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HomeMy Public PortalAbout6284 PRIMROSE AVE_Plumbing__ ' .TGA667 17 B-80 APPLICATION FOR PERMT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. FOX. CHIEF ENGINEER FOR R APPLICANT TO FILL IN DISTRIC?O. GROUP I ZONE PERMITNO. WINTERBOTT0141 BROS., INC. RECEIVED BY READY FOR DATE ISSUED PLUMBER WESTMINSTER AVE. FIRST INSPECTION ADDRESS ALHAMB A, NI PALIFE)R 7TV�\����71 BUILDING CITY TEL. NO. ADDRESS .nr.' .. COUNTY LOCALITY LICENSE NO. Ills EXPIRES rgn ..--0% �v.;: NEAREST PERNIIT FEES CROSS ST. TFnno) 1: l:I4y Re lin,; NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER _A- . n I=Apjg Ge. ' WATER CLOSET (TOILET) @ O.SO SCA ADDRESS 3612 a a Onv A BATH TUB ® 0.50 I CITY A VC17�n 11 A, GA61F, TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS i LAVATORY (WASH BASIN) O.SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. I CERTIFY TH I OSSESS T ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 ANGEL S COUNT IC SE. I THE L AL OWNER OF T AL OP RIB V v �� GAS SYSTEM OUTLETS C� 0.50 � SI O WATER HEATER 0.50 PERMITT J SLOP SINK ® 0.501 INSPECTION RECORD FLOOR SINK Q 0.501 FLOOR DRAIN Q 0.501 DISHWASHER @ 0.50 DRINKING FOUNTAIN Q 0.501 T_t an > I Ell. g 1=I_n IAS (9� URINAL tQi 0.50 `J HOUSE SEWER Q 0-50 I_I a Z MISCELLANEOUS ( G It � r I APPROVALS . DATE INSPECTORS NAME ROUGH PLUMBING —'r7. Ll c c! f'�','l:b �• GAS PIPING -' GAS VENT 17--3 CESSPOOL Q 1.001 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) Q 1.00 I SEWER PERMIT . 1.00 GAS TEST �i N 'L --)4 a. UTILITY CO. NOTIFIED lid. TOTAL FEE I S CjI Q®/ FINAL I 11n/ v 76A607-CE817 10-60 APPLICATION FOR PLUMBING PER IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DNIBUILDING/_ JOHN A. LAMBIE, COUNTY ENGINEERNEER ADDRESS 11✓ 7 WILLIAM A. JENSEN, SUPT OF BUILDING LOCALIT � �� , FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER � WATER CLOSET MAIL BATH TUB ADDRESS CIBL SHOWER TEL. NO. LAVATORY CONTRAC R SINK ADDRESS / DISHWASHER CITY, d TEL. NO. j LAUNDRY TUB REGISTRATION NO. (�'�) COUNTY ATE 0 CLOTHES WASHER DISTRICT O. GR Z7NE. P OCESSED BY WATER HEATER h (�' / E GAS SYSTEM INDUSTRIAL WASTE APPROVAL r INSPECTION RECORD a- O U O a w Z @ $1.00 PER ITEM OR FIXTURE7 $ d 7 APPROVALS DATE INSPECTOR'S SIGNATURE 1PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE ? ?,tl ROUGH PLUMBING (.� GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER _ PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICE NSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE GAS TEST DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTE FINAL VALIDATION ROBERT A. WOOD cK. M.0. CASH SUPERVISING MECHANICAL ENG'R �iiLo 1 u 4 51-Z' jUL 1. 6 9 D 3.50- 4 ' �WORKERS;,COMPENSATION DECLARATION M—PLICATION FOR PLUMBING PE MOT y I I.hecgK Affirm that I have a certificate of consent to self 76A667A Iul insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) ar a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Na. Company Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- ADDRESS �/ ✓ tion department. NUMBER FIXTURE OR ITEM � FEE /� LOCALITY Date Applicant WATER CLOSET t/ NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER (This suction n©od not be complotod if tho work involved by SHOWER ` tho permit Is for ono hundred dollars($100)or loss.) LAVATORY d MAI ADDLRESS �'Ce- -� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL. N Z so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant 2 ` 4 CLOTHES WASHER ADDRESS NOTICE'TOAPPLICANT: If, after making this Certificate Exemption, you should become subject to the Worke SWIMMING POOL RECEPTOR CITY TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATERLICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PR D Y I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS Q (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER r and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALID ION DATE ZZ CL License Number Lic. Class C FIN Cs' Contractor Date BY IX ❑ 1 am exempt under Sec. B.BP.C. for this reason Plan check fee Cr. Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE 2� _4 6 9 0 A Plan check applicant # 0 0 0 0 0 5 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name IV ) o 0 2 a 5 0 I hereby affirm that I am exempt from the Contractor's License r r Add Law for the following reason (Section 7031.5, Business and Address .�y(,V� o o o 2 8 5 0 5 Professions Code): I City Tel. N2M 3. .5228 6 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). 10, CONSTRUCTION LENDING AGENCY I hereby nffirm 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 authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date WORKERS'COMPENSATION DECLARATION 20-0026 DPW 4/90 APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have certificate of consent to self in- 76A667A sure,or a certificate of Work rs'Comp-ensation Insurance,or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES F DEPT. OF PUBLIC WORKS Policy No. Company Fj Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) F1 Certified copy is filed with the county building inspection NU(NBER FIXTURE OR ITEM @ FEE ADDRESS department. LOCALITY -- WATER CLOSET(TOILET) r C Ddte Applicant NEAREST do, CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. ,� /t,ffen COMPENSATION INSURANCE / SHOWER i(a `5 OWNER (This section need not be completed if the work Involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY -ADDRESS ✓ e- I certify that in the performance of the work for which this per- mit is issued, I shall not employ any person in any manner so SINK CITY �o TEL. NO. as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRALTO Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- emption,you should become subject to the Workers'Compen- CITY TEL.NO. sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL (-� VALIDATION fect. HOSE BIB DATE •L gs a License Number Lic.Class C FINAL C Contractor Date BY t a C I am exempt under Sec. CF. B.&P.C. for this reasonO Plan check fee u Date: PLUMBING PERMIT ISSUING FEE$ �Gj 6 2 Signature TOTAL FEE f6- SINGLE 6SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name -,*'T Ar Law for the following reason (Section 7031.5, Business and Professions Code): Address 3Y_3 =°- ®/1, as owner of the property, will do the work and the City Tel. No. = 11 !i= structure is not intended or offered for sale(Section 7044, Business and Professions Code). I""i'IT _ .�o _� CONSTRUCTION LENDING AGENCY HLEt K : iu .I I hereby affirm that there is a construction lending agency for - CHI (4N53t the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). I_i_;I_I-IJl FU 1 �Ii.I.i.r.f Lender's Name ,.,_ . 1. rl:n X4!'1=t L I�1 L i���•a 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 ordinances and State laws regulating Plumbing, and hereby , ��_`m 'ie represent tives of this County to enter upon the n perty for inspection purposes. r SEE REVERSE FOR EXPLANATORY LANGUAGE 6ignature of Perrillittee Date i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT �• '� "" DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0211070013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D TR: 17179 LT: 46 6284 PRIMROSE AV � FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801614 ASSgSSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5385-011-011 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY 25 LAVATORIES/SINKS 1.00 FIX 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PR CESS D B EXPIRES 0 : 11/08/02 JK 05/07/03 OWNER: TEL. O: FINAL DATE FINAL BY: CODE: LIN ROBERTO C;LE THIEM H (626) 291-2989- zz'll—j--Aev 6284 PRIMROSE AV TEMP 917801614 SCR N F WORK PLUMBING FOR KITCHEN REMODEL PPI TE . JIANPING YANG (626) 369-8480- 1949 FALSTONE AVENUE SPECIAL CONDITIONS: HACIENDA HTS 91745 CONTRACTOR: TEL. N0: A PROVALS DATE INSPECTOR SIGNATURE JIANPING YANG (626) 369-8680- AMERICAN Y & F CO LIC. NO �`.`' i '' �`;� DER S 8 R 1949 FALSTONE AV 644420/8 HACIENDA HEIGHTS, CA 91745t ATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR 5NGIN5ER6 TEL. NO: ROUGH PLUMBING �• LIC. NO.' - GAS PIPING - - -- - - GAS VENT HOT WATER HEATER - — --- -- — - -- PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST IJ UTILITY COMPAMTYGfrMD C WV RT WATERST REPORT ID: DPR263 ROUTE TO: BS0508