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HomeMy Public PortalAbout6228 MUSCATEL AVE_Plumbing__ 79A997C (CE-91711) -975 APPLICATION FOR PLUMBING PERMIT' I W 1 BUILDING AND SAFETY DI ISI-ON Af FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Z o � S G —rg /� NUMBER FIXTURE OR ITEM @ FEE ADDRESS 1V �JiJ `,4 WATER CLOSET LOCALITY' _ BATH TUB NEAREST CROSS ST. �s L J SHOWER OWNERS Q:?u LAVATORY MAIL ADDRESS SINK CITY 01 L TEL.NO.� DISHWASHER CONTRACTOR % 680 C . P>� CLOTHES WASHER SWIMMING POOL RECEPTOR ADDRESS C ITY Z ug A TE L.,N0.,?,?4-7331 LAWN SPRINKLER SYSTEM CLICyy _ I� WATER HEATER L C NSE NO. J -7 ENCLASS 6..20 . GAS SYSTEM OUTLETS / DISTRICT NO. I GROUP 17-ONE PRO ESS BY OUTLETS OVERCD 5-PER SYSTEM WASTE APPROVAL W INSPECTION RECORD Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant Name ,I APPROVALS DATE INSPECTOR'S SIGNATURE UADER SLAB WORK Address ROUGH PLUMBING City Tel. NO. GAS PIPING IHEREBY 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 I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICEN SEDAS REQUIRED BY L S ANGELES COUNTY A STATE OF GAS TEST CALIFORNIA OR THAT I AM LEGAL OWNER OF, INTEND TO ' RESIDE IN THE ABOVE DES IB SIDENTIAL• P E Y. UTILITY CO. NOTIFIED ' SIGNATURE OF PERMITTEE FINAL PLAN CHECK VALIDATION CK. . M.O. CASH "PERMIT VALJPATION M,O. ASH 2 .6,13 ti-cam'.23: D X1.5 4 76A8670(C6-81713) -9/75 APPLICATION FOR PLU 1NG PEaFNIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPEI BUILDING f �y f!u FIXTURE OR ITEM @ FEE ADDRESS O� ER CLOSET LOCALITY NEARESTH TUB CROSS ST. SHOWER OWNER LAVATORY ADDRESS a I.J SINK CITY TEL.JNO-Age 160 DISHWASHER CONTRAC-PAGIFIG1•- t-� CLOTHES WASHER ADDRESS 10920 E. GRAND AVE. SWIMMING POOL RECEPTOR CITY TEMPLE CITY, OQAW � LAWN SPRINKLER SYSTEM STATE � 1999 LIC CLASS WATER HEATER LICENSE NO. O GAS SYSTEM OUTLETS DISTRICT NO. GROUP ZONE CESSED BY C-') OUTLETS OVER -5 •0 Q I i av OO 5 PER SYSTEM INDUSTRIAL W WASTE APPROVAL y INSPECTION RECORD ,•!?'w•�1`?'6°� Q Plan check fee , PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant �6v Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel. No, GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THEABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESC ESI E IAL PROPERTY. UTILITY CO. NOTIFIED �y SIGNATURE OF PERMITTEE FINAL PLAN CHECK VALIDATION • CK. M.O. CASH PERMIT-VALIDATION,:t cK. M.O. CASH READY FOR FWAL INSPECTS® Y. ° NI:,'. 5-fi.5 n �? S o 7.50 A9 .76A667A CE 817 IREV.6/78) , ®S r. APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BOIL IN NUMBER FIXTURE OR ITEM C$ FEE ADDRES I WATER CLOSET LOCALITY NEAREST BATHTUB ' CROSS ST. SHOWER OWNER ��z,, LAVATORY' MAIL ADDRESS SINK CITY TEL.N DISHWASHER CONTR O CLOTHES WASHER ADDR SWIMMING POOL RECEPTOR CITY TEL.NO. LAWN SPRINKLER SYSTEM STATE IC. WATER HEATER LICENSE NO, CLASS GAS S EM OU LETS APPROVALS DATE INSPECTOR'S SIGNATURE O LETS R UNDER SLAB WORK EM ROUGH PLUMBING y GAS PIPING GAS VENT u 22 HOT WATER HEATER PLUMBING FIXTURES '/y GAS TEST g� �—Z(�-a + ���I f ut Plan Check fee I UTILITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE TOTAL FEE FINAL. Plan check applicant PLAN CHECK VALIDATION Name Address / City 'Tel.No. I HEREBY ACKNOWLEDGE TH• AVE REA THIS APPLICATION AND STATE 2 2 O $ t1 THAT THE ABOVE IS CORRECT Ay GRE O COM Y LTH ALL COUNTY ORDINANCES AND STATE LAWS REGULATI 8'PLUMB G. - PERMIT VALIDATION + o 0 o o o 5 1 HEREBY CERTI THAT I PROPERLY TERED AND/OR LICENSED ASREOU IRED BY LOS A 7� O O LEGAL OWNER OF D N S D TOR SNTY LIO O 1 `^DE I D STA E BOVE DESCRIBED RESIDENTIAL ENTIAL p CALIFORNIA OR THAT I AM THE4i� PROPERTY. 0 0 SIGNATUR z l •OF PER EE + (G� �� A�. 0 1,0 V— fr7 9 IST,ICT NO._ P SSED BY - 11 1 . I / 1. L INDUSTRIAL }.' WASTE APPROVAL WORKERS'COMPENSATION DECLARATION 76AS67AAPPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a' certificate of consent to self ce e»17(z-eo) insure, or a certificate of W ork3.ers'C pensation Ins ce,or a Sept gpy-j>tEjk�t' on b.C.) (�(�� )v{ ✓ COUNTY OF LOSANGELES BUILDINGANDSAFETY P is No. Con L f ❑ Certified copy is.hereby furnished.'- ��� FFOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDINGCertified copy is filed with the county building inspection FIXTURE OR ITEM FEEADDRESS"'---rrr department. WATER CLOSET � LOCALITY Applicant NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER ' (This section need not be completed if the work involved LAVATORY MAIL ADDRESS by the permit is for one hundred dollars ($100) or less.) SINK n a CITY TEL.NO�� -1s�/ U I certify that in the performance of the work for which this DISHWASHER permit is issued, I shall not employ any person in any manner CONTRALTO "el , IM so as to become subject to the Workers'Compensation Laws: CLOTHES WASHER ADDRESS �© ��® �Q+ _ Date Applicant (� SWIMMING POOL RECEPTOR NOTICE TO APPLICANT: If, after making this Certificate of CITY - TEL.NO. (�( � LUti Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE ��f1 to Compensation provisions of the Labor Code,you must forth- WATER HEATER LICENSE NOP•d� /Sc� LI AS rl'L���- with comply with such provisions or this permit shall be deemed revoked. DISTRICT NO rya O ESSE Y GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS OVER CCS/ I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINALJ VALIDATION ness and Professions Code, and my license is in full force and DATE �� effect. pp �p 0.r- 37� `20 ��°` �� FINAL License Numbe Lic.Class BY Contracto s.O Date am exempt L I t.from the licensing requirements as I am a Plan check fee ❑ licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address F 2 6 9,9 r License Law for the following reason (Section 7031.5, Busi- City Tel.No. ness and Professions Code): $t 0 0 0 0 0 ❑ I, as owner of the property, am exclusively contracting o - 2050 with licensed contractors to construct the project (Section 7044,Business and Professions Code). c o o20.j(ly CONSTRUCTION LENDING AGENCY 01.21 -82 I 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 Lender's Address i I certify that I e ead this application and state that the above informat' is orrect.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances a t e laws regulating Plumbing, and hereby thorize r se atives of this County to enter upon the abo - n t for inspection pur 9oses. 4,//P-- Sig Y Signature of Permittee rAte i WORKERS"I OMPENSATION DECLARATION i 76A667A �. hereby af�f"r th2te I ave w Workers'eCompensatio onse t to s if ag et 7 I z-eo) APPLICATION FOR PLUMBING PERMIT nsure,��a cernor i certified copy thereof(Sec.3800,Lab.C.) COUNTY OF LOS ANGELES LES 'BUILDING AND SAFETY Policy Na 1163 Company we G f- AYm„air*c ya n ID Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ^ Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM FEE ADDRESS 6228 N Muscatel LOCALITY Temple City dmn e e t. f Date — —iplicant WATER CLOSET Qa NEAREST BATH TUB CROSS ST. Lf CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER Steven'V. 1.lintine (This section need not be completed if the work involved LAVATORY MAI L ADDRESS 6228 N Muscatel by the permit is for one hundred dollars ($1.00) or less.) SINK CIO CITY Temple City TEL.NO. 286-15 I certify that in the performance of the work for which this DISHWASHER permit is issued, I shall not employ any person in any manner i p CIO CONTRACTOR Universal Plumbing O I so as to become subject to th orkers' C mpensation Laws. CLOTHES WASHER � a ADDRESS 2631 Lee Ave 0 Dater—ox'-9 pplicant, 92,E . �c�►✓ SWIMMING POOL RECEPTOR W NOTICE TO APPLICANT: If, after making this Certificate of t CITY So El Monte TEL.NO. 575-34 Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. • Q Z ! Compensation provisions of the Labor Code,you must forth- LICENSE NO. 386678 CLASS with comply with such provisions or this permit shall be WATER HEATER deemed revoked. ( GAS SYSTEM 3 OUTLETS DISTRICT NO.ff PR CESSED-13Y . LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)'of Division,3 of the Busi- FINAL VALIDATION ness and Professions Code, and my license is in full-force and DATE effect. FINAL License Numbe3 8 66.7 R Lie.Class BY Contractor Uny6x s a l- IDIN 12 20 -82 El I am exempt from the licensing requirements as I am a rName e �!2 licensed architect or a registered professional engineer IG PERMIT ISSUING FEE$ 0 60 acting in my professional capacity (Section 7051, Bus- `. iness and Professions Code). TOTAL FEE Lie.or Reg.No. Date icant HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's ;! o o a c'o J License Law for the following reason (Section•7031.5,, Busi- Tel.No. 2 o,o 5250 ness and Professions Code): IDI, as owner of the property, 'am exclusively contracting `o c .o 5 2 5 0 with licensed contractors to construct the project (Section 7044,Business and Professions Code). 12 2 2--8 2 CONSTRUCTION LENDING AGENCY I 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 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 I above-mentioned property for inspection purposes. Signature of Permitt a Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0511140017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE. (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5904 IT: 6 UN: .002 6228 MUSCATEL AV N FEE DESCRIPTION: QUANTITY: DON: AMOUNT: SGAB CA 917752627 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5386-010-012 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 I3SUED ON: PROCE3S8D BY: PLAN BY: EXPIRES ON: 21 HOSE BIBB(S) 2.00 FIX 32.40 11/14/05 JK 05/13/06 25 LAVATORIES/SINKS 2.00 FIX 32.40 .�//g�lp�T OWNER: TEL. NO: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 FIIN _Y E FIN CODE: CEO, DENNIS (626) 292-6921- TOTAL FEES 141.15 6228 MUSCATEL AV SGAB 917752627 DESCRIPTION OF WORK PLUMBING FOR BATHROOMS APPLICANT: TEL. NO: TSUSHIMA - 317 W. MAIN ST #417 SPECIAL CONDITIONS: ALHAMBRA, CA 91801 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE MAR GERALD WAYNE (626) 646-1988- 8835 EMPEROR AVENUE LIC. NO UNDER SLAB WORK SAN GABRIEL, CA 91775 439297B WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: TSUSHIMA, RICK X (626) 282-3417- ROUGH PLUMBING 317 W MAIN ST #417 LIC. NO: ALHAMB A, CA 91801 439297B • GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508