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78A687-CE#817 10.82 -
APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION sUILDINGADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST /`�
CROSS ST.a�� �� �X
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 r '
MAIL `
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY 5TEL. NO. ' $ � J 4
CONTRACTO
LAVATORY 1.25 , s,
SINK 1.25 ADDAES
DISHWASHER 1.25CITY Lv 9,FEL.NO: f,e '
CO CTOR'S STATE
LAUNDRY TUB 1.25
REGISTRATION NO. ej 07, COUNTY ❑
1 CLOTHES WASHER 1.25 DISTRICT NO Z P O S BY
WATER HEATER 1.50 P'' f. 0
GAS SYSTEM OUTLETS.
1.50 INDUSTRIAL
'WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 2 00
UNDER SLAB WORK I .A )•/1, �
• $ '
ROUGH PLUMBING ° t�L 1 �t
TOTAL FEE c GAS.PIPING P 6 eq,
1 HEREBY ACKNOWLEDGE THAT 1 NAVE READ THIS ALIGATION GAS VENT '' V au•
AND STATE THAT THE ABOVE IS CORRECT AND AGREE O-COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1. HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
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,THEA
BOV E RIBED RESIDENTIAL,FROPERTY. UTILITY CO.NOTIFIED ...�--�•„� "�""'�
SIGNATURE i�� J f-'1 Ci`� -� ' - _• �`^ '
OF PERMITTEE FINAL ��� ( r•y sa;:: •
u
VALIDATION ROBERT A.WOOD V
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
6
�C0'2 1:1 5 AUG 3 5 D 4.7 5'~
76A667 DSS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OFANG AND SAFETY PLUMBING
�� �1
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
I ZONE FMMIT Nu.
FOR APPLICANT TO FILL IN I TR O. R UP
PLUMBER e.��la_ (�, /1�(�1,� REC[I1��y//ED BY READY FOR pppATE ISSUED
FIRST INSPECTION � �1
ADDRESS/ �� �� a.az�►�, P1 ('(wll.l 1�1N�i f r I�-� �
BUILDING /O
CITY n�zel. �„q(I TEL.No. c�-G r� ' ADDRESS L
COUNTY n '
LICENSE NO. EXPIRES LOCALITY
NEAREST '
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL U I a
WATER CLOSET(TOILET) @ 0.513 8 ADDRESS1� �,l,
BATH TUB @ 0.50 CITY QkN�4I1Q� C:t�� TEL 6 I No. U4 Q 6 l
SHOWER @ 0.50 1 HEREBY IACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BA91N) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 13.50 AND-STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LDS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OAS SYSTEM OUTLETS 13.50
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
C�
SIGNATURE OF
WATER HEATER 13..��pp 50 Q Q PERMITTEE
SLOP BINK 11.511 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN Q 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL 0.50 J
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS m
O
APPROVALS
DATE INSPEOTOR-B NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.130 SEWER
PERMIT I 1.00 F GAS TEST
UTILITY 00.NOTIFIED n _ / j A .
TOTAL FEE Od
FINAL !�/—/ V Cl`� / y
V �.
VGAG67 17 8-49® APPLICATION FOR PERMIT
' DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES P L M
9
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIC TNO, GROUP I ZONE ,PERMIT
PLUMBER RECEIVED BY READY FOR FIRST INSPECTION DATE ISSUED
ADDRESS : `_/_ V/
BUILDING
CITY TEL. NO. ADDRESSCOUNTY
f�
LICENSE NO. EXPIRES LOCALITY
NEAREST
PERMIT FEES CROSS ST.
,p v
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) ® 0.50 S ADDRES
BATH TUB 0 0.50 CITY TEL. N Af EP70(�
SHOWER @ 0.50 1 HEREBY CKNOWLED THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE TH THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OR
WATER HEATERO.SO r t; PERMITTE -4
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK Q 0.50
FLOOR DRAIN ( 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN (c$ 0.50
URINAL ® 0.50 .1
HOUSE SEWER Q 0.50 a
Z
MISCELLANEOUS a
(Vitl FR _ 71(e,t-t7AA ItO
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . 1,00 GAS TEST
TOTAL FEE $ UTILITY CO. NOTIFIED
'r, FINAL MAXIMUM ACCOMPLISHED
7SA667-CMN-x1.20
APPLICATION FOR PLUM ING PER T �
COUNTY OF LOS ANGELES.
DEPARTMENT OF CO7ET
ENGINEER.
BUILDIIGD SAMSION sulzDnvG
JOHN MSIE, CNGINEER ADDRESS
WILLIAM A.JENSEN, BVILDINa , LOCALITY
Temle city-
FOR APPLICANT TO FILL IN NEAREST
CROSS ST: - -
NUMBER FIXTURE OR ITEM
WATER CLOSET, OWNER Frank C. T i
p.
MAM
RATS TUB ADDRESS . Reno -
CITY TEL.NO.
SHOWER:
LAVATORY CONTRACTOR Anthq= Fools Inc o-
sn� j�pmss 871-Firestone. Blvd.
DISHWASHER C rate •TEL. No.
LAUNDRY TUB BEGISNTRATBATION NO...1901 9 80-53 couNTY o
CLOTHES WASHER DISTRICT N OU Z E PR. S_ Y
WATER HEATER 119
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
- '- INSPECTION RECORD a.
a
P Pro
O
0
md
a
• ing .pool 0
F
W
a
P88-ITEM _ -
OR
URE
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ E 00 UNDER SLAB WORK A i
TOTAL FEE- 3 O.O ROUGH PLUMBING- ) ��fyw
GAS PIPING F s
I HEREBY ACE�fO LEDGE THAT HAVE READ THIB APPLICATION GAS VENT
AND STATE TH THE ABOVE 'IS RRECT.AND AGREE TO COMPLY
WITH ALL NTY ORDINANCES D STATE LAWS REGULATING HOT WATER HEATER ,
PLUMBING.
I HERE CERT FY THAT I AM ROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSE AS RE UI BY LOS GELES COUNTY AND STATE'OF GAS TEST rl
CALIFOR IA OR T M L OWNER OF THE ABOVE
DESCRIB D RE$ ENTI UTILITY CO.NOTIFIED N
SIGMA R
OF P MI so
FINAL r •4'C,� Y `�-�j '4s'r✓��"� .
�► ALIDATION ROBERT A.WOOD,
E. M.O. CUR SUPERVISING MECHANICAL ENG'R
09 2 0 1 NOV 28 5 D 3.o o
WORKERS'COMPEN.SAT20N$EGLARATP14, rsAts w i
I hereby affirm that I have a certificaje. of caVsent tQQ ,s,�'�f �`_ Y'(z--0190)' :A P Pt 1•C A T 10 N F 0 P L U M 1 N G P�R M I T
insure, or a certificate of Workers'Compensation Insuralnc� or i
a certified copy thereof(Sec.3900,Lab.,C.) ,
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company .k ,
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 FEE r
department. WATER CLOSET , LOCALITY G
1, �r--2
Date Applicant '' NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' ' BATH TUB r:j —� CROSS ST. E 44Lb( 7 i
COMPENSATION INSURANCE 2 SHOWER OWNER, Q fn 1
n }
(This section need not be completed if the work involved I Z LAVATORY MAIL ADDRESS p� a
by the permit'is for one hundred dollars ($100) or less.) I SINK O
CITY STEL.NO.`�8� V
I certify that in the performance of the work for which this ! DISHWASHER /� W
permit is issued, I shall not employ any person in any manner CONTRACTOR +� l
so as to become subject to the Workers'Compensation Laws. I CLOTHES WASHER w ~
L =5 G ADDRESS 0
Date Applicant SWIMMING POOL RECEPTOR d
NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL.NO. y
Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE _ LIC.
Compensation provisions of the Labor Code,you must forth-with comply with such provisions or this permit shall be WATER HEATER G}�(, LICENSE NO. CLASS
deemed revoked. DISTRICT N . PROCObED BY
GAS SYSTEM OUTLETS 0
LICENSED CONTRACTORS DECLARATION OUTLETS OVER
I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM
9 (commencing with Section.7000)of Division 3 of the Busi- FINAL VALIDATION
ness and Professions Code, and my license is in full force and DATE --
effect. l
i
001,
FI L
License Number Lie.Class I g
Contractor Date '
i
I am exempt from the licensing requirements as I am a 1 Plan check fee
licensed" architect or a registered professional engineer I PLUMBING PERMIT ISSUING FEE$
acting in my professional capacity (Section 7051, Bus-
iness and Professions Code). TOTAL FEE L'
tiLie:or Reg.No. Date Plan check applicant
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor's ' Address
License Law for the following reason. (Section 7031.5, Busi- City Tel.No.
ness and Professions Code): '
II, as owner of the property, am exclusively contracting J
with licensed contractors to construct the project
(Section 7044,Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency 9 s. r.
for the performance of the work for which this permit is
issued(Sec.3097,Civ.C.). 0 0 0 o e
Lender's Name
r,
2 0 ^ 3 7.L �
Lender's Address
I certify that I have read this application and state that the o 0 0 i
above information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE G 0 0 4_
ordinances and State laws regulating Plumbing, and hereby
authorize representatives of this County to enter upon the
a e-mentionedproperty f • spec n purp—Sifos s.
nature of Jermittei Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1011230008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 .
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 5904 IT: 144 UN: .002 11 I 6012 RENO AV 1
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I TEMP CA 917801530
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
15384-017-009 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C1
1 107 BATHTUBS/SHOWERS 4.00 FIX 65.10 1
ITENANT: III CLOTHESWASHER(S) 1.00 FIX 16.30 IISSUED ON: PROCESSED BY: PLAN BY: 1
I 113 DISHWASHER(S) 1.00 FIX 16.30 11/23/10 SR 1
I 25 LAVATORIES/SINKS 5.00 FIX 81.30
(OWNER: TEL. NO: 1145 WATER CLOSET/URINAL 3.00 FIX 48.80 IFI DATE FI BY: CODE: 1
IBRIAN, JIANG (626) 236-0672- 147 WATER HEATER(S) 2.00 WTH 32.50 1
16012 RENO AV 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 1
TEMP 917801530 1 TOTAL FEES 304.40 D]fSCRIPTIOS OF WORK 1
1 1 IPLUMBING FOR KITCHEN AND BATHROOMS REMODEL 1
I
1APPLICANT: TEL. N0: 1 1
KHAN, SIMON (626) 318-9839- 1
15334 N. BURTON AVE. 1 ISPECIAL CONDITIONS: 1
ISAN GABRIEL CA 91776 1
I I I 1
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE
IJIANG, BRIAN (626) 236-0672- 1
150 ALICE ST. #F LIC. NO 1
1ARCADIA, CA 91006 NONE I 1DNDER SLAB WORK I I I
I I I
WATER SERVICE I I
I �I IPLASTIC YIN METAL YIN I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 II I
I - 1 1ROUGH PLUMBING 1
LIC. NO: 1
1 1 1GAS PIPING
I 1 IGAS VENT 1 I I
I
I I HOT WATER HEATER 1 1 I
1 1 1PLUMBING FIXTURES I I I
1 1 ILAWN SPRINKLERS I I
1 1 1GAS TEST I I
1 ' 1 UTILITY COMPANY NOTIFIED( I I
I i 1 ICWV i I I
I 1 1GRAY WATER SYSTEM 1 1 1
I I I I I I
I I I 1 I
I I I I I I
II
I 1 I I I I
1 IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I
I I I I I