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Home My Public Portal About6540 OAK AVE_Plumbing__ 78A887•CEn817 4-84 �'\�r"' •A/ f- MIT APPLICATION FOR PL BING P COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUII.DII�iG AND SAFETY DNISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN NEARSCROSS T. NUMBER FII;TURE OR ITEM EACH FEE OWNER WATER CLOSET 11.25 MAIL 'BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25tko NTRACTOR ovens Bros, Elumbing SINK 1.25DDRESS J,96.5 HIS BaltisdriDISHWASHER 1.25TY El Monte TEL. NweLAUNDRY TUB 1.25GIS�TRAATIONNO. COUNTTYYI CLOTHES WASHER 1.25DISTRICT NO. GROUP ZONE P CESSED WATER HEATER 1.50 ---OUTLETS- WASTEAPPROVAL 0GAS SYSTEM INDUSTRIAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U OR 1 H Z APPROVALS DAT _INSPECTSV'S SIGt!Qp UNDER SLAB WORK PERMIT S 2 00 ROUGH PLUMBING /- r GI TOTAL FEE16 21qGAS PIPING I 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 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 1 A ' LICENSED AS REQUIRED. BY LOS ANGELES COUNTY AND STATE OF GAS TEST VO CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO r RESIDE IN THE AB D IBED RESIDENT PROPERTY. 6 '1' , UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL CLIDATION ROBERT A.WOOD cK. M.O. CASH SUPERVISING MECHANICAL ENG'R Ln�o 51 6 F ss� i 1 5 D 16.25- `-" 75AS67-CEVS17 12-64 TrS yA4F .0 / TY APPLICATION FOR PLUMBING PERMIT . COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNE _ BUILDING AND SAFETY DIVISION JOHN A.-LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS,SUPIT DF BUILDING FOR APPLICANT TO FML IN ROSS 4.,S-M D IV NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET. 51.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR SINS 1.25 ADDRESS DISHWASHER 1.25 CITY TEL.NO. - LAUNDRY TUB 1.25 CONTRACTOR'S STATE p REGISTRATION NO. COUNTY ❑' CLOTHES WASHER 1.25 :DISTRICT NO. GROUP aaZONE PRO SED BY WATER HEATER 1.50 " Q �Q8 fi f� GAS SYSTEM r OUTLETS 1.50 W�INDUSTRIAL ' OUTLETS OVER 5 PER SYSTEM .80 .1, INSPECTION RECORD O C1 l � J-40 Ir a ce r A6911114 - _,Le, ® O - L .. +0 Al LIL N Z_ ( (! L�; .+ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00' UNDER SLAB WORK 1. ROUGH PLUMBING ��- TOTAL FEE GAS PIPING v �I rs 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ T S 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 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST , 44 RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY._ UTILITY CO.NOTIFIED SIGNATURE 000 OF PERMITTEE FINAL ALIDATION ROBERT A.WOOD CK M.0. CASH SUPERVISING MECHANICAL ENG'R Lko0 6 6% AU025 5 D 6.50 Alt 76A667 -•0EQ,1Z 5/70 APPLICATION FeRPLU BING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGII�iEER BUILDING AND SAFETY DMSION BUILDING JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN'W:JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER KJY.✓/7 WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADD L SHOWER 1.50 C J' TEL.NO. LAVATORY 1.50 CONTRACT s SINK 1.50 ADD DISHWASHER 1.50 C TEL. NO. CLOTHES WASHER 1..50 STATE LIC LICENSE.N .2 B ! CLASS 1��— SWIMMING POOL RECEPTOR 1.50 DISTRICT NO G P Z PRO LAWN SPRINKLER SYSTEM 2.00 yp 4 WATER HEATER 1.50 INDUSTWASTE RIAL GAS SYSTEM OUTLETS 1.50ION RECO- OUTLETS OVER Rw 5 PER SYSTEM .30 _ .L Lu Oe I) z Plan check.fee 25%of above.. 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 GAS VENT City Tel. No. HOT WATER HEATER 1 HI9RKBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION _ AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALI, COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. _ I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED -BY LOB ANGELES COUN NO STATE OF CALIFORNIA OR THA 1 AM THE LEGAL O HER F_ NO INTEND TO ' RESIDE IN.THE A� CRIBED RlBID�:SIAL �Y• FINAL SIGNATURE JACK R. ALLEN S P VISI ME HANIC.AL ENG'R. OF PERMITTE Z-1&_ PERMIT VALI N CK. M.O. CASH PLAN CHECK VALIDATION C.K. M.O. CASH - Lrl�o ti 2 u 6 APR 5 4.7 5 N r A FOR n �p® w� �g WORKERS'COMPENSATION DECLARATION APPLICATION tf OR PLUMBING PERMIT I hereby,•pffirm that I have a certificate of consent to self in- 76A667 DPW 4i87 �1e sure,or a certificate of Workers'Compensation Insurance,or a 76A667A P CE 817(REV.8/86) certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed If the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any pemo any anner so CITY TEL. NO. as to becMIV91?, "bject to the Workers'C �ns on Laws. DISHWASHER �, CONTRACTOR Date ApplicantCLOTHES WASHER _ ADDRESS Ila" NOTICE TO PPLICANT: If, after making this Certificate of Ex- l` ? emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR (l.�- sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM CITY �^� f / L NO.f ;` ly with such provisions or this permit shall be deemed revok- STATE G% LIC. E ed. WATER HEATER LICENSE NO. a tCLASS LICENSED CONTRACTORS DECLARATION DIST NO. PROC D BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER t (J and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL Q / �� y " VALID TION fect. ``-� / � DATE✓ �� CL License Number r;14 l 3 1 Lic. Class ) C - ' -• �j& FIN cc Contractor, ��e f Date B 11L, 4�k p I am exempt under Sec. W B.&P.C. for this reason �89a9A a a. try Plan check fee � Date: PLUMBING PERMIT ISSUING FEE$ ® �' 0 0 0 0 0 5 Signature TOTAL FEE 1 0 0 1 6 5 0 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant 0 0 1 6.5 C 6 I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and 0 G 1 9—t c 8 Professions Code): Address ❑ 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). 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 a ntatives of this County to enter upon the above- o d property for inspection purp ses. ,j• _ SEE REVERSE FOR EXPLANATORY LANGUAGE r Si net re d1 Permittee-' Dqffe COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0507190015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PRONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 6540 OAK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801306 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LEMON 5382-010-058 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY, C 47 WATER HEATER(S) 1.00 WTH 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 07/19/05 JK 01/15/06 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: ANGELES, ARTURO (626) 447-0850- 6540 OAK AV 66 TEMP 917801306 DESCRIPTION OF WORK WATER HEATER CHANGE OUT APPLICANT: TEL. NO: TEXAWA (310) 515-1311- 17111 S. BROADWAY SPECIAL CONDITIONS: GARDENA, CA 90248 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ACTION CONTRACTORS (310) 515-1311- 17111 SOUTH BROADWAY LIC. NO UNDER SLAB WORK GARDENA, CA 90248 652535BC36 WATER SERVICE PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM i I REPORT ID: DPR263 ROUTE TO: BS0508