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Home My Public Portal About5132 PAL MAL AVE_Plumbing__ w� r COUNTY OF LOS ANGELES TEMPLE CITY # 0508PL-UMBrlffFE W T� DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS CP-L-0508-0006090013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL FEES PAID BUILDING ADDRESS: TR: 12205 LT: 28 5132—PAL MAL AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CTEMP-5132 ASSESSOR INFORMATIONNUMBER: NEAREST CROSS STREET: LORA ST 8585-030-033 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TENANT: TOTAL FEES 43.95 ISSUED N: PROCESSED BY: PLAN BY: EXPIRES ON: 06/09/00 UT 12/06/00 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: 1HAKE 062 STEPHEN & MARY (626) 443-0578- ff TEMP 917803433 DESCRIPTION OF(WORK GAS—rrNE`TO—FUR19ACE—(T O—FTS APPLICANT: TEL. NO: COOL TEMP (800) 619-1717- 7150 ALVISO AVE SPECIAL CONDITIONS: RIVERSIDE, CA CONTRACTOR: TEL. NO: s �J ��'�• `� COOL TEMP (909) 860-8677- APPROVALS DATE INSPECTOR SIGNATURE 7150 ALVISO AVE. LIC. NO �!. \N, DER SLAB WOR �rzRIVERSIDE, CA 95826 694836/C20 J r _4 �� WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT 0 OR ENGINEER: TEL. N : _ 1 ROUGHPLUMBING LIC. N0:1I C� � — GAS PIPING GAS VENT L. L1;I I I 1� �f ,r l J �_��I�!• Nx OT WATER HEATER— PLUMBING FI T RES /� �_+ ` �;- +•,'•6 LAWN SPRINKLERS GAS TES UTILITY COMPANY NOTIFIED �iee icw GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 DEPARTDWM OF COUNTY ENGINEER PLUMBING f 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES UILDING _ J j) WILLIAM J. FCX, COUNTY ENGINEER ADDRESS �j �p� �� . ' '-4 � LJ!`L•.'�� FOR APPLICANT TO FILL IN LOCALITY f ( , �s BUILDING l CRO BNEAREST S . 'v 'w ADDRESS N. DISTRICT NO. V GROUP ZONE PERMIT NO. LOCALITY Temple City �(� 7 y NEAREST '7 CROSS ST. Key We Bt St. RECE VED BY Randy for)nspeotion DATE ISSUED i OWNER H.L.ERatmen ` /� T- 2v MAIL INDUSTRIAL ADDRESS s Ame WASTE APPROVAL CITY Te=leCity TEL.NO. INSPECTION RECORD PLUMBER (;Gl i f_ Apple Inatl ra. ADDRESS 1420 Griffith Ave a 9 CITY Lop Angel PREL.N0. RI ��66'� LJ a l ATE LICENSE NO. 46A X COUNTY A PERMIT FEES z 41IMBER TYPE OF FIXTURE OR ITEM FEE ul WATER CLOSET(TOILET) 0.80 $ 0 BATH TUB @ 0.80 SHOWER 1@ 0.80 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK dd 0.80 FLOORSINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 I GAS SYSTEM...-I...—OUTLETS G 1.00 1,00 WATER HEATER a 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE 2 00 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS QUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF Mm HE LEGAL OWN- ER OF THE ABOPROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE. _.....--..._..._._......... ✓ FINAL s3 �!'� 70A067 DBS 17 1/58 Vol �' 76ws67w(CH 81713) -a/» �7 APPLICATIO F PLUMB NG PE . 1 , `IUI READY R FIN&L INSPECTION BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM ® FEE ADDR ESk WATER CLOSET, LOCA TY BATH TUB NEAREST CROSS 51�, SHOWER OWNER .. LAVATORY MAIL ADDRESS SINK CITY TEL.NO DISHWASHER I coNWIFIC INSTALLERS CLOTHES WASHER AVE..GRAND . AD SWIMMING POOL RECEPTOR �70 CITY NO. LAWN SPRINKLER SYSTEM - STATELIC. WATER HEATER LICENSE NQ. CLASS GAS SYSTEM OUTLETS DISTRICT NO. LGRqUP ZONE CESSE BY y O _ \ SO PER SYv S PER INDUSTRIAL _' v WASTE APPROVAL OC INSPECTION RECORD W O- y Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTALFEE Q Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH'PLUMB_ING City Tel.No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT TH.E.ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES HOT WATER HEATER AND STATE LAWS REGULATING PLUMBING: _ I HEREBY CERTIFY THAT'I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE r OFPERMITTE - FINAL •'3 / PLAN ICH ECKVALPDXTI4I CO,g8N8-A .N PERMIT VALIDATION M.O. CASH 3 3 0 rO-,.IAR 1 0.0 0 esu POLICY HOLDER: .�� - WORKERS'COMPENSATION DECLARATION I76A667A 1�E .,7, ee, R, P L U M B I N G PERMIT I hereby affirm that I have w certificate of cgnsenl:to-self insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,VI .C.)�j/ COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company 00 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ��--------,,,, (' Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM FEE ADDRESS department. LOCALITY f✓ Date Applicant 5cjWATER CLOSET NEAREST 9 *1 CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. ? COMPENSATION INSURANCE SHOWER OWNER LAVATORY MAIL (This section need not be completed if the work involved ADDRESS E a by the permit is for one hundred dollars ($100) or less.) �1 / O SINK CITY J� TEL. U I certify that in the performance of the work for which this DISHWASHER M permit is issued, I shall not employ any person in any manner CONTRACTORi Z CAZ WNAV O so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER ADDRESS (~j Date Applicant W ®� N NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR CITY TEL. s Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE ✓^7 LIC. Z Compensation provisions of the Labor Code, you must forth- LICENSE NO��-``�� CLAcc with comply with such provisions or this permit shall be WATER HEATER deemed revoked. DISTRICT NO. PROCESSED BY M OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS OVER p I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- s FINIAL�7 VALIDATION rlgss and Professions Code,and my license is in full force and DATE ' affect. � �/ FIN Licens ®�jos ^� BY Contractor Date F1 I am exempt from the licensing req irements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ U acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lic.or Reg.No. Date Plan check applicant :2 5 7 0.4 A HOME OWNER-BUILDER DECLARATION Name C�rR�� v j 0 0 0 0 0 I hereby affirm that I am exempt from the Contractor's Address 'o o 1 ? 5 License Law for the following reason (Section.7031.5, Busi- lcity ,4#,Wt&lT.I.No(53o �® ness and Professions Code): 0 12. 505 ❑ I., as owner of the property, am exclusively contracting 006'-82 with licensed contractors to construct the project (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 f r which this permit is issued(Sec.3097,Civ.C.). Lender's Name Lender's Address l I certify that I have read this application and state that the above information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-men ' ned properig for inspec.t_iW purposes. Signature of Perms tee Ddte WORKERS'COMPENSATION DECLARATION 76ae67w I hereby affirm that I have a• certificate of consent to self, cE e17.12-60) APPLICATION FOR PLUMBING PERMIT insure,or a certificate of Workers'Compensation Insurance,or a certified copy ( ec.38001 Lab C.) ''-T' e1 1Pd 10 7 �j COUNTY OF LOS ANGELES �i BUILDING AND SAFETY li y `co°mppany Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING S�3 Certi ie co y is filed with t co ADDRESS p y building inspection NUMBER FIXTURE OR ITEM FEE e If L me LOCALITY Date pplicant ✓ WATER CLOSET NEAREST B L BATH TUB CROSS ST. 1 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER LAVATORY MAIL (This section need not be completed if the work involved ADDRESS & a}. by the permit is for one hundred dollars ($100) or less.) SINKg/ 0 CITY TEL.NO. 0 V I certify that in the performance of the work for which this DISHWASHERcc R permit is issued, I shall not employ any person in any manner CONTACTOfj/'j�,1WV,, eV� O ADDRES so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER U Date Applicant a a SWIMMING POOL RECEPTOR NOTICE TO APPLICANT: If, after making this Certificate of CITY�A V ,TEL.NO ,4,J, Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Compensation provisions of the Labor Code, you must forth- WATER HEATER LICENSE NO37� CLASSC�-� with comply with such provisions or this permit shall be deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. PRO SSE BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL VALIDATION �� y r Hess and Professions Code, and my license is in full force and DATE L effect. OT FINA LicenseeNN'umbr�; s/ Lic.Class Cg vIf O BY Contra.Tfo��°�' —� Date ; El I am exempt from the licensing requirements as I am a Plan check fee L licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section 7031.5, Busi- City Tel.No. ness and Professions Code): ' 7 7 v -A I, as owner of the property, am exclusively contracting y with licensed contractors to construct the project t. 0 0 0 0 0 5 c (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY •I r r�`� 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.). I,G l 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby autho ' r esentatives of this County to nter pon the abo - oned property for inspection v Signature of ermittee ate �i/