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Home My Public Portal About6446 LIVIA AVE_Plumbing__ 76A667-CES17-11-57 APPLICATION FOR ,PLUMBING PERMIT 1 . COUNTY OF LOS ANGELES DEPARTMENT OF, COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS CASSATT D. GRIFFIN, Supt of Building LOCALITY P FOR APPLICANT TO FILL IN NEAREST NUMBER FIXTURE OR ITEM CROSS ST. 47 a I WATER CLOSET OWNERMAIL / BATH TUB ADDRESS (O v SHOWER CITY j,,/-J f NO. V7-6 O 70' . LAVATORY CONTRACTOR Sr' SINK ADDRESS DISHWASHER CITY TEL. NO. LAUNDRY TUB CONTRACTOR'S STATE El REGISTRATION NO. COUNTY El CLOTHES WASHER DISTRICT NO G ZONE READY FOR INSPECTION WATER HEATER d C GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS / .00 PER ITEM �l9►(J DATE INSPECTOR'S SIGNATURE O UNDER SLAB WORK PERMIT $ 00 ROUGH PLUMBING TOTAL FEE O GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES LICENSEDBASCERT FY THAT I REQU RED BY LOSMPROPERLY ANGELES COUNTY STED AND STATE/OR OF GAS TEST �,,,, ♦d, y1119 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED r DESCRIBED RESIDENTIAL PROP ITY. SIGNATUREFINAL e� OF PERM ITTE cJ" at�� FAM120112mmmem -w -- OBERTA.WOOD. OF ATIO UPERVISINGMECHANICALENG'R VAf O. CASH ULO2 9''1 fi s A 3.0-0 J VfbRKEF1'S COMPENSATION icate DECLARATION 20-0026 DPW 9/89 , PP �+q'�,p�T� 0® FOR PLUMBING PERMIT ' 76A667A 6�1 L� �vb� Il I hQreby affirm ttlat I have a+certificate of consent to self insure, r /-or a ce,tificate of Worker's Compensation Insurance, or a certified copy thereof;(Sec 3800 Lab C) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No Company , ❑ Certified copy is hereby furnished - FOR APPLICANT TO FILL IN(PRINT OR ADDRESS TYPE) BUILDING Certified copy-i's filed with the county budding inspection EJ department f NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date ^ Applicant WATER CLOSETe7 4 7 NEAREST CROSS ST (CERTIFICATE OF-EXEMPTION FROM WORKERS' BATH TUB ASSESSOR /yt 'COMPENSATION INSURANCE SHOWER < MAP BOOK Z PAGE®� PARCELK/� (This section need not be completed if the,work involved by the permit is for one hundred dollars($100)or less.) OWNER I certify that in the performance of the work for which this permit LAVATORY is issued, I shall not employ an arson in an manner so as to MAIL f/1 P Y Y P Y - SINK ADDRESS 1 become sub/act to the Workers'Compensation Laws �f DISWASHER CITY TEL NO 42�d21 r Date Applicant / CLOTHES WASHER NOTICE TO APPLICANT If, after making this Certificate of CONTRACTOR /R.ert��/J Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL NO d I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER STATE LIC Q (commencing with Section 7000) of Division 3 of the Business and 2 LICENSE NO Professions Code,and my license is in full force and effect GAS SYSTEM .J OUTLETS CLASS (j OUTLETS OVER DISTRICT NO PROCESSED BY Q 5 PER SYSTEM �QQlt/ O� License Number Lic Class FINAL - J VALIDATION' LU /J/ DATE IZ. Contractor Date A(1 FINAL t u 8 Z ❑ . I am exempt under Sec BY —; } B&P C for this reason Plan check fee v� O ® - f ITEMS Date PLUMBING PERMIT ISSUING FEE$ ,�� 0 TOTAL x..50 .. 00 Signature ❑ TOTAL FEECHEt•Y 1c 1.CIC( 1 Plan check applicant � HAN{7E ,0 i SINGLE FAMILY t HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law �s for the following reason (Section 7031 5, Business and Professions Address [I000-0U0L 7/s3/? Code) ❑ e I�? I,as owner of the property,will do the work and the structure City Tel No i s7 I AM is not intended or offered for sale (Section 7044, Business and Professions Code) l 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, r Civ C) Lender's Name Lender's Address I certify that I have read this application and slate that the above information is correct I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize re sentatives of this County to enter upon the above-mentioned pro ms e�purpo 1.7SEE REVERSE FOR EXPLANATORY LANGUAGE gnature of P fnittee Date WORKERS'COMPENSATION DECLARATION A®P'LICATION F®® PLUMBING PERMIT • 20-0026 DPW 4/90 ffl�— 99�� FOR 1� I hereby, affirm that I have a certificate of consent to self in- 76A667A sures or a certificate of Workers'Compensation Insurance,or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS P icy No ��mpony Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING � � Certified copy is filed with the co my build g i spection ADDRESS dep rtment NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET(TOILET) Date Applic t NEAREST C RTIFICATE OF EXEMPTION FROM WORKE S' 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 1 certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CITY TEL NO as to become subject to the Workers'Compensation Laws DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER NOTICE TO APPLICANT If, after making this Certificate of Ex- ADDRESS emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR / CITY 5 TEL NO sation provisions of the Lal:nr Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATr LIC ed WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS /O L 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER dJT d and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION fect HOSE BIB DATE License Numb`r 4 Lic Clas Rd _ a FINAL E Contractor f Date - BY U F-1 ( �— i cc0 I am exempt under S c B&P C for this reason �`� _I�1 7ileJl Plan check fee ® I i TEN' Date PLUMBING PERMIT ISSUING FEE$ a f�tl;�� 70 a Signature 0TOTAL FEE Q, 0 iJ ;7fj,il� SINGLE FAILY HOME OWNER-BUILDS DECLARATION Plan check applicant } I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031 5,-Business and Professions Code) _ Address �. 1, as owner of the property, will do the work and the City Tel No structure is not intended or offered for sale(Section 7044, =-'=_ 1 Ar 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 i- Lender's Address I certify that I have read this application and state that the abov information is correct I agree to comply with all County ordi ances and State laws regulating Plumbing, and hereby out oriJ sent Ives of this County to ente upon the ve- ed pe for inspectionp os SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Per I ttee D to COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT "DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0805200001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE- (626) 285-0488 EXT ILEGAL ID FEES PAID BUILDING ADDRESS I ITR 12504 LT 18 BL .001 UN 002 1 6446 LIVIA AV I I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801329 I (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LONGDEN 1 15382-018-005 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H1 LOCALITY. TEMPLE CITY, Cl 1 125 LAVATORIES/SINKS 1 00 FIX 16 20 1 ITENANT 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 11SSUED ON PROCESSED BY PLAN BY EXPIRES ON I I 1 TOTAL FEES 60 15 105/20/08 SR 11/16/08 1 (OWNER TEL. NO (FIN DAT FI Y- CODE ICHRIS - I I I 16446 LIVIA AV 1 I ITEMP 917801329 1 ID SCRIPTION OF WORK II IGAS LINE AND SINK FOR BBQ GRILL 1 I I I I (APPLICANT TEL NO I I TRANG (626) 589-2027- I 12607 WALNUT GROVE AV I ISPECIAL CONDITIONS 1 IROSEMEAD, CA 91770 I I I I I I I (CONTRACTOR- TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I IPHD BUILDER INC (626) 589-2027- 1 1 I 12607 WALNUT GROVE AVE LIC- NO I (UNDER SLAB WORK I I I IROSEMEAD, CA 91770-3264 868680 B I I I I I I 1 IWATER SERVICE I I I I I IPLASTIC Y/N METAL Y/N I 1 I (ARCHITECT OR ENGINEER. TEL NO 1 I I I I I IROUGH PLUMBING I 1 LIC NO 1 11 IGAS PIPING I I I I I I IGAS VENT I I I I I 1 IHOT WATER HEATER 1 I I I I I I I I I 1PLUMBING FIXTURES I I I I I I I I I 1 ILAWN SPRINKLERS I I I I I IGAS TEST I I I I I 1 I (UTILITY COMPANY NOTIFIEDI I I I 1 1-1 1 I ICWV I I I I I I I 1 1 IGRAY WATER SYSTEM 1 I 1 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 I I I I I I IREPORT ID DPR263 ROUTE TO BS0508 I I I I I I I I I I