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Home My Public Portal About9419 LEMON AVE_Plumbing__ 76A6p7-CEA17 6-60 yG� APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING A.AND COUNTY TY ENGGISION BUILDING INEEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY , r FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNWATER CLOSET MAIL e..• M ADDRESS BATH TUB CITY TEL. NO. SHOWER CONTRACTOR Valley Plumbing Co . LAVATORY SINS ADDRESS 442 W. Fleetwood Fl DISHWASHER CITY Glendora Tm No. Ed 5-12 CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. 160847 COUNTY ❑ CLOTHES WASHER DISTRICT NO. GROUPZONE P CESSED BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD a. O U a O F U W a y 0 $1.00 PER ITEM OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE ;Oi ROUGH PLUMBING S PIPING NG I HEREBY ACKNOWLEDGE THAT I 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 LDESCRIBED CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES S REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST OR THAT I AM THE LEGAL OWNER OF THE ABOVE RESIDENTIAL PROP'RTY. UTILITY CO. NOTIFIED EITTEE � FINAL ®. 7VALIDATION ROBERT A. WOOD, cr. M.0. CASH SUPERVISING MECHANICAL ENG'R 76A607-CE817 1G-60 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FBUILDING JOHN A. LAMBIE, COUNTY ENGINEER DDRESS WILLIAM A. JENSEN, SUPT OF BUILDING OCALITY FOR APPLICANT TO FILL IN NEARES BO.Ss sT. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MSL ADDRESS BATH TUB CITY TEL.NO. . SHOWER O. _SHOWER - -- - - CONTRACTOR um ng 0 LAVATORY - ADDRESS 442 W. Fleetwood . SINS � CITY en Ora TEL.,NO. Ed 5-12 DISHWASHER CONTRACTOR'S JM847ASE LAUNDRY TUB REGISTRATION NO. COUNTY CLOTHES WASHER , DISTRICT NO. GROUP ZONE P SEED BY WATER HEATER /�(� LL GAS SYSTEMa INDUSTRIAL - / WASTE APPROVAL / V / )"4' INSPECTION RECORD O of V O a Z ® $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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY- REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQ UIRED 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 f !�_ .h baa'• OF PERMITTEE FINAL �f I'7 I '�•-1'�7 Y AUDATION ROBERT A.-IWOOD CK. M.0. CASH SUPERVISING MECHANICAL ENG'R - 3 14JUN 12 '' S' D 6.2 5ee WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I kereby affirm that I have a certificate of consent to self 76A667A nsure, or a certificate of Workers' Compensation Insurance, CE 817(REV 10/81) or a certified cop ereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Company Certified copy is hereb fut'Is d BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy is filed th op t uilding inspec- ADDRESS tion part nt NUMBER FIXTURE OR ITEM @ FEE � LOCALdl Date p t WATER CLOSET NEAREST CERTIFICATE OF EX TION RKERS' BATH TUB CROSS ST COMPENSATIO UR OWNER (This section need not be completed if the work involved by SHOWER the permit is for one hundred dollars ($100)or less.) LAVATORY MAIL ADDRESS .•�• +� S' t 1 + I certify that in,the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL NO so as to become subject to the Workers'Compensation Laws DISHWASHER /J� CONTRACT /[(/ Date Applicant CLOTHES WASHER ADDRES (� �� NOTICE TO APPLICANT If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY /L /1 TEL N 7 with comply with' such provisions or this permit shall be LAWN SPRINKLER SYSTEM STATE /p/ J��`Y LIC deemed revoked WATER HEATER LICENSE NO J � CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO P ED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER L >. a,nd Professions Cade,and my license is in full force and effect 5 PER SYSTEM FINAL VALID ON tL DATE V License Number Lic Class _ FIN 119 Contractor Date B a LU V I am exempt under Sec � B 8P C for this reason H Date Plan check fee , PLUMBING PERMIT ISSUING FEE$ Signature � -�314,7 A TOTAL FEE Plan check applicant - # a o o 0 0 5 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name �, ,�� (j I o o 1 650 I hereby affirm that I am exempt from the Contractor's License Address �_ �7.�/ Law for the following reason (Section 7031 5, Business and o o o_1 &5 0 v Professions Code) City /� Tel No I Q 16 —85 I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section lop7044, 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 Poo- na mation is correct I agree to comply with all County and State jaws regulating Plumbing, and hereby epresentatives of this County to enter upon the boned property for inspection purposesSEE REVERSE FOR EXPLANATORY LANGUAGEPermittee- Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0505040018 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 9419 LEMON AV FEE DESCRIPTION QUANTITY UOM AMOUNT- TEMP CA 917801303 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 5382-010-046 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE 596 GRID J1 LOCALITY TEMPLE CITY, C 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16.20 TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY- PLAN BY EXPIRES ON 05/04/05 JK 10/31/05 OWNER TEL NO. FINAL DA �(/'� v,/.FINAL BY CODE TSENG, HSIANG YAO (626) 287-6759- �j' 9419 LEMON AV TEMP 917801303 DESCRIPTION OF WORK GAS LINE APPLICANT TEL. NO AIR CARE COMPANY (626) 442-6792- 8143 CELITO DR SPECIAL CONDITIONS ROSEMEAD CA 91770 CONTRACTOR TEL NO. APPROVALS DATE INSPECTOR SIGNATURE AIR CARE CO (626) 442-6792- 8143 CELITO DRIVE LIC NO UNDER SLAB WORK ROSEMEAD CA 91770 516562020 WATER SERVICE 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 NOTIFIED CWV GRAY WATER SYSTEM REPORT ID DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0506 0506070005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 I PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS. ON FILE + 9419 LEMON AV FEE DESCRIPTION QUANTITY• UOM- AMOUNT TEMP CA 917801303 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 5382-010-046 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J1 LOCALITY TEMPLE CITY, C 07 BATHTUBS/SHOWERS 1 00 FIX 16 20 TENANT 47 WATER HEATER(S) 1 00 WTH 16 20 ISSUED ON. PROCESSED BY PLAN BY EXPIRES ON TOTAL FEES 60 15 MMI R F;p 12/04/05 OWNER. TEL NO %Wj,%jpA9j a®® FINAL BY CODE TSENG, HSIANG YAO (626) 447-1232- 9419 LEMON AV TEMP 917801303 DESCRIPTION OF WORK REPLACE EXISTING TUB & WATER HEATER APPLICANT TEL. NO SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC NO UNDER SLAB WORK WATER SERVICE PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER TEL. NO ROUGH PLUMBING LIC NO- GAS PIPING 4 GAS VENT HOT WATER HEATER i PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID- DPR263 ROUTE TO BS0508