION Or WORK 1 I I IHORIZONTAL DRAIN REPIPE 1 1APPLICANT: TEL. NO: IRED LILLY PLUMBING, INC. (323) 664-2906- _ 12804 GILROY ST. I ISPECIAL CONDITIONS: 1 ILOS ANGELES CA 90039 1 1 ICONTRACTOR: TEL. NO: 1 ,(APPROVALS DATE INSPECTOR SIGNATURE 1 IRED LILLY PLUMBING, INC. (323) 664-2906- 1 - 1-_ 12804 GILROY ST. LIC. NO 1 1UNDER SLAB WORK 1 I ILOS ANGELES, CA 90039 218270 C36 1 I I (WATER SERVICE 1 IPLASTIC Y/N METAL Y/N 1 1ARCHITECT OR ENGINEER: TEL. NO: I - - IROUGH PLUMBING 1 1 LIC. NO: 1 I I IGAS PIPING 1 I ..IGAS VENT I I I I 1 IHOT WATER HEATER I I IPLUMBING FIXTURES I I ILAWN SPRINKLERS IGAS TEST I I I 1UTILITY COMPANY NOTIFIEDI I 1 I ICwv I I I I I I_ I I I 1 1GRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 1 I 1 I I I