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HomeMy Public PortalAbout5003 HELEO AVE_Plumbing__ r / 76A667A(CE 617B)- 11/76 /TOLL PLOC -lTOO V F®R •P `L-UM BONG PERIIV11 T BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ✓fir m NUMBER FIXTURE OR ITEM @ FEE_ ADDRESS 5003 Heleo ig WATER CLOSET LOCALITY Temple City BATH TUB NEAREST CROSS ST. �/ } SHOWER OWNER Robert Henderso n LAVATORY MAIL ADDRESS 5003 Heleo SINK CITY Temple City TEL.NO. 287-8219 DISHWASHER. CONTRACTOR Bryant Heat. & Air Cond . .Inc. CLOTHES WASHER ADDRESS 1350 E. Las Tunas Drive SWIMMING POOL RECEPTOR LAWN SPRINKLER SYSTEM CITY San Gabriel TEL.NO. 286-1141 STATE LIC. WATER HEATER LICENSE NO. 2 2 17 5 1 CLASS C 2 0 1 GAS SYSTEM OUTLETS3 ,00 DI'Tv V RICT NQQO. G P ZQ%E PR SSED BY J OUTLETS OVER 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD 6B! N z Plan check fee PLUMBING PERMIT ISSUING FEE$ 4 50 TOTAL FEE 7 50 Plan check applicant APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel.No. GAS PIPING r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES �. AND STATE LAWS REGULATING PLUMBING. I HOT WATER HEATER '- I HEREBY CERTIFx+-Fk`�AT I AM PROPERLY REGISTERED AND/OR LICENSED AS .- PLUMBING FIXTURES REQUIRED BY LOS,AN ELE9 NMAN ATE OF CALIFORNIA OR THAT I AM THE GAS TEST ��----� LEGAL OWNER OF,A D INTI D O D IN THE ABOVE DES;/RED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL -7-71 PLAN CHECKULIDATION CK. M.O. CASH PERMIT VALIDATION cK. Q. CASH ©s B7 DS-17 10-55 APR��CATO�N .FOR .PL�UMB0 �.NPERMI`�' DBS-1 DIVISION OF BUILDING ARID SAFETY Deportment of County" Engineer se County of LOS Angeles NIL" G JOHN A. LAMBIE. COUNTY ENGINEER NI CASSATT D. GRIFFIN SUP'T OF BUILDING I r'..... ... LOCALITY - ✓J -. FOR APPLICANT TO FILL IN NEAREST CROSS S . OWNER - DISTRIC GR ZONE I READY FOR INSPECTION MAIL ADDRESS i ✓ l INDUSTRIAL. CITY TEL. NO: �' WASTE APPROVAL PLUMBER} G INSPECTION RECORD ADDRESS �(� w� �� ➢ tsA t OA�" a CITY TEL. NO. 1 / `s'FJInrJ " LICENSE NO. " NUMBER TYPE OF FIXTURE OR ITEM FEE, ' S. WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 .0 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00. _ I[, CLOTHES WASHER @ $1.00 WATER HEATER @ $I.00 •GAS SYSTEM @ $1.00 " a. APPROVALS - DATE INSPECTOR'S SIGNATURE ' UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE ``�� GAS PIPING � DV 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 PLUMBING FIXTURES y PLUMBING. . I HEREBY CERTIFY,THAT I AM' PROPERLY REGISTERED AND/OR GAS TEST i 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 RESIDENTIAL PROPERTY, N SIGNATURE OF PERM ITT or FINAL JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR CH. M.0. CASH f; 8 6 3 �?Ul PRAY 2 8 3 2.0 0 In DBSs7 10.59 .!/"'Y Ifm `!�6'U-'1f ®0 �tl .0. ® u �'a M 11 V D. D V OdJ 11. D Y/Y 9 . DIVISION OF. BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS C, a CASSATT D. GRIFFIN SUPT OF BUILDING ,;•- e .,�:.:.._;..-,.-,;:, r•. ,..c. a;:.. :;;.,.,, ., .,� �: :-:�; LOCALITY FO# APPLICANT TO FILL IN NEAREST CROSS ST. OWNER l DISTRICT NO. GROUPL Z,�� .,,- ,_'•� 8 4 rI ONE I READY FOR INSPECTION MAIL z ADDRESS �...6 - Ai !i INDUSTRIAL *� CITY TEL. NO.74.7-1K WASTE APPROVAL !Q PLUMBER t t INSPECTION RECORD -i ADDRESS CITY TEL.'NO. lam) \ `� Imo' Pn2T� -Pk 31c, U`t'd LICENSE NO. r' NUMBER .TYPE OF FIXTURE OR ITEM FEE A WATER CLOSET (TOILET) @ $1.00 Q=�A% LIM%- ry. BATH TUB @. $1.00 ,'x, 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 WATER HEATER @ $1.00 - GAS SYSTEM @ $1.00 a a n APPROVALS r DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Y PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION D t. HOT WATER HEATER , ! ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY •? WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ojl� PLUMBING. a PLUMBING FIXTURES IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 'V . LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITYCO.NOTIFIED h DESCRIBED RESIDENTIAL PROPERTY.- ! �P SIGNATURE OF PERMITTE r FINAL �. ��� JOHN A. LAMBIE,, COUNTY ENGINEER yVALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR M.0. CASH LACO 8 2 9 C.Lr-) MAY 17 3 4.0 0 l WORKERS'COMPENSATION DECLARATION 76A667A I hereby af&;;n that I have a certificate of consent to self CE 80 (z-so) APPLICATION ®� PLUMBING PERMIT_ insure,/or a•celtificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY +Policy Neai,=Company— i�G�f��. ' El Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDINGFR� //�� Certified copy is filed with the county building'inspection NUMBER FIXTURE OR.ITEM O FEE ADDRESS ,0 LOCALITY department. WATER CLOSET Date Applicant NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER � ij fJdC� MAI,L (This section need not be completed if the work involved LAVATORY ADDRESS / } by the permit is for one hundred dollars ($100) or less.) SINK _ (L CITY TEL.NO. I certify that in the performance of the work for which this DISHWASHER U permit is issued,I shall not employ any person in any manner CONTRACTOR % _42%wcc so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER '47'" O ADDRESS Date Applicant SWIMMING POOL RECEPTOR U NOTICE TO APPLICANT: If, aftermaking this Certificate of CITY `�� EL.NO���/Sd� a Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE IF LIC. Z Compensation provisions of the Labor Code, you must forth- /1 LICENSE NO. CLASS with. comply with such provisions or this permit shall be WATER HEATER e' 'deemed revoked.• DISTRICT NO. PRO, 'SSED BY GAS SYSTEM ' OUTLETS f' LICENSED.CONTRACTORS DECLARATION OUTLETS OVER 1 V tf I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM ti 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL ness and Professions Code, and my license is in full force and DATE,A�/� VALIDATION effect. �/ FIN L r License Numbe Lic.Class BY Contract Date I am exempt from the licensing requirements as I am a fee 3 2 3, 1 A licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting'in my professional capacity (Section 7051, Bus- V # o o o 0 o'5 iness and Professions Code). r TOTAL FEE ° 2 2 5 0 Lic.or Reg.No. Date Plan check applicant ° ° ° 22,50 HOME OWNER-BUILDER DECLARATION Name' O F 0 3-8 4 I hereby affirm that I am exempt from -the ContractorAddress's ID: :A License Law for the following reason (Section.7031.5, Busi- City Tel.No. U ness and Professions Code): o o`o o 5 ❑ I, as owner of the property, am exclusively contracting l with .licensed contractors to construct the project 2 0.-'2.2 5 (Section 7044, Business and Professions Code). ° o o o22'S_2 i r . CONSTRUCTION LENDING AGENCY _ I hereby affirm that there is a construction lending agency Q �'+Q`3 4 for 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 have read this application and state that the above information is correct. I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize represents ' his County to enter upon the bove-men ' property fort' s n purposes. n re of Permittee Date fl COUNTY OF LOS ANGELES TEMPLE CITY # 0508 'Zs[UMSFNG—PERM-I-1 DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 059._04.06 38 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID I BU.I.LD.I.NG_ADDRESS• TR: 13329 LT: 5 BL: .001 'C50. HELEO A.Z�' FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803825 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA 8590-023-024 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY 13 DISHWASHERS) 1.00 FIX 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 04/06/99 UT 04/06/00 OWNER: TEL. NO: FINAL DAT FINAL BY: CODE: HENDERSON ROBERT B;ELIZABETH A (818) 287-8219- 5003 HELEO AV i TEMP 917803825 DESCRIPT ON 0 . W R CHANGE—OUT -DISHWASHER' APPLICANT: TEL. NO: D & H SERVICE (818) 343-4009- 6029 1/2 RESEDA BL. . SPECIAL CONDITIONS: TARZANA, CA CONTRACTSERVICE TEL. N252 8385- APPROVALS DATE INSPECTOR SIGNATURE P. 0. BOX 2855 LIC. NO UNDER SLAB WORK - CANYON COUNTRY, CA 91386 NONE WATER, SERVICE PLASTIC Y/N METAL.Y/N ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. N0 1111111 L GAS PIPING . �FU^ L�� W0�K3 GAS VENT Q HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS D 0 I rr^�, �J Z7 0 _ n GAS TEST �� UTILITY COMPANY NOTIFIED El q CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508