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HomeMy Public PortalAbout6339 OAK AVE_Plumbing__ FGASS7 )BS-17 10.99 APPLICATION FOR 'PLUMBING PERMIT 1 7B8.1 DIVISION OF BUILDING AND SAFETY Deportment of Couaty Engineer County of Los Angeles BUILDINGVery 0 JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS , CASSATT D..GRIFFIN,SUPT OF BUILDING ItLQCALITY FOR APPI C T TO FILL IN I NEAREST / //�� C CROSS 8T. V OWNER (/d l' so S C � I DISTr NO. GROUP. READY FOR INSPECTION MAIL / I ADDRESS 6 i INDUSTRIAL CITY 6 (ZTEL.NO. I WASTE APPROVAL PLUMBER /U (,e}a"' "5,,e&dqk 7 INSPE TION RECORD .ADDRESS } CITY gef TEL.NO. ler- a©Dv LICENSE NO. �- /SJ�r� T QX "1_p __)7-!/ ea / NUMBER TYPE OF FIXTURE OR ITEM gqFEE WATER CLOSET (TOILET) @ $1.00 Db r^7 hj BATH TUB @ $1.00 �d 1 r•F�7 d r.dl� C �.ON SHOWER @ $1.00 via LAVATORY (WASH BASIN) @ $1.00 10 �- KITCHEN SINK @ 81.00 BL/ 1 �K.OGl��� F IP lQ I DISHWASHER. -@ $.1.00 yi LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @. $1.00 WATER HEATER @ $1.00 d0 l+ 1' GAS SYSTEM @ $1.00 � ''�����•s�: APPROVALS I DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK v PERMIT $' 1 00 ROUGH PLUMBING J GAS PIPING TOTAL FEEO d GAS VENT ► � �:! E ,'(AGr� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HDT WATER HEATER p AND STATE THAT THE ABOVE IS HAVE AND AGREE TO COMPLYfo WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING AUMB.ING FIXTURES PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST .. I� I LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I M THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED I DESCRIBED RESIDENTIAL OPERT SIGNATURE "l , OF PERMITTEL�� �� FIINAL I OHN A. LAMBIE,COUNTY ENGINEER / VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR. 8. 1 CASH 8. 6 3 JUL 5 3 1 1 .Q 0 I , WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT ry,( hereby affirm that I have a certificate of consent to self 20.0026 DPW 6/87 insure, or a c6rtificate of Workers'Compensation Insurance, 76A667A or a certified copy thereof(Sec. 3800,, Lob.. C..) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS 6 Qi&Z� p y /�/d. Policy No. man CertifVdCy is hereby furnished. BUILDING ++�� /A��� FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS 7 '�� � N1�7 Certified copy is filed with the county building inspec- t'o 'dep tment. NUMBER FIXTURE OR ITEM @ FEE �s LOCALITY C WATER CLOSET Date �J Appligant NEAREST CERTIFICATE OF EXE ION ROM WORKERS' 0 BATH TUB CROSS ST. COMPENSA•ON SURANCE OWNER �hc�C (This section need not be completed if the work involved by SHOWER the permit is for one hundred dollars $100 or less. MAIL p ( ) ) LAVATORY ADDRESS 7 f+-►� I certify that in the performance of the work for which this s permit is issued,I shall not employ any person in any manner SINKCITY EL fi I TEL. NO. 4f&; CJ so as to become subject to the Workers'Compensation Laws. 11 DISHWASHER �vc� CONTRACTOR 2 G Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of so SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITYTEL. NO. dda Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM lA- '✓/`� with comply with .such provisions or this permit shall be STATE �y�ZZ LCICI deemed revoked. WATER HEATER LICENSE NO. �'v0 LICENSED CONTRACTORS DECLARATION CDISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS l� (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER v� ��✓t�� and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL' VALIDATION "ZZS Uc. Class C-7-4,16 DATE License Number ,�,,`- tl�l k-IP- � 5- FINAL Contractor Date BY C ❑ I am exempt under Sec. 1L B.BP.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ d� Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name /�,n•r s I hereby affirm that I am exempt from the Contractor's License H�14 s a Law for the following reason (Section 7031.5, Business and Address Professions Code): City Tel. No. :i, x;11,:e11 ❑ I, as owner of the property, will do the work and the �1EMi'` structure is not intended or offered for sale (Section ® 9 =)"I T AL 20 .50 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY L•i-fE' K 1 23 `: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued CI'll'iNGE ,:111 (Sec. 3097, Civ. C.). Lender's Name /i% 9 Lender's Address vl r r• o Ail :n 1 certify that I have read this application and state that the Pool Lc above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize reprelentatives of this County to enter upon the ,r4Z9ye-mention5d propertfor inspection urposeA SEE REVERSE FOR EXPLANATORY LANGUAGE � L S' nature of Permittee ate COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1403120016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ON FILE (FEE DESCRIPTION:. • QUANTITY: UOM:. ' AMOUNT:1 TEMP CA 917801336 I (ASSESSOR INFORMATION NUMBER: I • I NEAREST CROSS STREET: 1 15382-017-031 101 PERMIT ISSUANCE .FEE 27.8A I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl I 107 BATHTUBS/SHOWERS 2.00 FIX 32.40 1 (TENANT: 125 LAVATORIES/SINKS 3.00 FIX 48.60 (ISSUED ON: PROCESSED BY: PLAN BY: 145 WATER CLOSET/URINAL 2.00 FIX 32.40 103/12/14 SR 147 WATER HEATER(S) 1.00 WTH 16.20 1 I OWNER: TEL. NO: 1 TOTAL FEES 157.40 IFINAL AT F N BY: CODE: 1 ICHAN, CHO SEE (626) 262-1821- 1 I 6339 OAK AV TEMP 917801336 I jD9SCRlPTIO& OF WORK I I IREPLACE BATHTUBS/SHOWERS, VATORIES, SINK, WATER CLOSETS 1 I I [AND WATER CLOSET I APPLICANT: TEL. NO: VAN, STEVEN (626) 675-7052- 1 I 11798 GIGAR TERR ISPECIAL CONDITIONS: IWEST COVINA CA 91792 I I ICONTRACTOR: TEL. NO: [ 1APPROVALS DATE INSPECTOR SIGNATURE 1 1DATKAM CONSTRUCTION, INC. (626) 675-7052- 1 1 I 11798 GIGAR TERR LIC. NO I 1UNDER SLAB WORK WEST COVINA CA 91792 859760 i 1 1 1 IWATER SERVICE 1 1 1 IPLASTIC Y/N METAL Y/N I I [ 1ARCHITECT OR ENGINEER: TEL. NO: I I I I 1 1 - 1 IROUGH PLUMBING 1 LIC. NO: [ I 1 1 [ _ IGAS PIPING - IGAS VENT I 1 1 1 IHOT WATER HEATER I 1 1 1 1 (PLUMBING FIXTURES [ I 1 I 1 ILAWN SPRINKLERS I I [GAS TEST I1 1 I 1 (UTILITY COMPANY NOTIFIED( 1 [ I I I cWv 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 (REPORT ID: DPR263 ROUTE TO: BS0508 I 1 f . • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1307220024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 6339 OAK AV IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 TEMP CA 917801336 [ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15382-017-031 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 ITENANT: 121 HOSE BIBB(S) 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY: 125 LAVATORIES/SINKS 2.00 FIX 32.40 107/22/13 SR 145 WATER CLOSET/URINAL 1.00 FIX 16.20 I OWNER: TEL. NO: 147 WATER HEATER(S) 1.00 WTH 16.20 [FINAL DATEFI CODE: ICHAN, CHO SEE (626) 262-1821- 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 I 6339 OAK AV I TOTAL FEES 157.40 I TEMP 917801336 ID SCR PTION F WORK SHOWER, 2 HOSE BIBBS, LAVATO IE, SINK, WATER CLOSET, WATER HEATER AND GAS LINE APPLICANT: TEL. NO: I IVAN, STEVEN (626) 675-7052- 1 11798 GIGAR TERR 1 SPECIAL CONDITIONS: 1WEST COVINA CA 91792 1 1 CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE IDATKAM CONSTRUCTION, INC. (626) 675-7052- I 11798 GIGAR TERRACE LIC. NO 1UNDER SLAB WORK WEST COVINA CA 91792 859760 WATER SERVICE 1IPLAS''IC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: I ILEE, PETER (626) 280-9000- IROUGH PLUMBING I_ 18748 E VALLEY BLVD SUITE L LIC. NO: IIjyl'` IROSEMEAD CA 91770 859760 * IGAS PIPING I I I (GAS VENT I I 1 I IHOT WATER HEATER I I I IPLUMBING FIXTURES I I I I I I ILAWN SPRINKLERS I I I I I I IGAS TEST I I I I I I 1 (UTILITY COMPANY NOTIFIED( I I ICWV I I I I I GRAY 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 1 I 1 I 1* ADDITIONAL DATA ON FILE I I I I I I I I I 1REPORT ID: DPR263 ROUTE TO: BS0508 1 I 1 1