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7BA667-CE#817 4-64 ,I �1
APPLICATION FOR PLUMBIN ERMIT l �
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
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS. C
CITY TEL. NO
SHOWER 1.25
LAVATORY 1.25 CONI RACT
SINE 1,25 ADDRESS
DISHWASHER 1.25 CITY TEL N !V
LAUNDRY TUB 1.25 REGINSTRATRAT N NO. a COUNTY
CLOTHES WASHER 1.25 Dl§T-RICT N GROUP I ZONE E 9 Y
WATER HEATER 1.50 3
50 INDUSTRIAL a
GAS SYSTEM OUTLETS 1. WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD A
�y�n. V
v CL
V'd' Memel
.3 �✓
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY ► J
WITH ALL COUNTY ORDINANCES AND STATE LAW9 REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED CAT
PLUMBING FIXTURES I
LICENSED AS REQUIRED BY LOS ANG S COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM HE LE OWNER OF, AND INTEND TO
RESIDE IN,THE ABOVE DEB IBED SIDENTIAL P PERTV UTILITY CO NOTIFIED
SIGNATURE /
OF PERMITTEE
FINAL
VALIDATI ROBERT A WOOD
CK M O CASH SUPERVISING MECHANICAL ENG'R
LHLO :73:� JUL 2 6 5 D 3.5 0-
76A667-CE4817 6-65
APPLICATION F PLUM ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS 9925 E
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER Dr_. L. V. Roche
WATER CLOSET $1.25
IL
BATH TUB 1.25 A DRESS 9 25 E Las• Tunas Dr.
SHOWER 1.25 cin T empl e City TEL. NO. 286 3033
LAVATORY 1.25 CONTRACTOR Valle lEeatin Co.
SINK 1.25 ADDRESS 305 E Valley Blvd.
DISHWASHER 1.25 Ctrr San Gabriel TEL. NO. 288/ 6812
LIC
LAUNDRY TUB 1.25 LICENSE NO STATE1 447899 CLASS C 20
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50 S~ 0 (� 3
1 GAS SYSTEM 1 OUTLETS 1'S0 1 50 WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
w
O
I-
U
W
0-
z Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 1 3 1 50 GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
LPL'UMBING
CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
S REQUIRED BY LOS ANGELES COUNTY AND STATE OFGAS TEST
OR THAT 1 AM THE LEGAL OW OF,AND NTEND TO
HE ABOVE DE RIBED RESjDE 1 ROPERT UTILITY CO NOTIFIED
E ITTEE
FINAL
LIDATION
CK M O CASH
Ao 8_'2 2 710 -APR 2-6 5 D 3-.50-
D.B.B:1V 25M SETH 11.46' APPLICATION FOR PERMIT
•
DEPARTMENT OF BUILDING AND SAFETY �� �� �
COUNTY OF LOS ANGELES
Wm.J. FOX,CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT_NO.— GROUP
i� P R O.
ROUGH FIXTURES COMPLI� SEPTIC TANK '/ `
READY FOR
HEATER• CESSPOOL RECEIVEDeB, D TB ISSUED
,�� FIRST INSPECTION ��
AS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
E NAME / p y / (p ADDRESS ����h S T1
7,r�� -r
m _ ADDRESS ��1
�AV LOCALITY /
g _
'J � TEL:No.�'i/�y / CROSS ST.
!L CITY
COUNTY'
CERT.No. �y � EXPIRES %oe- C NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL WZ 'MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
--
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE LIFICATION.
/f(�P_L�U�/M�/��BBLLR/R
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
` 2 OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z_
BATH TUB FURNACE
SHOWER DISHWASHER O
i� LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SANDTRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
_WATER HEATER —A DENTAL LAVATORY ROUGH PLUMBING
METER GAB - SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES 1� SEPTIC TANK I I
CESSPOOI SEPTIC TANK SEWER
$ UTILITY CO.NOTIFIED I I
OTAL FEE
FINAL 000,
9).8.8:-147 25M SETS 11-46 - APPLICATION FOR PERBUT
DEPARTNT 'OF BUILDING AND SAI�"S'T%
Cb . PLUMBING
�� � �
COUNT OF LOS ANGELES •
'"Wm. J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GRWP ZONE PERMIT NO.
t
ROUGH FIXTURESCOMPLETE
HEATER CESSPOOL H SEPTIC TANK REEtVED BY READY FOR 8 ATE ISSUED
FIRST INSPECTION
AS M18CELLANEOUB 9 7
-APPLICANT FILL IN'HEAVILYOUTLINED PORTION ONLYJOB
S NAME VO - ADDRESS
m ADDRESS f LOCALITY / 7 P
E -
D NEAREST !7
6
CITY TEL.No. / / CROSS 8T.
COUNTY
CERT.No. (J EXPIRES 6 K, NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
—
I AM THE LEGAL POSSE680R OF THE 'ABOVE LOB
ANGELES COUNTY CERTIFI�q*TE OF QUAtvIFICATION.
PLU iiBR
I AM THE LEGAL OWNER OF-THE PR ERTY DESCRIBED
ABOVE.
OWNER
_I CORRECTIONS
SOUTH
J
DESCRIPTION'OF WORK z
HATH TUB FURNACE E9
SHOWER DISHWASHER - D
LAVATORY REFRIGERATOR, P
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP,
GLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
,WATER CLOSET DRINKING FOUNTAIN" DATE IN9PffECTOR's NAb1E '
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I P'� I // A iA
1 . ETER�UTL f SODA FOUNTAIN I ( ( I -! v Y
6A9 PIPING
tC,) �r`/�7! CTAS VENT
/yy CESSPOOL I
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOL SEPTIC TANK SEWER
$ UTILITY CO.NOTIFIED I I A
TOTAL FEE OQ
��^ FINAL
D.B.9.17 25M BETH 1D-47 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES 1 7
PLUMBING
WM. J. FOX.CHIEF ENGINEER
,NATURE OF INSTALLATION DISTRICT N . GROUPI ZONE PERMIT Nu.
-
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL I__�SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
4 FIRST INSPECTION �•'�
A9 MISCELLANEOUS U 6 5
P CANT FILL IN 'HEAVILY OUTLINED PORTION ONLY
JOB
0: NAME ADDRESS
W _ r�
m ADDRESS LOCALITY
0 � ONEAREST
IL CITY TEL.N CROSS ST.
COON �®
CERT.NO. EXPIRES W NAME
LOCATION OF SEPTIC TXNK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY THL.No
I AM "FRIT LEOAL POBB BO OF THE ABOVE LOS
ANGELES COUNTY ClRTIFIC B QUAL��A ,N.
v LTLu BQR
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 n) OWNER
'1 CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z_
HATH TUB FURNACE
CY
ROWER DISHWASHER 0
LAVATORY REFRIGERATOR
-KITCHEN SINK WATER SOFTENER
FLOOR SINK SANDTRAP
SLOP SINK FLOOR DRAIN
ASHTRAY URINAL APPROVALS
i
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NANQ
WATER HEATER ENTAL LAVATORY ROUGH PLUMBING I I
-METE GAS _SODA FOUNTAIN GAS PIPING I
OUTL
GAS VENT I
CESSPOOL ( I
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CE88P001_-f9EPTIC TANK SEWER
S
UTILITY COUTILITY NOTIFIBD���
TOTAL FEE
FINAL
D.S. 17 25M SETS 12-43 APPLICATION FOR PERYJIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP O PERMIT NO.
_ � '7Sso 9
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL —I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
� f FIR INSPECTION
GAS MISCELLANEOUS (214
P LICAN_T FILL Ili HEAVILY OUTLINED PORTION ONLY
JOBx
E NAME ADDRE8B -A:e 24
m
ADDRESS � ( LOCALITY
IL, EAREST
- 4 4 T �NQ. ?'� CRO89 ST.
COUNTY r L
CERT.No. EXPIRES4# i'GO!� ,
NAME
LOCATION-OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH O _
CITY f TEL.No.
IAM THIVLEGAC POSBHSSOR ge—THEABOVELOS
ANGELES CdLINTY CERT�I9�ATB OF QUIO
(� � PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
,� VI OWNER
'17 CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
_z
BATH TUB FURNACE CI
SHOWER DISHWASHER p
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK BAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
_/—WATER HEATER ENTAL LAVATORY ROUGH PLUMBING I I
METER GAS aODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES ` SEPTIC TANK I /
CESSPOOL f4EPTICTANK SEWER I I' ✓
S
UTILITY CO.NOTIFIED
TOTAL FEE / !] ✓ -
FINAL o1
CI ,
cir WORKERS' COtAPENSATrON DECLARATION APPLICATION FOR PLUMBING PERMIT
ereby affirm that I have a certificate of conse;t to self 76A667A
ray msu'e, or a certificate of Workers' Compensotion Insurance, CE 817(REV 10/81)
'o�q certifieO copy thereof (Sec 3WO, Lab C ) COUNTY OF LOS,ANGELES BUILDING AND SAFETY
Policy No Company
❑ Certified copy is hereby furnished,
❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /
Certified copy is filed with the county,building inspec- ADDRESS �1nZ
tion department NUMBER FIXTURE OR ITEM @ FEE
• LOCALITY j Zy
Date Applicant WATER CLOSET D NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' BATHTUB CROSS ST t
COMPENSATION INSURANCE OWNER
(This section need not be completed if the work Involved by SHOWER
the permit is for one hundred dollars ($100)or less.) ` 7 LAVATORY MAIL
ADDRESS
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner SINK CITY TEL NO
so as to become subject to the Workers'Compensation Laws DISHWASHER
CONTRACTOR
DateApplicant C.�";,/
nte/ CLOTHES WASHER
NOTICE TO APPLICANT If, after m6king this Certificate of ADDRESS
Exemption, you should become subject to the-Workers' SWIMMING POOL RECEPTOR r y-
Compensation provisions of the Labor Code, you must forth- CITY �� TEL NO.We 3iJ
with comply with such provisions or this permit shall be STATE LAWN SPRINKLER SYSTEM
deemed revoked j WATER HEATER O/1 LICENSE NO 35�u !r z� cc
Lass
LICENSED CONTRACTORS DECLARATION (CJJ DISTRICT NO OCESSED BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM ��-�� OUTLETS (�
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER >_
and Professions Code, and my license is in full force and effect 5 PER SYSTEM 0.
FINALVALID ION
f
License Number-? J �� � Lic Class C 36
DATE
`JFIN 0
�
ContractorW C1Y•Kv1,•eflf*4n�to r s BY V
❑ I am exempt under Sec LU
y
B&P C for this reason Plan check fee Z
ate cru 7
' PLUMBING PERMIT ISSUING FEE$ � (�
Signature �J7 �.9v✓' -2 1 3'S,3,p
TOTAL FEE loo #"0 0 0 • 0 5'
SINGLE FAMILY
Plan check applicant d 8 �• '®
• d
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor's License Address 1 6_'8 5
Law for the following reason (Section 7031 5, Business and
Professions Code) City Tel No
❑ j, as owner of the property, will do the work and the
structure is not intended or offered for sale (Section ,
7044, Business and Professions Code)
CONSTRUCTION LENDING AGENCY
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 jaws regulating Plumbing, and hereby
authorize representatives of this County to enter upon the
abov mentioned property for inspection purposes
i SEE REVERSE FOR EXPLANATORY LANGUAGE '
Signature of Permittee /r—Date
1 ' WO$I+ERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT'
L I+er 6p a fffrii that I have a certificate of consent to self 76A667A
ceytificate of Workers' Compensation Inturante, ' CE 817(REV 10/81)
' � 'cert ted copy thereof (Sec 3800, Lab C,) COUNTY OF LOS ANGELES BUILDING AND SAFETY
-."_C�..
P❑o city No ^+ Company
Certified copy is hereby furnished❑ BUILDING FOR R APPLICANT TO FILL-IN(PRINT OR TYPE) ADDRESS •
Certified copy is filed with the county budding inspec-
tion department NUMBER FIXTURE OR ITEM @ FEE LOCALITY `
Date Applicant WATER CLOSET NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST (/�--
- COMPENSATION INSURANCE OWNER
(This section need not be completed if the work involved by SHOWER
MAIL -
the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manlier SINK CITY TEL NO
so as to ecom subject to the Workers'Compensation Laws DISHWASHER CONTRALTO
7P
,may-JA.
Date Applicata "'�`� I CLOTHES WASHER ADDRESS
NOTICE:TO APPLICANT If, after making this Certificate of
Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR .2
Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY G TEL
with comply with such provisions or this permit shall be STATE L O Z LIC
deemed LICENSE NO revoked WATER HEATER CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO OCESSED BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER (J Q CLCL
and Professions Code,and my license is in full force and effect 5 P SYS E FINAL 0
Sq VALID TION
License Numb-.3.90 L Lic Class �� ✓ DATE � Z0 09
FINA ,� O
CaiMfrfEibk Dat �i5 X BY (p/ I.-
❑F-1
I am exempt under Sec 21 4 1.2 A H
B 8P C for this reason ►
Plan check fee
# oaaoa5
Date PLUMBING PERMIT ISSUING FEE$
Signature x I a o 1 650
TOTAL FEE SU
Plan check applicant o 0 0 1 650v
SINGLE FAMILY '
HOME OWNER=BUILDER DECLARATION Name, 1.2 5—8.5
1 hereby affirm that I am exempt from the Contractor's License Address
Law 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
structure is not intended or offered for sale (Section ,
7044, Business and Professions Code)
CONSTRUCTION LENDING AGENCY
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 a d State laws regulating Plumbing, and hereby
aut ze resentatives of this County to enter upon the
e- e coned property for in ection purposes /
SEE REVERSE FOR EXPLANATORY LANGUAGE
gnature of Permittee Date
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ' PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS y - PL 0508 0802130010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
-
ILEGAL ID• 1 FEES PAID I 1 BUILDING ADDRESS 1
ITR. 6561 LT: 40 I 9925 LAS TUNAS DR
I IFEE DESCRIPTION QUANTITY UOM- AMOUNT: ( TEMP CA 917802211 _ 1
(ASSESSOR INFORMATION NUMBER. I - I NEAREST CROSS STREET - 1
18587-031-011 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE 597 GRID: A2 LOCALITY:-TEMPLE CITY, Cl
I 1,45 WATER CLOSET/URINAL 1 00 FIX 16 20 I
(TENANT: I TOTAL FEES 43 95 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I
I 1 102/13/08 SR 08/11/08
10WNER TEL NO 1 - IFINAL D TE FIN Y - CODE
I LEE, JAMES -
19925 LAS TUNAS DR _
ITEMP 917802211 1 lt7fSCRIPTfON OF WORK - 1
I IREPLACE WATER HEATER SAME LOCATION I
(APPLICANT TEL NO I
IBATIOFF (626) 614-7059-
ISPECIAL CONDITIONS
I I I 1•
ICONTRACTOR TEL NO -• (APPROVALS DATE INSPECTOR SIGNATURE
IFAST WATER HEATER CO (425) 814-9516- '1 1~' 1
112601 132 AVE NE LIC NOIUNDER-SLAB WORK 1
IKIRKLAND WA 98034 877489 C36 I ' I 1
(WATER SERVICE I
- PLASTIC YIN METAL YIN 1
(ARCHITECT OR ENGINEER TEL NO. _
1 - I IROUGH PLUMBING I 1 I
LIC. NO I -
J IGAS PIPING
I - IGAS VENT I 1
I I I I I I
' II IHOT WATER HEATER I I I
I I ' I I I
1 I IPLUMBING FIXTURES I I I
I I I I I I
I I 1LA4TN SPRINKLERS I I I
IGAS TEST
I I- 1-1 1
1 I (UTILITY COMPANY NOTIFIED( I
I ICWV I I
I (GRAY WATER SYSTEMvvw
I I 1
I I I I I I
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I I I I I I
I I I I I I •
1 IREPORT ID: DPR263 ROUTE TO BS0508 1 1 I I
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