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HomeMy Public PortalAbout6209 IVAR AVE_Plumbing__ 76A667—CE 817468 COtT ,T OF LOS ANGELES u DEPARTMENT JF COUNTY ENGINEER BUILD24G AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 6 North Ivar COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Tem le City FOR APPLICANT TO FILL IN (PR NT OR TYPE) o NEAREST CROSS ST. NUMBER FIXTURE TU RE OR ITEM EACH FEE ' OWNER Bade WATER CLOSET 1.50 3 MAIL 1 BATH TUB 1.50 ._� ADDRESS 20 BirChcroft 1 SHOWER - 1.50 L7 CITY Arcadia TEL. NO. 446-1658 3 LAVATORY _ 1.50 CONTRACTOR Owen Bros. Plumbing, Inco 1 SINK 1.50 s�C ADDRESS 4265 No. Baldwin Ave. 1 DISHWASHER - 1.50 CITY al TEL. NO. U CLOTHES WASHER 1.50 �tJ STATE LIC • LICENSE NO. 231 741 CLASS C 36 SWIMMING POOL RECEPTOR 1.50 8'.. DISTRICT NO GROUP_ ZONE P S D BY LAWN'SPRINKLER SYSTEM 2.00 'O 1 WATER HEATER 1.50 157 C-) ° INDUSTRIAL U WASTE APPROVAL 1 GAS SYSTEM OUTLETS 1.50 INSPEC IOM ORD f 01 0 'OUTLETS OVER ' .30 5 PER SYSTEM N z Plan check fee`25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEE APPROVALS DATE I ECTOR'S SIG ATURE Plan check applicant UNDER SLAB WORK (, Name ROUGH PLUMBING Address GAS PIPING GAS VENT City. Tel. No. HOT WATER HEATER I HEREBY ACKNOWLEDGE:-THA�TI 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 GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT I 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,AND INTEND TO RESIDE IN,THE ABO DE6 IBED RESIDENTIAL PROPERTY. FINAL L SIGNATURE .TACK R. ALLEN, SUPERV ISIOHANICAL ENG'R. OF PERMITTEEPERMIT VALIDATIONM.O. CASH PLAN CHECK VA NIDATION CK. M.O. CASH T WORKERS'COMPENSATION DECLARATION �p pp���G=d�0�11V �O� h'L6�JIIVLI MMIG � ��'- I hereby affirm that I haJ�'a certificate of consent to self, 76A667A, u v insure, ora certificate of Workers Compensation Insurance, CE 817(REV.10/81) or a certified copy thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY Pal lcy No.—Co mpany Certified copy is hereby furnished., J AVEFOR APPLICANT TO FILL IN(PRINT OR TYPE) Q� � V eG Certified copy is filed withtthe county building inspec- ADDRESS :TV AR department. NUMBER ,FIXTURE OR ITEM @ FEE r LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF-EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE �+ SHOWER OWNER (This section need not be completed if the work involved by MAIL the'permit is'for one hundred dollars ($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued,.1'shall not employ an person in an manner SINK CITY . TEL. NO.//7 Q// P P Y Y P Y �JYI.401 C .f t. / BCT—(1163 so as To become subject to the Workers'Compensation Laws. DISHWASHER }� CONTRACTOR ��.CN �(s C_LI ASf� Date Applicant CLOTHES WASHER q� NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS Exemption, you.should -become subject to the Workers' SWIMMING POOL RECEPTOR t . { Compensation provCITY TEL. NO isions LAWN SPRINKLER SYSTEM of the Labor Code, you must forth- c' �'�`"�-� �t2 �f jrslaC with.comply with such provisions or this permit shall be STATEn /6 / LIC, deemed revoked. WATER HEATER LICENSE NO. '[V4/5 CLAS5'5/— 4 - . LICENSED CONTRACTORS.DECLARATION DISTRICT NO PROCESSE15 BY 1 hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS" (co,mmencing'with.Section 7000) of Division 3 of.the Business OUTLETS OVER ' ` �"' y, and Professions Code,and my,l'icense is in full,force and effect. 5 PER SYSTEM FINAL �► VALIDATION DATE License Number_2,q �d�� Lic. Class5-`—q y 6 36- FINAL ContractorDate BY ."„� fP "°a4«. . 0 ❑ I am exempt under Sec. � B.&P.C. for this reason �' Plan.check fee Date: PLUMBING PERMIT ISSUING FEE$ Signature ' TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name 6 5 A I hereby affirm that I am exerimptfrom the Contractor's.License Address Law for the following reason (Section 7031,5, Business'and tr` 5 Professions Code): City Tel. No. 0 0 ❑ I; as owner of the property, will do the work and the i. 0,0.3 Q,,:�0 structure is not intended or offered.for sale (Section 7044, Business and Professions Code). .o 0 0 3 0. CONSTRUCTION LENDING AGENCY 0 7, 1 4-8 3 I 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 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 u on the above-m nt' ned property f inspection pure ses. SEE REVERSE FOR EXPLANATORY LANGUAGE �3 natrmittee Oate GEPARI'MENT OF BUILDING APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUMBING NATURE OF INSTALLATION DISTRICT No. JOB No. PERMIT No. POUMIRUGH3 FIXTURES COMPLETE Zs — ��_:�.50 5 F HEATER CESSPOOL SEPTIC TANK READY FOR SCE`IVED BY DATEISSUED FIRST INSPECTION - y G A 9 MISCELLANEOUS 3 L4 A l'I'LI CA NT F1 LL IN HEAVILY OUTLINED PORTION ONLY JOS n. �"L9 •�' - 1 ADDRESS p ADDRESS - LOCALITY F J CITY TEL. NO. CROS-4S T. STATE - COUNTY NAME �yyi�//7 LICENSE NO. - REi. NO. DESCRIPTION OF WORK Z ADDRESS ti sri/' 3 �' 1' OI f r BATH TUB FURNACE , CITY y,/ .}.!� - TSL. NO. SHOWER _._,_ DISHWASHER 'CORRECTIONS LAVATORY REFRIGERATOR _ KITCHEN SINK __ WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY _ URINAL WATER CLOSET DRINKING FOUNTAIN WATER HEATER DENTAL LAVATORY - - GAS , 1 - _ J OUTL._L_ METER __L, SODA FOUNTAIN _ C SEPTIC TANK _ Z CESSPOOi. �.— C 0 TOTAL NUMBER OF FIXTURES LOCATION OF SEPTIC TANK. OR CESSPOOL NORTH - - - _ E W 3 �^ i APPROVED ROUGH PLUMBING INe PECTOR•D NAM9 DATE_- • GAS PIFING GAS VENT CESSPOOL SOUTH SEPTIC TANK INSPECTION FEE SEWER p i PERMIT FEE UTILITY Co.NOTIFIED• ' TOTAL FEE FINAL mit.i� ,_ a ;' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS -PL 0508 1208160019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: - ILEGAL ID: 1 - - FEES PAID I BUILDING ADDRESS: ITR: 5904 LT: 23 - - - - - 6209 IVAR AV - IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801526 (ASSESSOR INFORMATION NUMBER: - 1 NEARESTCROSSSTREET: 15386-010-_019 101 PERMIT ISSUANCE FEE 27.80' ( THOMAS PAGE: 596 GRID: H2 -LOCALITY: TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 - I. (TENANT: 125.LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED-ON: " PROCESSED BY: PLAN BY: - 145 WATER CLOSET/URINAL 1.00 FIX 16.20 108./16/12. SR 1 1 TOTAL FEES 76.40 1 (OWNER: TEL. NO: ". I IFINAL.DATE FI5AL BY: CODE: IKELLY CARMEN T (626) -286-0163-- 16209 626)286-0163 16209 IVAR AV. ITEMP 917801526 ID SCRIPTION OF WORK - IREPLACE BATHTUB/SHOWER, LAVATORIE AND WATER CLOSET FOR I IBATHROOM REMODEL I (APPLICANT: TEL. NO: IGLYCHER, ELINOR (877) 231-7389- ISPECIAL CONDITIONS: I I I •1 I I I i CONTRACTOR: TEL. NO: { _ (APPROVALS DATE INSPECTOR SIGNATURE . IMEGA GROUP BUILDERS (877) 231-7389- ( , 118375 VENTURA BLVD #770 LIC. NO I (UNDER SLAB WORK - ITARZANA, CA 91356, 461004-B I I I (WATER SERVICE IPLASTIC Y/N 'METAL Y/N I (ARCHITECT OR ENGINEER: TEL. NO: - - I• - - IROUGH PLUMBING 1 LIC_ NO: 1 I I GAS" PIPING I. I -I GAS VENT I I- I I I IHOT WATER HEATER - I - _ - IPLUMBING FIXTURES I " - I LAWN SPRINKLERS I - I IGAS TEST I '- I - I I - - .FUTILITY COMPANY.NOTIFIEDI ICWV I I I I I IGRAY WATER SYSTEM I I I I I I I I I I I I 1 I* ADDITIONAL DATA ON FILE 1 I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I i I I I I • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT - DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1208220030 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: - ITR: 5904 - LT:. 23 - 6209 IVAR AV (FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( TEMP CA 917801526 1 (ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET: 15386-010-019 101 PERMIT ISSUANCE FEE - 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl I 164 WATER PIPNG <= 1 1/2 10.00 LIN 162.00. 1 (TENANT: I TOTAL FEES 189.80 (ISSUED ON: PROCESSED BY: PLAN BY: 1 1 108/22/12 SR (OWNER: TEL. NO: I _IFINAL DATE FINAL CODE: 1 IKELLY CARMEN T' (626) 286-0163- I I _ _ 1 16209 IVAR AV I - ITEMP 917801526 I IDESCCRIT TION OF-.WORK I I IRE-PIPE HOUSE (TOTAL OF 10 POINTS) I (APPLICANT: TEL. NO: I - -IVERED NISSAN (877) 231-7389- 1 1 - I - - I ISPECIAL CONDITIONS: _ 1 CONTRACTOR: - TEL. NO: - I - (APPROVALS D TE INSPECTOR SIGNATURE IMEGA GROUP BUILDERS (877) 231-7389- _ 1 1 118375 VENTURA BLVD #770 LIC. NO (UNDER SLAB WORK ITARZANA, CA 91356 461004-3 I I WATER SERVIC I 1 I - - I IPLASTIC Y/ M T Y/N (ARCHITECT OR ENGINEER: .TEL. N0- I IROUGH PLUMBING I I 1 LIC. NO:, I I I IGAS PIPING _ IGAS VENT I I I I I IHOT, WATER HEATER I I 1 I I I _ I I IPLUMBING FIXTURES I 1 1 I I I ILAWN SPRINKLERS IGAS TEST I I (UTILITY COMPANY NOTIFIEDI I 1 ICWV I I I I I I I i I I 1GRAY WATER SYSTEM I I I I I I I I I I I I I ! I I I I I I I I I I I I I I I I I I I I I I I I* ADDITIONAL DATA ON FILE I I I I I I I 1 I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I