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Home My Public Portal About9537 LONGDEN AVE_Plumbing__ 76A607-CE81710-60 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUR11C � CoTYE�ON mss AE NnD 9537 Longden WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY —Tem 1e City FOR APPLICANT TO FML IN NEARESTp , Tem 1 e 'City Blvd. NUMBER FIXTURE OR ITEM WATER CLOSET OWNER Miller & PY'�..Ce7 MAIL BATH TUB ADDRESS CITY TEL.NO. SHOWER LAVATORY cpNTEAcTpR Standard Plumbing Co. $ AXIDEESS 4333 Eo Florence Ave . .. DISHWASHER CITY Bell TEL.NO. LU_ 7-1124 ONTRALAUNDRY TOB MMTIONSNO. 39243 COUNTY CLOTHES WASHER DIST CT LqO. I GROUP 20 E P8GqKsSED BY WATER HEATERReplacement ,. GAS SYSTEM UMUSTRIAL WASTE APPROVAL INSPECTION RECORD O u adO IL e $1.00 PER ITEM 1 OR FIXTURE $ I 1.50 APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE 3 50 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 PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES f� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RKSIDEN IERTY. UTILITY CO.NOTIFIED + ' i/ y/ A SIGNATURE L OF PERMITTE FINAL r y '. 1 Z /vl VALIDATION ROBERT A.IWOOD cK. M.0. CASH SUPERVISING MECHANICAL ENG'R :u 3I--- Y2 4. 6 34 AUG 2 5 D 3.50^' z •:BA66A-CE#.84•2-62 TEMPLE CIT - APPLICATION FOR-. PL UM'BING.:- PERMIT, COUNTY.OF LOS ANGELES DEPARTMENT OF COUNTY.ENGINEER . BUILDING AND SAFETY,DIVISIONsUILDING- JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 9--s'37 iG.O/!/f oe-N/ / .veAro, I WILLIAM A.JENS.EN, SUPT OF BUILDING LOCALITY .7IdhT FOR APPLICANT TO FILL. IN NEAREST caoss'sr. NUMBER FIXTURE OR ITEM EACH FEE' OWNER %C/6pJ WATER CLOSET 51.25 MAIL t BATH TUB\ 1.25 i ADDRESS CITY TEL. NO, � f sxowEx• � 1.25 . . T�-� d't. LAVATORY1, ! eZ CONTRACTOR �0/�,y Colo 41- SIN$ 1.25 ADDRESS d`OJZ to lid/, IV tl;t/ df; DISH*ASHER . 1.25 `CITY TEL.NO.CO-& -so z.-o LAUNDRY TUB 1.25. CONTRACTOR'S 'STATE .�. REGISTRATION NO. /d"Of 90.0 COUNTY CLOTHES WASHER. 1.25 DISTRICT O GR P Z E R BY WATER HEATER 1.50 ^j r D• GAS SYSTEM OUTLETS_ 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM A INSPECTION RECORD. IL Z G / 6C'/.L, O Lu I� >_ z APFROVALS ,s;DATE,'/ INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK 'j� /i/v��T •: `is;l.`_ �„ ROUGH PLUMBING 6 F:/ C✓� '' `! TOTAL FEE GAS PIPING ! + LANA BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS'VENT TE'THAT:THE ABOVE IS.CORRECT AND_ AGREE TO COMPLY ' LL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER.. G. • ' BY ;CERTIFY-THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURE'AS •REQUIRED BY LOS ANGELES'COUNTY AND STATE OFGAS TESTNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND;TON,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO:NOTIFIED URERMITTEE FINAL - .s+ +Fi /• +'0*i/` LI ROB ERTaA.WOOD f CK. M.o. CASH 'SUPERVISING MECHANICAL ENG'R. Lr'Ik�o 5 1:5 1 My 2 3 5 D 5,75- ��~ 76A667 - CES17 5/70City of Temple City d ° - APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTIVlENT OF COUNTY.%GSg ER BUMDING AND SAFETY DIVISION BUILDING JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS 9537' Longden Avenue COLEMAN W:JENKINS. SUPT. OF BUILDING LOCALITY Temple City FOR APPLICANT TO PILL IN PR NT OR TYPE) NEAREST / CROSS ST. �1� NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1.50 OWNER Jerry R. Brown IL BATH TUB 1AD :50 DRESS same SHOWER 1.50 CITY same TEL. NO. 285-5449 LAVATORY 1,50 CONTRACTOR GENERAL INSTALLATION CO. .SINK :1.50 ADDRESS 6558 WEST BLVD._ DISHWASHER 1.50 CITY Los Angeles TEL.NO. PL.3-2541 CLOTHES WASHER 1.50 STATE ,LIC LICENSE NO. C 36 151839 CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GRO P ZO E P E SED B / LAWN SPRINKLER SYSTEM 2.00 WATER HEATER 1.50 INDUSTRIAL JJY�� I, WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION'RECORD OUTLETS OVER 5 PER SYSTEM .30 Ready for Inspection Now / /J& W. ?"�� 1 ATER SOFTENER 1 50 0 LU O- H z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE.$ TOTAL FEE 50 APPROVALS DATE .INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City. Tel. No. GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONHOT WATER HEATER �. . . AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO:COMPLY .PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO " RESIDE IN,THE ABOVE DESCRIBED RESI TIA PROPERTY. FINAL ', If SIGNATURE • OF PERMITTEE JACK R. ALLEN, SUPERVISING CHANICAL EN'G'R. _ PERMIT VALIDATION fcK M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH y DEC 3 r ;D 4,5 0~ �T 1 WORKERS'COMPENSATION DECLARATION ► APPLICATION FOR P;LUMBIIl01G l ERAIT aby affirm that I have a certificate of consent to self n6A667q or a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81). i certifie copy thereof (Sec. 3800, b �, COUNTY OF LOS ANGELES BUILDING AND SAFETY y No. a Company /-A-- Certified copy is hereby furnished. � FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �f �+ Certified copy is filed with the county building inspec- ADDRESS ss tion de rtment. NUMBER FIXTURE OR ITEM @ FEE �p �s LOCALITY . or WATER CLOSET NEAREST re Applicant CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB COMPENSATION INSURANCE SHOWER OWNER l his section need not be completed if the work involved by MAIL to permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS certify that in the performance of the work for which this rmit'is issued, I shall not employ any person in any manner SINK CIN TEL.NO. 6fiJ as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR �,` ate Applicant CLOTHES WASHER ADDRESS OTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR e xemption, you should become subject to the Workers' CITY .� , TEL. NO. �� ompensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM ith comply with such provisions or this permit shall be STATE LIC. eemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO.GAS SYSTEM OUTLETS dn;� Y t 1 /� hereby affirm that I am licensed under provisions of Chapter 9 ✓ (� ommencing with Section 7000) of Division 3 of the Business OUTLETS OVER >. nd Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL /y 1�� VALIDAT N ®" sense Number T`r�r�i 0 Lic. Class DATE G 0 tractor • — Date �/ `®�t� FIM01 / V I am exempt under Sec. B.BP.C. for this reason ► e Plan check fee Dote. PLUMBING PERMIT ISSUING FEE$ sQ Signature TOTAL FEE ri ��✓!!/i Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name 3 43.0 A I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. # 0 0 0 0 0 5 ❑ I, as owner of the property, will do the work and the I o o 1 6,5 0 structure is not intended or offered for sale (Section 7044, Business and Professions Code). o o o 1 6505 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for 1 1.08-85 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 poll" information is correct. I agree to comply with all County rdinances and State laws regulating Plumbing, and hereby a orize representpffts of this County to enter upon the a,boa-cp tione o rt y purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ff Ignature of Permittee Date