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HomeMy Public PortalAbout5444 PARMERTON AVE_Plumbing__ ^SASS] CE#BIT z 52 TEMPLE G� -l`( APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESS 54" parmerton JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUPT OF BUILDING LOCJLL17Y Temple City FOR APPLICANT i0 FILL IN CROBY Daines & El Monte NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET SI 25 C. Hertel MAR BATH TUB 1 25 ADDRESS Same SHOWER 1 25 CITY Same TEL No C-1 k 9612 LAVATORY 125 CONTRACTOR Pac1£1c Installers 9INR 125 ADDRESS 10920 E. Grand DISHWASHER 125 CITY Ten le City TEL NO 443 6905 �7 LAUNDRY TUB 125 REGISTRACONTRACTORS STATE TION NO 211898 COUNTY ❑ CLOTHES WASHER 1Z5 DISTRICT NO GROUP ZONE PROCESSED BY WATER FEATEBR laceme tsO _0 0 4-1 e-S-6vLoi<- CAS SYSTEM OUTLETS 150 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM SO INSPECTION RECORD / d 0 1- W I 6 N I Z f APPROVALS D TE INSPECTOR B SIGNATURE PERMIT S 2 OG UNDER SLAB WORK r� ROUGH PLUMBING I TOTAL FEE 3150 \ ` GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIDH AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE uwp REGULATING HOT WATER HEATER / PLUMBING 31 1 NER®Y CERTIFY THAT I AM PROPERLY REGISTERED AMIDIOR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AN THE LEGAL OWNER OF AND INTEND TO RSSIOE IN THE ABOVE DESCRIBED RE51DENTIAL P OPERTY UTILITY CO NOTIFIED / SIGNATURE ./ OF PERMITTEE - FINAL ( �/� ALIDATION ROBERT A WOOD D CASH SUPERVISING MECHANICAL ENG R a 1)li o 2 1..9 3� HAR 18 5 8 3,5 0- 7CA667 -C E051 "4 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING Sjf/i/ 7 'w JOHN A LAM IE COUNTY ENGINEER ADDBL48 77 WILLIAM A JENSEN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILLW NEARCROSEST NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 3125 MAIL BATH TUB 125 ADDRESS 7 SHOWER 125 CI TEL NO LAVATORY I is CONTRACTO SM[ I t5 2 ADDESS DISHWASHER 125 CITY TEL NOW LAUNDRY TUB 115 CONTRACTOR 6 ATE REGISTRATION NO 3SDq COUNTY CLOTHES WASHER 125 DISTRICT NO I GROUP ONE I PXIDCEBBEO BY RI WATER HEATER 1 50 .,7 rO L GAS SYSTEM OUTLETS 1 5D INDUSTRULL WASTE APPROVAL 0 OUTLETS OVER S PER SYSTEM 00 INSPECTION RECORD U K OG 6 _Z -- APPROVALS DATE INSPECTOR a SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE S GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE HEAD THIS APPLICATION GAS VENT AHD STATE THAT THE ABOVE Ie CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAW¢ REGULATING HOT WATER HEATER Ptu MCING HERESY PIEDCERTIFY THAT I AH PgortgLv gmlrt AND AHD/GR PLUMBING FIXTURES LICEH¢EO AS RW UIREO BY LOS AN6HLE9 COUNTY ANO BTATC OP GAB TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO RHsm¢ IN THE ABOVE EDRmm RESIDENTIAL P PERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITTE FINAL /��iI1DATlON ROBERT A WOOD Q cKK// M o CASH SUPERVISING MECHANICAL ENG R LACO4 9 7 7—� OCT 16 5 D 5.75- 70A667 CER017 10-60 APPLICATION FO PLUMBIN PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BunalNc BUILDING AND SAFETY DIVISION xDaaFsS ParmertQn JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUP T OF BUILDING LOCALITY T le FOR APPLICANT TO FILL IN NEARECROSST 3T NUMBER FIXTURE OR ITEM EACH FEE OWNER ' c, Hertpi WATER CLOSET $125 MAIL BATH TUB 125 Z ADDRESS SaMe ]Gi6 SHOWER CITY TEL puLAVATORY I25 CONTRACTORSINS 125 ADDRESS 0 E' GanaLaHwxsxER 1u crrY T TEL' ATE MUNDHY TUB 1 7S REOL4THATION NO 2118 8s ATE CONTRACTOR S CLOTHES WASHER 1'25 DISTRI DNQ-I/- pRptlit_ 'Z NE P CE86EO BY WATER HEATER 150 150 INDUSTRIAL y CAS SYSTEM OUTLETS WASTE APPROVAL 11 GUTLESS OVER 5 PER SYSTEM 00 INSPECTION RECORD" U 0 ' � G replacement W 6 Z APPROVALS DATE INEPECTOM,S SIGNATURE PERMIT E T OD UNDER SLAB WORK \, ROUGH PLUMBING l TOTAL FEE GAS PIPING / 1 1 HEREBY•ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE MOVE IS CORRECT AND AGRRE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REG.LAT'NO PLUMBING HOT WATER'HEATER 1 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �� 4 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ,( CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESC BED RESIDE L P PES UTILITY CO NOTIFIED Ir� SIGNATURE / If OF PERMITTEE nAj/3 FINAL CAU DATION ROBERT A�WOOD , _ M o CASH SUPERVISING MECHANICAL ENG R Lli�o1 0,3 4G OCT 4 5 U' 5.75^' Q " D EMENT OF BUILDING AND SAFETY I APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUMBING WM J FOX CHIEF ENGINEER fOCA TURE OF INSTALLATIO D STR_lCT_N o i FIXTURES COMPLETE ✓ vc,u ClSSPOOL SEPTIC TANK READY FORRECE m Y FIRST INSPECTIONTE1 U®APPLICANT FILL IN HEAVILY O D PORTION ONLY ADDRESSS � LOCALITY _ .i n NEARBBT 1 TEL No. CROSS STCOUNTY k R ti EMPIRES f y11. NAME OF SEPTIC TANK, OR L 3 ADDRESS 7 , NORTH O „ CITY TEL NO 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANO ELES COUNTY CEITIFICATE OF QUALIFICATION 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVL OWN" CORRECTIONS f " SOUTH J DESCRIPTION OF WORK Z [TOTALTFEE TH TUB FURNACE 0 r � tOWER DISHWASHER - O VATORY REFRIGERATOR TCHEN BINK WATER SOFTENER OOR BINK SANDTRAP POP SINK —FLOOR DRAIN IASH TRAY URINAL ` APPROVALS ATIER CLOSET DRINKING FOUNTAIN TS INSPECTOR•HANK ATER HEATER DENTAL LAVATORY ROUGH PLUMBING TSR�GAB _ -----SODA FOUNTAIN OAS PIPING OUTL GAB VENT CESSPOOL TAL NUMBER OF FIXTURES SEPTIC TANK I SSPOOL—JaEPTIC TANK SEWER UTILITY CO NOTIFIED FINAL iW'&KERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT ` I hereby,affirm that have a certificate of consent r self CE 81 7( IL� insure or a certificate of Workers Campenswon Insurance CE 817 (REV 8/88) U or a certified copy thereof(Sec'3800 Lob C ) Poll No company £ �a1ND COUNTY OF LOS ANGELES DEPT; OF,PUBLIC'WORKS Certified copy is hereby furnished ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING) 541 p/7 7-0 , t Certified copy is filed with the county b mg mapec ADDRESS /9S hon department , NUMBER FIXTURE OR ITEM ® FEE -T Date cZ'3 Apphto WATER CLOSET NOCAlS7V /!/MSI �' CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE a OWNER L SU (This section nand not be ccsf tpleted If the work Involved by SHOWER the permit is for one hundred dollars($100)or less j LAVATORY MAIL - I certify that in the performance of the work for which this ADDRESS permit is Issued, I shall not employ any person in any manner SINK rye TV8 CITY r TEL NO so as to become subject to the Workers Compensation Laws DISHWASHER coN aAc o. pbAN IE L SEWER 6 A1, Date aCLOTHES WASHER ADDRESS NOTICE TO APPLICANTT If If after making this Certificate of Exemption you should become subject to the Workers SWIMMING POOL RECEPTOR - Compensation provisions of the Labor Code you must forth i LAWN SPRINKLER SYSTEM CITY )JAC TEL NO (� 209 with comply with such provisions or this permit shall be STATE //�T LIC deemed revoked WATER HEATER UCENSE NO 7 /Q 7 S CLASS :.3 I(o LICENSED CONTRACTORS DECLARATIONOUDISTRIC� SSE 1 hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM TLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code and my license is in full force and effect 5 PER SYSTEM DATE -� V ATION v License Number- Lf7 10 7-5be Class C 3 FIN Contract1st' WS-t`4 Dote -23 -87 l 0 BY C1 ❑ ' 1 am exempt under Sec Wd y 8 6P C for tFin reason Dote Plan check fee polo 279a7A 2 PLUMBING PERMIT ISSUING FEE$ s is s e s 5 Signature - ' - TOTAL FEE Pion check applicant I'e e 4Q5,0 SINGLE FAMILY ei e e 4 Q 5 0 6 HOME OWNER-BUILDER DECLARATION Name - • _ I hereby affirm that I am exempt from the Contractor's License Address O 9 23-87 Low for the following recson.(Section 7031 5' Business and Professions Code) Coy Tel No ❑ I as owner of the property, will do the work and the structure is not intended or offered for sale (Section ► 7044 Business and Professions Code) ' CONSTRUCTION LENDING AGENCY - 1 hereby affirm that there is a construction lending agency for ' the performance of the work for which,this permit is issued (Sec 3097 Gv C ) Lender's Name Lender's Address ^ ' I certify that I have read this application and stole that the ► above information Is correct I agree to comply with all County ordinances and Wallows regulating Plumbing and hereby e reres tot as of this County to enter upon the above- nti ned p rty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE nature O e minae Date - COUNTY OF LOS ANGELES TEMPLE CITY # 0508PLLMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9808040024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285-0488 EXTLEGAL ID FEES PAID BUILDING DDRES - TR 13613 LT 74 15444 PARMERTON_AV= - FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP-CA 917803505 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET - 8573-007-002 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY 13 DISHWASHER(S) 1 00 FIX 16 35 TENANT TOTAL FEES 44 10 ISSUED ON PROCESSED BY PLAN BY EVFflFE9-5W-- 08/04/98 UT 08/04/99 OWNER TEL NO FINAL DATE FINAL BY CODE LYSAK BOHDAN,LYDIA TRS LYSAK TRUST 5444 PARMERTON AV .c- TEMP 917803505 - - -" C CHANGE OUT_OF_DI HWASH -. APPLICANT TEL NO D AND H SERVICE (818) 343-4009- 6029 1/2 RESEDA BL SPECIAL CONDITIONS TARZANA, CA S Ph1GELES CCONTRACTOR TEL NOAPPROVALS DATE INSPECTOR SIGNATURE OV D AND H SERVICE (818) 343-4009- 6029 1/2 RESEDA BLVD LIC NO LINDER SLAB WORK TARZANA CA 91356 704779 C36 / WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER TEL NO ROUGH PLUMBING LIC NO 1111111 GAS PIPING GAS VrNT U'U LOCA WA Uo K8 n-UgTR FIXTURES d 8 D 0 A, _ GAS TEST A 0 A g rc ServOe 7ha¢��` CWV GRAY WATER SYSTEM REPORT ID DPR263 ROUTE TO 850508