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Home My Public Portal About4950 MCCLINTOCK AVE_Plumbing__ OS-17 a-ss DAPPLICATION FORPLUMBING PERMIT DOS-17 DIVISION OF BUMDING AND SAFETY Deportment of County Engineer County of:Los Angeles WM.J. FOX,COUNTY ENGINEER BUILDING r s • ADDRESS `J CASSATT D.GRIFFIN,SUPT OF BUILDING eft 10, LOCALITY R APPLICANT TO FILL. IN NEAREST �— CROSS ST. OWNER DISTRICT NO.. GROUP 2 READY FOR 1N01ICTION MAIL. .r ADDRESS. I ° 'INDUSTRIAL CITY TEL.NO. WASTE APPROVAL PLUMBER G(J INSPECTION RECORD ADDRESS Co+L �+I + 6 a4mz?�k CITY ` TEL.NO. O C i I�N LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) i BATHTUB SHOWER 'd LAVATORY (WASH BASIN) KITCHEN SINK OO DISHWASHER LAUNDRY TUB OR TRAY 00 CLOTHES WASHER TOTAL NO. ray 0.130 - APPROVALS DATE INSPECTORS SIGNATURE. GAS SYSTEM OUTLETS @ 1.00 WATER HEATER - (p 1.00 UNDER SLAB WORK ROUGH PLUMBING s s PERMIT S � 7 00 � GAS PIPING TOTAL FEE Oo GAS VENT I HEREBY ACKNOWLEDGE THAT I NAVE 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 FIXTURES PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED 'AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT ITHE LEGA '0 E OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENT! L P PE Y/r - SIGNATURE C a �t' OFPERMITTEE F[NAL ra WILLIAM J.FOX.COUNTY ENGINEER VALIDATION R4A.WOOD,CHIEF PL13G.INSPECTOR• ...x(;0.3 7 4 1 U- MAR 5 3 6.0 0 m APPLI CAVI® ��O FII�'L M B N PERMIT 01313-17,10-14b DMSION OF BUILDING AND S Y Deportment of County Engineer County of Los Angeles BUIL13ING -4950 McClintock Ave JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D.GRIFFINS SUPT OF BUILDING Temple City LOCALITY FOR APPLICANT TO FILL IN NEAREST Grand Ave - CROSS ST. OWNER Alfred Grabman 'DISTRICT UO. GROUP I ZONER DY FOR INSPECTION MAIL 5, O' s �� ADDRESS Some .-: w INDUSTRIAL CITY TEL. NO.• WASTE.APPROVAL. PLUMBER GENERAL INSTALLATION CO. INSPECTION RECORD ADDRESS 6.558 West Blvd. CITY L.A. 43 TEL.NO. PLeasunt 3-2541 LICENSE NO. 787 C-36 151839 NUMBER' TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH 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 ' 1 WATER SOFTENER 1 00 APPROVALS, DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ ^LI 00 ROUGH PLUMBING GAS'PIPING TOTAL FEE 32 00 GAS VENT I 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 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF I CALIFORNIA OR THAT I AM E LEGAL OWNER OF THE. ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL ?Lwe��P .� SIGNATURE OF PERMITTEEFINAL4•�� 10HN A.LAMBIE.COUNTY ENGINEER LIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR CASH M1 6 5823 JUN 2 5 D 3.0 0 In 76A687-CENS 17 2-68 I I APP A ON FOR LUMBINCVPERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONfAD , JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS: SUPT. OF BUILDING FOR APPLICANT TO FILL IN NUMBER FI)I,TURE OR ITEM EACH FE C�i�•1/ WATER CLOSET $1.25 BATH TUB 1.25 TEL,MO. LASHOWER 1.25 LAVATORY 1.85TO ' SINS 1.25 ADDRESS ' O DISHWASHER 1.25 � EL. NO.STAE . LIC LAUNDRY TUB 1.25 LICENSE NO CLASS CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P ESSED BY WATER HEATER 1.50 7 m GAS SYSTEM OUTLETS 1'50 INDUSTRIAL WASTE APPROVAL CD OUTLETS OVER'S PER SYSTEM .30 INSPECTION.RECOR v ! C /�-�� -G $ is CD W y • Z i 1 APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 '00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEEGAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT TME ASOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER LRESIN, CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF .GAS TEST OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO THE ABOVE DESCRI ED R DENTIAL PROPERTY. UTILITY CO.NOTIFIED E EZ&' FINAL IG ALMATION JkCK R.ALLEN. .CK. M.0.4 CASH .SUPERVISING MECHANICAL ENG'R. ' II iA _ : 13 OCT 17 5 u ;(- N WORKERS'COMPENSATION DECLARATION APPLICATION FOR KUMBING PERMIT r '20-0026 DPW 4/87 IterebyYaffirpi:that I,hbve a certificate of consent to self in- 76A667A sub;1��oraZZ!e"ttificate of Workers'Compensation Insurance,or a 'I CE 817(REV. certh;d copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS . Pol'icy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDINGO J ✓i 1 � Certified copy is filed with the county building inspection ADDRESS G.- 1 ?t7 ~ department. NUMBER FIXTURE OR ITEM- @ FEE LOCALITY f ,O WATER CLOSET(TOILET) / 1-n 1 4 Date Applicant NEAREST ' CERTIFICATE OF EXEMPTIOWFROM WORKERS' , BATHTUB ' ' Q CROSS ST. COMPENSATION INSURANCE OWNER D�5LL)e J IYn ay... JAto n it ' (This section need not be completedSHOWER if the work involved by the permit Is for one hundred dollars.(;100)or less.) j LAVATORY ADDRESS C' d Jn-4-00- eq I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CITY'74o,» )e Q TEL. NO. as to become subject to the Workers'Compensation Laws. DISHWASHER I 5.•. CONTRACTOR •�C., Date Applicant , CLOTHES WASHER Q ADDRESS, NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY TEL.NO. sation provisions of the Labor Code,you must forthwith comp- ii LAWN SPRINKLER SYSTEM ly with such provision's or this permit shall be deemed revok- 1 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 ' OUTLETS a vf 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER �f and Professions Code, and my license is in,full force and ef- 5 PER SYSTEM FINAL y Z��v VALIDATION C fect. DATE License Number Lic. Class V FINAL W Contractor Date BY O 0 Tom exempt under Sec. D W d B.BP.C. for this reason . Plan check fee • Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE SINGLE FAMILY applicant Plan check a HOME OWNER-BUILDER DECLARATION pP i 5 I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and } tu ' os Professions•Code): Address 3�3,1_ 65.50 L�Ias owner of the property, will do the work and the City Tel. No., structure is not intended or offered for sale(Section 7044, ITEMS Business and Professions Code). TOTAL 65 _E50 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for CHECK 65.50 the performance of the work for which this permit is issued CHANGE 1113 (Sec. 3097, Civ. C.). Lender's Name 81100-0001j f ' f91 Lehder's Address AM. 10 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-mention e p operty for Inspection purposes. 17/ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Ormittee Date WORKERS'COMPENSATION'DECLARATION• APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate-of consent to self insure; or a certificate of Workers'Compensation Insurance j CE 817 7( t REV. 10/81)• I I .or a certified copy thereof(Sec. 3800, Lab. C.) , ' ,' { COUNTY OF LOS ANGELES. �. BUILDING.AND SAFETY Policy No. Company I• ' Certified copy is hereby furnished. II FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING E] Certified copy is filed with the county building'inspec- ADDRESS ell A_, -7-0 0 G/�� NUMBER FIXTURE OR,ITEM LOCALITY t^ tion department: ® FEE I ; Date Appligant WATER CLOSET NEAREST ' CERTIFICATE OF EXEMPTION FROM WORKERS' I '' BATH TUB CROSS ST: COMPENSATION INSURANCE OWNER (This section need not be completed If the work Involved by MAIL SHOWER Qy/7 /��J2 the permit,is'for one hundred dollars($.100)or less.) I LAVATORY ADDRESS ' [ /'/c �� N 7-06 I certify that in the performance of the work for which this er.mit is issued, I shall n6temploy any parson in any manner SINK a30 ]QIDRE5S ITY TEL.,NO. so as to become subject,To the Workers'C s ion Laws. I DISHWASHER ^� • 'I^ NTRACTOR All-� C�A/ �,i Q. Date / Applican CLOTHES WASHER a /�i� �5,�NOTICE TO APPLICANT: If,'after aktrig t is Certificate ofExemption, you should beco' subject to the Workers' SWIMMING POOL RECEPTORCompensation provisions ofthe Labor Code, you must forth- ITY 1LI * TEL. with comply with such pr visions or this erinit shall be i LAWN SPRINKLER SYSTEM •. P Y P P STATE / LIC. deemed revoked. WATER HEATER LICENSE NO. 7� CLASS ' LICENSED CONTRACTORS DECLARATION DI ICT NO. PRO 7ED BYI hereby•dffirm that I am licensed'under provisions of Chapter 9 GASSYSTEM. OUTLETS(commencing with Section 7000)of.Division 3-of the BusinessOUTLETS OVER and Professions Code,and my license is in.full force and effect. 5 PER.SYSTEM FINALd y DATE F~l 7" V+ALS D TION 0 License Number�701 3/ Lic. Class Z-3-1 ` V 2.G/e/41I4Fi 7 FINAL" ` a � 0 Contracto S•'Date o ^� r�7` � BY � � u ❑ 1•am exempt under Sec. W B.BP.C..for+this reason Plan check fee C J �ry► PLUMBING PERMIT ISSUING FEE.$ CIJI V Signature 63 A . TOTAL.FEE t1 , - � o 0 0 0'0+5 • . Plan check applicant • ' SINGLE FAMILY ' r r•.o 0 HOME OWNER-BUILDER DECLARATION i Name �r G 2,5 O I hereby affirm.that I am'exempt from the Contractor's•License Address• 0 0 0 2250 T Low for the following reason (Sect!on 7031.5, Bus iness"and 4 .. Professions Code):, City. Tel, No. ❑ I,,as-owner of the'property, will do the work and the structure Ls not intended or.offered for-sale (Section :, 7044, Business and Professions Code)."" CONSTRUCTION LENDING AGENCY 1 hereby affirm.that there is a construction lending agency for , the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lende?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 represent 'vas of this County to enter upori the above-menti a perty.for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE , 1 lure of ermittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0812090036 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 4902 IT: 50 I I 4950 MCCLINTOCK AV 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT.1 TEMP CA 917804103 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GRAND 18574-023-016 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl I 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 I TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 12/11/08 SR 06/09/09 1 I 1 TOTAL FEES 76.35 1 I (OWNER: TEL. NO: I 1FIN p/AT FI CODE: 1 ICAPRA DAVID J;MARY A (626) 279-9171- 1 I 14950 MCCLINTOCK AV I I 'V ITEMP 917804103 I INESCRIPTION OF WORK I I ]PLUMBING BATHROOM REMODEL ] 1APPLICANT: TEL. NO: I I ITOM (626) 287-0927- 1 I I 15823 AGNES AVE. I ISPECIAL CONDITIONS: [ ITEMPLE CITY CA 91780 1 I I I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE ITOM O'LEARY CONSTRUCTION (626) 287-0927- 1 1 I 15823 AGNES AVENUE LIC. NO 1 1UNDER SLAB WORK I I I ITEMPLE CITY, CA 91780 489354 B-1 1 I I I I I I IWATER SERVICE 1 1 I I I IPLASTIC YIN METAL YIN I I I (ARCHITECT OR ENGINEER: TEL. NO: I I I I I II TROUGH PLUMBING LIC. NO: [GAS PIPING I I I I IGAS VENT I I I I I (HOT WATER HEATER I I I I I IPLUMBING FIXTURES I I I I I ILAWN SPRINKLERS I I I I I I I I IGAS TEST I I I I I I I I (UTILITY COMPANY NOTIFIEDI I I I I ICWV I I I I IGRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I ]REPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I I I I ] COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0110180008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGALD BUILDING TR: 4902 LT: 50 4950 MCCLINTOCK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804103 ASSESSOR 0 0 NEAREST CROSS STREET: GRAND 8574-023-016 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY 13 DISHWASHERS) 1.00 FIX 16.20 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSU5D 0 PROCESSED EXPIRES ON: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 10/18/01 JK 04/16/02 TOTAL FEES 76.35 OWNER: TEL. NO: FI L DE FINAL BY: CODE: CAPRA DAVID J;MARY A (626) 279-9171- 4950 MCCLINTOCK AV TEMP 917804103 SC 0 of WORK KITCHEN REMODEL APPLICANT: . SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: ay ic,��E S c APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO UNDER SLAB WORK SERVICE PLASTICY/NMETAL Y/N ARCHITECT OR EG T 0: ROUGH PLUMBING LIC. N0. / L1111111GAS PIPING r— GAS T U LOCA � 0 /7 8 0 WATER HEATER- - FLU B 'FIXTURES G o ❑ 'r irk AAS W S Q El - ri r�' GAS TES A ❑f �"�l% T COMPANY C ServicGRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508