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