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Home My Public Portal About5760 RIO HONDO AVE_Plumbing__ 76AG67C (CE-81713) -8/75 �1 V r" C I ,/ APPLICATIONIFOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS NUMBER FIXTURE OR ITEM _ @ FEE WATER CLOSET LOCALITY /��n/+9� BATH TUB CROSS NEAREST. Com!I-/C� SHOWER OWNER )' ( J �LI LAVATORY MAIL ADDRESS SINK CITY TEL.JNO.-Ay>f� ?` ,56 DISHWASHER CONTRAC4MCIFIC INSTALLERS CLOTHES WASHERADDRESS 11.C9its' yam, ', i�N SWIMMING POOL RECEPTOR DAINr f LAWN SPRINKLER SYSTEM CITY TEMPLE 1- 1�lD TT jG� (/ LI y / WATER HEATER E NO. / ' /" CLASS CD RICT NO. GROUP Z NE RO SED BY vGAS SYSTEM OUTLETS COUTLETS OVER5PER SYSTEM RIAL WAPPROVAL y INSPECTION RECORD Z Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel. NO. GAS PIPING 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 'HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICEN SEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGALOWNER F, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDE NTI AL. ROPERTY. UTILITY CO. NOTIFIED SIGNATU RE _ ./,. /1 OF PERMITTEE + XL_ `� l FINAL j PLAN CHECK VALIDATION CK. M;10- PERMIT VALIDATION CK. M.O. CASH " a0. �=`' , ► ia' '3 +'ua � Crti 1 2.7 V 3 5 .D 7.50 a-o 76A667 Des 17 11-50 APPLICATION FOR PERMIT DEWTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1 DISTRICTO. ROUP . FOR APPLICANT TO FILL IN 13- PLUMBER RE EIVED BY READY FOR DATE ISSUED FIRST INSPECTION - 1� ADDRESS 13.4(a 0® %A_ UILDIISQ/ CITY TEL.No. a �ADDRESS COUNTY 01 IV LOCALITY 1 71OiVY1J12.Y . lY LICENBE NO. ® EXPIRES j NEAREST P PERMIT FEES CROSS sr. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) 13.513 s ADDRESS b BATH TUB @ 0.50 CITY 4.LyjA,4Lpj &,;&T TEL No. SHOWER @ O.SO 'I G 1 HEREBY ACKNOWLEDE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER GAS SYBTEM OUTLETS 0.50 OF THE RF-8IDENTIA'�PRO DESCRIBED ABOVE. SIGNATURE OF WATER HEATER QA PERMITTE SLOP SINK 13.513 INSPECTION RECORD FLOOR BINK 0 0.50 FLOOR DRAIN 0 13.50 DISHWASHER (11 0.50 DRINKING FOUNTAIN Q 0.50 4—+ URINAL @ 0.50 J Q HOUSE SEWER 0.50 Z MISCELLANEOUS 0 !Y O APPROVALS DATE INSPECTOR-9 NAME ROUGH PLUMBING GAB PIPING GAS VENT CESSPOOL 1:00 CESSPOOL SEPTIC TANK: BEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 BEWER PERMIT I 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE 00 FINAL IF WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT609 To lhere4ffirm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers'Compensation Insurance, CE 817(REV 10'81) ora certified copy thereof(Sec. 3800, b. C4 - COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. ` Company_ /C •'r'-- 6-/ ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING . , Certified copy is filed with the conn building inspec- ADDRESS '7(� tion deport!ne ,- NUMBER FIXTURE OR ITEM (a FEE ' t �t LOCALITY Date, Applicant�7 WATER CLOSET !i U t� NEAREST - CE TIFICATE OF EXEMPTION FROM WORKERS' BATH TUB d� CROSS ST - COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by + SHOWER the permit is for one hundred dollars($100)or less.) LAVATORY MAIL ADDRESS C' I certify that in the performance of the work for which this ' permit is issued, I shall not employ any person in any manner SINK CITY TEL NO so as to become subject to the Workers'Compensation Laws. DISHWASHER 6 00 CONTRACTOR � Date Applicant CLOTHES WASHER ADDRESS ,/.Y NOTICE TO APPLICANT: If, after making this Certificate of . ds.• �n.,.n ; Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY J „�, ; '� TEL NO.,�'-yJ_ LAWN SPRINKLER SYSTEM ! _ with comply with such provisions or this permit shall be STATE� - - LIC deemed revoked WATER HEATER LICENSE NO. i ! — 7' CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM �� OUTLETS v R Q S( /,f (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER �j (, and Professions Code,and my lice is in full force and effect. 5 PER SYSTEM FINALDATION License Numb r> ` 73 Lic. Class -1 DATE_ �,y � ��` � � � FINAL Contractor G'% �'f Date �a 0 BY '� �" ❑ 1 am exempt un er Sec. ` �'' EM r� B.&P.C. for this reason Plan check fee 01111.Date: PLUMBING PERMIT ISSUING FEE$ / Signature TOTAL FEE J SINGLE FAMILY Plan check applicant G F !, HOME OWNER-BUILDER DECLARATION Name , g o o a i I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031 5, Business and o o Professions 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). , - '( 7 —,1 CONSTRUCTION LENDING AGENCY p 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 obove�mentioned" rty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of ermittee D e COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0309220027 ti BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGALAID -BUTOING ADDRESS: TR: 6561 LT: 761 UN: .002 5760 RIO HONDO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802432 ASSESSOR I OR ON BER: NEAREST CROSS STREET: WORKMAN 8587-004-023 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 EN 21 HOSE BIBB(S) 1.00 FIX 16.20 ISSUED ON: PRO ESSED BY: PLA IRES ON: 25 LAVATORIES/SINKS 1.00 FIX 16.20 09/22/03 JK 03/20/04 45 WATER CLOSET/URINAL 1.00 FIX 16.20 OWNER: TEL. 0: TOTAL FEES 92.55 FINAL DATE FINAL BY: CODE: MEHTA;YATRIK (626) 975-3249- / 5760 RIO HONDO AV 4 =Z ((Jp C,,rr' TEMP 917802432 D SCR P�IO�O�OI,�RK PLUMBING FOR ADDITION APPLICANT: T . SAME AS OWNER SPECIAL CONDITIONS: ALEJANDRO CUETO CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR -SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAB WORK WATER SERVIC PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: CUETO, ALEJANDRO R (323) 788-1892- ROUGH PLUMBING / 3716 BECK AVE. LIC. NO: BELL, CA 90201 NONE GAS PIPING GAS VENT OT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIEff CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: SS0508