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Home My Public Portal About6279 PRIMROSE AVE_Plumbing__ 76A667 DES 17 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ` WILLIAM J. FOX, CHIEF ENGINEER jr FOR APPLICANT TO FILL INT. REME;V.ED . GROUP E . PLUMBER To Jo HOLLIDAY READY FOR BY DATE ISSUED FIRST INSPECTION A ADDRESS 5003 N Camellia Ave. s r BUILDING CITYADDRESS 6279 Frfmrooe e le Cit TEL.NO.AT. -6-1754 COUNTND. 156 6/30/54 LOCALITY Temple Cit EXPIRES NEAREST PERMIT FEES CROSS T. Longdon Ave NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) a 0.50 111 1®60 ADDRESS BATH TUB 0 0.50 080 CITY TEL No. SHOWER ® 0.50 80 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.511 14160 APPLICATION AND STATE THAT THE ABOVE IS CORRECT .AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 p AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 80 ANBELEB COUNTY LICENSE, OR I AM THE LEGAL OWNER 1 OAS SYSTEM�CC _OUTLETS a 0.50 1000 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. SIGNATURE OF l 1 WATER HEATER a 0.50 1 OO PERMITTE SLOP SINK 0 0.50 IN$ TION RECORD FLOOR BINK 13.913 FLOOR DRAIN 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN 0.50 rII n I URINAL 0.50 / J [{ ( '1L� J i �i,!�IC• Q HOUSE SEWER 0.50 �JZ_ MIECELLANEOUB L7 V APPROVALS 1;w //DATE INS/` IIEOT/JOR-B NAME ROUGH PLUMBING LL /1 A OAS PIPING GAB VENT CESSPOOL 1,00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) Q 1.00 SEWER PERMIT . . . . . . IGAS TET UTILITY CO.NOTIFIED h' TOTAL FEE 9® 140 FINAL V 76A667-CE 817488 I APPLICATION FOR PLUMBI G PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMBUILDING SION ADDRESS 6279 N. Primrose JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Tem le Cit FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEARSTT. �� don NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1.50 OWNER Carl Zofchak BATH TUB 1.50 ADDRESS 6279 No Primrose SHOWER 1.50 CITY Temple City TEL. No. 286-•751$ LAVATORY 1.50 CONTRACTOR Pacific Installers SINK 1.50 ADDRESS 10920 E Grand Ave DISHWASHER 1.50 CITY Temple City TEL. NO-442-7070: CLOTHES WASHER 1.50 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GRO ZONE I P OCESS BY LAWN SPRINKLER SYSTEM 2.00 c 1- WATER HEATER 1.50 l.- 50 1INDUSTRIAL u WASTE APPROVAL GAS SYSTEM OUTLETS 1..50 EMECTION iWRD O OUTLETS OVER .30 �� b 5 PER SYSTEM Lua- • Vl Z. Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE I 3L q0. APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. N0. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO / RESIDE IN,THE ABOVE DESCRIBED RESIDENTIA PROPERTY. FINAL SIGNATURE OF PERMITTEE EJACK R. ALLEN, SUPRVISIN HANICAL EN'G'R. PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH i Eck 8_7 8 3c.10" MAR 12 5 D '315�N If i WORKERS'COMPENSATION DECLARATION ' APPLICATION FOR PLUMBING PERMIT I hereby, aff.irm that I have a certificate of consent to self in- �6A�66A�4/90 sure,or a certificate of Workers'Compensation Insurance,ora certified copy thereof(Sec. 3800, Lab. C.) �� l Policy No. Company 'WlJNTY-GFA40S-Ab1lWLES DEPT. OF PUBLIC WORKS ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM ADDRESS department. @ FEE LOCALITY DcIte Applicant WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. ftJl6 ��i� COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work Involved by MAIL the permit Is for one hundred dollars($100)or less.) LAVATORY ADDRESS s/ �,✓" I certify that in the performance of the work for which this per- SINK CITY TEL.NP �y mit is issued, I shall not employ any person in any manner so S�Cp 7-� as to beco bject to the Workers'C en do Lgws. DISHWASHER CONTRACTOR Dat Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after ma ng this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY TEL. N r sation provisions of the Lahr Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS v� ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. AGER HEATER LICENSE NO.��G CLASS .3 LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSEb BY I hereby off irm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION fect. y HOSE BIB DATE License Nu be, 2 Lic. Class O FINAL V Contractor. /`' Date BY I am exempt under Sec. 7,/� V B.&P.C. for this reason Plan check fee / JG' v a. Date: PLUMBING PERMIT ISSUING FEE$ ? Signature = TOTAL FEE SINGLE FAMILY , HOME OWNER-BUILDER DECLARATION Plan check applicant ii+r'•:i e C' I hereby affirm that I am exempt from the Contractor's License Name ''l�L t 1' '` Law for the following reason (Section 7031.5, Business and Professions Code): Address '- I T Err. I, as owner of the property, will do the work and the City Tel. No. TOTAL 41 85 structure is not intended or offered for sale(Section 7044, CHECK rr in85 Business and Professions Code). CHANGE ,IJI.I 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 1�-1i1i.�i1LELlrilar (Sec. 3097, Civ. C.). �rc; Lender's Name I ender'-Address certify that I have read this application and state that the , •bove information is correct. I agree to comply with all County rdinances and State laws regulating Plumbing, and hereby thorize representatives of this County to.enter upon the oove-mentioned ro ty for inspection urposes. ��;+ SEE REVERSE FOR EXPLANATORY LANGUAGE .gn f of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0704110004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 6279 PRIMROSE AV IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801616 1ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 5385-010-001 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPEL CITY, Cl 1 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TENANT: I TOTAL FEES 43.95 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 104/11/07 JK 10/08/07 OWNER: TEL. NO: [ [FI AL DAT FI BY: CODE: 1 CAYDANLI, GOKHAN (626) 513-1332- I7P 6279 PRIMROSE AV 1 1 (TEMP 917801616 1 IDEZCRIPTIObf OF WORK 1 1 [ IGAS LINE FOR HVAC SYSTEM 1 (APPLICANT: TEL. NO: 1 1 1 (AIR TECH HEATING & AIR, INC. (626) 295-8880- 1 1 [ 1204 S. ROSEMEAD BL. 1 ISPECTAL CONDITIONS: 1 IPASADENA, CA 91107 I I (CONTRACTOR: TEL. NO: [ IAPPROVALS DATE INSPECTOR SIGNATURE [ (AIR TECH HEATING AND A, C, INC. (626) 295-8880- I 1 I 1204 S. ROSEMEAD BL. LIC. NO [ (UNDER SLAB WORK I I I PASADENA, CA 91107-4952 541161020 II I I (WATER SERVICE I I 1 I I (PLASTIC YIN METAL YIN I I (ARCHITECT OR ENGINEER: TEL. NO: 1 I I I I - I (ROUGH PLUMBING I I I LIC. NO: I I I I I 1 I (GAS PIPING GAS VENT I I IHOT WATER HEATER I I I I I, [PLUMBING FIXTURES I I I I ILAWN SPRINKLERS I I I I I I I IGA3 TEST I (UTILITY COMPANY NOTIFIEDI I I I ICWV I [ I I I IGRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IMPORT ID: DPR263 ROUTE TO: BS0508 1 I I I I I I I I I