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HomeMy Public PortalAbout6034 HART AVE_Plumbing__ 76A967 hAIl d LPCA tl PO(1© FOR U 0 LMtl�tl Rl�IJI tl `FdG PE9 ■9�"J8�T DBs-17 10.55 .DIVISION OF BUILDING AND'SAFETY Deportment of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE. COUNTY ENGINEER a ADDRESS 60 Q Tnrtli Nor CASSATT D.GRIFFIN,SUPT OF BUILDING .-., s •_ - LOCALITY Timple ci ty" FOR APPLICANT TO FILL IN NEAREST CROSSST. .X OWNER Carl Behomd• DISTRICT f GR� , ZONE READY FOR INSPECTION MAIL ,. ADDRESS 6034. North Hart IWOm, INDUSTRIAL . .CITY T3's1jJ�,O C]..'hv' TEL: NO. {1''1�-?'1 WASTE APPROVAL PLUMBER DUCE PLU14B111G A. MRATING INSPECTION RECORD ADDRESS 3232 N. Saa Gabriel Blvd., _ CITY So San Gabrz of TEL. NO. AT443 31 LICENSE NO. 104978 ( NUMBER TYPE OF FIXTURE OR ITEM FEE `�" ,J��7� j /9 rkt',o t 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 rnrn WATER HEATER @ $1.00 h� 7)1--1.A VA-7 A) P>y j rm-Ar,{J ��.^......,.,.5 _ mss() , GAS SYSTEM @ $1,00 y APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT. $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE 2 QE5 cps VENT I HEREBY ACKNOWLEDGE THAT '1 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 FIXTURES ' PLUMBING. 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 OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESI TI R E Y. SIGNATURE OF PERMITTEE FINAL. JOHN A. LAMBIE, COUNTY E GINEER VALID ATI I ROBERT A.WOOD, CHIEF PLBG. INSPECTOR CK. t0.0. CAS FEB 4 3 A 2.0.0 APPLICATION FO.R -PLUMBING PERMIT Des "DIVISION OF BUILDING ARID SAFETY Department of County Engineer s:: County of Los Angeles B u I LD 1 NGf , JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLIC 1 T TO FILL INf NEAREST CROSS ST. 1,, OWNER DISTRICT NO. GR ZONE I READY FOR INSPECTION MALL ADDRESS INDUSTRIAL CITY - TEL. NO.' WASTE APPROVAL PLUMBER INSPECTION RECORD r, ADDRESS r CITY TEL NO. LICENSE NO. NUMBER TYPE OF FIXT RE OR ITEM FEE -` WATER CLOSET (TOILET) @ $1.00 BATH TUB @ $1.00 SHOWER @ $1.00 ri Aiil LAVATORY (WASH BASIN) @ $1.00 �'6' 7'/ ,r lel A16 Gf1�///" � KITCHEN SINK @ $1.00 L� N -#/f- DISHWASHER @ $1.00 h"-,q.I' d/V /-,)g.'-'7 oil:, LAUNDRY TUB OR TRAY @ $1.00 �,,��!� :. CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING /'� GAS PIPING - TOTAL FEE �"` GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION " AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - PLUMBPLUMBING FIXTURES ING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF i2 CALIFORNIA OR THAT I AM THE LEGAL OWNER O THE E UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL RTY. SIGNATURE OF PERMITTEE INAL -"/ JOHN A. LLAMBIE. COUNTY ENGINEER VALIDATIOR � ROBER WOOD, CHIEF PLBG. INSPECTOR CK. N.0. ` CASH 0 5 () 1-79: 3 2.00- Lrl �l- 97? WORKERS'COMPENSATION DECLARATION � p �CAS�PQ�p 2Of� n11 8 p(�/��OjO� fp f2f�I1G1��(' 20-0026 DPW 4/90 !�=�1 LL, II O IlV FOR R ll�L�Utll�Il � llv lT EhidVIl u I hereby,'affirm.that Ihave acertificate of consent to self in 76A667A sure,or a certificate of Workers'Compensation Insurance,ora certifie//c�opy fh2reof ( ec. 3800, Lab: C.)' RolicyJVo:/y�'�� Company.-"7w F/!. o COUNTY OF LOS ANGELES DEPT. OF PUBLIC VVORKS Certified copy is hereby furnished. y-/__17 7 . FOR APPLICANT TO FILL IN(PRINT,OR TYPE) BUILDING ADDRESS Certified copy is filed with the county building inspection department. NUMBER FIXTURE OR ITEM @. FEE LOCALITY D d t e �4!�, Applicant-_A3,� WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB •-CROSS ST. COMPENSATION INSURANCE OWNER SHOWER (This section need not be completed if the work involved by MAIL the permit is for one hundred-dollars ($100)or less.), LAVATORY ' ADDRESS I certify that in the performance of the work for which this per- SINK•. mit is issued, I shall not employ any person in any manner so CITY TEL.NO. as to become subject to the Workers'Compensation.Laws. DISHWASHER / /�, ^ sa CONTRACTO �7 Date• - �`O 4' Applicanty�V ./ /�� �` CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the.Workers'Compen. CITY L. NO. sation provisions of the Labor Code;you•must forthwith comp- LAWN SPRINKLER SYSTEMS ly withsuch provisions or this permit shall be deemed revok- STATE / p LIC. ed. . WATER HEATER / LICENSE NO. CLASS LICENSED CONTRACTORS.DECLARATION ( DISTRICT NO. PROCESSED BY 1 hereby affirm that I am licensed under provisions of Chapter _ GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division of the'Business _ OUTLETS OVER PER SYSTEM and Professions Code, and my license is in full force and es f- FINAL VALIDATION fect. t HOSE BIB DATE �� � 0. License Number y`�S 7 r Lic. Class O ; ffi F'� FINAL C Contractor � � 3�ate BY AUT°a o O (� I am exempt under Sec. 3303 ~ 76.300 B.&P.C. for this reasoLLI n N Plan check fee te: PLUMBING PERMIT ISSUING FEE$ 7 1270 � Signature 15/D �n T�TAA d �� .. SINGLE FAMILY TOTAL FEE D (:�1R 76°90 HOME OWNER-BUILDER DECLARATION Plan check applicant CHA14GE .00 I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section.7031.5, Business and Professions Code): Address 0000'000 i 7/11/96 ❑ I, as owner of the property, will do the work and.the City Tel. No. 737t IAM �,17 structure is not intended or offered for sale(Section 7044, _r ° Business and Professions Code); ® " CONSTRUCTION LENDING AGENCY hereby affirm that there iso 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 certifythat 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 pro j ty for inspection purposes.. -, I SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0412010011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGA ID: FEES PAID BUILDING ADDRESS: TR: 5904 LT: 343 6034 HART AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801914 ASSESSOR INFORMATION N MBER: NEAREST CROSS STREET: 5384-014-014 01 PERMIT ISSUANCE FEE - 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS 2.00 FIX 32.40 TENANT: 25 LAVATORIES/SINKS 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 45 WATER CLOSET/URINAL 2.00 FIX 32.40 12/01/04 JK 05/30/05 47 WATER HEATER(S) 1.00 WTH 16.20 OWNER: TEL. NO: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINAL DATE FINAL BY: CODE: CHEUNG, DONALD (626) 451-9834- 64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 6034 HART AV TOTAL FEES 173.55 ' TEMP 917801914 DESCRIPTION OF WORK PLUMBING FOR NEW BATHROOMS. APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAB WORK WATER SERVIC PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: LIC. N0: ROUGH PLUMBI G ' GAS PIPING _ GAS VENT HOT WATER HEATER PLUMBING FIXTURES ( - LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CW GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: SS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0203130006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: .(626) 285-0488 EXT: LEGA ID: FEES PAID BUILDING ADDRESS: TR: 5904 LT: 343 :' 6034 HART AV FEE DESCRIPTION: QUANTITY_: UOM: AMOUNT: TEMP CA 917801914 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBLADI 5384-014-0.14 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 25 LAVATORIES/SINKS 1.00 FIX 16.20 03/13/02 JK 09/09/02 45 WATER CLOSET/URINAL 1.00 FIX 16.20 OWNER: TEL. NO: 51 LOW PRS GAS 5"OUTLET 1.00 SYS 16.20 FINAL DATE FINAL BY: CODE: CHEUNG;DONALD (626) 451-9834- TOTAL FEES 108.75 6034 HART HART AV TEMP 917801914 DESC IPTION OF WORK PLUMBING FOR BATH EXPANSION & RELOCATION OF BATH FACILITIES APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: ES c�� CONTRACTOR: TEL. NO: . ®� �V� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC.-NO: 11111.11 GAS PIPING 1(k IIGAS V n ENT (� , I P+l J' O UC WC�KS HOT WATER HEATER ���✓✓✓ PLII BING FIXTURES p� LAWN.SPRINKLERS Ft 3Trin El451 k� GAS TEST UTILITY COMPANY NOTIFIED CWV SerVice Th GRAY WATER SYSTEM. REPORT ID:" DPR263 ROUTE TO: BSO5O8 �'Yz