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Home My Public Portal About9233 HECLA AVE_Plumbing__ .76A 667,E(CE-B 1 7)-4/72 01 APPLICATION F R PLUM13ING PERMIT 4 COUNTY OF LOS ANGELES _ I� DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ' MAKE CHECKS PAYABLE TO: BUILDING ADDRESS 9233 Hecla HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Tem le City FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE OWNER Dale C. Sanders WATER CLOSET 1.75 MAIL 9233. Hecla BATH TUB 1.75 ADDRESS SHOWER 1.75 CITY Temple City TEL. NO. 287-4113 LAVATORY 1,75 CONTRACTOR Bryant Heat. & A/C Inc. SINK 1.75 ADDRESS 1350 E. Las Tunas Drive DISHWASHER 1.75 CITY San Gabriel TEL. NO. 286-1141 CLOTHES WASHER 1.75 STATE221751 LIC C20LICENSE N0. CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT NQ. GROUPLON F ESSED BY LAWN SPRINKLER SYSTEM 1.75 (Jsj f WATER HE`.4;T.ER 1.75 INDUSTRIAL 9. WASTE APPROVAL 1 GAS SYSTEM..: OUTLETS 1.75 1 75 0 INSPEC ION RECORD V OUTLETS OVER 5 PER SYSTEM-. .30 - 7 CD - V W a N Z Plan Check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY TH T I A ROP R RE ISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY L NGE E COU Y AND STATE•OF CALIFORNIA OR THAT I MSF EGA i OF, AND INTEND O RESIDE IN THE ABOVE D S R'B D ID T PROPERTY. ,FINAL SIGNATU RE ' OF PERMITTE - PERMIT VALIDATION CK. .O. CASH PLAN CHECK�/ALIDATION K. M.O. casH Alf'- �. 2 2 X3'7 3, MAY 18 5 D 4.7 5- CQ IZF COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY 'i WILLIAM J. FOX, County Engineer DISTRICT NO. GROUP ZONE FOR APPLICANT T❑ FILL IN �r q 74 [-/ PERRIT NO.- /4 PLUMBER R vE o DATE Sl ay den READY FOR RECEIVED BY ISSUED FIRST INSPECTION ADDRESS 5042 Rosemead Blvd. BUILDING CITY Pico TEL. NoOX 979I5 ADDRESS 92337�Hecla Ste . COUNTY ' B143 June LOCALITY Temple vi ty LICENSE NOEXPIRES NEAREST Hilton PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FE/E� OWNER Frank *Layton 2 WATER CLOSET(TOILET) 0.50 S io00 ADDRESS 503, Temple City Blvd. I BATH TUB (!)t O.SO 150 CITY Temple S lty TEL. No. SHOWER (>ffi 0.50 •50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PLICATION AND STATE E ABOVE IS CORRECT LAVATORY (WASH BASIN) Q 0.50 I e 0O AND AGREE TO COMPLY WITH ALL H COUNTY ORDINANCES KITCHEN SINK @ 0.50 0 5O AND STATE LAWS REGULATING,PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER ^ OF THE RESIDENTIAL PROPERTY ESCRIBED ABOVE. GAS SYSTEM OUTLETS a 0.50 0 50 n SIGNATURE OF WATER HEATER 0.50 .501 PERMITTEE SLOP SINK 0.50 INSPECTION CORD FLOOR BINK @ O.SO FLOOR DRAIN 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN 0.50 URINAL @ 0.60 —J Q HOUSE SEWER @ 13.50 Z MISCELLANEOUS M Automa is ivas er e 0 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING v �I GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER f PERMIT I 1.DD GAS TEST 7 UTILITY CO.NOTIFIED F_ TOTAL FEE s6 . 00 ({/ g/ b' FINAL ` 76A667 DBS#t 17 6-52 76A667-CE817-8-57 APPLICATION FOR -PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN. SUPT of BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS SI40WER CITY TEL.NO. LAVATORY CONTRACTOR SINK ADDRESS n ��"✓^ DISHWASHER CITY PC TEL.NO. LAUNDRY TUB CONTRACTOR'S �// STATE REGISTRATION NO. ! Y S� COUNTY ❑ CLOTHES WASHER DISTRICT NO GROUP ZONE READY.FOR INSPECTION WATER HEATER \ i GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS $1.00. ER ITEM - DATE INSPECTOR'S SIGNATURE OR FIXTURE $ QjO UNDER SLAB WORK ROUGH PLUMBING PERMIT S 1 00 GAS PIPING TOTAL FEE 00 GAS VENT _ l I 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 FIXTURES PLUMBING. IHEREBY CERTIFY THAT 1 AM PROPERLY -REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF . CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED DESCRIB'D RESIDENTtltL PROP RT . h SIGNATURE I — OFPERMITTEE FINAL O` ROBERT A. OOD, VALIDATION SUPERVISING MECHANICAL ENG'R CK. M.O. - CASH s l 5.3 5 co - JIM 3 A 3.00 - -76A6.67 (CE-817) - 5/73 - APPLICATION FOR. PLUMBING PERMIT ' COUNTY OF.LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE'CHECKS PAYABLE TO:' BUILDING ADDRESS- 9233 Hecla" 7 HARVEY.T.`.BRANDT, COUNTY ENGINEER, - , LOCA CITY-'Temple City. FOR APPLICANT TO FILL IN-IPRINT OR TYPE) :. NEAREST CROSS ST z NUMBER FIXTURE OR ITEM @ FEE - OWNER '- Dale SqndeTsr WATER.CLOSET - MAIL 9233 Hecla BATH TUB., . 1.75 : ADDRESS" )1 SHOWER 1,75 CITY Temple' City.- '.TEL. N0.28.7-`4 13 CONTRACTOR Johnny°-s Plumbiri Service; LAVATORY '• ✓ .1.75 y • SINK LL •1.75 ADDRESS - 9932 E. Daines Drive . DISHWASHER 1.75, CITY Temple Cilt�/ TEL. N0.285�:322 -, r� Lpr7 , CLOTHES WASHER;-D ��,' 1.75 STAT E L CENSE=•N0..2r9VV` LIC Gt_36 CLASS SWIMMING POOL RECEPTOR : 1.75 DISTRICT NO. GROUPZONE PROCESSED BY LAWN SPRINKLER SYSTEM 1...75 . :.{ �.. WATER HEATER' 1,75 INDUSTRIAL WASTE.APPROVAL GAS SYSTEM.- . ./OUTLETS 1.75 INSPECTION•'RECyORD OUTLETS OVER 5 PER SYSTEM 30 O v sJ PIan'Check fee See Reverse PLUMBING PERMIT•1SSUING-FEE $ 3 00 TOTAL FEE s' APPROVALS DATE INSPECTOR'S SI.NATURE Plan Check applicant UNDER SLAB WORK .Name. - - ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT-WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUM BI NG. GAS TEST - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED' AS REQUIRED.BY LOS ANGELES COUNTY AND STATE OF �J CALIFORNIA OR THAT I AM THE LEGAL O,WNEP OF, AND INTEND TO RESIDE IN THE ABOVE DES IBED RESIDENTIAL PROPERTY. FINAL L � SIGNATU RE OF PERMITTEE - 4E PERMIT VALIDATION cK. s.0. CASH PLAN CHECK VALI ATION CK. M:0. CASn 3. 3�JAN 6 5 0 a/VORKERS' COMPENSATION DECLARATION !\p Il—lf�160CAYPON FOR PLUMONG PLSRMff I thereby affirm that I have a certificate of consent to self 20-0026 DPW 6/87 u—u insure, ora certificate of Workers' Compensation Insurance, ', 76A667A ora certified copy thereof (Sec. 3800, La_b..J.C..)) '..COUNTY OF LOS,ANGELES DEPT. OFYUBLIC WORKS Policy No. Company� 7V/T ��L!� Certified copy is hereby furnished. - FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING. 1 ' ❑ Certified copy is filed with the cou ty bu"a' ns ADDRESS' 5�7tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALIT j 71f-115"i 7 C WATER CLOSET Dat ` 7 s`/� Applicant NEAREST CERTIFICATE OF EXEMPTION FROM BATH TUB CROSS ST.WORKERS' COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by SHOWER the permit is foe one hundred dollars,($100)or less.) LAVATORY y MAIL 5 ADDRESS I certify that in the performance of the work for which this CITY permit isSINK TEL. NO.issued, I shall not employ any person in anmanner � �! so as to become subject to the' Vorkers Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, ,after making this- Certificate of Exemption,, you should' become subject to the.Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CIT TEL.TEL. NO. LAWN SPRINKLER SYSTEM r�` With comply.•with such provisions or this permit, shall be STATE �� LIC. deemed revoked / WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO.;. PROCESSED BY GAS SYSTEM. OUTLETS n� I hereby affirm that I am licensed under provisions of,Chapter 9 � !J (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER y� and Professions Code,and my license is in full force and effect. 5 Pa SYSTEM FINAL VALIDATION O :.License Number�� Lic. Class DATE � FINAL �, Contractor k /ZLDate ��`��-�'� BY' L' 01 I am exempt under Sfic. Ov 1110, B.BP.C. for this reas Plan check fee ate PLUMBING PERMIT ISSUING FEE$ / Signature FO TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's,License ' E Law for the following reason (Section 7031.5, Business and Address. Professions Code): City Tel: No. r 3._y +� ❑ I',+as,owner of the property, will do the work and the structure is'not. intended or offered for sale (Section6. 7044, Business and Professions Code). "— 3 _:2 � CONSTRUCTION LENDING AGENCY A ILK I hereby affirm that there is a construction lending agency for i,�?; ;; the performance of the work for which this permit is issued °`r' `- ' (Sec. 3097, Civ. C.). Cl! iOF,: Lender's Name _ Lender's Addr s I-certify that have read this application and state that the above infor tion is correct. I agree to comply with all County ordinances nd State laws regulating Plumbing, and hereby authorize epresent es of this County to enter upon the above- ntione ro erty for inspection purposes. SEE REVERSE FOR EXPLANATORY,LANGUAGE 'CegotfaTu're of Pe ittee Date