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Home My Public Portal About6658 OAK AVE_Plumbing__ 76A667-CE817-8-W " APPLICATION FOR -PL MBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING . _MEM A. LAMBIE, County Engineer ADDRESS TY D.GRR?BIN,Supt of �uldiag LOC FOR APPLICANT TO Fa IN NEAREST CROSS or. NUMBER FIXTURE OR ITEMpp OWNER WATER CLOSET MAlL BATH TUB ADDRffiS r SHOWER LAVATORY CONTRACTC Sig ADDRESS DISHWASHER CITY TEL.NO. LAUNDRY TDB CONTRACTOR'S STATE [I REGISTRATION NO. COUNTY CLOTHES WASHER DISTRICT NO. G ZONCESSED BY WATER HEATER �'!/� GAS SYSTEM INDUSTRIAL WASTE APPROVAL IP, MSPECTION RECORD ilz I✓n el -7•! /�:f7��-li!�'".`•/, 1 " �7! e � •//i 1 wl.. p/J� •Inv/./�s_.. All r•. APPROVALS S1fi PF18 Q8 SITEM I h DATE INSPECTOR'S SIGNATURE OO UNDER SLAB WORK PERMIT $ 2100 ROUGH PLUMBINGI" TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES .AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGA WNER OF THE AS UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL RO SIGNATURE FINAL OF PERMiTTE ROBERT A.WOOD. OF VALIDATION UPER_VISING MECHANICAL ENG'R CR. M.0. CASH , a0 DEC 5 A Llw � . fa WORKERS'COMPENSATION DECLARATION 20.0026 DPW 4/90 A lf"P U CA O N FOR (i-L>-UM M IG PER O T I her6bp, affirm that I have a certificate of consent to self in- 76A667A sure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800, Lab. C.) 7 �� Company )� 1 � COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Certified copy is hereby furnished. BUILDING ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) - Certified copy is filed with the county building inspection ADDRESS cy _-� department. ,q NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant A , �` 3 WATER CLOSET(TOILET) ��d �.n � f .' V I 0 te- t o 'Y NEAREST " t CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST.L COMPENSATION INSURANCE 0 SHOWER OWNER / / 1 �" (This section need not be completed If tho work Involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per- SINK CITY TEL. NO. mit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. DISHWASHER t� CONTRACTOR t Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR b emption,you should become subject to the Workers'Compen- CITY r+ TEL.NO.y��ry/ sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS O L' ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER,HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO.� Pzcmtf I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER �-•1 and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINA( VALIDATION fect. HOSE BIB DATE' c �� a License NumberA66v.NumberLic. ClassO �l� I&' BY FINAL"'- �i Contractor. t Date � GC I am exempt under Sec. T— (� Y"•. , ACCT.10V B.&P.C. for this reasonLU Plan check fee Q� 204041A Date: PLUMBING PERMIT ISSUING FEE$ a; 1 ITEMS 29 Signature TOTAL FEE Q �� TOTAL 204 o (iii SINGLE FAMILY Plan check applicant CHECK 204.40 HOME OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Name CHANGE .00 Law for the following reason (Section 7031.5, Business and Professions Code): Address 1, as owner of the property, will do the work and the City Tel.-No. 4/30/96 structure is not intended or offered for sale(Section 7044, 6121 1 AM10.nr8 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 representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9610210007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGA ID: FEES PAID BUILDING ADDRESS: ON FILE 6658 OAK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801309 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5382-010-036 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 TENANT: TOTAL FEES 44.10 ISSUED ON: PROC SSED BY: PAN B EXPIRES ON: 10/21/96 TC 10/21/97 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: WANG MING C - 6658 OAK AV TEMP 917801309 DESCRIPTION OF WORK NEW HEATING AND A/C SYSTEM FOR AD ITION APPLINT: TEL. 0: � AIR CARE MECHANICAL CO. (818) 442-6792- 10037 RUSH ST. tl :-� �® SPECIAL CONDITIONS: EL MONTE, CA 91733 /�=— CONTRACTOR: TEL. NO: .��' f ,�, -, .APPROVALS DATE INSPECTOR SIGNATURE AIR CARE MECHANICAL CO. (818) 442-6792- �� ya �p 10037 RUSH ST. LIC. NO �g� -� =, �,� J N ER SLAB WORK EL MONTE, CA 91733 516562 C20 — --------• _ WATER SERVICE .fir�1 '� '.N X11�j " d�'�; 'i PLASTIC Y/N METAL Y/N RCHITEC 0 ENGINEER: - O: ROUGH PLUMBING LIC. NO: —1 ` I x '� �'-- � '�++—� 'ti GAS P NG J-GAS VENT HEATTW— PLUMBING FIXTURES LAWN SPRINKLERS LL GAS TEST UTILITY COMPANY NOITI-FlEff CW GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508