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HomeMy Public PortalAbout6453 OAK AVE_Plumbing__ 76A667 - CES.17 5/70 APPLICATION FOR PLUMBING P1=RM1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING.. JOHN A. I.AM.BIE, COUNTY ENGINEER COLEMAN W:JENKINS. SUPT. OF BUILDING LOCALITY ,.r FOR APPLICANT TO FILL IN(PR NT O TYPE) NEAREST CROSS ST. ©CU NUMBER FIXTURE OR ITEM EACH FEE / OWNER WATER CLOSET 1.50 l �v MAIL. -_ BATH TUB 1.50 ADDRESS %N SHOWER 1.50 d CITY T11$L.NO. LAVATORY 1.50 ^'Q CONTRACTOR/• 64 �� �• SINK 1.50 ADDRESS / fJ DISHWASHER • 1.5'0 CITY . P�STATE TEL. NO. -7.3��0� CLOTHES WASHER 1.50 LICENSE NO. G LIC a 7�S CLASS SWIMMING POOL.RECEPTOR 1.50 DISTRICT N GRO ZO E P B LAWN SPRINKLER SYSTEM 2.00 O WATER HEATER ffl 1.50 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD OUTLETS OVER ' 5 PER SYSTEM .30 O Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE•8 2 0.0 TOTAL FEE d APPROVALS DATE INSPECT 'S SIGN TORE_ Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City,, GAS VENT ALAy Tel. No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT' I HAVE READ'THIS APPLICATION .. AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL, 'COUNTY ORDINANCES AND STATE. LAWS REGULATING GAS TEST PLUMBING. CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY-CO.NOTIFIED " LICENSED AS REQUIRED BY LOS ANGELES'COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO ' RESIDE IN,THE ABOVE DESCRIBED RESIDE L PROPERTY. FINAL Ao SIGNATURE .TACK R: ALLEN SU ERVISIN H 4Nl CAL ENG'R. OF PERMITTEE 'PE'RMIT VALIDATION c.K, M.O. CASH PLAN CH. CK V ATION CK. M.0.1 CASH (+,0. 8 9 7F_4 JUN16 5 D 6.50-- 76AS67C (CE-8178) -9/75 > F APPLICATION ,FOR PLUMBING PERMIT BUILDING ANAFE�YDVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS 64 WATER CLOSET LOCALITY f NEAREST BATH TUB CROSS ST. SHOWER OWNERJ. LAVATORY MAIL ADDRESS s SINK r�7� CITY �_yyr TEL.k4 DISHWASHER 6 d CONTRACTOR A-9-1 9~7 CLOTHES WASHER yp ADDRESS I" F+ SWIMMING POOL RECEPTOR J LAWN SPRINKLER SYSTEM CITY ,e ,, ( TEL. NOSTATE LIC ��pS WATER HEATER LICENSE NO. �jL�IC ASS GAS SYSTEM OUTLETS DISTRICT NO. GROUP FbIN7 PRO ESSE BY C7 D OUTLETS OVER NDp 5 PER SYSTEM' IND WASTE APPROVAL CL. INSPECTION RECORD Z I Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Q Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK n Address �/� ROUGH PLUMBING City r^` (� G� Tel. No. O GAS PIPING I HEREBY ACKN LEDGE THAT I VE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE I5 CO ,,VER AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 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_LA INTEND TO RESIDE IN THE ABOVE DES D RESIDENTI/) jI E .UTILITY CO. NOTIFIED SIGNATURE VVVVVV t/ayVYr"V�j C•• OF PERMITTEE FINAL w PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH 7 2 410m T 18 •5 0 7: 0.50 A98 y 76 A 667—CE 817 6/68 APPLICATION FOR PLUMBING PER . IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER `'S BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUP'T. OF BUILDING CAL117Y FOR APPLICANT TO FILL IN(PR NT OR TYPE ST. OSS NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50— MAIL _ BATH TUB 1.50 DRESS SHOWER 1.50 CITY TEL. NO. LAVATORY 1.50 CONTRACTOR G^ .5• ' SINK 1.50 ADDRESS DISHWASHER 1.50 CrffTEL. NO. CLOTHES WASHER 1:50 STATELIC LICENSE NO. /97(01`1V n• CLASSef SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PROC D LAWN SPRINKLER SYSTEM 2.00 v WATER HEATER 1.50 INDUSTRIAL WASTE APPROVAL. GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD t3 OUTLETS OVER' 30 5 PER SYSTEM Z a Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND"STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL- COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL ER OF,AND INTEND TO vi RESIDE IN,THE ABOVE DESCRIBlD NT AL Pn�ERrY. FINAL 7 SIGNATURE / JACK R. ALLEN, SUPERVISING CHANICAL ENG'R. OF PERMITTEE PERMIT VALIDATIO • cK. M.o. CASH. PLAN CHECK TION CK. O. CASH 78A687-C EA!•17 4-87 City of Temple "ity •` APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES , DEPARTMENT OF COUNTY ENGINEER. FAUDDRESS G BUILDING AND.SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER 6 Oak COLEMAN W. JENKINS. SUPT. OF 13UILDING gT Tempe City FOR APPLICANT TO FILL IN S Si. L dC,21 'j NUMBER FIXTURE OR ITEM EACH • FEE ey OWNED dames R. Rai�. WATER CLOSET $1.25 MAIL TUB 1.25 AADDRESS• 6 53 N. '•;5 SHOWER 1.25 CITY T le Cit TEL. NO. 446-674 LAVATORY 1.25 CONTRACTOR Pacific Installers SINK 1.25 ADDS. 10920 IS Grand Ave* DISHWASHER 1.25 CITY Temple City TEL. NO. 442-7070 STATE LIC LAUNDRY TUB 1.25 LIC_ ENSE NO. 211898 CLASS C-20 CLOTHES WASHER 125 I DISTRICT NO GROUB ZONE P.R 8 D BY ], WATER HEATER 1.50 1 50 D } USTRIA GAS SYSTEM OUTLETS 1'� WASAPPROVAL v OUTLETS OVER 5 PER SYSTEM .30 INSPECTION_RECORD i.iwwn/.r�11d/w nk— /J.a da l6r W Z / ilorwo em ICAC ' 01 AWE APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT SL 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 3. O GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE. ABOVE IS CORRECT AND AGREE TO COMPLY - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. - 1 HERL13Y CERTIFW THAT I .AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND-STATE OF GAS TEST CALIFORNIA OR THAT 1'AM THE LEGAL OWNER OF,AND INTEND TO _ RESIDE IN,THE ABOVE DE RIBED. ESID TIAL PROPERTY. UTILITY CO.NOTIFIED of SIGNATURE OF PERMITTEE o ry FINAL - 9 0K. ALIDATION JACK R. ALLEN . .M.0. CASH SUPERVISING MECHANICAL ENG'R._ 7 8: 1.9-% MC 31 5 0 3 O'- 9 CE 8171REV:6/78) ®s APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES 'BUILDING AND'SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) - BUILDING j .� NUMBER FIXTURE OR ITEM ® FEE ADDRESS �f ' 'WATER CLOSET' ' �r LOCALITY. �7 NEAREST' v 17 y BATH TUB CROSS ST. SHOWER OWNER LAVATORY MAIL .�j ADDRESS SINK CITY P • TEL..NO..a ®. L, DISHWASHER CONTRACTOR !" Aw f� 1 � CLOTHES WASHER ADDRESS OIC SWIMMING POOL RECEPTOR CE atel•TTEL.NO, �LAWN SPRINKLER SYSTEM UC.WATER HEATER •• E NO: re a s: CLASS GAS SYSTEM OUTLETS APPROVALS. DATE• INSPECTOR'S SIGNATURE OUTLETS OVER SLAB WORK5 PER SYSTEM H PLUMBINGIPINGENTATER'HEATER ING FIXTURES ESTPlan check fee CO..NOTIFIEDPLUMBING PERMIT ISSUING FEE$TOTALFEE. . Plan check applicant PLAN CHECK VALIDAJ,OAF Name B r N "I •[. !W Nc— 3 4 Y 7 W- -fUG`O 96D0� Address a,6 y�yL�^ Sfj�OG✓C� City Tel,No. a. 3 6 0.2 A 1 HEREB'rACKNq%LEDdE TV.4rl HAVE READ THIS APPLICATION.AND STATE ` J THAT THE ABOVE IS'CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES # O O O 0.05 AND STATE LAWS REGULATING'PLUMBING.• PERMIT VALIDATION I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR.LICENSED AS , L n O O 1 9,00 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR.THAT I AM THE ryn LEGAL OWNER OF,AND,INTEND TO RESIDE IN THE ABOVE DESCRIBED NE91DENTIAL 0 O 0 1 9 V V U PROPERTY. AA r7 n SIGNATURE .�/L !� 04.06 ! 9• CIF PERMITTEE 77777 DISTRICT NO. ROCESSED BY INDUSTRIAL WASTE APPROVAL` WbRKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I her4i yaloffirm that I have n certificate of consent to gelf 76A667A insure, or a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) or a certif�d copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No s Company!Sa 620-5 ods 60A 6 O 0 ❑ Certified copy is hereby furnished. I FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS SS & 7 5 1 y C: L% k U C Certified copy is filed with the county building inspec- ti on department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY 6 Ci .� Date?--2%—A'(- Appli4ant 0' V^ a WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER . (This section need not be completed if the work Involved by MAIL SHOWER . t. e q� the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS /G r Ips ly VZ I certify that in the performance of the work for which this , permit is issued, I shall not employ any person in any manner SINK CITY d TEL. NO. �L so as to become subject to the Workers'Compensation Laws. c (� DISHWASHER CONTRACTOR N t ev Date Applicant— CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS C. �vS Mt Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITYTEL. NO.�V I—O l lm Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM 0, ' with comply with such provisions or this permit shall be STATEI�f ` LIC. deemed revoked. WATER HEATER LICENSE NO. i S /b Z p -CLASS c� LICENSED CONTRACTORS DECLARATION DISTRICT NO. PJtOCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 ( GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM VALIDATION FINAL ` License Number �' 6 Lic. Class C•' '2'0 DATE p„ SnS 'D 9- 2 v3• FIN V actor� &ro� Date BY 1 I am exempt under Sec. C I B.BP.C. for this reason , W Plan check fee O. Date: cin PLUMBING PERMIT ISSUING FEE$ O Z Signature TOTAL FEE Lo SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Professions 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). 15 4 8,6 A CONSTRUCTION LENDING AGENCY # 0 0 0 0 0 5 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued Io o 1 650 (Sec. 3097, Civ. C.). a o 0 1 66502=5 Lender's Name 0 9 2 3 8 6 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 regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-menti ed property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE � ��' c►Q.�. 2•-z 3- 4Z-� Signature of Permittee Date WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that 1 have a certificate o consent to self 76A667A �I+, �t r7 z insure, or a certificate of Workers'Comp alio Insurance, CE 817(REV. 10/81) I V V or a certified copy thereof(Sec. 3800, L C. COUNTY OF LOS ANGELES BUIL G AND SAFETY Policy No. Compan Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- ADDRESS y tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY a �a - WATER CLOSET Dater —� Appli4ant_p 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 the permit Is for one hundred dollars($100)or less.) LAVATORY MAIL (yo ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL.NO.�/6r so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR _._ , - a LS Date Applicant CLOTHES WASHER ADDRESS e� NOTICE TO APPLICANT: If, after making this Certificate of ld L Exem tion, ou should become subject to the Workers' SWIMMING POOL RECEPTOR /� p y I CITY TEL. NO. 117.2' 07d Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. ? deemed revoked. WATER HEATER LICENSE NO. /f� CLASS �'J LICENSED CONTRACTORS DECLARATION DISTRICT NO.. P OCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM IL FINAL / VALIDATION V License Nu erd� Lic. Class C'� DATE f �^ ad log V ... I o Contra or Date _ UElI am ex t r �� `� �, '� d B.BP.C. for this reasonc a a o 5 'Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ s-02 ► �� o - G'5 0 Signature l� � ) c ✓;r TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section. 7031.5, Business and Professions Code): IIC!ty Tel. No. ❑ I, as owner of the property, will do the work and the I structure is not intended or offered for sale (Section 7044, Business and Professions Code). 4 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 regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-m n oned property for ' spection purposes. ` tQ � SEE REVERSE FOR EXPLANATORY LANGUAGE r Signature of Permittee Date I _