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Home My Public Portal About6118 PRIMROSE AVE_Plumbing__ 76A667 ('CE-8.17)-4/72 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST NUMBER FIXTURE OR ITEM @ FEE CROSS ST. /n �s WATER CLOSET 1.75 OWNER jj L L57��J' MAIL BATH TUB 1.75 ADDRESS SHOWER 1.75 C ITY r� 2?— TEL. NO. d� LAVATORY 1.75 CONTRACTOR AJ SINK 1.75 ADDRESS DISHWASHER 1.75 CITY TEL. N0. CLOTHES WASHER 1.75 STATE LIC SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLASS - DISTR.ICT NO. GROUP JZONE PROCESSED BY LAWN SPRINKLER SYSTEM 1.75 •` r WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD CD OUTLETS OVER 30 C 5 PER SYSTEM W - CL H Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. NO. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AN D! STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I' AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS RECUIRED BY LOS ANGELES COUNTY AND STATE OF - CALIFORNIA OR THAT I AM Tp E LEGAL OWNER O , AND INTEND TO RESIDE IN THE ABOVE DESCRI ED RESIDENTIAL P PER TY. FINAL SIGNATU RE OF PERMITTEE D- 1 PERMIT VALIDATION M.0. CASH PLAN CHECK VALIDATION CK. M.O. CASH Lia 9 1 5 5 OCT 10 5 D 6.50-w: q 76A667 (CE-617) - 1/75 Co, •* APP.LICATIONPL B1NG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDINGADDRESS y l.r HARVEY T. BRANDT, COUNTY ENGINEER ' .4 LOCALITY L Y FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST I CROSS ST. NUMBER FIXTURE OR ITEM 0 FEE 2.00 6 OWNER WATER CLOSET p MAIL BATH TUB 2.00 ADDRESS ' dam SHOWER 2.00 Q CITY �� TEL. NO-,a LAVATORY 2.00 J CONTRACT VOO .� SINK 2.00 ADDRESS DISHWASHER 2.00CITY TEL. NO f' CLOTHES WASHER 2.00 STATE ' LIC LICENSE NO. (/ CLASS ' j SWIMMING POOL RECEPTOR 2.00 DISTRICT NO.JGROUPJ QONE CESSED BY LAWN SPRINKLER SYSTEM 2.00 WATER HEATER 2.00 INDUSTpIAL WASTE APPROVAL - a GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD v OUTLETS OVER p, 5 PER SYSTEM .30 O � W d N " Z Plan check-fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant APPROVALS DATE I.NSPECTOR'.9 SIGNATURE UNDER.SLAB WORK Name ROUGH PLUMBING -10-731 Address , GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY THE. AND STATE LAWS REGULATING - PLUMBING. GAS TEST - 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS RECJUIRED BY LOS ANGELES COUNTY AND STATE OF _ CALIFORNIA OR THAT CAM THE LEGAL OWWR OF, TO E TO RESIDE IN THE ABOVE DESCRIBED RESIDE IA I�OPERTI FATFINAL SIGNATURE / OF PERMITTEE / PERMIT VALIDATION CK. M.O. CASH PLAU CHECK VALIDATION CK. CASH 0 3 3'to-FEB 4 - 5 D 1 3.5 0 ems; rr V �� 76"187 17 8-80 '® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING ��1 COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICTNOJI GROUP I ZONE PERMIT NO. WINTERBOiTOM BROS. IN p��OU D PLUMBER RECEIVED BY READY FOR DATE ISSUED 1112 WESTMIPISTER AVE. J FIRST INSPECTION �-vr- '/ ADDRESS ALI r BUILDING CITY TEL. NO. ADDRESS COUNTY LOCALITY LICENSE NO. P' EXPIRES ^,RR9. R10 •+ �+- NEAREST PERMIT FEES CROSS ST. L'S»✓ 6i Ti 6.' Qip NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) @ O.50 S ,:n ADDRESS BATH TUB @ 0.50 I 5 CITY n.,n n n n a nor r TEL. NO. tia�tiD v+.•+r r.v rr•a � ue r� SHOWER @ 0.50 1 HER ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 •APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND slo", ^ AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0. STATE LAWS REGULATING PLUMBING. 1 CERTIFY TH I POSSESS THE ABOVE VALID LOS ANGELES COUNT ICS SE. OR 1LAUNDRYTUBORTRAY � 0. ,/RM THE LEGAL OWNER OFT AL OPER-�S�D VE.GAS SYSTEM�_OUTLETS @ 0. SIG��A�WATER HEATERPERMITT® 0.SLOPSINK @ 0. INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 I DISHWASHER @ 0.50I DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50I .J HOUSE SEWER @ 0.50 Imo- a Z MISCELLANEOUS (� O • I I I I APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING �a �r--I LI (.SIti J GAS PIPING i � GAS VENT CESSPOOL @ 1.Do CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT . I 1.00 GAS TEST L Z" UTILITY CO. NOTIFIED TOTAL FEE I S FINAL I�—�o .�`• �� WORKERS'COMPENSATION DECLARATION s� 20-0026 DPW 4/87 APPLICATION FOR. PLUMBING PERMIT n � bYf'�ffirmthat I have a certificate of consent to self in- 76A667A U ora certj*4,ate of Workers'Compensation Insurance,or a I CE 817(REV.8/86) ;ceHified copy thereof(Sec..3800, Lab.C.) Policy No. Company COUNTY OF LOS ANGELES DEPT: OF PUBLIC WORKS ' ❑ Certified copy is hereby furnished. I BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) //��`` Certified copy is filed with the county building inspection ADDRESS 11 A t,rn,f se— department. NUMBER FIXTURE.OR ITEM @ FEE LOCALITY-7--, WATER CLOSET(TOILET) ' Date Applicant NEAREST ��, • ,. • CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB. CROSS ST. (�fJ'F=i COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the'permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS 9 /'A �I t* oSs— I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in.any manner so CIT ,,Ae TEL. NO. �(! as)o become'su ject to the Workers'i mpensafion Laws. DISHWASHER .' _ _ CONTRACTOR Date 3'� Applicant CLOTHES WASHER- ' ADDRESS NOTICETO PLICANT: If, after making th Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY TEL. NO. sation provisions of the Labor Code;you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or'this permit shall be deemed revok+ STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. ESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS o 6 9(commencing with Section 7000)of Division 3-of the Business, OUTLETS OVER t and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION fect. ? DATE O License Number Lic..Class 0 _ _ fS Contractor Date "Y9 O I am exempt under Sec. a B.BP.C. for this reason I Plan check fee Date: PLUMBING PERMIT ISSUING FEE$, Signature I TOTAL FEE � • SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check pplicant I hereby affirm that I am exempt from the Contractor's License Name G(��L - •- z Law for the following reason (Section 7031.5, Business and Professions Code): AddressL�TnvCr�SE.. .53 I, as owner of the property, will do the work and the City l L Tel. No. Dv7l6i/ structure is not intended or offered for sale(Section 7044, " Business and Professions Code). '' CONSTRUCTION LENDING'AGENCY ® 6.-50 I hereby affirm that there is a construction lending agency for r•yav`- s the performance of the work for which this permit is issued eel , - �., ._ (Sec.,3097, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and state that the s above information is correct.I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby au th rile representatives of this County to enter upon the abov -mentioned pr erty for inspection purpos SEE REVERSE FOR EXPLANATORY LANGUAGE Signature :Pe�rrilttee ate COUNTY OF LOS ANGELES TEMPLE CITY # 0508 I PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0704130018 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 I PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: [ I ON FILE I [ 6118 PRIMROSE AV I [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801657 I ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GARIBALDI 15385-012-017 ID1 PERMIT ISSIIANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl 147 WATER HEATER(S) 1.00 WTH 16.20 [ I (TENANT: Ii TOTAL FEES 43.95 [ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I 104/13/07 JK 10/10/07 [OWNER: TEL. NO: I IFIjiAI� 11 - FI B CODE: I IGRAF VIRGIL;MARILYN TRS GRAF TRUST (818) 287-1611- I I �®®V/,� 16118 PRIMROSE AV I I (TEMP 917801657 I IDESCRIPTION OF WORK IREPLACE HOT WATER HEATER 50 GAL GAS I I I (APPLICANT: TEL. NO: I I IEINHORN (866) 293-3031- I I 1360 MEMORIAL DR. 140 I ISPECIAL CONDITIONS: I CRYSTAL LAKE 60014 I I I I I ICONTRACTO R: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I (PLUMB-IN-TIME (866) 293-3031-1041 1 ! [ 1360 MEMORIAL DR #140 LIC. NO I IUNDER'SLAB WORK [ 1 1CRYSTAL LAKE, IL 60014 C36 868068 1 1 -1-1 I' IWATERISERVICE I I I I [PLASTIC Y/N METAL Y/N (ARCHITECT OR ENGINEER: TEL. NO: I [ I I I [ (ROUGH PLUMBING 1 1 I I LIC. NO: I I [GAS PTPING I I [ I 1 GAS VENT I I IHOT WATER HEATER I [PLUMBING FIXTURES-1-1 I I I I ILAWN SPRINKLERS I I I I I I [GAS TEST I I I I I (UTILITY COMPANY NOTIFIED[ I I I I ICWv I I I IGRAY WATER SYSTEM I I I I I I I I I I I I I 1 I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I