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HomeMy Public PortalAbout9415 LOWER AZUSA RD_Plumbing__ eaeer APPLICATION FOR -PLUMBING PERMIT .1 IBs-Ii '-ss IVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles � BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS � � w w fixayfil CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALIT FOR APPLICANT TO FILL IN I NEAREST a 9 CROSS ST. 12 OWNER w ! DISTr NO. GBOMP ZONE READY FOR INSPECTION MAIL ADDRES s i/V C W ... S S _ i INDUSTRIAL CITY Cr TEL.NO % WASTE APPROVAL PLUMBER INSPECTIONf RECORD ADDRESS • CITY LU IT TEL.NO. LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) ,@ $1.00 $ HATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY ('WASH BASIN) @. $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00.. WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 .00 ROUGH PLUMBING J�/� GASPIPING TOTAL FEE `�'V ' GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM. PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS RE( IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR AT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESID TIAL PROP RTY. SIGNATURE OF PERMITTE FINAL OHN A.LA IE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF P.LBG. INSPECTOR M CH. .O. CAS LACO 2748 Ncyv27 3 200 m sdWW ri 11-00 le APPLICATION FOR PBBRUT DBpABTJrBW of svannM AND SAFETY PLUMBING 1 COUNTY OF LOS ANGEM WILLIAM J. FOX. CHIEF ENGINEER APPLICA F IN DISTRICT NO. GROUP ZONE jE�RMIT NO. !r c 0 9 PLUMBER RECEIVED BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION r. SO ]TIH18 ``��`` ADDRESSCITY TEL. NO. 7�/ 6COUP N PIR s LOCALITY NEAREST PST FMCRonrr.Mums TrFK OF FIZT111R On PRM REE OWNER MAIL v drWATERCIASET TOILET O.SO ADDRESS BATH TUN O.SO CITY EL NO. SHOWER 0.00 1HEREBY ACKNOWLEDGE THAT 1 NAVE READLAV TORY WASH SABIN � O.SO APPLICATION AND STATE THAT THE ABOVE 1!CORRECAGREE TO COMPLY WITH ALL COUNTY ORDINANCESKITCHEN SINK O.SO STATE LAWS REGULATING PLUMBING. 1CERTIFY THAT 1 POSSES! THE ABOVE VALILAUNDRY TUS TRAY O.SO ANGELES COUNTY LICENSE. OR 1 AMT LEGAL O OF THE RESIDENTIAL PRO D RI ABOV GA!SYSTe UTLETS 0 0.80 SIGNATURE OF WATER HEATER 0.80 PERMITTEE :,-A SLOP SINK 0.110 INSFE=ON BBC FLOOR SINK 0.50 FLOOR DRAIN 0.50 - DISHWASHER DRINKING FOUNTAIN 0.90 AvZtD AXAV�j URINAL O.SO ,J House SEWER 0.80 ISCELLANEOUS O B O APPSOYALS DATE INSRG10R7'MAlO< • ROUGH PLUMBING / G it77 GAS PIPING •� GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANKi SEPTIC TANK DRAIN ( ) PIT ( ) ® 1.00 SEWER PERMIT . 1.00 GAS Tarr UTILITY CO. NOTIFIED TOTAL FEE !� 1 FINAh Ale nAes, a s� NUMDMO APPZ.ICATMN FOR P�r �Ag OFAND SAFErY PLUMBING 1 COIIII'rY OF LOS ANGEM WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TOT.FILL D18TRICT NO. GROUP ZONE PERMITNO. --PLUMBER / RECFIYKD BY READY FOR DATE ISSUED , ])� FIRST INSPECTION ADDRESS BUILDING / C TY TELASHLRO COUNTY 1 LOCALITY NEAREST PST FM CROSS BT. o, NuwsN TYre or mrmm oB ITiM FEE OWNER r . MAIL ` WATER CLOSET TOILET O.SO g ADDRESS BATH TUB O.SO CITY TEL.NO. SHOWER 0.8 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY WASH B 1 0.BO APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK 0.00 STATE LAWS RESULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THe ABOVE VALID IAS LAUNDRY TUB OR THAT 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYBT� OUTLETS O.BO SIGNATURE OF r WATER HEATER 0 0.80 PERMITTER LOP SINK 0.50 LN HECM FLOOR BINK 0.80 FLOOR DRAIN 0.00 DISHWASHER 0.80 DRINKING FOUNTAIN A O.SO URINAL (E 0.SO J HOUSK SEWER 0.50 Z MISCELLANEOUS (� 1 � O 1 i APP'80YALS DATE INSPL 30'11 RAMS ROUGH PLUMBING GAS PIPING - GAS VENT CESSPOOL 1.00 CESSPOOL ' SEPTIC TANKi ■EPTIC TANK DRAIN ( ) PIT ( ) ® 1.00 NEWER 06 A, y PERMIT . 1,00 GAB TEST �7� TOTAL FEE �� UTILITY CO. NOTIFIED I FINAL BS-17 APPLICATION FOR)IO- APPLICATIONIII R Px UMBI G PIERMI r - 12 )B6.17 DIVISION OF BUILDING AND SAFETY / Deportment of County Engineer - County of Los Angeles BUILDING JOHN A.LAMBIE.-COUNTY ENGINEER ADDRESS 911-1-5 Tow.er Azusa CASSATT D.GRIFFIN,SUPT of BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN I CCNEST ROSS ST. Heleo & Temple City Blvd. M. Hol y OWNER 0 GROUP I ZO E .I �ZHSPECTIOH MAIL Some r ADDRESS INDUSTRIAL CITY TEL.NO. WASTE APPROVAL PLUMBER. GENERAL INSTALLATION CO. INSPECTION RECORD ADDRESS 6558 West Blvd. CITY L.A. 43 TEL.NO.PLeasant 3-2541 LICENSE NO. 787 C-36 .151839 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 BATH TUB @ .81..00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 R r APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE 0'0 GAS VENT THEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND. AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AME LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED `' r DESCRIBED RESIDENTIAL Rye y I SIGNATURE !`I � ,! OF PERMITTEE FINAL I�+ll"� �iIT A37". E'Z� f OHN A.Lr4MBIE.COUNTY ENGINEER ALIDATION ROBERT A.WOOD..CHrIEF PLBG. INSPECTOR CH. M.O. CASH MV 21- 5 0 3.00 :R D291.2 Ms 17 APPLICATION Fold:' P(L-�UIfI- .I G•.PEF�Ml. )85.17 10 55 DIVISION OF .BUILDING. AND SAFETY Department of County Engineer " County of Los'Angeles .` BUILDING = _ JOHN A: GAMBIE.°COUNTY"ENGINEER ADDRESS j CASSATT D;GRIFFIN,SUP'TbF BUILDING LOCALITY Temple; .City -F°®R APPLICANT TO:FILL IN NEAREST Mo Hoff y CROSS ST. Heleo: &:Temple. City" Blvd® OWNER " DIST L6 I GROUP ZONE RE A OR INSPECTION: MAI L �+/ d: AL ADDRESS SOi11® %(LLL INDUSTRIAL._ CITY -TEL.,NO. WASTE APPROVAL PLUMBER' GENEP.AL INSTALLATION CO , I1ySPEGTION RECORD ADDRESS . 6J�.'A6' West Blv CITY L.A. 43'. . TEL. NO. PLe®569P1t 3-2Jr41 ' .. ; LICENSE NO: 787'' C'16". , 51539. NUMBER TYPE OF FIXTURE OR,ITEM, - s FEE - - WATER CLOSET'(TOILET) ' ':;@ '$I.00 HATH-TUB SHOWER . @ $.1.00 _ 1 LAVATORY (WASH BASIN). @ :$1.00,. KITCHEN SINK @. $1.00 DISHWASHER @ •$1.00' LAUNDRY.TUB OR TRAY .; @ '61.00 CLOTHESVVASHER @ $1.00 WATER 'HEATER @. :$1.00 D� GAS SYSTEM @ "$1.00 APPROVALS .DATE INSPECTOR'S SIGNATURE. ' UNDER SLAB'WORK- - - PERMIT $ 11 � ROUGH'PLUMBING :.•,.:. , GAS.PIPING- TOTAL FEE 00, GAS VENT (''HEREBY' ACKNOWLEDGE, THAT' l HAVE READ._THIS APPLICATION HOT WATER HEATER`: ' .AND STATE THAT THE ABOVE IS'CORRECT'AND. AGREE•TO_COMPLY - - WITH .ALL COUNTY`ORDINANCES ,.AND` STATE`. LAWS .REGULATING'.. i.' - - PLUMBING: - - PLUMBING FIXTURES;> 'I HEREBY CERTIFY THAT.1 AM "PROPERLY REGISTERED' AND/OR GAS`TEST - - LICENSED AS REQUIRED BY LOS ANGELES, COUNTY AND STATE:;OF CALIFORNIA OR 'THAT_1 AM -E LEGAL-.OWNER .OF'THE ABOVE UTILITY CO.NOTIFIED, ,'.- Y•: P DESCRIBED, RESIDENTIAL P �Sr/ SIGNATURE OF•PERMITTEE FINAL. q jp l L,� OHN A. LAMBIE. COUNTY ENGINEER ALIDATION -:ROBERT A WOOD CHIEF-PLBG. INSPECTOR_ ___ - ,. • 6K, 67:'0 CASH " - t 78A887-CENS17 12-84 APPL.ICATI®4F'®R L UMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER s�_ BUILDING AND SAFETY DIVISION 17NE �`/ JZ6t.�z-�-A2-cJ-lA Ila JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. J.ENKINS,SUPT OF BUILDINGFOR APPLICANT TO FILL IN NEARESTCROSS ST. NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET $1.25 OWNER BATH TUB 1.25 ADDRESS G f3 SHOWER 1.25 ® 5 CITY TEL.NO. LAVATORY L25 I CONTRACTOR �r � a� -%z e SINK 1,25 1 ADDRESSS X1v' i!V20.0 Qle,7W L DISHWASHER 1.25 CITY eg -9 eelTEL. NO. CONTRACTOR'S STATE ❑ LAUNDRY TUB 1.25 REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 ; DIST ICCTT NC}ti TP ZONE , E D BY WATER HEATER 1.50 ��J-f Jy GAS SYSTEM OUTLETS 1.50 WAS APPROVAL o OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD v w F� v W d co Z r' APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED OS A COUNTY D STATE OF GAS TEST CALIFORNIA OR THAT i E LEG HER OF, INTEND TO RESIDE IN,THE ABOVE BED R NTIAL PRO Y. UTIL2 CO.NOTIFIED SIGNATURE /-A; OF PERMITTEE FINAL ��j, C�Llf)ATION ROBERT A.WOOD M.0. CASH SUPERVISING MECHANICAL ENG'R LA(A 0 2 4 1 - MAR 7- 5 D - 325- s KERSnCOMPENSATION DECLARATION 'APPLICATION FOR PLUMBING PERMIT ' A666 . 4/87 I'!liereby;a 76 sent to self In- 76 #flan that I.have a certificate of con -0026 afire,ora certificate of Workers'Compensation Insurance,or a CE 817(REV.9/86) ; certified copy thereof'(Sec. 3800, Lab. C.) Policy No. Company COUNTY OF�L.OS ANGELES . DEP.T:,OF PMBLI.0 WORKS t;-•. a Certified copy is hereby furnished. „ FOR APPLICANT TO FILL. (PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS �plQ department'. NUMBER FIXTURE OR ITEM ® FEE LOCALITY Date Applicant WATER CLOSET(TOILET). ' pp NEAREST FltJ !?71 ST. J ` " CERTIFICATE OF EXEMPTION FROM..�WORKERS' BATH TUB CROSS ." ' VI/ ' COMPENSATION INSURANCE• OWNER (This section need not be completed If the work involved by SHOWER MAIL rTr the permit is for one hundred-doliors($100)or less:) LAVATORY 2, ADDRESS . `�/ 0' (J ' I•certify that in the performance of the work-forwhich this r- SINK "� Mit is issued; 'shall'not employ any person in an man, r o- �y n G' , 2 CITY TEL NO as to become subject to the;Worke bmpensatlon La s: . DISHWASHERCONTRACTOR. Dat Ap . ant CLOTHES WASHER ADDRESS ' NOTICE. O/s; PLICANT: If, a er' a ng t is..0 r ficote of - SWIMMING POOL RECEPTOR emption,,you should become subject to:the W ers'Com CITY '' TEL. NO.. ,action provisions of the tabor Code,.you.musi fohhwith comp-_ LAWN SPRINKLER SYSTEM ;ly-with such'provisions or this permit.shall be deemed- , STATE LIC. ed. WATER HEATER LICENSE.NO:. CLASS • LICENSED CONTRACTORS DECLARATION :. DISTRICT Ivo. eESSE Y I hereby affirm that I.am licensed under provisions of••Chapter GAS SYSTEM OUTLETS 9(commencing with-Section 7000)of Division 3 of the Business OUTLETS.AVER, ; fe 8.,Professions Code, and my license is.in full force:and ef- 5 PER SYSTEM - FINAL +; V (DATION• �• DATE I 0 ,License"Number= Lie. Class V FINA De Contractor Date BY 0- 1_71 - 0 I am exempt under See. - �� •� 9 9 7 3 8 A 21 B.&P.C.for this reasonPlan chick fee' I o,o opo 9 5 D°te' . PLUMBING PERMIT ISSUING PEE$ 6.4 5 0 Signature TOTAL FEElqfyo o;o 6 SINGLE FAMILY l - HOME OWNER-BUILDER DECLARATION Pan check applicant , p531 �88' .I hereby affirm that I am exempt from the Contractor's License Name . ;Law for the following reason (Section 7031.5, Business and Professions Code): 4 Address I as owner'of•the property, will-do the work and the City Tel. No.. structure is not intended or offered for (Section 7044, - -Business and Professions.Code). ` CONSTRUCTION.LENDING AGENCY I hereby affirm that there.is'a construction lend ieng..agency'Jor ' the performance of the work for which this permit is issued (Sec. 3097,Civ. C.). e } Lender's 14, Lender's Address g§/r /_0-,(4;a I certify ihat'I h a read this application and state That.the above informa't'ion Is.correct, I agree to comply with all County ordincnces and State laws regulating-Plumbing, and hereby authorpq representatives of this County to enter-upon the ; v. . ntioned property for Inspection.purp'oses.' SEE REVERSE FOR EXPLANATORY LANGUAGE Si9 a of Permittee Date