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Home My Public Portal About5928 MUSCATEL AVE_Plumbing__ 76178- CE ell 8- APPLICATION FOR PLUMBING PERMIT 1 BURDING AND SAFETY DMSION Department of County Engineer 111010111 County of Los Angeles BUILDING JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS CASSATT 0.GRIFFIN,SUP'T OF BUILDING LOCALITY FOR APPLICANT TO ML IN NEAREST CROSS ST. OWNER DISTRICT NO. GROUP I ZQNE I READY FOR INSPECTION MAIL �s I I `rnj4lf ADDRESS INDUSTRIAL CIT TEL NO. WASTE APPROVAL PLUMBgR20< INSPECTION RECORD ADDRESS CITY Cf- rZ LICENSE NO. /0 (/C//r�p �p 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 r• APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK ROUGH PLUMBING �14Ci J PERMIT $ I 1 00 -10'e-& GAS PIPING TOTAL FEE s GAS VENT I HEREBY 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 FIXTURES - r PLUMBING. 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 I AM THE LEGAL OW 1 OF T P]ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTI , SIGNATURE " OF PERMITTEE FINAL -L7 ,a > ��:•!-''�* "` ROBERT A.WOOD, JOHN A.LAMBIE.COUNTY ENGINEER /"`VALIDATION SUPERVISING MECHANICAL ENG'R �CK.J N.0. CASH A u i8A887-CE#617.5-61- APPLICATION 8175-61APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVLSION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS d WILLIAM A. JENSEN, SUPT OF BUILDING 4 LOCALITY FOR APPLICANT TO FILL IN CRN OSS SST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL ADDRESS .iGP BATH TUB CITY TEL. SHOWER CONTRACTOR LAVATORY ADDRESS Z SINS DISHWASHER CITYCONTRACTe STATE LAUNDRY TUB REGIATION NO.l COONTY CLOTHES WASHER D187 NO. GROUP I ZONE WATER HEATER1��SED O INDUSTRIAL SYSTEM WASTE APPROVAL V INSPECTION RECORD O I- v W N Z H $1.00 PER ITEM �/Jg OR FIXTURE $ j C..�r APPROVALS DATE INSPECTOR'S SIGNATURE -H PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE Sc� ROUGH PLUMBING GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 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 PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDJOR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL WHER OF.THE ABOVE DE8CRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE L �__. FINAL �3. VLIDATION ROBERT A.WOOD M.^^O. �7 CASH SUPERVISING MECHANICAL E'NG'RR 7 5 J to WORKER'S COMPENSATION DECLARATION 20-0028 DPW 9/89 APPLICATION FOR PLUMBING PERMIT Ll 78A887A 111�eby affirm that I have a certificate of consent to self insure, or a :;by of Worker's Compensation Insurance, or a certified copy th r to(Sec.3800 Lab.C.) JF1 ' COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy WoC ompan� ❑ Certified copy Is hereby furnished. q/I FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Se copy Is filed with the c n bull g Inspection ADDRESS de ant. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET NEAREST RTIFICATE OF EXEMPTION FROM W RK S' BATH TUB CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work Involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) OWNER I certify that in the performance of the work for which this permit LAVATORY is Issued, I shall not employ any person in any manner so as to SINK ADDRESS become subject to the Workers'Compensation Laws. DISWASHER CITY TEL.N _ Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of CONTRALTO Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code,you must forthwith comply with such �S provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION crry T a I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER ATE LIC. (commencing with Section 7000)of Division 3 of the Business and GAS SYSTE OUTLETS LICENSE NO. CLASS (a� Professions Code,and my license is in full force and effect. y�.� n 5 UT SYSTEM DISTRICT NO. PROCESSED BY Q License Number t0 to `�Lic.Class Cxo— . ~ FINAL V DATE VALIDATION LU Contractor Date cc El FINAL Z I am exempt under Sec. BY B.BP.C.for this reason EJA Plan check fee Date: Signature PLUMBING PERMIT ISSUING FEE$ � 7-S7- _ _ ' + " ❑ TOTAL FEE ,�p _ _ SINGLE FAMILY ._ Plan check applicant __. . _ ,_ "131.(,� HOME OWNER-BUILDER DECLARATION Name 1 hereby affirm that I am exempt from the Contractor's License Law I " for the following reason(Section 7031.5, Business and Professions Address '::7 " Code): :".�-.•, ❑ City Tel.No. 1,as owner of the property,will do the work and the structure is not Intended or offered for sale(Section 7044, Business __ „-_: �'• " : ?rr,�• and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the i performance of the work for which this permit is issued (Sec. 3097, Civ.C.) Lender's Name Lender's Address I certify that 1 have read this application and state that the above information is c I. I agree to comply with all County ordinances , and State 1 s ulating Plumbing, and hereby authorize 1 represent t1 es o t i County to enter upon the above-mentioned property f p as. ` QY SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permit e Difte i i. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT - DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9710310040 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID G ADDRESS: TR: 5904 LT: 110 5928 MUSCATEL AVN FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: `SGAB CA 917752621 ASSESSOR INFORMATION -NEAREST CROSS STREET: LESLIE 5386-011-046 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.35 1 TENANT: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 ISSUED ON: PROCESSED 8Y: PLAN BY: EXPIR S 0 : TOTAL FEES 60.45 10/31J97 UT 10/31/98 OWNER: TEL. NO: FINAL D INAL BY: CODE• CASEY BRIAN N;CAROLE L (626) 309-1274- 5928 MUSCATEL AV L SGAB 917752621 D CRI A- W WORK L REPLACE OCATE WATER HEATER, EXTEND GA LI APPLICANT: E 0: SAME AS OWNER SPECIAL CONDITIONS: goi CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAB WORK 1 f/ WATER SERVICE ' PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: - / ROUGE PLUMBING LIC.-NO: (I GAS PIPING GAS WENT i Ip u r' � W�` it ll � OT IA TER i � ��--� �i C' ��(Tt�,al• �f PLUMING FIXTURR 41' ' GAS TEST •�-^'� �----� � UTILITY COMPANY OT I F I ED "cl WV �'' � G A it A ER S S �t'E ! (� yf qj I REPORT ID: DPR263 ROUTE TO: BS0508 ti I I