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Home My Public Portal About6137 IVAR AVE_Plumbing__ 76A667 QC E-:8.17)¢4/72 APPLICATION FOR . PLUIVIEI-NG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION Le MAKE CHECKS PAYABLE TO: �A�DDRESS f ' 7_ /HARVEY T. BRANDT, COUNTY ENGINEER �—G```'Pl_;,m FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST CROSS ST. [Z) G3A L%> e' r NUMBER FIXTURE OR ITEM @ FEE OWNER WATER CLOSET 1,75 BATH TUB T.75 ADDRESS &/3 7 AJ, j VA-f- SHOWER SHOWER 1,75 CITY je;',iP`— ee'4L` TEL. NO. 6 . 44 LAVATORY 1,75 CONTRACTOR SINK 1.75 ADDRESS DISHWASHER 1.75 CITY, TEL. NO. CLOTHES WASHER 1,75 'STATE LIC LICENSE NO. CLASS. SWIMMING POOL RECEPTOR 1,75 DISTRICT NO. GROUP NE FRO ESSED BY LAWN SPRINKLER SYSTEM 1.75 _ I `J /L �I. WATER HEATER 1,75 INDUSTRIAL a WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD Ci OUTLETS OVER 30 O 5 PER SYSTEM V • W O.. t� Plan Check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 i 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 THAT AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL RO RTY. FINAL SIGNATURE OF PERMITTEE PERMIT VALIDATION CK. M. CASH PLAN CHECK VALIDATION CK. M.O. CAISH 7 - �J j tl ( Un ,5d 76A667C1(CE-817B) -.9/75 ��il7V7rz �' APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPEIBUILDING a NUMBER FIXTURE.OR ITEM @ FEE ADDRESS WATER CLOSET c� ) LOCALITY NEAREST r �7 BATH TUB CROSS ST. SHOWER ? U� OWNER . - r� r,. :l 12 MAIL X� LAVATORY - ../J'� ADDRESS /' SINK CITY �� TEL. NO. DISHWASHER ` CONTRACTOR. CLOTHES WASHER ADDRESS % ,rJ y ✓ t _ SWIMMING POOL RECEPTOR - C I TY t`" _,• L ,TEL. N O. LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER ? LICENSE NO. 1_ pZ CLASS ' CL. DISTRICT NO. GROUP ZONE RO SSED BY GAS SYSTEM OUTLETS (J-v _ f U OUTLETS OVER 5 PER SYSTEM - INDUSTRIAL WASTE APPROVAL Uw CL. INSPECTION RECORD to - Z Plan check fee PLUMBINGPERMIT ISSUING FEES TOTAL FEE , Plan check applicant ! r_ _ Name /� C�? APP d S DATE INSP_ESTOR'S SIGNATURE �-'a UNDER. 93 WORK Address ' -,e �-� �✓" ROUGH PLUMBING Z-'ZZ—'�S City •' T-'I. No. t�i GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AN D STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES y LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST s� CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO e. RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATU RE {, ~ OF PERMITTEE FINAL —„ PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALID`ATION� CK. M,O. ASH 1 76A667''DBS 17 11-5D - APPLICATION FOR PERMIT. DEPARTMENT OF BUILDING AND SAFETY AM COUNTY OF LOS ANGELES PLUMBNNG' WILLIAM J. FOX, CHIEF ENGINEER DISTRICT O. GROUP ZONE RMIT NO. FOR APPLICANT TO FILL IN _5 I+ 13a ' PLUMBER BelvederePlumbin . Co. RECEIVED BY READY FOR DATE ISBUED _ FIRST INSPECTION ADDRESS alm Ave BUILDING 613 lY o Ivar CITY Alhambra TEL.ND. AT95025 ADDRESS COUNT NO. 808M 6/30/52 LOCALITY Temple Cit EXPIRES - NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER A. Kubachi MAIL WATER CLOSET(TOILET) @ 0.50 $ O .ADDRESS 1 BATH TUB @ 0.50 0 CITY TEL. No. SHOWER. @ 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 1 LAVATORY (WASH BASIN) @ 0.50 O APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 1 KITCHEN SINK @ 0.50 5 O AND STATE LAWS REGULATING PLUMBING. t CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.505-O ANGELES COUNTY LICENSE, OR i AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 1 GAS SYSTEM-OUTLETS @ O.SO 50 n y� SIGNATURE TOF WATER HEATER @ 0.50 PERMITTEE C,XXX6IGI�GILLiPP9 66Nn1 SLOP SINK @. 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @. 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 Q HOUSE SEWER. @ 0.50 ? MISCELLANEOUS - 'I P Q' O APPROVALS c,DATE INSPECTOR'S NAME ROUGH PLUMBING �� GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.001 I SEWER /�j� / PERMIT t.Oo GAS TEST �l /T l UTILITY CO.NOTIFIED A TOTAL FEESO v -aI vLA '� ,' FINAL X608 M 76AB67 h.Bs,7 ;,-50 ... APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES r WILLIAM J. FOX, CHIEF ENGINEER - DISTRICT NO. GROUP ZONE FOR APPLICANT TO FILL INde PLUMBERAPI_ / f/' RECEIVED BY READY FOR DATE ISSUED y v FIRST INSPECTION (,9 ADDRESS �,e/�(�v��^ ryyy A� CITY ,��_ ,,.��, J+1 TEL.,14Q•J ,� 9'/e ADDRESS QIt� �� /'A ii i COUNTY � v LOCALITY_ LICENSE NO. EXPIRES .' NEAREST PERMIT FEES CROSS ST. � ^.NUMBER TYPE OF FIXTURE.OR ITEM FEE OWNER - /;Pr MAIL WATER CLOSET(TOILET) @ 0.50 $ ADDRESS BATHTUB @ 0.50 CITY TEL. No. SHOWER @ 0.50 '1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIB LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE -LEGAL OW ER OF THE RESIOEN IA PROP RTl(/DESCR4BED1 ABOV GAS SYSTEM OUTLETS -@ O.SO '' / SIGNATURE OF .:-, WATER HEATER @ O.SO PERMITTEE, _ SLOP SINK @ 0.50 INSPECTION.RE' -RD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 q✓ 7� �. Al >,..: DRINKING FOUNTAIN @ 0.50 , Iil// /J F'r (/'Cin�/+✓�l^vT URINAL @ O.SO r� �_ c�r- / !l. • Q HOUSE SEWER @ 0.30 - d "'� --�'J " d Z_ MISCELLANEOUS' M'` la-o v.SE CJ Q' T� 7P TGe b`T 'a=•APPROVALS DATE INSPECTOR'S NAME iY ROUGH�PLUMBING 4 GAS PIPING JGAS VENT:.`',,. CESSPOOL @ 1:00 CESSPOOL 1 SEPTIC TANK: G D SEPTIC.TANK; /1 K DRAIN ) PIT ) @ 1.00 SEWER"".`,-'I�:�.'�; PERMIT 1;00 GAS TEST-i'; UTILITY,60.NOTIFIED TOTAL FEE FINAL 76A667-CE#817 5/63 p p. APPLICATION BNG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER i BUILDING. AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER BUILDING WILLIAM A. JENSEN, SUPT OF BUILDING y LOCALITY FOR APPLICANT TO FILL IN NEAREST �m� �✓ -CROSS ST. NUMBER FIXTURE OR ITEM EACH - FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS sJ r� 42 SHOWER 1.25 CITY h/1y TEL. NO�t67..®, t LAVATORY 1.25 CONTRACT • �_ .�✓ SINS 1:25 ADDRESS ® w DISHWASHER 1.25 CITY j TEL. NO. LAUNDRY TUB 1.25 CON ACT 'S REISTRAT STATE GN NO. COUNTY ❑ - CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE WATER HEATER' 1:50 Imo.+ � CESSED BY s.l� � >_ 1.50 INDUSTRIAL b GAS SYSTEM OUTLETS O WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD O U Lu a N Z - APPROVALS DATE INSPECTOR'S SIGNATURE , PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION . AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT ` WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �� HOT WATER HEATER PLUMBING. - 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR k PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS 'AN LES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 A THE L AL OWNER OF,AND INTEND TO ' - RESIDE IN,THE ABOVE DE IBED E' NTIA ROPE}RTY. 7 j UTILITY CO. NOTIFIED SIGNATURE - 1 .. OF PERMITTEE FINAL ` .l.� t..�. ./ VALIDATION° ROBERT A. WOOD CK. M.'O. / CASH SUPERVISING MECHANICAL ENG'R5 A - ,,i:L WORKERS'COMPENSATION DECLARATION (-0-�(-0-�p � �p 2 (�o O MM o I57 0 0 I hereby affirm that I have a certificate of consent.to self 76A667q U"I�L�D�G=�1��11V lT�l1� ��`" �� - "�� insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/61) CITY OF TEMPLE CITY or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy N 20191 Company SCIF 22270 READY FOR INSPECTION. Certified copy is hereby furnished. ® FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING •�- --• Certified copy is filed with the county building inspec- ADDRESS 61 tion,department. NUMBER FIXTURE OR ITEM @ FEE /, LOCALITY Tem le City Date 4/1/83 Applicant General Insta 1. WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS'. BATH TUB CROSS ST. Langdon COMPENSATION INSURANCE OWNER g, Stillwell (This section need not be completed if the work involved by SHOWER the permit is for one hundred dollars ($100)or less.) LAVATORY MAIL I certify that in the performance of the work for which this ADDRESS same permit is issued, I shall not employ any person in any manner SINK CITY TEL. N0,2$6 2959 so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR General Installation Date Applicant CLOTHES WASHER ADDRESS NOTICE-TO APPLICANT: If, after making this Certificate of 6558 West, Blvd. Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITYLOS Angeles TEL. N LAWN SPRINKLER SYSTEM 0753-2541 with comply with such provisions or this permit shall be STATE LIC. deemed revoked. 1 WATER HEATER 00 LICENSE NO. 151539 CLASS C36 LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL 0. 151839 C36 DATE �S 2� VALIDATION O License Number Lic. Class U W.0. Provi n 4/5/55 FINAL Ip Contractor Date I.- -U•li ❑ 9L I am exempt under Sec. 9L B.&P:C. for this reason D Plan check fee ' Date: 50 - PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE 50 Plan check applicant SINGLE FAMILY G HOME OWNER-BUILDER DECLARATION Name O'b 9,3A I hereby affirm that I am exempt from the Contractor's License Address ' o'o 0 0 0 5 Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. 2:0 0 1 CS O ❑ I, as owner of the property, will do the work and the . ' structure is not intended or offered for sale (Section D ° ° ° 1 6•5 0 u± 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 1 0 3.2 3--813 1 hereby affirm that there is a 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 certify that I have read this application and state that the D 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 property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date