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Home My Public Portal About5636 PAL MAL AVE_Plumbing__ r 76A667 CE817 6 57 1 APPLICATION FOR PLUMBING PERMIT _ I COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �/ BUILDING AND SAFETY DIVISION ADDRESS !O JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUP i OF BUILDING LOCALITY `� FOR APPLICANT TO FILL IN NEAREST NUMBER FIXTURE OR ITEM ! IINSPKCTION OWNER WATER CLOSET MAI �,� BATH TUB ' ADDRESS 1 SHOWER CITY NO J LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY EL NO LAUNDRY TUB CONTRACTORS REGISTRATION N CLOTHES WASHER DISTRICT NO GROUP ZONE RE wxreR HEATER I i GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS s1 BB PER ITEM DATE INSPECTOR 5 SIGNATURE OR FIXTURE 5 UNDER SLAB WORK i ROUGH PLUMBING J PERMIT s 1 00 GAS PIPING TOTAL FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF TH BOVE UTILITY CO NOTIFIED DESCRIB-D RESIDENTIA PROPER T SIGNATURE OF PERMITTEE FINAL fj VALIDATION ROBERT A WOOD SUPERVISING MECHANICAL ENG R [N Y 0 A!N z �¢.72.7��" 91N 10 3 w 4.0 0 7U687-CS817-8 58 APPP IC�ATIION FOR PLUMBING PERMIT 1 GELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ^ 10@1 A. LAMBIE, CouatF Roq+oear T'T D GHIFPHI Sup t of bwldmq 1 FOR APPLICANT TO FILA. IN NUMBER FIXTURE OR ITEM WATER CLOSET BATH TUB iA5DDRE= --? SHOWER cm I NO LAVATORY CONTRACTOR SINGADDRESS DIIBIprASHER CITY TEL NO CONTRACTORS STA ❑ LAUNDRY TUB REGISTRATION NO COUNTY CLOTHES WASHER DISTRICT NO GROUP Z N P ESSED BY WATER REATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD �f h APPROVALS Q 9111IFQ MW i ZOO DATE INSPECTOR S SIGNATURE UNDER BLAB WORK PERMIT b 2 00 ROUGH PLUMBING TOTAL FEE GAS PIPING /0 1 HEREBY ACKNOWLEDGE THAT 1 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 1 AM PROPERLY REGISTERED AND/OR GASTEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED DESCRIBED RESID NTIAL PROPERTY I / BFPER.IGNATURE O OF ERMITTE FINAL ®r VALIDATION SUPERVISING WOOD SUPERVISING MECHANICAL ENG R CK ■ o GA9X - _ !,q[G6568 8 5 A 400 N 76koe +T e-so 0APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEfiR FOR APPLICANT TO FILL IN /f DISTRI� GROUP ZONE PERMITTNO PLUMBER lf4�iA�I�i /` RECEIVED BY READY FOR DATE 188�U \ FIRST INSPECTION ADDRESS —• f BUILDING CITY �/AiL►.MI�X/�i TEL NO#k % � ADDRESS •f COUNTYZ LOCALITY A /� LICENSE NO EXPIRES NEAREST _n PERMIT FEES CROSSST /G/L NUMBER TYPE OF FIXTURE OR ITEM FEE I MAIL GA4V�gC ' WATER CLOSET (TOILET) O SO 5 �d ADDRESS // `, BATH TUB O SOI fel CITY TEL NO SHOWER 0 O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY WASH BASIN) @ O 80 '7J APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK w O 80 A�6 STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 080 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPE TY ESC ED ABOV GAB SYSTEM OUTLETS O 50 a SIGNATURE OF WATER HEATER O 50 .I''I PERMITTEET SLOPSINK O 50I INSPECTIO RECORD FLOOR SINK O BO ( O _ I I FLOOR DRAIN 0 O 501 P ^• d DISHWASHER (R O 50 0 N A. 'Y ® L '�NN DRINKING FOUNTAIN 0 O 50 `, / URINAL a O BOI ' y �� fy /—/1� AVO 'T �l FHTIY .A HOUSESEWER P O 50 Q MISCELLANEOUS �- �./J•�. ri x T 6. `, ` (� _ O I I APPROVALS DATE INSPECTOR! NAME ROUGH PLUMBING �i GAB PIPING GAS VENT CESSPOOL 1 OOI CESSPOOL SEPTIC TANK SEPTIC TANK DRAIN 1 ) PIT f ) 100 I SEWER PERMIT I pp GAS TEST UTILITY CO NOTIFIED Y // TOTAL FEEI i A 0B FINAL (/ WORKER S COMPENSATION DECLARATION 200028 OPW 9/89 I I hereby affirm that I have a certificate of consent to self insure 7BA681A APPLICATION FOPLUMBING PERMIT of a caddlcate of Worker a Compensation Insurance or a certified - - 1. - R_ _ copy thereof(Sec 3800 Lab C) t, , - -, - ., - I ' COUNTY OF LOS ANGELES DEPT OF PUB ❑ LIC WORKS DEPT OF PUBLIC WORKS DIV Policy No Company Certdled copy is hereby fumished r EJ - r FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ��I Certhad copy a filed min the county building inspeciron ADDRESS (� t l qI A-L_. { department NUMBER FIXTURE OR ITEM FEE LOCALITY" Dale Applicant WATER CLOSET ' NEAREST CERTIFICATE OF EXEMPTION FROM WORKERSBATH TUB CROSS ST LI dK -01PrV— S f COMPENSATION INSURANCE ASSESSOR - , ' SHOWER - MAP BOOK > PAGE ' PARCEL (This section need not be completed If the work involved by the - permlt Is for one hundred dollars($100)or lees) '. ' LAVATORY _ OWNER I certify that in the performance of the work for which this permit 1 is issued 1 shall not employ any person in any manner so as to _ SINK MAIL ADDRESS 5636 iJ, PA-L— M,-h_ A4C become subject to the Workers Compensation Laws 1 ' r DISWASHER + CITY P L C I TEL NO )tj45 ,047 Date Applicant I CLOTHES WASHER NOTICE'TO,APPLICANT If after making this Certificate of. _ CONTRACTOR Exemption you should become subject to the Workers Compensation SWIMMING POOL RECEPTOR , - provnslons'of the Labor Code you must lorthwrth comply with such ADDRESS provisions or this permit shall be deemed revoked LAWN SPRINKLER,SYSTEM ' LICENSED CONTRACTORS DECLARATION CITY TEL NO I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER CL (commencing with Section 7000) of Division 3 of the Business and STATE LIC 0 Professions Code and my license is in fug force and effect _ GAS SYSTEM OUTLETS LICENSE NO CLASS V i OUTLETS OVER / DISTRICT NO PROCESSED BY i 8 PER SYSTEMQ License Number Lic Claes 1 O FINAL _ rs !f VALIDATION W ntr Coactor Date - d I em exempt under Sec BY r,t Z �• c B 8P C la this reason - 7IJJ -= Date Plan check fee 1 ITT ` Signature PLUMBING PERMIT ISSUING FEE$ , ` -141 AL 40 _ 65 ❑ TOTAL FEE, Q �/J CHECK t[I.bc Plan check applicant SINGLE FAMILY f - I.HANI .UIQ HOME OWNER BUILDER DECLARATION Name - - - - I hereby affirm that I am exempt from the Contractor a License Law for the following reason (Section 7031 5 Business and Professions Address Code) I as owner of the property well do the work and the structure CgY Tel No is not intended or offered for sale (Section 7044 Rumness) Poo. and Professions Cs 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) Lenders Name - f Lenders Address I certify that I have read this application and stale that the above Information Is correct I agree to comply with all County ordinances and State laws regulating Plumbing and hereby authorae z ionittee County enter upon the above mentionedpurees SEE REVERSE FOR EXPLANATORY LANGUAGE "heal Date 7 WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT Ileredy affirm that I have a certificate of consent to self 76gE67q ,ae or a Cerhbcote of Workers Compensation Insurance CE 817(REV 10/8I) �pr a cerhil`,eB copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company ElCertified copy is hereby furnished F-1 FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �/_ ?/ • G e L Certified'copy is filed with the county building inspec ADDRESS (O 7l0 77 hon department NUMBER FIXTURE OR ITEM ® FEE LOCALITY Date Apph4ont WATER CLOSET NEAREST / K 17-Y CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST G� COMPENSATION INSURANCE SHOWER OWNER v (This stolon need not he completed If the work involved by MAR 10 the permit a for one hundred dollars ($100)or less ) LAVATORY 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 /U/y.J.fir ZS M so as to become subject to the Workers'Compensation Laws DISHWASHER CONTRACTOR Date�pplicant M��L/ > .�ic�' CLOTHES WASHER ADDRESS NOTI E TO APPLICANT If after making this Certificate of SWIMMING POOL RECEPTOR you should become subject to the Workers Compensation provisions of the Labor Code you must forth- CITY TEL NO LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO SSED BY I hereby offlrm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS 00 / (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 FINAL � VALIDATION License Number be Class _' AJ�v V PINA � Contractor Data ❑ 1 am exempt under Sec uVi d N B 8P C for this reason Date Plan check fee , ? PLUMBING PERMIT ISSUING FEE E Signature TOTAL FEE ;92077A SINGLE FAMILY Plan check applicant ' # e e e e e 5 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 e e 1 6 5 0 I as owner of the property will do the work and the , • • e ) 6 5 0 5 structure Is not intended or offered for sale (Seclion , 7044 Business and Professions Code) 0 5 2 —8 5 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 is Name Lenders Address I certify that I have read this application and stale that the , above information is correct I agree to comply with all County ordinances and State jaws regulating Plumbing and hereby authorize representatives of this County to enter upon the ob mentioned property for mspeclion purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ' Signature of Permittee Date ) —r t affirmWORKERS that COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76,g667q Msure, ora certificate of Workers Compensation Insurance CE 817(REV 10/81) -;arrdeCTlifled copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY P❑ohcy No Company , Certified copy is hereby furnished ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county budding mspec ADDRESS26 tion department NUMBER FIXTURE OR ITEM ® FEE LOCALITY Date IAppligont i WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB 6 _ CROSS ST COMPENSATION INSURANCE ER � , (This section need not be completed If the work Involved by SHOWER OWNER MAIL the permit is for one hundred dollars ($100)or less ) LAVATORY ADDRESS I certify that in the performance of the work for ch this permit is issued I shall not empl0 ny son n any anner SINK CITY TEL NO so as to bacomQ subject to the W r er p socio ws ..'�J/7 / DISHWASHER CONTRACTOR Lv� istir Date c �� pplicont CLOTHES WASHER NOTICE TO APPLICANT If eJ making this Cer nate of ADDRESS OZ Exemption you should b prfie subject to' the Workers' SWIMMING POOL RECEPTOR Compensation provisions of fie Labor Code you must forth- CITY e TEL NO VC — with comply with such provisions or this permit shall be FAWN SPRINKLER SYSTEM STATE LIC deemed revoked WATER HEATER LICENSE NO 7 CLASS G-3 LICENSED CONTRACTORS DECLARATION DISTRICT NOPIP ESSED ev I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS l i O (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER J and Professions Coda and my license is in full force and effect 5 PER SYSTEM FINA >. DATE VALI ATION 60 LicenseN er Lic Class t1 FINAL O Contractor Date BY F ❑ I69 exempt under Sec p G L y-z2.9y- 2IL B 8P C for this reason f r ✓Sl0 y N Plan check fee ? Date PLUMBING PERMIT ISSUING FEE E D 5 -Signature TOTAL FEE 50 ;21 7 7 7 A Plan check applicant • • e e e 5 SINGLE FAMILY , HOME OWNER BUILDER DECLARATION Name 1 • - 36. 50 I hereby affirm that I am exempt from the Contractor s License Address Law for the following reason (Section 7031 5 Business and • • • 3 4.5 0 v Professions Code) City Tel No ❑ I as owner of the property will do the work and the 0 4,01 —85 structure is not intended or offered for sale (Section polo 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 Lenders Address I certify that I have read this application and state that the Polls information is correct I agree to comply with all County ordinances and So aws regulating Plumbing and hereby authorizere� res ntotry s of this County to enter upon the ;Ze o ro ly for inspection purposSEE REVERSE FOR EXPLANATORY LANGUAGE lure of Permittee D61e COUNTY OF LOS ANGELES TEMPLE CITY N 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - PL 0508 0608310011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 385-0488 EXT LEGAL ID PEES PAID BUILDING ADDRESS ON FILE 5636 PAL MAL AV FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917802853 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LIVE OAK 8566-009-018 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY, C 07 BATHTUBS/SHOWERS 3 00 FIX 48 60 TENANT 25 LAVATORIES/SINES 3 00 PIX ,48 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 45 WATER CLOSET/URINAL 2 00 PIX 33 40 08/31/06 JK 03/17/07 TOTAL PEES 157 35 OWNER TEL NO FINAL PI •CODE THAN VICTOR 5636 PAL MAL AV TEMP 917802853 SCA IPT IO OP WORE PLUMBING FOR NEW BATHROOM lKD REMODEL BATHROOM APPLICANT TEL NO WANG (626) 821-0672- 735 N DUARTE RD 203 SPECIAL CONDITIONS ARCADIA, CA 91107 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE THAN VICTOR (626) 327-0155- 5636 PAL MAL AVE LIC NO UNDER WORK TEMPLE CITY, CA 91780 NONE WATER SERVICE PLASTIC Y/N METAL Y/H ARCHITECT OR ENGINEER TEL NO ROUGH PLUMBING LIC NO GAS PIPING GAS VENT HOT MATER HEATER + PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV + GRAY WATER SYSTEM REPORT ID DPR263 ROUTE TO BSOS08