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Home My Public Portal About9417 LEMON AVE_Plumbing__ le' 76A607-CE81710-60 - - �� - •1 APPLICATION FOR PLUMBING PERMIT - COUNTY OF LOS ANGELES j 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 - _ OWNER WATER CLOSET MAIL - BATH TUB ADDRESS CITY TEL. NO. SHOWER LAVATORY - CONTRACTOR Valley Plumbing Co. SrNg ADDRESS 2 W Fleetwood P1. DlsxwASla crrY Glendora -TEL. No. Ed 5-12 LAUNDRY TUB HEGISTRAAnON NO. 160id�Ci 1 COUNSTA TTYY ri CLOTHES WASHER DISTRICT N I GROUP I ZONE PRqrASSED BY WATER HEATER A S'C ! � 471 GAS SYSTEM DMUSTRIAL WASTE APPROVAL INSPECTION RECORD D" O OOj $1.00 PER ITM a z OR FIXTURE I / / APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL-FEE ROUGH PLUMBING -GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS,A_PPLICATION 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 PLUMBING FIXTURES LICENSED'AS REQUIREDBY LOS ANGELES COUNTY AND STATE OF , CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE GAS TEST DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO NOTIFIED SIGNATURE OF PERMITTE FINAL ,710-t - 5 ALIDATION ROBERT A. WOOD cic M.0. CASH SUPERVISING MECHANICAL ENG'R - 0 1.3 01- Jt�l1.2 ., 5 d 4.7 5~ Q 76A667.CZ8If 6-60 APPLICATION FOR PLUMBING PERMIT DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION TBUILDINGJOHN A. LAMBIE, COUNTY ENGINEER DDRESSWILLIAM A. JENSEN, SUPT OF BUILDINGOCALITYFOR APPLICANT TO FILL IN EARESTROSS ST. NUMBER FIXTURE OR ITEM �. OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY TEL NO. LAVATORY CONTRACTOR valley Plumbing ADDRESS 442 W. F1 e e tw I SINS DISHWASHER CITY Glendora TEL. NO. _ CONTRACTOR'S A LAUNDRY TUB REGISTRATION NO.160847 COUNTY CLOTHES WASHER DISTRII�CT NO. GROUP ZONE PR CESSED BY WATER HEATER �(/ GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD a O U W ! 0 I- L)U W P4 v1 OR FIXTURE $ I -3 Aa $1.00 PER ITEM PPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 100 UNDER SLAB WORK TOTAL FEE —100- ROUGH PLUMBING GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT FINAL WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE (L OF ALIDATION ROBERT A. WOOD, cz. U.0. CASH SUPERVISING MECHANICAL ENG'R ,I / �. r. f r •„ 76A6677CE817 12/59 1 - APPLICATION OR PLU NCS PERMIT 9�/ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDINGE, AFETY DEIVISION ADnaFss JOHN A. LA 1 COUNTY NGINEER_ WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER - CITY TEL. NO. LAVATORY CONTRACTOR SINK ADDRESS i DISHWASHER CITY Ag: TEL. NO. CONTRACTOR'S / STATE LAUNDRY TUB REGISTRATION NO. `Y+' COUNTY ❑ Was CLOTHES WASHER DISTRICTN ZONE P OCESSED BY WATER HEATER —5—, O r GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD �. a / 0 P. / U ul SS 13� m @ $1.00 PER-ITEM OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT 1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. y I HEREBY CERTIFY THAT AM PROPERLY EGISTERED AND/OR PLUMBING FIXTURES ✓ LICENSED AS REQUIRED LOS ANGELES UNTY AND STATE OF GAS TEST f % CALIFORNIA OR THAT AM THE LEGA OWF THE ABOVE DESCRIBED RESIDENTI P ER Y. , UTILITY CO NOTIFIED SIGNATURE OF PERMI7TE FINAL ®� VALIDATION ROBERT A. WOOD, cx. m.o.' cesx SUPERVISING MECHANICAL ENG'R I ,'o 9 — hij5 d .0 0 WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT Jre affirm that I have a certificate of consent to self 76A667A a certificate of Workers' Compensation Insurance, CE 817(REV 10/81) ied copy thereof (Sec 3800, Lab' C ) COUNTY OF LOS'ANGELES BUILDING AND SAFETY Company ified copy is here edFOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDINGfied copy is filedwi t cou building mspec- ADDRESS C tion por a NUMBER FIXTURE OR ITEM ® FEE LOCALITIs�� Date App WATER CLOSET NEAREST CERTIFICATE OF EXEM OM RKERS' BATH TUB CROSS ST / C COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by the permit is for one hundred dollars ($100)or less.) LAVATORY MAIL ADDRESS-`,t; E I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL NO k so as to become subject to the Workers'Compensation Laws DISHWASHER ~` ^ CONTRACT1z ,4 -/ / Date Applicant CLOTHES WASHER ADDRESS�3' /r NOTICE TO APPLICANT If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- , LAWN SPRINKLER SYSTEM , CITY �°�0/ TEL N /�jq` with comply With such provisions or this permit- shall be _, deemed revoked STATE LIC WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DIST ryq PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM' OUTLETS sU/� OV (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and effect '5 PER SYSTEM FINAL// ALIDATION License Number Lic ,Class DATE / '� 0 FINAL cd Contractor Date BY 0 ❑ I am exempt under Sec LU 1L B &P C for this reason N Date Plan check fee ► ;P-3 1 u,8 A PLUMBING PERMIT ISSUING FEE$ �Q Signature # o o o o o 55, TOTAL FEE 6 Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name 4E . + Q�YC/� �� eu o 0 0 1 650=0 I hereby affirm that I am exempt from the Contractor's License Address 2 y Law for the following reason (Section 7031 5, Business and c7 4/)C( 11,5111C-1 I 1 6=85 Professions Code) City Tel No 0• ❑ I, as owner of the property, will do the work and the structureis not intended or offered for sale (Section , 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY 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 ► bove information is correct I agree to comply with all County ces and State laws regulating Plumbing, and hereby au resentatives of this County to enter upon the ov ioned property for inspection pur oses - SEE REVERSE FOR EXPLANATORY LANGUAGE Si�eittee<�� Date COUNTY OF LOS ANGELES TEMPLE CITY 1 # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0712200016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT- LEGAL ID- FEES PAID BUILDING ADDRESS ON FILE 9417 LEMON AV IFEE DESCRIPTION QUANTITY. UOM AMOUNT TEMP CA 917801303 1 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET 15382-010-045 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE: 596 GRID. J1 LOCALITY TEMPLE CITY, Cl 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16.20 TENANT. I TOTAL FEES 43 95 JISSUED ON PROCESSED BY- PLAN BY EXPIRES ON 112/20/07 SR 06/17/08 OWNER TEL. NO 1 1FINAL DATE FINAL BY: CODE I ISU SHU CHING D - 19417 LEMON AV lv// / 1 ITEMP 917801303 1 I)ESCRRIPT2ON OF WORK I1 ITO REPLACE THE GAS MAIN LINE FROM GAS METER TO THE HOUSE APPLICANT. TEL NO I I . IPAN (626) 284-5721- 11604 S. MONTEREY ST I 1SPECIAL CONDITIONS IALHAMBRA, CA 91801 I (CONTRACTOR TEL NO I (APPROVALS -DATE INSPECTOR SIGNATURE I IDZEN KUO PAN (626) 284-5721- 1 I 1 11604 MONTEREY ST LIC NO 1 (UNDER SLAB WORK r 1 IALHAMBRA CA 91801 518456 C36 I / I 1 (WATER SERVIC I 1 (PLASTIC Y/N METAL Y 1 1 1 (ARCHITECT OR ENGINEER TEL. NO I ( I I 1 - I (ROUGH PLUMBING 1 1 LIC NO 1 1 1 IGAS PIPING 1 1 1 I 1 1 1 IGAS VENT 1 1 1 I I I I 1 IHOT WATER HEATER 1 I I 1 I 1 1 I (PLUMBING FIXTURES 1 1 I I I 1 ILAWN SPRINKLERS 1 1 I I I 1 1 1GAS TEST I 1 1 I - 1UTILITY COMPANY NOTIFIED( '1 I 1 CWV I I I 1 I (GRAY WATER SYSTEM 1 1 I I I 1 1 1 1 1 1 I I I I I I 1 I \\ I I I I 1 I I I I I I I I I I I 1 (REPORT ID DPR263 ROUTE TO BS0508 I I I I I I