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Home My Public Portal About5744 RIO HONDO AVE_Plumbing__ 76A667•CE'.]fS17 2,62 TEMPLE Ci U k7 Y .. • �sJ L�l !3 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING L JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS WILLIAM A.JENSEN, SUP'T OF BUILDING : LOCALITY Z_2 FOR APPLICANT TO FILL IN NEAREST •CROSS ST. NUMBER FIXTURE OR ITEM, EACH FEE10, OWNER — g t WATER CLOSET 51.255�0 BATH TUB 1.25 �AADDDRESS SHOWER 1.25 �:CITY _,CTEL. NO. AT rl-4 I LAVATORY 1.25 CONTRACTOR Lf/h roe,,SINS 1.25 ADDRESS DISHWASHER 1.25 CITY TEL. NO. LAUNDRY TUB 1,25 CONTRACTOS'S STATE ❑ REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRIC N n G P Z NE P C ED BY WATER HEATER 1.50 �� l� GAS SYSTEM' OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 v/J�_ %}'INSPECT`/IOAECOAD y' CL �P-/ v"/ .,ll.�'-'-±-i-r1La� '-w• 3'1�,•��f:� ..i_f! [ A �� t 1u i APPROVALS DATE INSPgCToRtsIGh1ATugEr PERMIT S 2 00 UNDER SLAB WORK 'f�ll4 �,+.y{ L ��ryry ROUGH PLUMBING TOTAL FEE ,�(J GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LIGATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER �'V' •' iR" I HEREBY CERTIFY THAT I AM PROPERLY. REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF l_ CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND TEND TO GAS TEST rr ��___��._--•,--- _: RESIDE IN ,.THE ABOVE DESCRIBED RESIDENTIAL PROPER? UTILITY CO.NOTIFIED �,'-•• _ _ _ __T _— -_ SIGNATURE ^" / OF PERMITTEE FINAL I/ VLIDATION ~ROBERT A.WOOD _CKM.6. • CASH SUPERVISING MECHANICAL ENG'R L�Lo 4 5 6 5 E JAN 17 5D 9.50- Q �- DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 .DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING r / WILLIAM J. FOX, COUNTY ENGINEER ADDRESS FOR APPLICANT TO FILL IN LOCALITYtSUILUINU ADDRESS �� op NEAREST CROSS ST. DISTRICT NO. GROUP ZONE PERMIT NO. LOCALITY, C_ � �/ + 41 CROSS ST. � RECFIIVV,/E,D BY Ready for Inspection DATEISSUED OWNER �� O"� rd� 4f* F�K 7 MAIL INDUSTRIAL ADDRESS `��}�� WASTE APPROVAL CITY TEL.NO. INSPECTION RECORD PLUMBER 'a��1� �J �; ADDRESS .740�'V _- � ��6a✓ b,y jj. r CITYTEL.N0. GZ O STATE LICENSE NO. ❑COUNTY J PERMIT FEES a z NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @ 0.80 S O 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 / "WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE 0 GAS PIPING I 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT i AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE ._.._. __ -._.._.:7+ ._.._..i�. . ....._.._.-... FINAL 76A067 DBS 17 1/63 K; WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT 4 I hereby affirm that I have a certificate of consent to self 76A667A 3 insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES 7 �� . BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished.❑ BUILDING '(`��/FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS SHY I Y A/ Certified copy is filed with the county building inspec- tion department. NUMBER FIXTURE OR ITEM ra FEE LOCALITY TM/OL` C /,7" Date WATER CLOSET Applicant NEAREST /-� CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. �CDQ fC�r4/V /d Qp COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by SHOWER ic-Aii k� the permit is for one hundred dollars $100 or less. MAIL t' P ( ) ) LAVATORY ADDRESS I A/ / 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY _ �/ TEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHERt,C7 CONTRACTOR C � Date/��'$'/ Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of , Exem tionyou should become subject to the Workers' SWIMMING POOL RECEPTOR Exemption, subject TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM elz with comply with such provisions or this permit shall be STATELIC, deemed revoked. WATER HEATER LICENSE NO. 11X CLASS LICENSED CONTRACTORS DECLARATION DISTR T NO. PRQCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 I GAS SYSTEM OUTLETS r CJ y / (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER lJ and Professions Code, and my license is in full force and effect. 5 PER SYSTEM FINAL DATE VALIDATION 0 License Number Lic. Class OC FINAL 0 Contractor Date BY V ❑ CL am exempt under Sec. O. to B.BP.C. for this reason Date: Z Plan check fee 00. Signature PLUMBING PERMIT ISSUING FEE$ Li S_ TOTAL FEE LI Plan check applicant SINGLE FAMILY HOME OWNER-EjUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Pro ssions 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 authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE S�ignoture of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0501310002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: FEES PAID BUILDING ADD TR: 6561 LT: 760 UN: .002 5744 RIO HONDO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802432 ASSESSOR 0 0 NEAREST CROSS STREET: WORKMAN 8587-004-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 13 DISHWASHERS) 1.00 FIX 16.20 ISSUED ON: PROCESSED : P EXPIRES . 25 LAVATORIES/SINKS 3.00 FIX 48.60 01/31/05 JK 07/30/05 45 WATER CLOSET/URINAL 1.00 FIX 16.20 '-'--- OWNER: TEL. NO: 49 WATER TREATING EQUIP 1.00 SYS 16.20 FINAW FINALBY: CODE: WONG DANNY T (626) 272-8242- 92 NO PERMIT OWNER-BLDR 257.00 DOL 251 APrH 5744 RIO HONDO AV TOTAL FEES 398.15 E�,• TEMP 917802432E01P 0 OF WORK REPLACE KITCHEN SINK, BATHROOMS LAVATORIES, WATER CLOSET. APPLICANT: TE 0: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. O: - ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT HOT WATER HEATER PLUMBING XT RES LAWN SPRINKLERS GAS TEST COMPANYUTILITY C V GUY WATER SSE REPORT ID: DPR20 ROUTE TO: BS0508