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Home My Public Portal About6429 LOMA AVE_Plumbing__ D.B.S.17 25M SETS 2-47 APPLICATION FOR PERBUT DEPARTMENT- OF BUILDING AND SAFETY COUNTY OF LOS ANGELES Wm.J. FOX.CHIEF ENGINEER NATURE OF MSTALLArinON DISTRICT . G OUP /AZONE PERMIT NO. ROUGH FIXTURES COMPLETE �( HEATER CESSPOOLI—I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION AS MISCELLANEOUSST APPLICANT FILL IN JIEAVILY OUTLINED PORTION ONLY /� JOB � �G• [—.Cis+',. E NAME ��'�� ~ ADDRESH W J m ADDRESS �"A/ LOCALITY NEAREST L CITY TEL.Nd.<T'Y .r�1F' CROSS ST. COUNTY 7� CERT.No, EXPIRES m NAME • G� LOCATION OF--SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O -o CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CRRTIFICFjTE OF gUALIF ATION. O7and Vi�..r4 J , I AM THE LEGAL OWSR Ali PROP�DESCRIB ABOVE. N a (/I OWNER '1 CORRECTIONS SOUTH J DESCRIPTION OF WORD a � _ z BATH TUB FURNACE _V' (Y SHOWER DISHWASHER p LAVATORY REFRIGERATOR / KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS oL WATER CLOSET DRINKING`FOUNTAIN DATE INSPECTOR'S NAM[ / WATER HEATER DENTAL LAVATORY ROUGH PLUMING METER-3—GAS _—flODA FOUNTAIN OUTL GAS PIPING I I GAS VENT ( I CESSPOOL /0 TOTAL NUMBER OF FIXTURES SEPTIC TANK I I +. CESSPOOL_—(SEPTIC TANK SEWER $ UTILITY CO.NOTIFIED I 11 I TOTAL FEE FINAL e _ l 1 D.S.S.T7 25M'SETS 2-47 APPLICATION FOR PERMI`s DEPARTMENT OF BUILDING AND SAFETY �� COUNTY OF LOS ANGELES WM.J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE Ff Z' HEATER CESSPOOL 1-1 SEPTIC TANK RECEIVED>BY READY FOR DATE ISSUED FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAME ADDRESS W m ADDRESS LOCALITY n NEAREST J CITY TEL.No. CROSS ST. 11. COUNTY CERT.No. EXPIRES W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 ADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. tel 3 -yl OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK Z BATH TUB FURNACE Q' SHOWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I METER-GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT ( I CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOI IsEPTICTANK G� �"' SEWER I I 84 UTILITY CO.NOTIFIED I I TOTAL. FEE FINAL DEPARTMENT OF COUNTY ENGINEER 7 PLUMBING I DIVISION OF BUILDING AND SAFETY �7 / PERMIT APPLICATIOJI COUNTY OF LOS ANGELES BUILDINGi WILLIAM J. FOX, COUNTY ENGINEER ADDRESS FOR APPLICANT TO FILL N LOCALITY BUILDING NEAREST 'tel + CROSS ST ADDRESS JMt DISTRICT N0. GROUP ZONE PERMIT N0. LOCALITY �/j• y /P�� I�;5� NEAREST G/h' CROSS ST RECEIVED BY Ready for Inspection DATE ISSUED OWNER L.�L �� • C0`� MAIL INDUSTRIAL ADDRESS WASTE APPROVAL CITY TEL.NO. INSPECTION RECORD PLUMBER [GENERAL INSTALLATTnJT 4�� ADDRESS 311 E. 80th STREET L. A. 3 rLeaunt 3.2541 CITY TEL.NO. p �7 ❑STATE LICENSE'NO �/j / ❑COUNTY J PERMIT FEES a _z J,1MRER TYPE OF FIXTURE OR ITEM FEE 1' WATER CLOSET(TOILET) @ 0.80 S i D BATH TUB @ 080 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0 80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0 80 SLOP SINK @ 0.80 FLOOR SINK @ 0.80 FLOOR DRAIN @ 080 DISHWASHER @ 0 80 DRINKING FOUNTAIN @ 0.80 URINAL @ 080 GAS SYSTEM--------------OUTLETS @ 1.00 WATER HEATER @ 1.00 1 MISCELLANEOUS c APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE VZ) GAS PIPING IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED REST NTIAL PRO EfRTY. UTILITY CO.NOTIFIED SIGNATURE `!� _'"' p. -4 i OF PERMITTEE----....................------....----r•. ------..........---...- ... FINAL �� O 76A667 DBS 17 1/53 WORKER'S I have a ceSATION Df consent 20-0026 DPW 9/89 APPLI( AA% FOR PLUMBING PERMIT 76A667A I hereby affirm,that I have a certificate of consent to self insure, , or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec 3800 Lab C) Crn.� � COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy No Company 711 r Certified copy is hereby furnished (� FOR APPLICANT TO FILL IN(PRINT OR TYPE)' BUILDING IJ" Certified copy is filed with-the county budding inspection ADDRESS department t NUMBER FIXTURE OR-ITEM _ ® FEE LOCALITY Date Z10 /9 IJApplicant 1TJ�?� 41l/ /'14!sn1L WATER CLOSET NEAREST _ CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST n Cn COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less) OWNER _ I certify that in the performance of the work for which this permit LAVATORY ) 4 L is issued, I shall not employ any person in any manner so as toSINK MAIL become subject to the Workers' Compensation Laws ADDRESS ' DISWASHER CITY / 14- T`L7I' _019" Date Appicant CLOTHES WASHER CONTRACTOR ` NOTICE TO APPLICANT If after making this Certificate of Exemption,you should become subject'lo the Workers'Compensation SWIMMING POOL RECEPTOR _ provisions of the Labor Code, you must forthwith comply with such ADDRESS 3� rh_ ,gyp provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY WATER HEATER Q„�� TEL' _U�C,�pd/� _ate;_ I hereby affirm that-I am licensed under provisions of Chapter 9' j (commencing with Section 7000) of Division 3 of the Business and STATE �J LIC�i t)r'r aFJ1;O GAS SYSTEM OUTLETS LICENSE NO �j /3 s CLitSS`� -�U L"�(p Professions Code,and my license is in full force and effect V OUTLETS OVER DISTRICT NO PROCESSED BY 5 PER,SYSTEM cO License Number KILL Lic Class C-,TL I— FINAL T L-- / VALIDATION! �y�;.:?�__1 Wa �.O !J' F" �(Jfr— DATE CCS Contractor !� ilT,�O�Date � � � ❑ I am exempt under Sec BY AL B&P C for-this reason Plan check fee Date Signature PLUMBING PERMIT ISSUING FEE$ - ❑ TOTAL FEE Plan check applicant / SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name ) I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and Professions Address / Code) ' El 1, 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 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 1 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 upon the above-mentioned property for inspectio urposes SEE REVERSE FOR EXPLANATORY LANGUAGE 000, ,e-`SFgnfiture WlFekbldee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0302130016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ADDRESS: TR: 12504 LT: 29 6429 LOMA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801332 A NEAREST CROSS STREET: LONGDEN 5382-018-016 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 25 LAVATORIES/SINKS 1.00 FIX 16.20 C B X . 45 WATER CLOSET/URINAL 1.00 FIX 16.20 02/13/03 JK 08/12/03 TOTAL FEES 76.35 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: WONG;DANIEL CHUN-WAH, GRACE PUILING (626) 285-1471- L� O_d-3 6429 LORA AV TEMPLE CITY 91780 ADD FULL BATH APPLICANT: TEL. NO. SAME AS OWNER - TP5CIAL CONDITIONS: CONTRACTOR: TEL. APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAFOR7WATER SERVICEC� s PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIE CwV GRAY WATER SYSTEM I i REPORT ID: DPR263 ROUTE TO: BS0508