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Home My Public Portal About5524 HILTON AVE_Plumbing__ 76A867 -CE#5I7 0-64 / APPLICATION FOR PLUMBIN PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEAIREST DING JOHN A. LAMBIE. COUNTY ENGINEER RESS WILLIAM A. JENSEN. SUPT OF BUILDING ALITY FOR APPLICANT TO FILL IN SS ST. NUMBER FIXTURE OR ITEM EACH FEE ER WATER CLOSET $1.25 BATH TUB 1.25 RESS CITY TEL.5COSUTN SHOWER 1.25 LAVATORY 1.25 CONTRACTOR SINE 1.25 ADDRESS DISHWASHER 1.25 CITY TEL. LAUNDRY TUB 1.25 CONTRACTOR'S RECISTAATION NO.CLOTHES WASHER 1.25 SS RIICT GROUP 2 N WATER HEATER 1.50 Oht GAS SYSTEM OUTLETS 1'50 INDUSTRIAL d WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V z O H UJ UJ a z Z APPROVALS DATE INSPECTORS SIGNATURE PERMIT ITOLY 00 UNDER SLAB WORK ✓ \ q ROUGH PLUMBING TOTAL FEEGAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ7.-.SIGATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND ACOMPLYWrtHALL COUNTY ORDINANCES AND STATE LULATING HOT WATER HEATERPLUMBING.1HEREBYCERTIFY THAT I AM PROPERLY REAND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNATE OF GAS TESTCALIFORNIA OR TNAT 1 THELEGAL OWNER OEND TORESIDE IN.THE ABOVE CR ED RESIDENTIAL PRUTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL ��ly ��::•��,-{�.3:.- �ALIROBERT A. WOOD M.., C cK. M.o. FSH SUPERVISING MECHANICAL ENGR L;to 6 3 2 1 DEC 1 5 D 3.5 G- °'R's.'17 SSM SET. "-46 APPLICATION FOR PERMIT DEPARTMENTTOF BUILDING AND SAFETY �� ' COUNTY OF LOS ANGELES WM. J.-FOX.CHIEF ENGINEER NATURE OF INSTALLATION I DI.STRICTNO. GROUP ZONE RMIT O. .5 _ — s '12175 ROUGH FIXTURES COMPLETE _ HEATER CESe OL I� SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED /n� FIRST INSPECTION r5s y^�' /I�[' GAI'TE, UELLANEOU v r3 _ Q Y / 2 APPLICANT FILL IN HEAVILY OUTLIN•n/ED/ P/OJRTION ONLY JOB B• NAo-EFR \ K eb DDRESSId ip�dq,�v� �l/�/ sU' � ADDRESS LOCALITY. %� , 4✓ . e.47/u� NEAREST R] },,.�„ _ . /' l� LL COUNTY CROSS BT.tG3P aSY++�4/�y7i„T#"� �d,."�E y , CERT.No. EXPIRES W NAME �/PIA/(/✓✓I�. Y— LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL V 3 ADDRESS NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICAT-_ 6 OF QUALIFICATION.` �L!6 i�r I PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. R 3 M OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK _z BATH TUB FURNACE SHOWER DISHWASHER D LAVATORY REFRIGERATOR KITCHEN BINK WATER SOFTENER FLOOR SINK SANDTRAP GLOP BINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN ' DATE INBPBCTOR'R NAME WATER HEATER DENTALLAVATORY ROUGH PLUMBING I I METER GAS SODA FOUNTAIN GAB PIPING I I OUTL GAS VENT CESSPOOL I I TOTAL NUMBER OF FIXTURES SEPTIC TANK I I _CESSPOOL SEPTIC TANK SEWER I I S UTILITY CO.NOTIFIED I I TOTAL FEE � FINAL D.B.17 S.AI ISM APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO, GROUP I ZONE I PERMIT NO. ROUGH 1.5; / / Q go'Z PLUMBING FIXTURES COMPLETE RECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL i SEPTIC TANK /y ^ FIR ST INSPECTION GAS MISCELLANEOUS �s./,,AyPf/.P+.LICANTuF L�IN/J HEAVILY OUTLINED PORTION ONLY If Y¢ NAM EiC�--L=Qk.2.rte;`tl��J�G, / �1' y14/'�.{�:./Flt�r{/. JOB ADDRESS / J 51jF�;'p(/�Y W� " LOCALITY NEAREST h CITY TEL. No. CROSS ST. COUNTY 0 A CERT.N O F EXPIRES W NAME' /VAa�.��R>•�+��[�Y� LOCATION OF SEPTIC TANK, OR CESSPOOL MAIC 3 ADDRESS NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CER IFICATE OF QU LIFICATION. PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. IS W 3 y OWNER CORRECTIONS 2 / ''CcE�INJUI /GEAK�IN6e'_ z4,L,4 SOUTH '— l/N, A !<ill 1-762,V DESCRIPTION OF WORK I BATH TUBS FURNACE f �AGuC� 7/ �z - ter G U'L7i�a$ / SHOWER Ii DISHWASHER A;? �a/`F'PG 7•e'�j /2"/6'�� 1/Q h,S D LAVATORY REFRIGERATOR _KITCHEN SINK WATER SOFTENER r FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN ( WASH TRAY ' dURINAL APPROVALS —.WATER CLOSET '__ DRINKING FOUNTAIN DATE t,✓ IINNSSPECTOR'B NAME WATER HEATER V..0- DENTAL LAVATORY ROUGH PLUMBING �1V ll%L ✓/"'�"1 / METER_4GAS SODA FOUNTAIN GAS PIPING Q )"-.T OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK _CESSPOOL--__SEPTIC SEWER EPTIC TANK /� [{ /� UTILITY CO. NOTIFIED !j -'AY/ � !/U4Pl✓°' TOTAL FEE v/ (J FINAL ORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT by affirm thoi I hove o certificate of consent to self 76A6b7A insure, br a certificate of Workers' Compensation Insurance, CE 817(REV. )0/81) or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Na. V_8,5 70R'bmpany Frelrnal- ❑ . Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ® Certified copy is filed with the county building inspec- ADDRESS 5524 HlltOn Ave. tion department. NUMBER FIXTURE OR ITEM @ FEE ocqury Temple Cit Dote 10-17-P,ai Applicant (lWen Bror, Plhg, WATER CLOSET a NEAREST CERTIFICATE Of EXEMPTION FROM WORKERS' 'BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER i OWNER Ozzie IM Belzer (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY �' ADDRESS - 012 F'leSta I certify that in the performance of the work for which this .-- � .. permit is issued, I shall not employ an person in on manner SINK 4-1641A CITY TEL. NO. P P v vP v41nt/yZ. Temple City 285-2986 so as to become subject to the Workers'Compensation Laws. / DISHWASHER CONTRACTOR Owen Bros. Plumbing, Inc. Date Applicant f CLOTHES WASHER s ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR 2 N. BaldwinA Exemption, you should become subject to the Workers' CITY TEL. NO. Compensation provisions of the Labor Code, you must forth- El Monte 443-00' 8 with complywith such provisions or this LAWN SPRINKLER SYSTEM . p permit shall be STATE LIC. deemed revoked. � WATER HEATER LICENSE NO. 2.31 741 CLASS C36-20 LICENSED CONTRACTORS DECLARATION DISESSED By I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS V/1 7Vl (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER >. and Professions Code, and my license is in full force and effect. 5 PER SYSTEM d DATE L6— —9 VA ATION O License Number 231 741 Lic Closs 1226-20l1 [�, 09 FI L O Contractor (Nsart P.r(1C P hg)pte In_17—R5—R5 V ❑ W I am exempt under Sec. N B.&P.C. for this reason Z, Plan Check fee lop. PLUMBING PERMIT ISSUING FEE$ p Signature TOTAL FEE S SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name 3 2 Q 3 A' I hereby affirm that I am exempt from the Contractor's license Address # a o e o e 5Low for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the I o - 64,50 structure is not intended or offered for sale (Section 7044, Business and Professions Code). o e e 6 IL 5 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for I Q 2 2�8 5 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 hove read this application and state that the ► above information is correct. I agree to comply with all County ordinances and Slate laws regulating Plumbing, and hereby authorize representatives of t -s County to enter upon the o�a -me d Prop t f Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 10-17-85 ignature of Permitte Date ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT • DEPARZMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0502080026 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 12410 LT: 15 5524 HILTON AV FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802405 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BROADWAY 8588-002-015 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS 2.00 FIX 32.40 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 05/19/05 JK 11/15/05 47 WATER HEATER(S) 1.00 WTH 16.20 OWNER: TEL. N0: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINSL DATE __FINAL BY mo/ CODE: HAYNES CHARLES E;ELIZABETH A (626) 285-4381- 63 WATER PIPING BR/FIX 5.00 FIX 33.75 -- 5524 HILTON AV TOTAL FRES 158.70 - TEMP 917802405 DESCRIPTION OF WORK PLUMBING FOR MASTER BATH ADDITION AND FINISH PLUMBING APPLICANT: TEL. NO: HISEY PLUMBING CO. (626) 914-3490- 1149 E. CIA RAD AY ST SPECIAL CONDITIONS: GLENDORA, CA 91740 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE HISEY PLUMBING CO. (909) 946-2262- 1817 PINNACLE WAY LIC. NO UNDER SLAB WORK UPLAND, CA 91784 806061C36 WATER SERVICE , PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. NO: hl CAL CIVIC ENGINEERING (626) 798-2828- ROUGH PLUMBING 2160 PANNELL WAY LIC. N0: ALTADENA, CA 91001 NONE 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: BS0509