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HomeMy Public PortalAbout6355 OAK AVE_Plumbing__ D.B.B.17 25M BETS 10-47 APPLICATION FOR PERWr McARTMENT OF BUMDING AND SAFETY " - COUNTY OF LOS ANGELES PLUMBING r-N�- Wm.J.FOX.CHIEF ENGINEER =NATURE-,OF INSTAILATION DISTRICT NO. 7P I XTURES �L / P O. ROUGH FICOMPLETE / .+ HEATER CESSPOOL I V I SEPTIC TANK IIMRIV, BY READY FOR DATE ISSUED FIRST INSPECTION GAG- MI8 ELLANEO 8 MINIS APPLICANT FILL IN HE NILY ADUTLINED PORTION.ON.LY E NAME _ yf - ADDRESB I a Ca ��1� v ADDRESS , �a !�.'• L.00ALITY I.e. QtV . NEARffiT ( f L CITY TEL.No'. CROSS ST. ®� I �� A. COUNTY' dre p CERT.-N EXPIRES NAQIF6 � LOCATION OF SEPTIC TANH, OR CESSPOOL z MAIL ADDRESS NORTH O ' CITY ls9D6 TEL..No I AM THE LEGAL PoesudsoR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER. [AM THE LEGAL OWNER Op'THE ODESCRIBED ABOVE. Church of E -zm're h eL - � u OWNER CORRECTIONS SOUTH .� DESCREPTIO OF WORK z ATH TUB URNACE i ROWER DISHWASHER G -LAVATORY REFRIGERATOR 6'-*� ITCHEN SINK WATER SOFTENER aLOOR SINK SAND TRAP LAP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS 01, WATER CLOSET --DRINKING FOUNTAIN y/ DATE IN R'S NAME v WATER H�L�J,►TER ^ENTAL.LAVATORY ROUGH PLUMBING.. 1 E[ER "/OUTL SODA FOUNTAIN GAS PIPING GAS VENT O ,� CESSPOOL I TOTAL NUMBER OF FIXTURESrl, 0 SEPTIC TANK CESSPOOL SEPTIC TANK y f i? SEWER TOTAL FEE UTILITY CO.NOTIFIED ,I 0 1 FINAL177 -77 1 �� COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY i' WILLIAM J. FOX, County Engineer PLUMBING FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZDN PLUMBER /n/G���i�fjyy� ` 4iyy�,�/I�jS• CEEIVgjD�By READY FOR DATE ISSUED AA VJ�"L� FIRST INSPECTION /� ADORESS.0 d feln, � s BUILDING CITTEL ,;/No. ADDRESS Y e COUY r LICENNSTE NO. EXPIRES � LOCALITY t� NENEARESTPERMIT FEES CROSS ST. PMUMBrR TYPE OF FIXTURE OR ITEM p'Eg OWNER �LTdCAL. �3L.YISc_/1J7�i_a_=�_ MAWATER CLOSET(TOILET) 0.50 6 ADDRESS BATH TUB 0.50 — CITY TEL. No. SHOWER 0.513 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING. ICFRTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY C.50 ANGELES COUNTY LICENBE, OR I AM THE LEGAL WNER GAS SYSTEM OUTLETS 0.50 OF THE REBIDENTIA ROPERT DEBC ED A a SIGNATURE OF WATER HEATER 0.50 PERMITTEE SLOP SINK a 0.50 INSPECTION RECORD FLOOR SINK 0.50 FLOOR DRAIN 0.50 DISHWASHER 13.50 DRINKING FOUNTAIN (el 0.50 URINAL @ 0.50 J Q HOUSE SEWER 0.513 _Z MISCELLANEOUS 17 w O APPROVALS DATE INSPECTOR-9 NAME ROUGH PLUMBING [✓' trf!��� r GAS PIPING GAS VENT CESSPOOL 0 1.013 CESSPOOL SEPTIC TANK, SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER 12— y PERMIT I 1.00 GAB TEST � IVOL LG" //� TOTAL FEE J UTILITY CO.NOTIFIED 7 'i & M �V ��.''� -- FINAL 76A667 DBS#17 6-5E 76A667 17 26M BETE 7"48 - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING .COUNTY OF LOS ANGELES - WILLIAM.J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL .IN D.S •R O. O P L PLUMBER RETVS FIRST INSPECTION RDY FOR DATZ198U � ED ADDRESS Op CITY f TEL No. JOB r� ADDRESS COUNTY �a LICENSE NO. EXPIRESL�'"tr _ LOCALITY„ f-l_ 1' CERTIFY THAT I POSSESS THE ABOVE VALID LOS NEAREST ^ ANGELES COUNTY LICENSE. CROSS ST. OWNER. ^ , ,.:Z L4 `_ k MAIL PLUMBER ADDRESS PERMIT FEE IS 161.00 FOR. THE FIRST FIXTURE OR CITY TEL. o. ITEM LISTED BELOW, PLUS 500 FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- ITEM, FOR EACH SEPTIC TANK AND PIT OR DRAI.NFIELD ERTY DESCRIBED ABOVE. $1:00. MINIMUM FEE FOR ANY-PERMIT $1.00. EACH GAS SYSTEM IS A SEPARATE ITEM. NUMBER TYPE OF FIXTURE OR ITEM WATER. CLOSET (TOILET) CORRECTIONS BATHTUB SHOWER' LAVATORY (WASH BASIN) KITCHEN SINK LAUNDRY TUB OR TRAY GAS SYSTEM—(�e—OUTLETS WATER HEATER SLOP SINK A FLOOR SINK _Z FLOOR .DRAIN _O DISHWASHER 13 DRINKING FOUNTAIN URINAL MISCELLANEOUS APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING I ' / GAS PIPING GAS VENT CESSPOOL SEPTIC TANK - DRAIN C ) PIT I ) $ SEPTIC TANK CESSPOOL $ SEWER HOUSE SEWER $ GAS TEST UTILITY CO.NOTIFIED TOTAL FEE $ FINAL COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY 1' WILLIAM J. FOX. County Engineer PLUMBING DISTRIt�NO. GROUP ZONE �� FOR APPLICANT TO FILL IN S O QomI. PLUMB RG t RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ? /Z ADDRESS i` r r :20 � hv\ 3� G TEL No �^ i BUILDING �& t*')� Ir CITY ADDRESS L/� L CENSE N.O. ~COUNTY ' LOCALITY �/J1 Jli EXPIRES �� NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTYRB OR ITEM FEE OWNER �/ 7({;�"� P+ 1..'�C_•e.-�a J1 .� MAIL' WATER CLOSET(TOILET) 0.50 B r ADDRESS BATH TUB ® 0.50 CITY TEL No. SHOWER 0.50 .y1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ,r LAVATORY (WASH BASIN) @ 0.50 J APPE ABOVE IS CORRECT AND AGREE ICATION AND STATE THAT H AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.50 a) AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB O TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER 13A9 9Y5TEMOUTLETS 13.5 ff - OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. SIGNATURE OF y" i ) Cj WATER HEATER (� 0.50 PERMITTEE5�� SLOP SINK a 13.513 INSPECTION RECORD FLOOR SINK Q 0.50 FLOOR DRAIN 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN O.SO URINAL @ 0.50 J Q HOUSE SEWER 0.50 Z. MISCELLANEOUS 2 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING 3 • 7-1 tt GAS PIPING GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1.013 SEWER B PERMIT 1.00 GAS TEST F/N Q L ' ' 7.7 TOTAL FEE UTILITY CO.NOTIFIED M FINAL J 76A667 DBS# 17 6-58 �1/J3'Z 79KO07 -17 n-so 'r� - .APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES -ING WILLIAM J. FOX. CHIEF ENGINEER UMB FORR APPLICANT TO FILL IN DIST R �NO. GROUP ZONE ,PERMIT NO. Ira'�R 1/ PLUMBER /i'l(i�.��Rli .t1f'� REC D BY READY FOR DATE ISSUED F. FIRST INSPECTION J/ ADDRESS CI _✓ ,t,f L TEL. NO: ✓•.t/ ?.�/ ADDRESS LGCALIF/ r G LICENSE NO. I ff .. EXPIRES NEAREST PERMIT FEES - CROSS ST. OWN ER 'F.r/./rrJ ff,� fJ� !�!J' rte' rA�•�.t.(-.v NUMBER TYPE OF FIXTURE OR ITEM FEE ., ^ MAIL �i f/f WATER CLOSET (TOILET) O.Sb S ADDRESS i BATH TUB A O.50 'CITY TEL. NO. SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS i LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE.ABOVE IS CORRECT AND AGREE TO COMPLY''WITH ALL COUNTY ORDINANCES AND i KITCHEN SINK :0 O.SO STATE.LAWS REGULATING PLUMBING. I CERTIFY THAT.. 1 POSSESS THE ABOVE. VALID LOS LAUNORYTUB OR RAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. r GAS SYSTEM OUTLETS 0 0.50 SIGNATURE OF -'` j,. WATER HEATE o.So +a t�+ f�•+ 1� SLOP SINK @ O.So INSPkCTION RECORD, FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50. DISHWASHER ® 0.50 DRINKING:FOUNTAIN . 0.50 URINAL 10 0.90 -_ HOUSESEWER ® 0.50 Q - Z MISCELLANEOUS a Q . APPROVALS _ DATE /- INSPECTOR' S NAME ROUGH PLUMBING GAS•PIPING r GAS VENT �7.•~ /I7 y"y CESSPOOL @ I.DoCESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( )' PIT ( @ T.00 flrtjSEWER PERMIT . 1.0 GAS TEST U FILITY CO. NOTIFIED TOTAL FEE FINAL TQA557 17 5-49® f - APPLICATION FOR PERMIT - DEPARTMENT OF BUILDING AND SAFETY ® ® COUNTY OF LOSANGELES ' ' P�U M , .M I WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICTNO. GROUP ZONE PERMIT NO. FADDRESS Mi. C. 1� RECE)IVP"i BY READY FOR DATE ISSUED . � °1 FIRST INSPECTION 12.E 11TH. Cloven; Y6, �! f� !t7 BUILDING7�6 CITY TrMPr. l .11I�� �Y � ADDRESS . COUNTY LOCALjY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER1RiL-A! _ MAIL WATER CLOSET (TOILET) @ 0.50 S ADDRESS BATH TUB @ O.50 CITY TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY WITH ALL .COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.90 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF e}� WATER HEATER @ 0.50 'PERMITTEE_ C� A� • --��•-,P"'A,,..+.----�t.•%� SLOPSINK @ 0.50 at ear I1�T$PECTION RECORD FLOOR SINK @ 0.50 ` " FLOOR DRAIN 0.50 DISHWASHER @ 0.50 IO'- 3f-fe) " DRINKING FOUNTAIN @ 0.50 6 J aw URINAL @ 0.50 „I HOUSE SEWER @ 0.50 Z 1415CELLANEOUS • - L rJ /off d'S'� 0 APPROVALS • DATE INSPECTOR'S NAME ' ROUGH PLUMBING GAS PIPING GAS VENT . CESSPOOL @ 1 00- y... CESSPOOL SEPTIC TANK: ` - -+ SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT . _ 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE I $ I �. FINAL COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY ;' WILLIAM J. FOX, County Engineer DISTRICT NO. GROUP ZONE FOR APPLICANT TO FILL IN Z e/ PLUMBERj AWa REC IVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRE59 y -24 Q BUILDING �7 —.6— CITY r TEL No. s ADDRESS COUNTY LOCALITY yj%�7/� LICENSE NO. � EXPIRES ' T NEAREST PERMIT FEES DROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER(-_00--�J/ MAIL ® WATER CLOSET(TOILET) @ 0.50 S ADDRESS BATH TUB ® 0.50 CITY TEL No. SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) 0.50 ej APPLICATION.AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.50 c� AND' STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 ANGELES COUNT�Cf5RTY LICR 1 A THE LECs OWNER GAS SYSTEM OUTLETS ® 0.50 OF THE RESIDENCRISE � OVE. SIGNATURE OF �$ WATER HEATER 0.50 ) PERMITTE SLOP SINK 0.50 INSPECTION RECORD FLOOR SINK 0.50 FLOOR DRAIN 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN iH 0.50 } URINAL 0.50 �` �-�t / J "� y�J Q HOUSE SEWER 111 0.50 191J,— ,J einz6Q Z_ MISCELLANEOUS 1V�1 / .1�flJT• 13 iC. • � APPROVALS DATE INBPECTORIB NAME ROUGH PLUMBING Zr GAS PIPING GAB VENT ��— CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER p PERMIT1:00 GAS TEST r��/<< .•� ?� • UTILITY CO.NOTIFIED .. TOTAL FEE MTl 61 1(� FINAL 76A667 DBS#17 6-52 D.B.S.11 25M SETS 10-47 �PP ICA FOR PERIM DEPARTMENT OF. BUILDING AND SAFETY l'i<JFiIi iw FOR COUNTY OF LOS ANGELES PLUMBING WM.J.•FOX.CHIEF ENGIN_EER FA-URE-OF INST ATIO "Dls'TRI/NO. GROUPI ZONE �P 1 O. ROUGH FIXTURES COMPLETE rI p 1/4 READY FOR HEATER CESSPOOLPT 'SEPTIC TANK :=-R BY FIRST INSPECTION ryry �TE.IS/S/UBD AS..... M18 ELLANEO-S APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB. t m: ADDRESS : LOCALITY J NEAREST d CITY Tft"o. CROSS 8T, COUNTY CERT.No..._ � EXPIRES NAME LOCATION SOF SEPTIC TANH,,OR CESSPOOL 3 MAIL.ADDRR8 NORTH O Z' CITY. TEL.No 1 AM THE LEGAL- POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. ai - /p '•^''' PLUMB= I AM THE.LEGAIr4WHER OF THE PRO DBSCRIRED ' ABOVE. ownmt CORRECTIONS - 1 SOUTH J DESCRIPTION OF WORK z_ BATH TUB FURNACE lC ROWER DISHWASHER D _.LAVATORY REFRIGERATOR -KITCHEN SINK WATER SOFTENER FLOOR SINK -AND TRAP SLOP SINK OR DRAIN WASH TRAY URINAL. APPROVALS WATER CLOSET DRINKING.FOUNTAIN DATE INse+�401e's Nwraa _WATER HEATER DENTAL LAVATORY i,ROUGH PLUMBING I � _TER dGAS - ®ODA FOUNTAIN apg PIPING I I OUTL GAS VENT I CfiBBPOOL I TOTAL NUMBERLOFFIXTURES: 1 BEPlIC TANK_ /Iy CESSPOOL EPTIC TANK. 'SEWER _ S`7 .UTILITY CO.NOTIFIED I �� TOTAL FEE ....... i D.B.S.17 25M SETS-7-47 - - APPLICATION FOR.PERMIT DEPARTMENT OF BUILDING -AND- SAFETY COUNTY OF LOS.ANGELES WM.J. FOX.CHIEF ENGINEER L Um BIN NATURE OF INSTALLATION DISTRICT NO. GOUr oE PERMIT O. ROUGHFIXTURES COMPLETE READY'FOR HEATER CESSPOOL SEPTIC TAP11C R E�VED BY DATE ISSUED �(AIS FIRST INSPECTION �� w y AS- M18CELLA EOU ( ` PLICANT FILL HEAVILY`OUTLINED PORTION ONLY JOB N NAME DDRESS - m ADDRESS _ LOCALITY Q. S .,J NEAREST <L CITY TEL.. CROBB 8T. COUNTY CERT.NO. ®IPI EB �' NAME /. LOCATION OF ftlIfidTANK,OR CESSPOOL z MAIL NORTH C ADDRESS CITY TEL.NO. .1 AM THE LEGAL POSSESSOR OR THE ABOVE LOS ANGELES COUNTY CERTIFICATE,OF LIF! 14TION. - I:AM THE LEGAL OWNER OF PROPERTY DESCRIBED ABOVE. 3 OWNER CORRECTIONS SOUTH DESCRIPTION OF WORK z ATH TUB FURNACE L7 SHOWER DISHWASHER Q LAVATORY REFRIGERATOR ITCHEN SINK WATER SOFTENER -FLOOR SINK - SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS = WATER CLOSET DRINKING FOUNTAIN DATE INSP R'9 NAME• WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER_{GAS SODA FOUNTAIN OUTL GAS'PiPING i _ GAS VENT I CESSPOOL TOTALNUMBER OR FIXTURES SEPTIC TANK I CESSPOOL ¢EPTIC TANK SEWER I TOTAL FEE' . FINAL /� / DEPARTMENT OF COUNTY ENGINEER PLUMBING c- ", 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING l_ � S� '�•� �/:r; WILLIAM J. FOX, COUNTY ENGINEER ADDRESSpq LOCALITY FOR APPLICANT TO FI.L IN ® / NEAREST BUILDING �� �!', �A ✓C/S�•(s CROSS ST. ADDRESS n ���� DISTRICT-N0. GROUP. , ZONE PERMIT N0. LOCALITY �� „//�jGJ NEAREST CROSS ST. RECEIVED BY Ready for.lnsbection DAT ISSUED OWNER MAIL INDUSTRIAL ADDRESS WASTE APPROVAL CITY L.NO,AdWWm 4 INSPECTION RECORD PLUMBER " ADDRESS CITY TEL.NO. / t f ri _ ❑STATE e'12 �J J �S/ /_i: ! /1 r w�!� /t 1? LICENSE NO. - ` � PERMIT FEES ` N,�� ��r�. Q NUMBER TYPE OF FIXTURE OR ITEM FEE `• (' WATER CLOSET(TOILET) @ 0.80 $ © �1``�i J�' '�• °����? h{�� BATH TUB @ 0.80 Q SHOWER @ 0.60 1-61-1) PJL99 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOOR SINK @ 0.80 IV II f /-7 fw-hV FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM.. ....OUTLETS @ 1.00 090 WATER HEATER 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDERSLABWORK PERMIT $ 1 00 ROUGH PLUMBING D �71•L� TOTAL FEE GAS PIPING ----�"' 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APP­_ GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANOES.pND STATE LAWS REGULATING PLUMBING. .11 PLUMBING FIXTURES I HEREBY CERTIFY THATRI AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST {y {� �-- �( �►� AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- I �� (r ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPE UTILITY CO.NOTIFIED i (r �I SIGNATUREI OF PERMITTEE- . .a.�_%--- -._.—.._._.. ._.._..r�.._.._. - FINAL 0- �11.V 76A667 DBB 17 1/68 I_:° I DBS-17 12.84 DAPPLICATION FOR PLUMBING . PERMIT BS•17 DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING WM•J. FOR, COUNTY ENGINEER ADDRESS 6355 N Oak CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN NEAREST CROSS ST. OWNER Church of The Nazarene DISTRICT NO. GROUP mif READY FOR I11SPECT1oN AMAIL DDRESS 63 5. N Oak INDUSTRIAL CITY Temple City TEL. NO. WASTE APPROVAL PLUMBER Merlin L Geddes INSPECTION RECORD ADDRESS 1 N TI, ird Ave T� CITY Arcadia TEL.NO. DO -81 f LICENSE NO. r 237rJ NUMBER TYPE OF FIXTURE OR ITEM FEE 1 WATER CLOSET (TOILET) $ S y !. BATH TUB /y / SHOWER ' �e%v f7 GF LAVATORY (WASH BASIN) `s �• KITCHEN SINK &A - F✓ c ",•� DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER - q D-els-rt' •ir �2�L�,E a� ALM? d R A6C _ — COM/N,• TOTAL No. 0.80 2 APPROVALS DATE INSPECTOR'S SIGNATURE GAS SYSTEM OUTLETS ® 1.00 1 WATER HEATER ® 1.00 1 O UNDER SLAB WORK /7 ROUGH PL'U.MHING A. �!b PERMIT 31 1 00 GAS PIPING /Z!? TOTAL FEE p GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER ID-2,11.ST AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES / ,y PLUMBING. GAS TEST r-1//,9 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO;NOTIFIED /7 7l'Cl /�T/�Ie�AI(J�f CALIFORNIA OR THAT I AM THE LEGAL OyyyYYY�VE OF THE ABOVE DESCRIBED RESIDENTIAL PROP�,RTY: // SIGNATURE w ,Lyh OF PERMITTEE FINAL LO-2S S5'" WILLIAM J.FOX,COUNTY ENGINEER VALIDATION 2 4 i AUG 2 3 5.2 0 ' BY �. DEPUTY 7GA667 (CE-817)-4/72 z APPLICATION--FOR PLUM IB1NG PERMIT OF L COUNTY 0 0S ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION 411 MAKE CHECKS PAYABLE TO: BUILDING. ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER. LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST f CROSS ST. NUMBER FIXTURE OR ITEM @ FEE. D- • WATER CLOSET '1,75 "'� OWNER r 7A MAIL BATH TUB1.75 r ADDRESS SHOWER1,75 r CITY "" ry TEL. NO LAVATORY 1,75 CONTRACTOR 142 SINK 1,75 ADORES �• DISHWASHER 1,75 CITY 7 w. TEL. CLOTHES WASHER 1.75 STATE LIC LICENSE No RCLASS SWIMMING.POOL RECEPTOR 1.75 DISTRICT NO. GROUP O E" PROCESSED B LAWN SPRINKLER SYSTEM 1,75 «. q� (' -t ` '� WATER HEATER 1,75 INDUSTRIAL WASTE APPROVAL V GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD J OUTLETS OVER ,30 5 PER SYSTEM CD 6 Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 . 00 TOTAL FEE APPROVALS DATE INSPECTOR'S s16NATURE Plpn check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER LI EBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY , PLUMBING FIXTURES L COUNTY ORDINANCES AND STATE LAW'S REGULATING G. GAS TEST EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF NIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO N THE ABOYE DEk1BEO RESIDENTIAL PROPERTY. FINAL UREERMITTEE ',[A^!'^�®. PERMIT VALIDATION CK. M.O. .LASH PLAN CHECK VALIDATION CK. M..O. CASH S.:"•- i s i;r v�' �) ^: "? .'1 ,7 5' -a I : 76A667 (CE,-817)- S/73 '�/ �1411©� �j�f - APPLICATION FOR G/PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF'COUNTY ENGINEER BUILDING AND SAFETY.DIVISION MAKE CHECKS PAYABLE TO: BUILDING ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST o.• NUMBER FIXTURE OR ITEM I@ FEE CROSS ST. WATER CLOSET 1175 OWNERVII. OEE MA2A . E'- MAIL BATH TUB 1 75 ADDRESS SHOWER 1175 CITY !, ' TEL.NO.�26ql'--g S� LAVATORY 1175 CONTRACTOR 1 / ` SINK 1175 ADDRESS x2l Ot/ G DISHWASHER 1 75 CITY ��-� TEL. N07 a ��� CLOTHES WASHER 175 STATE -7 CLIC LASS C��� SWIMMING POOL RECEPTOR 1175 LICENSE N0. DISTRICT NO. GROUP Z,QQ PJMCESSED BY LAWN SPRINKLER SYSTEM 1 75 31 WATER HEATER 1 75 INDUSTRIAL (� WASTE APPROVAL per, GAS SYSTEM OUTLETS 1INSPECTION RECORD v . 5 OUTLETS OVER ,•, 5 PER SYSTEM •30 CD F- v CL a 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' ►ejr.7g-'�'jIg7,J ;�,,g,} City Tel. No. GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS RECUIREO BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE.DESCRIep6 RESID NTIAL PROPERTY. ,��r• FINAL -q- . S I9 nI7 SIGNATU RE • ` OF PERMITTEE -Z 7X PERMIT V LID,ATION cK. 0. CASH PLAN CHECK VALIDATION CK. M.O. CASH U 4 U�rtm�� /I u ��o WS-17 APPLICATION-FOR PLUMBING PER14lI,IT . �Bg.,,106'55 .1 DMSION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING ' JOHN A.LAMBIE. GOUNTY'ENGINEER' ADDRESS' _01311, Aj CASSATT D,GRIFFIN_,.SUP•T OF BUILDING LOCALITY 'FOR APPLICANT TO FILL IN NEAREST. 'CROSS ST. OWNER. ' DISTRICT NO. V GROUP' ' WE I READY FOR INSPECTION MAIL ` ADDRESS � .�. INDUSTRIAL , CITY TEL.N WASTE APPROVAL. PLUMB INSPECTION RECORD ADDRESS CITY TEL.NO �ry i LICEN Nc�d�1� 77 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) V $1.00 $ l BATH TUB @ X1.00 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 @ 61.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE. �D GAS VENT 1 HEREBY ACKNOWLEDGE THAT I•HAVE READ..THIS APPLICATION HOT WATER HEATER AND STATE THAT THE.ABOVE IS CORRECT"AN'D AGREE TO COMPLY .. WITH ALL COUNTY ORDINANCES .AND STATE LAWS REGULATING PLUMBING. PL'UMHING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY AOS A ES COUNTY AND STATE .OF . CALIFORNIA OR THAT I TH LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIA OP Y. SOF PERMITTEEFINAL 7-ITS .�. . LI/� OHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLSG. INSPEC'SO)t 'CH. M.O. WA i' c,9 5 6 4JUN; 3 2.0 0 _� 76A967 17 19-49® APPLICATION FOR PERM DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING I WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZO E PERMIT NO PLUMBER M. C. NOTTINGHAM S , RECEIVED BY READY FOR DATE ISSUED i FIRST INSPECTION ADDRESS 1.23 ��o. Cloverly Ave. i A BUILDING /' 7'1,-,f CITY TEMPLE " E ADDRESS —s 6=�•—•-�_ LICENSE NO. EXPIRES COUNTY LOCALITY NEAREST PERMIT FEES CROSS ST. �� 1/s - 'i NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) @ 0.50 S ADDRESS BATH TUB @ 0.50 CITY TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q 0.50 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED`ABOV6�. GAS SYSTEM OUTLETS W 0.50 ' SIGNATURE OR _'�y ��" / ' WATER HEATER @ 0.50 PERMITTEE•a�1 I' 1, `^+ , SLOP SINK o.so INSPECTION ECORD FLOOR SINK @ 0.50 FLOOR DRAIN 0.5o DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 ,] R HOUSE SEWER 0.501 ) Q Z MISCELLANEOUS 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT . 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE B ;1 ,_. FINAL 7GA667-CE#817 2-62 APPL:ICATtbN . FOR PLUMBING' .PERMIT COUNTY'-OF LOS ANGELES Y DEPARTMENT OF--COUNTY ENGINEER BUILDING AND SAFETY DIVISION - BUILDING JOHN A. L•AMBIE, COUNTY ENGINEER ADDRESS WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST:' NUMBER . FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET' $1.25 MAIL BATHTUB - 1.25 _ ADDRESS - SHOWER 1.25 CITY TE NO., 'LAVATORY1.25' CONTRACTOR, ti 4r' r - SINK 1.25 ADDRESS / DISHWASHER • 1.25 'CITY •�r' . LAUNDRY TUB' 1,25 CONTRACTOR'S • ` STATE ❑ REGISTRATION NO. .0 COUNTY, ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PR CESSED BY WATER HEATS 1.50 `�� O � GAS SYSTEM' OUTLETS 1.50 'INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM :90 INSPECTION RECORD y. gm • ,APPROVALS DATE INSPBCTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I. D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMB NWITH LG COUNTY, ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER :I//v �a�'� �.+�.+�`�;�,��' �• 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 'LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND ST TE'OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNE OF,AND 1 END TO ' RESIDE IN,THE ABOVE'OESCRIBBED RESIDEN 1 PROPERTY i` UTILITY CO.NOTIFIED SIGNATURE T r •r.;f �J�l . OF PERMITT �— r FINAL 1' ' / l?��jYti;✓�,r.� ALIDATION ROBERT A.I�A/OOD M.0. CASH ' SUPERVISING:MECHANICAL ENG'R Lko." 1 2Q� DEC. 7 5 ,D 350- v M.O.S:.»zsM Sera 2=47 APPLICATION FOR PE RWT DEPARTMENT OF. BUIILDIING-.AND SAFEn COUNTY OF LOS ANGELES wm.J.FOX.CHIEF ENGINEER NATURE•OF STALLA ON -DISTRICT-No. GROUP ZONE PERMIT : t1 ' ROUGH FIXTURES .. HCOMPLETE ) 7HEATER CESSPOOLSEPTIC TANK READY FOR RECEIV D BY DATE ISSiI - FIRST INSPECTION � [xpY Afl MISCELLANEOUSmm mumm ,0 APPLICANT FILL IN IIEAYdL ' . VIUNED PORTION'ONJ7Y NAME JOB. ADDRESS 741 IV, ADDRESS q ��v LOCALITY .j NEAREST , p, CITY 0 TEL.No. CROBBST: , COUNTY CERT.No. .....'EXPIRES NAME LOCATION OF SEPTIC TANS,OR CESSPOOL -.z MAIL NORTH O•- ADDRESS CITY. _ TEL.No. I- AM THE LEGAL POSSESSOR .OF THE ABOVE LOS ANGELES.COUNTY CERTIFICATE OF QUALIFICATION. PLUM ORB I AM THE LEGAL.fNNSR OF THE PROPER DESCRIBE t ABOVE.. CORRECTIONS SOUTH DESCRIPTION OF WORK a HATH TUB- FURNACE 1 HOWER -DISHWASHER p AVATORY REFRIGERATOR KITCHEN OINK WATER SOFTENER FLOOR SINK' SAND TRAP SLOP SINK FLOORbRAIN' WASH TRAY URINAL APPROVALS -WATER CLOOET DRINKING FOUNTAIN DATE IN9PacTOR•8 NAME WATER HEATER DENTAL LAVATORYI ROUGH.PLUMBING ER. .G.AS SODA FOUNTAIN GAS PIPING I TL fff GAS VENT CESSPOOL I TOTAL NUMBER OF FIXTURES v"V SEPTICTANK I /i CESSPOOL. - SEPTIC TANK' ® O SEWER I ® I, TOTAL FEE _ O uT[LITY co.NOTIFIED i "`\ RINAL / r I f 17 85M eLTO 7-w,• APPLICATION FOR PERMIT - DEPARTMENT OF BUILDING AND SAFETY - COUNTY OF LOS. ANGELES PLUMBING _ WM.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DWRIc45 N-O. GROUP O E . PERMIT O. ROUGH FIXTURES COMPLETE l READY-FOR HEATER CESSPOOL SEPTIC TANK RECEIVED BY AT6.188UED _ tt FIRST INSPECTION I� �l AS• .. MISCELLANEOUSlA -}. L LIN-HEAVILY OUTLINED PORTION ONLY JOB' _ [C NAME eR ADDRESS ADDRESS LOCALITY �, NEAREST CITY TEL. CROBSSI: COUNTY CERT.No. FJIPIR m NAME. - LOCATION OF gEplid TANS, OR CESSPOOL ` Z MAIL 3' .ADDRESS NORTH O CITY TEL.No. I AM THE. LEGAL POSSESSOR OF THE. ABOVE LOS ANGELES COUNTY CERTIFICATE O QUA tCAT10N. MOER, i.AM THE LEGAL OWNER O TNB PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS' , v SOUTH _ ,J DESCRIPTION OF WORK z ATH TUB FURNACE ROWER DISHWASHER p -LAVATORY -REFRIGERATOR -KITCHEN SINK WATER SOFTENER FLOOR SINK BAND TRAP LOP SINK - FLOOR DRAIN- WASH TRAY URINAL - APPROVALS WATER.CLOSET DRINKING FOUNTAIN DATE imsyrac4olve NAaa —WATER HEATER DENTAL LAVATORY ROUGH.PLUMBING I I Aq d , METER�.—GAS QODA FOUNTAIN GAS PIPING OUTL I lII GAS VENT /� CESSPOOL TOTAL NUMBER OF FIXTURES r•;. `� SEPTIC TANK CE8SPOO SEPTIC TANK 8EWER I 1. S UTILITY'CO.NOTIFIED I' TOTAL FEE ( FINAL !� ...e.er.a lsem anrn I�e it APPLICATIOIC FOR PERMT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES Wm.J. FOX.CHIEF ENGINBER PLUMBING NATURE OF INSTALLATION SIUMOT NO. GROUP ZO PERMITj O.. ROUGH. FIXTURES COMPI,ET6 HEATER __CE88POOL -I SEPTIC TANK R I ED-0Y READY FOR DATC 188UBD FIRST INSPECTION � AS I CEISERELLANEOUS y r.' ✓ P APPLICANT FILL IN HEAVILY OUTLINED�PO�R^TION ONLY/ � B NAME X C. .NOTTINGHAM CO. DDJoeREBS T /(/ g ADDRESS 123 No. Cloverly Ave. LOCALITY a CITY TEMPLE CIT14SALIE. NEAREST . COUNTY r CERT.No. EXPIRES E Y NAME LOCATION OF SEPTIC TANK, OR CESSPOOL.' X MAIL NORTH I O• ADDRESS 1 CITY TEL.No. I-AN THE LEGAL POSSESSOR OR TUB ABOVE: LOS ANGELES COUHT1f_p6RT)�IC R L O �111; &^C PI.0 eR , THE LEGAL OWNER OF THE PROPERTY DESCRIBED �. _ OWNER ` CORRECTIONS SOUTH J. DESCRIPTION OF WORK a z HATH TUB FURNACE - E9 l SHOWER DISHWASHER Q LAVATORY - REFRIGERATOR KITCHEN SINK r WATER.SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE iNBPECTOR`e NAME WATER HEATER DENTAL LAVATORY fROUGH PLUMBING' ETES SAS SODA FOUNTAIN PINGOUnNT CESSPOOL I TOTAL NUMBER OR'FlXTUREB SEPTIC TANK I ./ CESSPOO SEPTIC TANK' SEWER TOTAL FEE UTILITY CO.NOTIFIED FINAL ' 76A6671.-.0E877 5/70 r A PLICATION FOR PLUMBING PERMIT • COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION r DINc JOHN A. LAMBIE. COUNTY ENGINEER ESS COLEMAN W. JENKINS.SUPT. OF BUILDING LITY FOR APPLICANT TO FILL IN PR NT TYPE) EST A�� ���p S ST.- •_�A0,6;NUMBER FIXTURE OR ITEM EA H FEEER WATER CLOSET 1:40 MAIL BATH TUB 1. 0 ADDRESS 16 SHOWER 1. 0 CITY TEL.NO LAVATORY 1. 0 CONTRACTOR SINK 1. 0 ADDRESS01. DISHWASHER 1. 0 CITY TEL. NO.' CLOTHES WASHER 1. 0 STATE LIC LICENSE NO. CLASS � 0 SWIMMING POOL RECEPTOR 1. 0 DISTRICT NO. UP Z NE OC D BY LAWN SPRINKLER SYSTEM 2. 0 WATER HEATER 1. 0 INDUSTRIAL. WASTE APPROVAL GAS SYSTEM OUTLETS 00INSPECTION RECORD OUTLET.S'OVER 5.PER SYSTEM .30 O 6B1 — 0 Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING F 0 TOTAL FEE APPROVAL$ DATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING C ity GAS VENT Tel. No. HOT WATER HEATER EBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION L--T--- ANDATE THAT THE ABOVE IS CORRECT AND AGREE TO .COMPLY PLUMBING FIXTURES LL COUNTY ORDINANCES AND STATE LAWS REGULATINGNG. GAS TEST EBY CERTIFY THAT I AM PROPERLY REGISTERED' AND/OR UTILITY CO.NOTIFIED D AS REQUIRED BY L08 ANGELES COUNTY AND STATE OFNIA OR THAT I'AM THE LEGAL OWNER OF.AND INTEND TOIN.THE ABOV ED RE TIAL PRDPER" 'FINALURE JACK R. ALLEN SUPER V[SIN G}6AE@HARI C AQENm'R. ERMITTEE � PERMIT VALIDATION. Wc. �M.8 ocA�[ . PLAN CHECK VALIDATION CK. M.0. CASH �igt�2/vJvAt?' .�Krs. G°e�, v 'o 0 o 'CA- 33Z' 10 0 o cn n ��91�� CH ION 2D-062 WORKER'S I have a certificate of consent to 76A86aDPw9/69 APPLICATION FOR PLUMBING PERMIT 76A557A I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab.C.) , ' Policy No. Company COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. ❑ Certified copy is hereby furnished. E] FOR APPLICANT TO FILL IN(PRINT OR TYPE) PDDR SS Certified copy is filed with the county building inspection department. NUMBER FIXTURE OR ITEM @ FEE �7 LOCALITY vJ Date Applicant / / WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE MA BOOK�3� PAGE) I PARCEL (This section need not be completed if the work involved by the SHOWER permit is for one hundred dollars($100)or less.) } OWNEFGOJ. 8M0 0e � bF 7 I certify that in the performance of the work for which this permit ! LAVATORY is issued, I shall not employ any person in any manner so as to SINK ADDRESS�S�I(p , W} Jlj� ,�.yfaD become subject to the Workers'Compensation Laws. DISWASHERCITY n�t� TEL.NO. �_y' �- ' Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR Exemption,.you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR y provisions of the Labor Code,you must forthwith comply with such ADDRESS �j"15 provisions or this permit shall be deemed revoked. LAWN SPRINKLER.SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. a I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER (commencing with Section 7000)of Division 3 of the Business and STATE Q GAS SYSTEM OUTLETS LICENSE Professions Code,and my license is in full force and effect. DIS CLASS V • OUTLETS OVER DISTRICT NO. Pti[fGE`SSED BY 5 PER SYSTEM 7 Q License Number Lic.Class e:°f•: U FINAL / VALIDAT� '= a Contractor Date DATE S— Q TOTAL 2 75 in FINAL vv Z_ ❑ I am exempt under Sec. BYCHECK _°7�_y B.&P.C.for this reason Plan check fee , CHANGE °[1►i Date: Signature PLUMBING PERMIT ISSUING FEE$ ❑ TOTAL FEE �- J 13000-0013131 2/16/94 , Plan check applicant 3998 1 A (i10`5Q SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5, Business and Professions Address Code): City Tel.No. I,as owner of the property,will do the work and the structure is not Intended or offered for sale(Section 7044, Business and Professions Code). , i 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 ordinances W Stregulating PI bang, and hereby authorize f this County enter upon the above-mentioned ction purpos SEE REVERSE FOR EXPLANATORY LANGUAGE n Permitteg Date + I WORKER'S COMPENSATION DECLARATION 200026 DPW 9/89 APPLICATION FOR PLUMBING PERMIT ll hereby affirm that I have a certificate of consent to self insure, 75A5f17A or a certificate of Worker's Compensation Insurance, or a certified ((((copy thereoft!Sec.3800 Lab.C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. policy No. Company ))fi� r Certified copy is hereby furnished. ADDRESS © J� •� �� ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy is filed with the county building inspection department. NUMBER FIXTURE OR ITEM @ FEE •� LOCALITY LIS 52J/ Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST. COMPENSATION INSURANCE BATH TUB ASSESSOR [s MAP BOOK SAF PAGE j PARCEI�7 - (This section need not be completed if the work involved by the SHOWER permit is for one hundred dollars($100)or less.) OWNER &W G �_ e.= 7 I certify that in the performance of the work for which this permit LAVATORY is issued. I shall not employ any person in any manner so as toSINK MAIL �s�� )� become subject to the Workers'Compensation Laws. ADDRESS ]� I DISWASHER CITY PIstj>E-,,qA TEL.NO. Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR o ap— ��L Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR r�� provisions of the Labor Code,you must forthwith comply with such ADDRESS C> provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER (- (commencing with Section 7000)of Division 3 of the Business and STATE LIC. Q Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS LICENSE NO. CLASS V i OUTLETS OVER DISTRICT NO. l,O R1OCESSED BY it 5 PER SYSTEM �D p y Q License Number Lic.Class FINAL VA{t4pATION �'=i LU DE .s 4 e;_,.,n. Contractor Date AT 0 I am exempt under Sec. BWAL 1+ Z B.&P.C.for this reason. TOTAL 4-1 .85 Date: Plan check fee_ , CHECK 41.25 Signature PLUMBING PERMIT ISSUING FEE$ ��y y0 CHANN .00 f ❑ TOTAL FEE �� Y - SINGLE FAMILY Plan check applicant _4 2/1-5/94 HOME OWNER-BUILDER DECLARATION Name ��L , ' j Aft i 44 I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5, Business and Professions Address Code): R2 E�oy City .�L7�-0(l Tel.No. '677 33-�t(— I,as owner of the property,will do the work and the structure is not intended or offered for sale(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. 1 agree to comply with all County ordinances and State laws regulating Plu bang, and hereby authorize represent ryes f this County to nter upon the above-mentioned property o ins ction purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE t/ - I Signature bf Permittee D to WORKERS'COMPENSATION DECLARATION I hereby;,affjrm that I.have a certificate of content to.self in- . 20-M6 DPW 4/90 APPLICATION' FOR PLUMBING :P.ERMIT 76A667A surd;.or certificate of Workers'Compensation Insurance,dr a certified copy thereof(Sec. 3800;.Lab. C.) Policy No. Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ❑. Certified copy is hereby furnished. BUILDING. FOR APPLICANT TO FILL IN.(PRINT OR TYPE) . .Certified copy is filed with the county building inspection NUMBER , FIXTURE OR ITEM �• ADDRESS department. FEE . LOCALITY Date Applicant WATER CLOSET(TOILET) ! • NEAREST CERTIFICATE'OF EXEMPTION FROM WORKERS' BATH TUB CROSS COMPENSATION.INSURANCE OWNER4NW. c4,q OF 7 SHOWER (Thls section need"not be completed if the work involved by MAIL /Sys�e"41"'W" the permit is for one hundred dollars(;100)or less.) LAVATORY �� d ADDRESS I certify that in the performance of the work for which this per- in any n1anner so �f"&-J� /1 SINK Q Q CITY TEL.NO. fY ' mit is issued, I shall not employ any person !i as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date•- Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS 6FT atz- emptlon;you should become.subject to the Workers'Compen- - SWIMMING POOL RECEPTOR, satlon provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS r- CITY C J7TEL.NO. ly with such provisions or this permit shall be deemed revok- STATE I LIC. ed. WATER HEATER l LICENSE NO. ciCLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. �ROCESSEb BY I hereby affirm that I amGAS SYSTEM OUTLETS'licensed under provisions of Chapter � i �� 1. s 9(commencing with.Section 7000)of Division3 of-the Business OUTLETS OVER -- Pit, and Professions Code, and my license is-in full force and ef- 5.PER'SYSTEMFINAL J T VAeIDATION -`.. fect. HOSE BIB DATE I ^9). License Number Lic. Class d L FINAL TOTAL 227. 250 Contractor Date. BY CHECK 2,2 t e 02_-O 'l'am.exempt under Sec. r I-- B.BP.C. for this reason' sOiA{`i�E a[sLi C) Plan check fee ► w Date: PLUMBING PERMIT-ISSUING FEE$ r!Z Signature �/1��t�t • TOTAL FEE 5703 1 PrIi .4:•?r ' SINGLE FAMILY ' HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that]am exempt from the Contractor's License Name Law.for the.following reason .(Section 7031.5; Business and Professions Code): EAddresI, as owner of the property, will do the work and the Tel. No. structure is not intended or offered for sale(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 ordinances and State laws reguI g Plumbing, and hereby authori r ese fives of th' my toe ter upon the abo - ne roperty fo s purp es. SEE REVERSE FOR EXPLANATORY LANGUAGE- Mature v • of Permitteetl ote vy01710ERs'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 76ADPW 4/90 sure,ora certificate of Workers'Compensation Insurance,ora certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS F1 Certified copy is hereby furnished. BUILDING y FOR APPLICANT TO FILL IN(PRINT OR TYPE) (( �. ❑ Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM ADDRESS O /moi department. @ FEE LOCALITY ' Ddte Applicant WATER.CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by SHOWER MAIL, / the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS . , ` < I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so ; CITY EL.N as to become subject to the Workers'Compensation Laws. I DISHWASHER ` CONTRACTOR r ��L � Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- / CITY TEL.NO. sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS �d v� ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSEb BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER (/ and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL qr VALIDATION fect.. HOSE BIB DATE �'�$�-R' a License Number Lic. Class C FINAL v Contractor Date BY ti I am exempt under Sec. B.BP.C. for this reason W Plan check fee ► a W, Date: PLUMBING PERMIT ISSUING FEE$ ® ? Signature TOTAL FEE SINGLE FAMILY applicant Plan check a HOME OWNER-BUILDER DECLARATION PP i U3o90 1 hereby affirm that I am exempt from the Contractor's License Name Low for the following reason (Section 7031.5, Business and Professions Code): Address TOTAU IT :3 m 910 I, as owner of the property, will do the work and the City Tel. No. structure is not intended or offered for sale(Section 7044, Business and Professions Code). ► *ECK M.90 CONSTRUCTION LENDING AGENCY An I hereby off irm that there is a construction lending agency for CRAIM VLA the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address - mm—am1 W8/95 I certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State laws re at! Plumbing, and hereby 21 1 AN10e2b Ae- • pres ntatives of is unty to enter upon the o pro er f rin ion purpo s. SEE REVERSE FOR EXPLANATORY LANGUAGE i Sign bre of ee Dat • ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0004180004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: --LEGAL D: FEES PAID BUILDING ADDRESS: ON FILE 6355 #8 OAK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780133 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5382-017-030 .01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY 11 CLOTHESWASHER(S) 1.00 FIX 16.20 TENANT: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 60.15 04/18/00 VG 10/15/00 OWNER: TEL. NO: FINAL DATE FINAL B CODE: CASA ROBLES NAZARENE MISSIONARY (818) 286-9455- 4 V-y ©� 6355 OAK AV TEMP 917801336 ESCR PTION OF WOR INSTALL CLOTHESWASHER AND DRYER IN PATIO ENCLOSURE PLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: 5 R'�1GE L ES co APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO UNDER SLAB WORK j WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. N0: LIC. NROUGH PLUMBING O 1111111 S IPING , GAS VENT U D L J C VA§0 UK, OT WATER HEATER �J u PLUMBING FIXTURES O ❑❑ ?" �Ii LAWN SPRINKLERS 0 ' ., `t GAS TEST A ®�'�y UTILITY COMPANY NOTIFIED ❑ CWV c ��rvoce Thai GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS '--PL-0508-9703190009 . BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID --BUILDING ADDRESS: ON FILE L 6355 #6 OAK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801336 ASSESSOR I OR ION R: NEAREST CROSS STREET: 5382-017-029 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY 11 CLOTHESWASHER(S) 1.00 FIX 16.35 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 ISSUED ON: PROCESSED BY: PL EXPIRES 0 : TOTAL FEES 60.45 03/19197 TC 03/19/98 OWNER: TEL. NO: FINAL DATE FINAL BY CODE: CASA ROBLES MISSIONARY HOME (818) 286-9455- 6355 OAK AV TEMP 917801336 UESCUPTION OF WORK PLUMBING FOR ENCLOSED PORCH - WASHER AND DRYER APPLICANT: E . SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAB WORK i WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: 0: _ ROUGH._PLUMB ING LIC. N0: G S PIPING UAW Off HOT WATER HIM- PLUMBING RPL B NG FIXTURES LAWN SPRIN LERS S TEST UTILITYCO -NOTIFIEff C V GRAY WATER SYSTEM i i REPORT ID: DPR20 ROUTE TO: BS0508 ' p '~ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9808180002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA -- PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE :6355 #21 OAK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801336 ASSESSORINFORMATION NUB : NEAREST CROSS STREET: 5382-017-030 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY 11 CLOTHESWASHER(S) 1.00 FIX 16.20 TENANT: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 ISSUED ON: PROCESS BY: PLAN BY: EXPIRES ON: TOTAL FEES 60.15 08/18/98 UT 08/18/99 OWNER: TEL. NO: FINAL DATE FINAL BY: DE: CASA ROBLES NAZARENE MISSIONARY (818) 286-9455- ry��{ 7�! 6355 OAK AV TEMP 917801336ESCRIPTIO -0WORK - - Le PLUMB.ING-.FOR-NEW. LAUNDRY HOOK-UP-- PPL CA L. NO.- SAME 0:SAME AS OWNER - SPECIAL CONDITIONS: PA13iii.ES co CONTRACTOR: TEL. NO: - X05 V�A� APPROVALS DATE INSPECTOR SIGNATURE SAME AO LIC. NO UNDER SLAB WORK WATER SERVICE _ PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: O-DGIWPL MB NG LIC.-NO: 1111111 va- GAS PIPING GAS VENT 'Loo' LC MY0'F`tL1 VS HOT WATER HEATER PLUMBING FIXTURES o a n 0 17y� t71i' LAWN SPR NK—LE RS I ❑ GAS TEST El ©I, �"®y TILIT C ANY NOTIF [Ell� ce���t�o�_-� c �rvi GRAY WATER SYSTEM 1' REPORT ID: DPR263 ROUTE TO: BS0508 f COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT - DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0012130002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PA D BUILDING ADDRESS: ON FILE 6355 #24 OAK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801336 ASSESSORINFORMATION MBER: NEAREST CROSS STREET: LONGDEN 5382-017-030 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXP RES . 45 WATER CLOSET/URINAL 1.00 FIX 16.20 12/13/00 UT 06/12/01 . 47 WATER HEATERS) 1.00 WTH 16.20 / OWNER: TEL. NO: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINAL DATE FINAL BY: J CODE: CASA ROBLES NAZARENE MISSIONARY (626) 286-9455- TOTAL FEES 108.75 6355 OAK AV 2`01 TEMP 917801336 DESCRIPTIO OF WORK PLUMBING FOR BATHROOM AND RELOCAT TER HEATER APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: ,`�'�� ff APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - 6/� © '�y� LIC. NO `f �' "� t• ND R SLAB WORK (10e �Nla+, WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: T L. N0: - / ( I I ^� — =—\ ROUGH-PLUMBING LIC. NO. GAS PIPING ,�l f ,l_���_1 ILS--•-!-� -��--�,�� i,-— -- -- ------ I;I GAS VENT �� J , '`•_ % 11--')LL Iu ­2111},� __��; I]I�•�����+ 0 WATER HEATER ----- ------ ----- PLUMBING FI_XTURES LAWN SPRINKLERS GAS TEST WILITY COMPANT NOTIFIED uwT GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508