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Home My Public Portal About4923 HELEO AVE_Plumbing__ 76A667-CE#817 4-64 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE - � ' OWNER s WATER CLOSET $1.25 SMAIL BATH TUB 1.25 ADDRESS n/ I, pe TEL. NO. / SHOWER 1.25 f CITY �e/lY la/-E LI LAVATORY 1.25 z 55 CONTRACTOR SINK 1.25 ADDRESS DISHWASHER 1.25 CITY TEL. N0. 1,Ie 9Z CONTRACTO 'S STATE LAUNDRY TUB 1.25 REGISTRATION NO. e � COUNTY CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZQNE PR C ED BY WATER HEATER 1.50 GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .80 INSPECTION RECORD V od A),-Wg ,:ALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER]-' AB WORK #1 473 j yegjayG ��r ti>i ROUGH PLUMBING "',� ; TOTAL FEE GAS PIPING I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT pp AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY /! A WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATgE "A PLUMBING. _ I HEREBY CERTIFY THAT I AM PROPERL REGISTERED AND/OR PLUMBING FIXTURES >�E V - �A ' LICENSED AS REQUIRED BY LOS ANGELES DUN AND'STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL NER ,AND IN END TO _ RESIDE IN, THE ABO E DESCRI ED R 51 NTIAL OPERTY. UTILITY CO. NOTIFIED - SIGNATURE OF PERMITTEE FINAL iV 6CK_ ALIDATION ROBERT A.WOOD M.0. CASH SUPERVISING MECHANICAL ENG'R L_1C;2 0 6 4uo-' illAY27 5 D7.25 N WORKERS'COMPENSATION DECLARATION Ap P UCC 11 FOR PL UM � IG PERM? I hereby affirm that I have a certificate of consent to self 76A667A u u N v insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof Sec. 800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY f f 9STS' il"T SAS y o. C mpany Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ❑ Certified copy is filed with the co ty building inspec- ADDRESS tion department. NUMBER FIXTURE OR ITEM @ FEE p LOCALITY Date Date 3 j ! Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FR M WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER W (This section need not be completed if the work involved by SHOWER C MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL, NO _ so as to become subject to the Workers'Compensation,Laws. DISHWASHER y CONTRACTORS •e S Date Applicant CLOTHES WASHER ADDRESS ,,gg NOTICE TO APPLICANT: If, after making this Certificate of .s-G Exemption, you should become subjectto the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth= CITY / TEL. NO LAWN SPRINKLER SYSTEM �`' with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS CG' LICENSED CONTRACTORS DECLARATION - DISTRICT NOr PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER ` >_ and Professions Code,and my license is in full force and effect 5 PER SYSTEM DAN EL VALIDATION V }1 License Number 3 �� Lic. Class 32S v FINAL %1 Contractor '`-�,,rf e-j0Z 002"Ahy Date BY V ❑ eai I am exempt under Sec. � B.&P.C. for this reason Plan check fee D Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address 9 �,v A Law for the following reason (Section 7031.5, Business and Professions :Code 0 0 o o 0 ) City Tel. No. � 5 ❑ 1, as owner of the property, will do the work and the 2 -,1- 30,F structure is not intended or offered for sale (Section D 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY o o J v I hereby affirm that there is a construction lending agency for 0 1.3'—8 a the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify that I h e read this application and state that the D above informati, n is correct. I agree to comply with all County ordinances an State laws regulating Plumbing, and hereby authorize re esentatives of this County to enter upon the above-me oned pr -erty for inspection purposes. roe SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of mittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0307290014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 13329 LT: 9 4923 HELEO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803823 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8590-023-031 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN Y: EXPIRES ON: 07/29/03 JK 01/25/04 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: SHAW (626) 286-8611- 4923 86 8611 4923 HELEO AV TEMPLE CITY 91780 DESVdRIPY10N OF WORK NEW HVAC SYSTEM APPLICANT: TEL. NO: CONNOR A/C-HTG (626) 286-3157- 4931 ENCINITA AVE SPECIAL CONDITIONS: TEMPLE CITY 91780 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE CONNOR A C (626) 286-3157- 4931 N ENCINITA LIC. NO UNDER SLAB WORK TEMPLE CITY, CA 91780 403735 C38 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508 "--COUNTY OF LOS ANGELES TEMPLE CITY ' #-0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0506090014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 13329 LT: 9 4923 HELEO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803823 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8590-023-031 01 PERMIT ISSUANCE FEE - 27.75 THOMAS PAGE: 596 GRID: JS LOCALITY: TEMPLE CITY, C 11 CLOTHESWASHER(S) 1.00 FIX 16.20 TENANT: 13 DISHWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 25 LAVATORIES/SINKS 1.00 FIX 16.20 06/09/05 JK 12/06/05 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 OWNER: TEL. NO: 63 WATER PIPING BR/FIX 2.00 FIX 13.50 FINAL DATE FINAL BY: CODE: SHAW, CHARLES (626) 286-8611- TOTAL FEES 106.05 4923 HELEO AV 4_2-v-// ,J TEMP 917803823 DESCRIPTION OF WORK c' PLUMBING FOR KITCHEN REMODEL APPLICANT: TEL. NO: SAME AS OWNER - - • SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAB WORK WATER SERVICE PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. NO: 6 GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS (� GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508