HomeMy Public PortalAbout6158 OAK AVE_Plumbing__ 76A667 (CE-817)- 5/,7,3
APPLICATION F PLUMBING PERMIT-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: ADDRESS G f s0b e�
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE C ROSS ST.
L OWNER WATER CLOSET 1.75 �J J
MAIL
BATH TUB 1,75 7 ADDRESS' Q
1' SHOWER 1,75 CITY TEL. NO. �✓ 9r �Z
LAVATORY 1,75 S� CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY VV TEL. NO.
-CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS '
SWIMMING POOL RECEPTOR. 1.75
DISTRICT NO. GROUP N PRO,ESSE BY
LAWN SPRINKLER SYSTEM 1.75 . j0 7 i� •
WATER HEATER 1.75 INDUSTRIAL -1— l
WASTE APPROVAL a
GAS SYSTEM OUTLETS 1.75 `,) INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM 30 .C'hhH al: y'/c'!�i�—S d� •?moi/>._.$PO
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d
(�./�.�i� �Id;JF�JS[ 1,Sr ��J..�.fa._t—�•�'
Plan•check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING ° '— ;�, 9:o.,,�;
City Tel. No. .,GAS VENT r
HOT WATER HEATER ,I7_11fr9s/ �d ,i1�L�-aJ
r HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES r��� '�'!.� 97, 17� _�4 rnd
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST f +�1 n sjl titer L+`
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR' UTILITY CO. NOTIFIED r �f•�, �+ �yj��r✓
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
•CALI FO RNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE'DESCRIBED RESIDENTIAL PROPERTY FINAL
SIGNATU RE
OF PERMITTEE
PERMIT VALIDATION cK M.O. CASH
PLAN CHECK VALIDATION cK. M.D. CASH
5 5 9.r"T-JUN 17 5 D 2 0.5 0 ,6y8
WORKERS'COMPENSATIONDEe of
reneO( APPLICATION FOR PLUMBING PERMIT
1 hereby affirm that I have a' certificate of consent to self ce ear Iz-eo) p�
insure, or a certificate of Workers'Compensation Insurance,or ILyp
a certified copy thereof(Sec.3800,Lab.C.)
COUNTY OF LOS ANGELES 'e-, BUILDING AND SAFETY
Policy NoyCzpanY 0m:LC= !L,-_0
0 Certified copy is hereby fu 'shed. FOR APPLICANT TO FILL IN (PRINT OR TYPE) ADDRESS
�
Certifi d copy is filed wi h unty i pecti NUMBER FIXTURE OR ITEM 49 FEE
r pvz WATER CLOSET LOCALITY �t
Date Applicant NEAREST p
� �LC
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST.
COMPENSATION INSURANCE SHOWER OWNERV�6,,jjLa
LAVATORY MAIL
(This section need not be completed if the work involved ADDRESS }
by the permit is for one hundred dollars ($100) or less.) SINK CITY C TEL.NO. IL
I certify that in the performance of the work for which this DISHWASHERU
permit is issued, I shall not employ any person in any manner CONTRACTOR �
so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADDRESS I
Date Applicant SWIMMING POOL RECEPTOR
NOTICE TO APPLICANT: If, after making this Certificate of CITY 5.NOb0� a
Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE //�� IC. U)
Compensation provisions of the Labor Code,you must forth- WATER HEATER LICENSE NO. &VC7 CLASS
with comply with such provisions or this permit shall be
deemed revoked. GAS SYSTEM OUTLETS DISTRICT(N OO. PR CESSED BY
LICENSED CONTRACTORS DECLARATION OUTLETS OVER
I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM
9 (commencing with Section 7000)of Division 3 of the Busi- FINAL VALIDATION
ness and Professions Code,and my license is-in full force and DATE
effect.
FINAL
License Nu b r Lic. lass BY
Contractor
I am exempt from the licensing requirements as I am a
Plan check feel'
licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$
acting in my professional capacity (Section 7051, Bus- _
iness and Professions Code). TOTAL FEE J v
a
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
License Law for the following reason (Section 7031.5, Busi- City Tel.No. • a o 0 0 0
ness and Professions Code):
I, as owner of the property, am exclusively contracting ('
with licensed contractors to construct the project T.
(Section 7044,Business and Professions Code). '
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
ord' ances and State laws regulating Plumbing, and hereby
aut rize representatives of Ihis County to enter upon the
b mentioned t f inspe ion purposes.
!`'
SWR—use of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0109060001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
BUILDINGLEGAL ID: FEES FAT5-
ON FILE 6158 OAK AV
S SO 0 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NTENP CA EAREST 917801CROSS STREET:
5385-010-035 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 25 LAVATORIES/SINKS 2.00 FIX 32.40 E ON: PROCESSED 8 :
45 WATER CLOSET/URINAL 2.00 FIX 32.40 09/06/01 UT 03/05/02
TOTAL FEES 124.95
0 NER: TEL. 0: IAL TE CODE:
CHEUNG THOMAS;HELEN TRS CHEUNG TRUS - `� z A�
6158 OAK AV
TEMP 917801653 IDESCRIPTION0 0
FINALIZE EXPIRED PERMI #6640
L. NO:
S N W DEVELOPMENT -
_ SPECIAL CONDITIONS:
-s�i6a .�
CONTRACTOR: EL. N0: �J \ �•, APPROVALS ATE INSPECTOR SIGNATURE
S N W DEVELOPMENT, INC. (626) 286-5178- ��� `� '•;c,
319 N. SAN GABRIEL BLVD LIC. NOr-� SLAB WORK
SAN GABRIEL CA 91776 487758, B ✓�+ �y
WATER SERVICE
PLASTIC Y/N METAL Y/N
ROUGH PLUMBING
ARCHITECT-OR EI 0:
LIC. NO:
- -- -�-� L-- L SPIPING
- ---- - - -- -- --- -- - - GAS
VENT
_ u
HOT WATER HEATER
I I� iil-1 li �+ -' ,�,+I',1%! •Ili,_� '��• 1� I,
----- ----- -- --- - PLUMBING FIXTURES
.,;,1,- ��--- --�— '` �r I ++1-- -�--• : +; — — -,-+r•;", LAWN SPRINKLER
f ,
GAS TEST
�\•Li ti s•;+�; T I L I TY COMPAN-7-ROYMO
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��� GRA SYSTEM
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REPORT ID: DPR263 ROUTE TO: BS0508