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Home My Public Portal About9220 LONGDEN AVE_Plumbing__ 76A 66-1,fr E-B.1 Z)-B-71 APPLICATION FOR PLUM ING PIS IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE OWNER - WATER CLOSET 1.75 MAIL BATH TUB 1 75 ADDRESS SHOWER 1 75 C ITY NO. LAVATORY 1 75 CONTRACTOR SINK 1 75 ADDRESS DISHWASHER 1.75 CITY TEL. NO J1 f — CLOTHES WASHER 1 75 STATE LIC SWIMMING POOL RECEPTOR 1 75 LICENSE NO. CLASS DISTRICT NO. GROUP WNEI,,,PROCESSEDy BY LAWN SPRINKLER SYSTEM 1 756 WATER HEATER 1 75 7. r IN WASTE APPROVAL GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD OUTLETS OVER 30 5 PER SYSTEM 0 W 0 Plan check fee See reverse. PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATEI JSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. NO. GAS VENT HOT WATER HEATER IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANG LES COUNTY AND STATE OF CALIFORNIA OR THAT I AM T LEG OWNER OF, AND INTEND TO tool RESIDE IN THE ABOVE DESCR D IDENTIA OPERTY L, FINAL r/ / l•.� SIGNATURE OF PERMITTEE PERMIT VALIDATION K. M:O. CASH PLAN CHECK VALID TON cK M.O. ',++ CASH i L ito,7 ? N JUL 2 7 5 D a 76A667-CE*817 5/63 , APPLICATION FOR PLUMBING PE SHOWER 1.25 IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 221 E. Longden WILLIAM A.JENSEN, SUP'T OF BUILDING _ LOCALITY Tem.le C1't� FOR APPLICANT TO FILL IN NEAREST OWNER riJ 6 > NUMBER FIXTURE OR ITEM EACH FEE R o WATER CLOSET $1.25 MAIL FVM BATH TUB 1.25 ADDRESS samp CITY TEL. NO. 286-311. n LAVATORY 1.25 CONTRACTOR pa ifl Installers SINK 1.25 ADDRESS 10920 E. Grand DISHWASHER 1.25 CITY Te nle Citv TEL. NO. hh2-12 CTOR'S. STATE LAUNDRY TUB 1.25 RECON SPRAT ON NO. 211898 COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P EBBED BY l WATER HEATER 1.50 (� A / GAS SYSTEM OUTLETS 1.50 INDUSTRIAL CL WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD a 0 V w a rA Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING f f TOTAL FEE Q GAS PIPING i. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT r� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER V 4 -+,f�f,.�+ 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM HE LEGAL OWNER OF,AND INTEND 70 RESIDE IN,THE ABOVE DESC BED/RESIDE L PERTY. UTILITY CO.NOTIFIED SIGNATUI OF PERM__ ERMT FINAL ALIDATION ROBERT A.WOOD CK. M.0. CASH SUPERVISING MECHANICAL ENG'R LI.Go 6 6 7 1 17 5 0 3.50- #5,7 5/83 City of Temple City' H 9644 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENG24M BUILDING AND SAFETY DMSION nna�sE 9221 Eo Lon. den JOHN A.LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING I,OCg� Temple City FOR.APPLICANT TO FILL IN NEAREST EARROSS ST. Rosemead NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET $1.25OWNER Russell Bennett MAIL BATH TUR 1.25 ADDRESS Same SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR General Installation Co. sum 1.25 ADDRESS 6558 West Blvd. DISHWASHER 1.25 CITY Los Angeles TEL. NO. FL 3-2541 TE LAUNDRY TUB 1.25 REGISTRAATION NO. Ci-36 151839 787 TE COUNTY CLOTHES WASHER 1.25 DISTRI NO GROUP NE PROCESSED BY 1 WATER HEATER 1.50 1 5 IL GAS SYSTEM OUTLETS 1.50 IND WASTE 0 OUTLETS OVER S PER SYSTEM .30 INSPECTION RECORD - Ready'f_or Inspeation Now a N Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2. 00 UNDER SLAB WORK N` ROUGH PLUMBING �� r TOTAL FEE 3 50 GAS PIPING 1 HERESY ACKNOWLEDGE THAT 1 HAVE-READ THIS APPLICATION .GAS VENT AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY 71 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER + 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 I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN.THE ABOVE DESCRIBED REBID L OF UTILITY CO.NOTIFIED SIGNATURE, !% OF PERMITTEE FINAL k� ALIDATION ROBERT A.WOOD c M.D. CASH SUPERVISING MECHANICAL ENG'R L,I,kjo 6 s' 6 3.� 1,nR ?5 5 D 3.5 0• .�. j,� WtSAT20.0026 DPW 9/89 I hereby affirm that I have a certificate of consent to self insure, 76A667A APPLICATION PPLICATIONF®B PLUMBING UMBING PER MI or a t;ertificate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab.C.) i fl, •Z raj/l/ COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No. Company ® Certified copy is hereby furnished.❑ BUILDING �7 FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS 7, 7 r l Certified copy is filed with the county building inspection department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY A�n-h—cl* Date Applicant WATER CLOSET ` NEAREST / / f CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB C i'f CROSS ST. COMPENSATION INSURANCE ASSESSOR 7 (This section need not be completed if the work Involved by the SHOWER MAP BOOK PAGE ,) PAR'L/� permit is for one hundred dollars($100)or less.) OWNER a� I certify that in the performance of the wo for which is permit LAVATORY �( is issued, I shall not employ any person.n any mann r so as to SINK MAIL become subje to th Workers'Compen tion Laws/ ADDRESS%/ j DISWASHER CITY � G TEL.NO.�/�jja Date J � 1/ Applicant `� j LC G CLOTHES WASHER CONTRACTOR vvoo NOTICE O PLICANT: If, after making this Certificate of Exemption,yo should become su lect to the Wo ers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, y u must forthwj h comply with such ADDRESS 4j /L • � 6� provisions or this permit shall bd deemed Keyoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITYEL.NO. �I ,rfa WATER HEATER d o I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business and STATE GAS SYSTEM OUTLETS LICENSE NO. -ti LIC.CLASS lV 0 Professions Code,and my license is in full force and effect. PROCESSED BY DISTRICT NO. Q OUTLETS OVER � 5 PER SYSTEM 0 1— License Number a 1 Z � Lic.Class V FINAL VALIDATION W / DATE d Contractor S ff� �+ L �� Date a FINAL Z CO) I am exempt under Sec. BY B.&P.C.for this reason Date: Plan check fee ® Signature - PLUMBING PERMIT ISSUING FEE$ ❑ TOTAL FEE SINGLE FAMILY Plan check applicant 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): ❑ 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 ave re d this application and state that the above information' correct I agree to comply with all County ordinances and Ste laws re ulating Plumbing, and hereby authorize represEl ' es f t Is County to enter upon the ab a-m tinned pro nsp c on C purposes. y ) 7 SEE REVERSE FOR EXPLANATORY LANGUAGE w V Signature Of Permittee Date