HomeMy Public PortalAbout5344 PARMERTON AVE_Plumbing__ 7ewe67A iCM enol -A/OT
'APPLICATION R PLUMBING PERMIT
• BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN IPRINT OR TYPEI BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS 5344 ParmertonAve,
WATER CLOSET LOCALITY Temple City
BATHTUB NEAREST CROSS
f
CROSS ST !-��
SHOWER JX) OWNER Henry Martinez
/ LAVATORY MAIL
10 ADDRESS 5344 Parmerton Ave .
SINK 00CITY Temple City TEL No 3-597
DISHWASHER CONTRACTOR Universal Plumbing
CLOTHES WASHER ADDRESS 2631 Lee ve
SWIMMINC1P0OL RECEPTOR
CITY So . el Mont�L N0575-34 0
LAWN SPRINKLER SYSTEM STATE
WATER HEATER LICENSE NO 316018 cuss C36&20
GAS SYSTEM OUTLETS DISTRICT NO ZONE I Pr
SSED BY y
O UTLETS OVER '�✓ � a
5 PER SVS EM INDUSTRIAL
_ WASTE APPROVAL C
INSPECTION RECORD
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N
2
Plan check fee
PLUMBING PERMIT ISSUING FEE E
TOTALFEE
Plan check applicant
Name APPROVALS DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
Address
ROUGH PLUMBING
City Tel No GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GPS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
An STATE LAWS REGULATING PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I M PROPERLY REGISTERED ANO/OR LICENSED AS PLUMBING FIXTURES L/J
REQUIRED BY LOS ANGELES C AND STATE OF CALIFORNIA OR THAT i AM THE
LEGAL OWNER Of AND INTE O RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY UTILITY CO NOTIFIED _
SIGNATURE
OFPERMI t1 FINAL �Z 1/-7
COMFEN IMB__ t` PERMIT VALIDATION_,/ CK �jJMop� CASH
. _8! S nJUN �J 7 G .V/' 0 Aid
POLICY HOLDER:
POLICY NUMBER' 41? 7f S�P�3
08 11 26M BETS I r� APPLICATION FOR PERMT
,DEPARTMENT OFLOS NG AND SAFE ����®'��
COUNTY OX.F TY
LOS ANGELES
Wm J FOX, CNI�QIOIN[[R
NATURETIqD=7CR:I8=LD ROUGX FIXTURES COMER CESHFOOL S�TIC TANK [C BY READY POR ATE I
FIRST INSPECTION
UB
APPLICANT FILL IN HEAVILY INED PORTION ONLY
Noe
NAME cC� �� ^ [ ADDRESS
D ADDRHSS3 pO Gi.B-`. LOCALITY
J
NEAREST
L CITY • TEL Ne CROSS ST
COUNTY
CERT No EXPIRES NAMC
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL
ADDRESS
NORTH O
CITY i TE
I AM THE LEGAL POSSESSOR OF
ANGELES COUNTY CERTIFICATE QP Qll
I AM THE LEGAL OWNER OF THE PR
ABOVE
CORRECTIONS
MOUTH
J
DESCRIPTION OF WORK _a
/ z
ATX TUB FURNACE B
C
HOWd DISHWASHER D
/ VATORY REFRIGERATOR
ITCN@N SINK WATER SOFTENER
A OOR BINK NAND TRAP
OP SINK __IrLOOM DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN J
A DATE /INRI P B NAM[
___/_WATHR NEATER DENTAL LAVATORY ROUGH PLUMBING
ETER_ OAS SODA FOUNTAIN GAS PIPING
OUTL
GAB VENT
11 CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CEBspool S[PTICTANK SEWER
S UTILITY CO NOTIFIED
TOTAL FEE i I
FINAL I
76A337 (CR-817) - 1173
APPLICATI�O PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER AX
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO BUILDING
ADDRESS
HARVEY T BRANDT, COUNTY ENGINEER LOCAL(
i
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM ® FEE
WATER CLOSET
200 OWNER
MAIL
BATH TUB - 2 00 ADDRESS
SHOWER 200 CITY TEL NO
LAVATORY 200 CONTRACTOR
SINK 2 00 ADDRESS
DISHWASHER 200 CITY J EL NO j(" p
CLOTHES WASHER 200 STA / LIC /T
SWIMMING POOL RECEPTOR 200 LICENSE NO 3 7CLASS
DISTRICT NO GROUP ZONE PRO SSED BY
LAWN SPRINKLER STEM 200
O G T
WATER HEATER 2 003 INCUS-TPAAL Y
WASTE APPROVAL
GAS SYSTEM OUTLETS 2 00 INSPECTION RECORD d
OUTLETS OVER U
5 PER SYSTEM 30
CD
W
H
Z
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE B
TOTAL FEE 5�}
APPROVALS DATE INa Pec TOR a aIGNITD RE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel No GAS VENT
HOT WATER HEATER
HEREBY ACKNOWLEDGE THAT HAVE READ TN 13 APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUM BI N6 GAS TEST
HEREBY VASOVDET
I AM PROPERLY GISTERED AND/OR UTILITY CO NOTIFIED
LI CCM SED AS 3Y LOS ANG E L EB C AND STATE OF
CALIFORNIA OAM THE LEGAL OW 0 AN INTEND TO ,
RE910E IN THES (BED RESIDENT LFINAL
SIONATU RE OF PERMI
PERMIT VALIDATION cK M 0 CASH
PLAN CHECK VALIDATION K M 0 CASH
7 9 1 NI.IAN 21 5 U 7.5 0
WORKERS'COMPENSATION DECLARATION Hxaar♦
I hereby affirm that I have a certificate of consent to self ea $17 12-8
0
) APPLICATION FOR PLUMBING PERMIT {�
Insure or a certificate of Workers Compensation Insurance,or 1 J
a certified copy thereof(Sec 3800, Lab C) I L
COUNTY OF LOS ANGELES / y BUILDING AND SAFETY'
Policy NWC-'394152Aetna Tns Inanc _ Co.
❑ Certlfted'copy Is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING -
a ADDRESS 5344 Parmerton _
® Certifiedcopy I5 filed with the county budding inspection NUMBER FIXTURE OR ITEM � FEE � - ,
`��e t t WATER CLOSET LOCALITY Temple Cit
Date T/C�VC Applicant men Br OS., Plb�. ,1nC. NEAREST t
BATH TUB), ,, CROSS ST Daines Dr.
CERTIFICATE OF EXEMPTION IROM WORKERS t
COMPENSATION INSURANCE SHOWERI - OWNER Rosemead Construction ,
' MAIL ^ Y
(This section need not be completed if the work involved LAVATORYADDRESS 1816 San Gabriel` Blvd (L
by the permit is for one hundred dollars (5100) or less) SINK O
CITY San Gabriel TEL NO 971-4110 U
1 certify thvt In the performance of the work for which this DISHWASHER cc
CONTRACTOR
perm t Is Issued, I shall not employ any person In any manner Owen Bros. Plumbing, Inc, O
so as to become subject to the Workers Compensation Laws CLOTHES WASHER ADDRESS 4 W
Date Applicant SWIMMING-,P601-,RECEPTOR it
NOTICLtTO APPLICANT If, after making this Certificate of CITY El Monte TEL NO 443-0078 rn
Exemption, you should become subject to the Workers' ) LAWN SPRIN KLE R,SYSTEM Z
Compensation provisions of the Labor Code STATE LIC
p you must forth j WATER HEATER LICENSE NO 231741 CLASS C36-20
dee comply with such provisions or this permit shall be
deemed revoked1 GAS SYSTEM s 1 OUTLETS DISTRICT NO P I CES$ED B
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 Bust FINAL VALIDATION
ness and Professions Code and my license Is In full force and j 'a DATE 7
effect r T.,
FINAL
X 1741 ' Ln: Class C'16-20
License Numbar�— J BY a--P
Oren 4/2/82 Bros. Plb?Date
cnntrac /)
r-1I am exempt from the licensing requirements as 1 am a Plan check fee I}�` 3,36
licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ IV
acting in my professional capacity (Section 7051 Bus
mess and Professions Code) '; TOTAL FEE
LIc or Reg No Date Plan check applicant
HOME OWNER BUILDER DECLARATION Name
1 hereby affirm that 1 am exempt from the Contractors Address �. I
License Law for the following reason (Section 7031 5 Buss City Tel No :23752A
ness and Professions Code)
1 as owner of the property em exclusively contractinga # � • • • � 5 '
with licensed contractors to construct the project
(Section 7044 Business and Professions Code) 2 •t• 1 2 5 G
CONSTRUCTION LENDING AGENCY ~' ,«•I• 1 2 5 0 6
I hereby affirm that there Is a construction lending agency �J '
for the performance of the work for which this permit Is + - 0 Qt 2 3-8J2 ,
issued (Sec 3097,Civ C)
Lender's Name
Lender's Address I
I certify that I have read this application and state that the
above Information Is correct I agree to comply with all County SLE REVERSE I OR EXPLANATORY LANGUAGE s
ordinances and State laws regul I g Plumbing and hereby ,
u[hor ggqrepratives o ilii ounty to enter upon the
bo me ho a roperty f r I ectw purposes ,
// �� 4/2/82
Stgnature of Permnte ate