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HomeMy Public PortalAbout10229 LOWER AZUSA RD_Plumbing__ 76A667-CE#817 1.0-62 r APPLICATION F'OR PLUMBING * PERIo COUNTY .OF LOS .ANGELES, DEPARTMENT OF COUNTY.ENGINEER BUILDING AND SAFETY .DIVISION BUILDING JOHN`A.'LAMBIE, CouNTv;ENGINEER,, ADDRESS02 $ LOW@'r A U' WILLIAM A. JENSEN,,SUP'T OF BUILDING. - - - LOCALITY T ''m @ ..0. FOR'APPLICANT TO FILL IN' ' NEAREST CROSS ST. s /( NUMBER FIXTURE OR ITEM' EACH '1FEE p , "OWNER,.,' i�0 s 0. fl 5 WATER"CLOSET $1.25 66"25 MAIL - BATH,.TUB 1.25. ADDRESS a e. CITY TEL. NO SHOWER 1.25 6 LAVATORY 1.25 '� CONTRACTOR :R,. ._.avanau hP1,UCIb1Tl` 'ADDRESS Si 'ADDRESS 4.,Ci DISHWASHER' 1:25 CITY ,Ch• 11 TEL.NO. . LAUNDRY TUB s 1.25 CONTRACTOR'S L STATE ❑ REGISTRATION.NO. . 155164 COUNTY ❑ CLOTHES WASHER -,1.25 ZONE P 06rcS5ED BY 2 WATER HEATER 1.50 gJs 00 DISTRICT-NO GROUPg G tiT / 1/ qe� 1:50 INDUSTRIAL I GAS SYSTEM J OUTLETS WASTE APPROVAL ' 2G �' OUTLETS OVER 5T PER SYSTEM 30 INSPECTION REC RD_ U 1 Urinal 1 2 Ah-13, AS,,ro11 � � �� t o F. �,. ,r,�7�v � tri' �' W - CL ,, - •',,. ;''"' I 5 ECTOR'S SIGNA T.,URE ' APPROVALS :DATE„1• PERMIT. $ _2 OO UNDER SLA$WORK”" 169!• N?. ���`:'i'��1Y`:•� . .'ROUGH PLUMBING' - -� �(..> - TOTAL.FEE 2650 GAS PIPING IH 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- "' - �/��. ✓.v". PLUMBING. HOT WATER HEATER .€,®' h x� 1 HEREBYCERTIFY THAT [-AM PROPERLY REGISTERED AND'/OR,: PLUMBING FIXTUREr - LICENSED AS REQUIRED BY LOS ANGELES COUNTY 'AND'STATE OF. CALIFORNIA,OR THAT I' AM THE LEGAL OWNER OF,AND INTEND TO `GAS TESTRESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIE D'' ^ - .SIGNATURE .OF PERMITTEE" FINAL ALIDATION .,:'..ROBERT A.'WOOD (� CK. M b..' CASH,- SUPERVISING`MECHANICAL,ENG'R - 7..'2: sEZ65-50­ 5.. 4 76A667-CE817 6-60 N, APPUCAT90N FOR PLUMB NG PERMDT DEPARTMENT OF COUNTNYGENGINEER BUBUILDING ILDING A. AAMNBIE COUNTY TY DIVISION AUl DDRDI 7NG 0 el . iy c� 2 WILLIAM A. JENSEN. SUPT OF BUILDING LOCA ,FOR PIPPLICANT TO FILL IN NEARCROSNUMBER FIXTURE OR ITEMOWNEWATER CLOSET MAILBATH TUB ADDR �,� e> t114SHOWER CITYTEL. NO. LAVATORY CONTRACTOR M_ 0 11 4 / SINS ADDRESS` / P,^_-a e d` DISHWASHER CITY 6,)/' r �� TEL NO. � . CONTRACTOR'S LAUNDRY TUB REGISTRATION NO. o � COUNTY CLOTHES WASHER DIS3RICT��N GROUP I ZONE P, CESS BY WATER HEATER Cl rI� C GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD a O U a U W a $1.00 PER ITEM 6)FSG 7 OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE RA© ROUGH PLUMBING ! H GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I 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. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES /� c?1� fJ ic,`_^ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 'G oZ 0 .,� .'r_-';t.i,✓' �' CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE[GAS DESCRIBED RESIDEIA�PI�OPERTY.� s�Y �� C1 FUTILITY CO.NOTIFIED ' (( b SIGNATURE et v 6 / OF PERMITTE ire^ 3 INAL OF ALIDATION ROBERT A.WOOD, M.0. c"H SUPERVISING MECHANICAL ENG'R =' OCT C WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirmo,that I have.o certifac.2te of consent to self 76A667A insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified„copy thereof (Sec. 3800, Lob. C.) �. COUNTY OF LOS ANGELES BUILDING AND SAFETY VPoliN � a. Company r L 'tW 11 rtified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING *�.� Certified copy is filed with the county.building inspec- ADDRESS �aZ' g-5'u—VA tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET NEAREST p CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. i3A (AJ , & COMPENSATION INSURANCE OWNER ��i��j`j� f✓1 QtrJ� (This section need not be completed if the work involved by SHOWER the permit is for one hundred dollars ($100)or less.) LAVATORY MAIL ADDRESS O J AScQT4 I certify that in the performance of the work for which this tom' permit is issued, I shall not employ any person in any.manner . SINK CITY TEL. NO.4g._+6 so as to become subject to the Workers Compensation Laws. DISHWASHER CONTRACTOR AU, CW5itUatp J Date Applicant CLOTHES WASHER ADDRESS Ct c1 y NOTICE TO APPLICANT: If, after making this Certificate of � � ' �(, aQt Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY 6q aro pJ&r� TEL. NO. with comply with such provisions or this permit shall be STATE +� LIC. deemed revoked. WATER HEATER LICENSE NO. 7��� CLASS b LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY- I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS ' zy (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER L �' and Professions Code,and my license is.in full force and effect. 5 PER SYSTEM FINAL v `. 1. VALIDATION DATE License Number`� S�'11Lic. Class ` "r` `� C /�� FINAL 0 Contractor -`v Date BY d ❑ I am exempt under Sec. B.&P.C. for this reason z g Plan check fee / Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE `�) `t) Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and J , ,� 0 j, Professions 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 I (Sec. 3097, Civ. C.). Lender's Name Lender's Address 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. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature or Permittee Date i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0505040013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: - FEES PAID BUILDING ADDRESS: TR: 11148 LT: 2 BL: .001 10229 LOWER AZUSA RD FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804027 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8585-015-004 OW PLANCHECK FEE 109.35 109.35 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, C O1 PERMIT ISSUANCE FEE 27.75 TENANT: 25 LAVATORIES/SINKS 5.00 FIX 81.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 218.10 05/23/05 JK 11/19/05 OWNER: TEL. N0: - FIM DJLTEFILL BY: CODE: UNITED BEAUTY COLLEGE (818) 712-9322- 10221 LOWER AZUSA RD TEMP 917804027 DESCRIPTION OF WORK ADD 5 SINKS FOR BEAUTY COLLEGE APPLICANT: TEL. NO: KATHY (909) 355-6730- 8780 19TH SUITE 121 SPECIAL CONDITIONS: ALTA LOMA CONTRACTOR: TEL. NO: APPROVALS D TE INSPECTOR SIGNATURE SUNRISE CONSTRUCTION (909) 355-6730- 8780 19TH STREET, SUITE 121 LIC. NO UNDER SLAB WORK ALTA LOMA, CA 91701 515188 B 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 �I LAWN SPRINKLERS �L GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508