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Home My Public Portal About9431 LONGDEN AVE_Plumbing__ 76A667-CE*817 6-65 1 APPLICATION FOR P UM IN PER lT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BU INC JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENK'INS.'SUP'T. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST /tl CROSS ST. C' NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 51.25 MAiL 3ATH TUB LZ ADDRESS SHOWER I, CI TEL. NO. I' LAVATORY 1.25 CONTRACTOR SINS 1.25 ADDRESS p , I: DISHWASHER 1.25 CITE! . NO. - �.ye STATE LIC / LAUNDRY TUB 1.25 LICENSE No. CLASS CLOTHES WASHER 1.25 DISTRICT NO. GROU ZONE PR ESSX0 BY WATER HEATER 1.50 GAS SYSTEM OUTLETS— 1'50 WASTE APPROVAL o. OUTLETS OVER 5 PER SYSTEM .80 i INSPECTION RECORD O /W' 1 t � V LU l In Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT' 5 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE J D GAS PIPING I 'HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION GABS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 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 I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIA PROPERTY. LITj,LITY CO.NOTIFIED SIGNATURE f OF PERMITTEE 1 FINAL ✓� ��p� �.�rl�f� VALIDATION CK. M.0- I CASH 1 L&O.7: 4;3:2.Q;' MAR 3 5 D 3.5 0, I 78X667-MI7-8-58 APPLICATION FOR PLUMBING' PERMIT 1 COUNTY OF LOS ANGELES !� DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVLSION 'AIEMI$G JOHN A. LAME.CouatF iaeer AaaasRR �a./ ,4:0 O CAS TT D.GRI TM,S t t of Mm iag LIOCAL3TY C/— �. FOR APPLICANT TO ML IN MTT. A2WI t � .a. NUMBER FIXTURE OR ITEM i gwNER _,� WATER CLOSET RATE TUB SHOWER CITY TEL.NO. LAVATORY CONTRACT08 -. K ef 0-4 SD?i8 ADDRESS ® . U4 INS*e7W DISHWASHER cm �- f TEL.NO. G� CONTRACTOR'S / STATE ❑ LAUNDRY TUB REGLTMTION NO. C Co G 2 G�?ceUNTY ❑ . CLOTHES WASHER ' DISTRI GRO ZONE OCESSED B Y WATER HEATER. I;. . GAS SYSTEM IliDUSTEM WASTE APPROVAL. I. INSPECTION RECORD I FR&P411- klO a'sF ' / .I /1l .f f Y o s SAW&ILIL 0 $$1l APPROVALS �UT J�/T� _ ae4 @ 08B � $ � �• DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK -H PERMIT $ 2 00 ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY PROPERLY REGISTERED A OR GAS TEST LICENSED' AS REOUI ED B L NGELE AND ST OF CALIFORNIA OR TH T I M L WN OF TH BOVE UTILITY CO.NOTIFIED DESCRIBED RESIDEN I TY. 4 SIGNATURE FINAL OF FERMI TTE. ROBERT A.WOOD. ®p VALIDATION SUPERVISING MECHANICAL ENG.'R ctc. m.0. CASH LA(:O 5� 8 6 8 U Iii-R 2 9 5 A 3.0 0 M WORKERS'.COMPENSATION DECLARATION Q s AP her affirm that, have a certificate of consent to self in- 0-00 ADP" �'D APPLICATION FOR PLUMBING PERMIT sure,or a certificate of Workers'Compensation Insurance a,� Vertifiedbcopy thereof $+plc. 3800, b y �o� O Compan S�, COUNTY OF LOS ANGELES • DEPT. OF PUBLIC WORKS Frolic No, Certified copy is hereby furnished. BUILDING ❑ FOR APPLICANT TO FILL.IN(PRINT OR TYPE) Certified copy is filed with the county building inspection ADDRESS department. /g qtt�� NUMBER FIXTURE OR ITEM FEE LOCALITY DcIte *- Applicant ki��1 � !'.l 1/Z(�+ WATER CLOSET(TOILET) 14-Ale NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' 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($100)or less.) LAVATORY ADDRESS �� . I certify that in the performance of the work for which this per-• SINK CITY TEL.NO. mit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. DISHWASHER / i� 'CONTRACTOR LD Date I1-12i��/ CLOTHES WASHER ADDRESS Q .16NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen-• CITY5 C.0 6-1+dTEL.NO. 8. g sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS kcs ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM 30UTLETS - 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER lJ and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION fect. HOSE BIB DATE C License Number �I L J 2.Lic. Class t FINAL O ContractorJdoudd(3�9 1k Date - ?- 1 BY G I am exempt under Sec. LU r V B.$P.C. for this reasonPlan�� r check fee O ► Z IL . Date: PLUMBING PERMIT ISSUING FEE$ ��j Signature ' &Yom' TOTAL FEE • SINGLE.FAMILY HOME OWNER-BUILDER DECLARATION Plan check.applicant r• :} I hereby affirm that I am exempt from the Contractor's License Name ti- Law for the following reason (Section 7031.5, Business and ='tL l a3' Professions Code): Address - 3, i5-11_1E I, 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 �) `' _ Business and Professions Code). ; ► - '�'NL i 150 m Of.-I CONSTRUCTION LENDING AGENCYCHECKj r'l i I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued GP�l iu 7 °I i (Sec. 3097, Civ. C.). Lender's Name `nn /- :`dill:-C i(_:j�1 i -. `�4 Lender's Address=f ol 31 dP`c 17— 4695 i 1= ,a+ I 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 inspection purposes. 4— y' 94 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee-�'� Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT • DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0804090022 ,,BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ON FILE 9431 LONGDEN AV I IFEE DESCRIPTION: QUA4TITY: DOM: AMOUNT:I TEMP CA 917801609 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: OAK ] 15382-020-047 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, CI 1 107 BATHTUBS/SHOWERS 4.00 FIX 64.80 1 1 ITENANT: Ill CLOTHESWASHER(S) 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 I 113 DISHWASHER(S) 1.00 FIX 16.20 104/09/08 SR 10/06/08 I I 117 FLOOR DRAINS) 1.00 FIX 16.20 1 I ]OWNER: TEL. NO: 121 HOSE BIBB(S) 3.00 FIX 48.60 1F AL T FI HY: CODE: 1 ISDN TZYH DER (626) 292-6979- 125 LAVATORIES/SINKS 6.00 FIX 97.20 1 I 19431 LONGDEN AV 145 WATER CLOSET/URINAL 3.00 FIX 48.60 1 ITEMP 917801609 147 WATER HEATER(S) 1.00 WTH 16.20 ID SCRIPTION OF WORK I 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 IPLUMBING FOR ADDITION AND REMODEL I I TOTAL FEES 367.95 I I (APPLICANT: TEL. NO: I 1 I IZ. SUN & ASSOC. INC. (626) 705-2210- I I I 18653 GARVEY AVE. 1 ISPECIAL CONDITIONS: IROSEMEAD CA 91770 1 ] ICONTRACTOR: TEL. NO: 1 ]APPROVALS DATE INSPECTOR SIGNATURE I ITZYH-DER SUN (626) 705-2210- 1 1 I ISHANNON S MA LIC. NO I ]UNDER SLAB WORK 19431 LONGDEN AVENUE NONE I I v ITEMPLE CITY, CA 91780 1 IWATER SERVICE ] I I I ] IPLASTIC YIN METAL YIN I I I ]ARCHITECT OR ENGINEER: TEL. NO: I I I I I IZ. SUN AND ASSOCIATES, INC. (626) 705-2210- 1 ]ROUGH PLUMBING I I 1 18653 GARVEY AVE #204 LIC. NO: I I I IROSEMEAD, CA 91770 C19992 I IGAS PIPING I I 1 ] I I I (GAS VENT I I I I IHOT WATER HEATER I I ] I I IPLUMBING FIXTURES I I I I I ILAWN SPRINKLERS I I 1 (GAS TEST IwTi ] I I I(UTILITY COMPANY NOTIFIEDII 1 CWV I I I I ] IGRAY WATER SYSTEMyo av I I I I I I I I I I I Iti I I I ] I I I1 1 ] I I I I I I ] ] I ] I I ] I I ] I ] IREPORT ID: DPR263 ROUTE TO: BS0508 1 I ] I ] I I I ] I