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Home My Public Portal About6033 PRIMROSE AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING /�+ WILLIAM J. FOX, COUNTY ENGINEER ADDRESS �)03� ,� \ q .p FOR APPLICANT TO FILL IN LOCALITY BUILDING I I C t / NEAREST '�,/ \ I ADDRESS ® �, -p�! �"2 �',Q g CROSS ST. c1 DISTRICT N0. GROUP -IE PERMIT CNO. LOCALITY ®� .✓ �� ;,,•��,'�' =•��• CG+.] CROSS ST. v' W SOA! �� RECEIVED BY Ready for Inspection DATE ISSUED OWNER4 ' C�If�,. 1V�1 Or�IU�. MAIL L ' INIfUSTR1AL-'\ ADDRESS d D3 ��,+�y�� WASTE APPRO.V,AL CITY �. , )t ,TEL.NO. INSPECTION RECORD _ PLUMBER ADDRESS CITY. 4 IT r 1 f TEL.N . 7 7 i; �a•� ` ❑STA� LICENSE NO. �R,'OUNTY PERMIT FEES a z VUMBER TYPE OF FIXTURE OR ITEM FEE ul WATER CLOSET(TOILET) @ 0.80 $ BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOORSINK @ 0.80 FLOOR DRAIN _@ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM......._..._OUTLETS @ 1.00 !q WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE Au oc GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I 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 REQUIRED BY LOS ANGELES COUNTY GAS TEST AND•STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THf,,ABOKE DESCRIBED SIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE �e.e OF PERMIT ... FINAL 76AOGT DBS 1 %53 V 76A667-CE#817 2-62. CovITY 00 TEMPLE. C.IT•Y aj Ali APPLICATION POR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY .ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 6033' N.. Primrose WILLIAM A.JENSEN,.SUPT OF BUILDING LOCALITY TemPl.e City FOR APPLICANT TO FILL IN Y NEAREST 'Garabaldi CROSS ST: NUMBER FIXTURE OR ITEM EACH FEE .OWNER Tyler(Gn1.=C`onto. WATER CLOSET $1.25 BATH TUR 1.25 ADDRESS 9959 Wo.OdrUff AVL-. cl cITYTemple City TEL;N0. AT' 72657 SHOWER 1.25 LAVATORY 1,25 CONTRACTOR Jose `h. Gadilli P:1. ixo.. 1 SINS(Lower waste). 1,75: 1..23 ADDRESS 7821 E..Garvey. Awe. DISHWASHER 1.25 cITYS.5an Gabriel TEL.NO.AT 05349 LAUNDRY TUB 1.25 CONTRACTOR'S EGISTRA ONNO. 13.4935 C=36 CO=UNTY ❑� CLOTHES WASHER 1.25 ",,'DISTRICT NO.. GROUP ZONE PRPIQESSED BY WATER HEATER Rvlocate 1.50 GAS SYSTEM. 1 OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM 90 f :INSPECTION RECORD- . ... n _ r 66 ay e` . • � --ic _..--� =ri:.� x...�-list... . 171: 1^/ APPROVALS DATE INSPECTOR'S SIGNATURE WSJ - PERMIT $ 2 00 SUNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 61 - ', GAS PIPING_ 1 D HEREBY ACKNOWLEDGE, THAT I HAVE READ THIS APPLICATION GAS VENT_ AN 'STATE THAT THE ABOVE IS CORRECT AND AGREE_ To.. COMPLY. WITH ALL. COUNTY 'ORDINANCES AND STATE Laws REGULATING. HOT WATERHEAT E•R _ .PLUMBING.. 1 HEREBY CERTIFY THAT '1 AM PROPERLY .REGISTERED AND/'OR - FI UMB.ING FIXTURES ! A LICENSED AS REQUIRED BY LOS ANGELES.COUNTY AND STATE OF .A+ GAS TEST CALIFORNIA OR THAT 1 M THE LEGAL OWNER OF,AND INT TO. _- RESIDE IN,THE ABOVE .RIBED RESIDE NTI P.E UTILITY CO.NOTIFIED �f '. SIGNATURE OF PERMITTEE FINAL DATION ROBERT A.WOOD. v _ CK. M:O. CASH SUPERVISING MECHANICAL ENG'R LCIL;o57332 "JIN 6 5 D 625 WORKERS'COMPENSATION DECLARATION 7GA667A ' I hereby affirm that I have if certificate of consent to self CE 617 12-80) APPLICATION FOR PLUMBING PERMIT insure,or a certificate of Workers'Compensation Insurance,or i a certified copy thereof(Sec.3800,Lab.C.) ,Policy No201916 Compan;�tatC' COttln.Iris .Fund COUNTY OF LOS ANGELES /� BUILDING AND SAFETY 14627 �09 Certified copy is hereby furnished. . �v FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS 6033 No. Primrose ® Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE dap rtrqant. LOCALITY Date d fl /82- Applicantf=r-nera 1 TMAt-A 13 A ti0 WATER CLOSET NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER' OWNER Chien E!in!3ko (This section need not be completed if the work involved ILAVATORY MAIL ADDRESS 6033 No. Primrose } by the permit is for one hundred dollars ($100) or less.) SINK CL CITY TEL.NO. O I certify that in the performance of the work for which this Temple Cit 287'779 P DISHWASHER permit is issued, I shall not employ any person in any manner CONTRACTOR General Installation so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER O ADDRESS Date Applicant 6558 West Rlyd.SWIMMING POOL RECEPTOR V NOTICE TO APPLICANT: If, after making this Certificate of CITYA. 9C)043TEL.NO. m2 4L Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM Compensation provisions of the Labor Code,you must forth- 3 LICENSE NO. 151839 C AS C36 I STATE LIC. Z with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. ESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER 51108 I hereby affirm that I am licensed under prgvisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- ATFL �Cre- VALIDATI ness and Professions Code,and my license is in full force and effect. License Number 153.839 Lic.Class C36 FINAL � v BY Contractor W O_PrOV i Date 4/5/55 7 7,0-- F1 I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- 7100 t iness and Professions Code). TOTAL FEE 1.0100 Lie.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name ;�0 3 67 A I hereby affirm that I am exempt from the Contractor's Address 0 0 0 0 0 5 License Law for the following reason (Section 7031.5, Busi- City Tel.No. ness and Professions Code): 2 - 10.00 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project 0 0 0 1 Q 0 C_6 (Section 7044,Business and Professions Code). 07. 15- 81 7 1 r_8 1 CONSTRUCTION LENDING AGENCY Y--- -"'�-� v 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 SEE REVERSE FOR.EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned ppperty for inspection purposes. Signature of Permittee Date N r` APPLICATION FOR PLUMBING PERMIT � WORKERS'COMPENSATION DECLARATION 'fl I here4ys bffirrn tFfat I•have a certificate of consent to self 76A667A insure, or o'certificate of Workers',Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec. 38Cd, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. 0489604 Company C'nntinPlltZLLraaualty Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- ADDRESS 6033 Primrose tion department. NUMBER FIXTURE OR ITEM @ FEE LocALlrr Temple Cit Date 7-24-87 Appli4ant()Wan 13ME; - Dl>.,, WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB � CROSS ST. COMPENSATION INSURANCE OWNER V.I.P. Builders (This section need not be completed if the work Involved by SHOWER the permit is for one hundred dollars($100)or less.) LAVATORY MAIL ADDRESS 205 San Gabriel Blvd. I certify that in the performance of the work for which this permit is issued, I shall not employ an person in an manner SINK ,� CIN TEL. NO. P P v vP v San Gabriel 309-9333 so as to become subject to the-Workers'Compensation Laws. DISHWASHER '-' CONTRACTOR Owen Bros. Plumbing, Inc. Date- Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of 4265 N. Baldwin Ave. Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITY TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM El Monte 443-0078 with comply with such provisions or this permit .shall be STATE LIC. C36-20 deemed revoked. WATER HEATER LICENSE NO. 231 741 CLASS LICENSED CONTRACTORS DECLARATION DIST NO P OCESSEDIBY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM 57 OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER t and Professions Code,and my license is in full force and effect. 5'PER SYSTEM FINAL VALIDATION DATE License Number 231 741 Lic. ClassIC16-70 C FINA (; Contractor (Men BrOG- Mg-Date2-24-87BY ❑ C I am exempt Under Sec. C B.&P.C. for this reason 6 5 9.5 A CL - Plan check fee Date: Cr PLUMBING PERMIT ISSUING FEE$ # 0 0 0 0 0 5 pz„ Signature TOTAL FEE I o o 9 4,5 0 SINGLE FAMILY Plan check applicant o o,0 9 4 5 0 5 v HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address 0 2 2 7—8 7 Law for the following reason (Section 7031.5, Business and Professions Code): City 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 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 u0horize representatives of this County to enter upon the bnfioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 2-24-87 of Permittee Date