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Home My Public Portal About5412 A & B MCCULLOCH AVE_Plumbing__ -c.B.B.,';'SM SETS '- APPLICATION FOB PERMT - " DEPARTMENT OF BUILDING AND SAFETY COUNTY OFLOS ANGELES • WM.J. FOX.CHIEF ENGINEER PLUMBING TUBE OF INS ALLATION DISTRICT . GROUP O PERMIT r 9� ROUGI',(_ FIXTURES COMP48TE ,c HEATER CESSPOOL SEPTIC TANK REC VBD HY READY FOR DATE ISSU® FIRST INSPECTION .y AS MIBCELLAN US. /r APPLICANT FILL IN HEAVILY O •TLINED PORTION ONLY JOBK NAME ADDR e. & ao a• M v ■ E _ DDRESS LOCI LITY• _ a NEAREST ,p CITY TEL.No. CROSS ST. COUNTY CERT.No. EXPIREB 0NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL ®� NORTH �. ADDRESS CITY e. / TEL.NO. I AM THE L GAL POSSESS R OF.THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. /1 OWNER �- CORRECTIONS SOUTH J DESCRIPTION OF WORK z_ BATH TUB FURNACE SHOWER DISHWASHER O AVATORIf REFRIGERATOR KITCHEN BINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER *DENTAL LAVATORY , ROUGH PLUMBING METES GAS SODA FOUNTAIN OUTL GAS PIPING I I GAB VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK /)`�- .��•� CE88POOIEPTIC TANK / SEWER I/ S UTILITY CO.NOTIFIED I _ TOTAL FEE FINAL /'� d'� ( d- D.B.Sz 17 25M BETS 12-45 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �� COUNTY OF LOS ANGELES • WM.J. FOX.CHIEF,ENGINEER ATURE OF INSTALLATION DISTTT NO. GROUP ZONE . PERMIT NO. ROU FIXTURES COMPLETE. I4f� HEATER CESSPOOL -I SEPTIC TANK REJeOED BY READY FOR DATE JLSSUED FIRST INSPECTION _ GAB MISCELLANEOUS. APPLICANT FILL IN HEAVILY OUTLINED PORTIO,_ ONLY JOB C E ADDRESS N f r � ADDRESS LOCALITY D NEAREST V1 J CITY TEL.No. C 8 ST. COUNTY CERT.No. EXP NAME �!S rd LOCATION OF SEPTIC TANK, OR CEMPOOL, z MAIL NORTH 0 ADDR 88 _� �./- CITY TEL.HOC A 61 IAM THE LEGAfPOSSESSOR IF THE ABOVE LOB ANGELES COUNTY CE TI,*, OF QUALIFICATION. PLUMB= 1 AM THE-LEGA L O BR OF THE PROPERTY DESCRIBED ABOVE. c_ 3 ,i i%,T OWNBR 212 6 CORRECTIONS SOUTH - a DESCRIPTION OF WORK ATH TUB FURNACE ROWER DISHWASHER JLAVATORY REFRIGERATOR -KITCHEN SINK WATER SOFTENER -FLOOR BINK SAND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS Y WATER CLOSET DRINKING FOUNTAIN DATE INBPBaTOR'B/NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I `� 6TER�GAB SODA FOUNTAIN OUTL GAS PIPING GAS VENT 77 CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK E88P00� SEPTIC TANK SEWER IUTILITY CO'.NOTIFIED y- TOTAL FEE I FINAL WORKERS'COMPENSATION DECLARATION •76A687A I ffereby, affirai that I have W certificate of conse)1t•to,seLy CE afi,,.. APPLICATION FOR PLUMBING PERMIT insure, or..a certificate of Workers'Compensation Insurance,or ' a certified copy thereof(Sec.3800,Lab.C.) r�TC940357 Aetna Insr. Co. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Nd` Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT ORITYPqE) BUILDING ADDRESS 5412 'A&B N. McCulloch Ave. Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM LOCALITY Temple City `!p t Jit. WATER CLOSETDate v—��v Applicant Cin BT'OS• Plbge , II1C. d� NEAREST Daines'Dr.. CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER Sharon 0. Lee LAVATORY MAIL (This section need not be completed ll the work involved ADDRESS 426 N Baldwin Ave } by the permit is for one hundred dollars ($100) or less.) SINK p CITY E1 Monte TEL.No.443-0078 IL I certify that in the performance of the work for which this DISHWASHERU permit is issued, I shall not employ any person in any manner 0O CONTRACTOR Owen Bros. Plumbing Inc. so as to become subject to the Workers'Compensation Laws. CLOTHES WASHERIV 00 ADDRESS 4265 N. Baldwin Ave. O Date Applicant SWIMMING POOL RECEPTOR ~ NOTICE TO APPLICANT: If, after making this Certificate of CITY El Monte TEL.NO. 443-0078 w Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. N Compensation provisions of the'Labor Code, you must forth- WATER HEATER DO LICENSE NO. 231741 CLASS C36-20 Z with comply with such provisions or this permit shall be deemed revoked. GAS SYSTEM OUTLETS DISTRICT NryO. PR CESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER �i 0. NO?. hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM s 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL 3_ ness and Professions Code,and my license is in full force and DATE VALIDATION effect. License Number 231741 Lie.Class C36-20 FINAL 8Y �r'i•-�.-�� ContractojQwen Bros- P1 bgatg Inn, 6 6-8-80 0 I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, BusDo - iness and Professions Code). �. TOTAL FEE Lie.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address (� License Law for the following reason (Section 7031.5, Busi- City Tel.No. /., ness and Professions Code): /J •I r b DI, as owner of the property, am exclusively contracting with licensed contractors to construct the project 'f 9-A,15,(Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY 9 76a' I hereby affirm that there is a construction lending agency ell for the performance of the work for which this permit is O issued(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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the �b e io property spection purposes. 8-6-80 Signa of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS I 9701 LAS TUNAS PL 0508 0202200017 BUILDING AND SAFETY / LAND DEVELOPMENT i TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDINGDD TR: 35757 UN: 6 5412 MCCULLOCH AV A FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: I TEMP CA 917803561 ASSESSOR 0 NUMBER: NEAREST CROSS STREET: DAINES 8573-014-060 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.20 TOTAL FEES 43.95 ISSUED 02/20/02 JK 08/19/02 . OWNER: TEL. 0: FINAL DATE � ��FINAL� CODE: SCHILLER ERIC DAVID;MICHELLE ANNE - I 5412 MCCULLOCH AV `) TEMP 917803561 D�CRIPT 0 -�6dONK u WATER HEATER C/O APPLICANT: TEL. NO: INCLINE PLUMBING CONTRACTOR (626) 914-4430- 630 W FOOTHILL BLVD SPECIAL-CONDITIONS: GLENDORA CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE INLINE PLUMBING CONTRACTOR (626) 914-4430- 630 FOOTHILL BLVD #A LIC. NO UNDER GLENDORA CA 91741 752621 HIC WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR . NO: ROUGH PLUMBING LIC. NO: PIPINGGAS GAS VENT HOT WATER HEATER PLUMBING TU S LAWN SPRINKLERS GAS-TEST UTILITY COMPANY NOTIFIED' CWV GRAY.—WATER S * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: 9SO508