The URL can be used to link to this page

Home My Public Portal About5520 ROBINHOOD AVE_Plumbing__ 78A687 -CE#817 10-82 0 * APPLICATION FOR PLUMBIN PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING r JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS - WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. ;�j.-vF NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET $1.25 OWNER Cr-r= " L?..'^Sc•'' MAIL BATH TUB 1.25 ADDRESS v r.e SHOWER 1.25 CITY Same TEL. NO.4{ 4-1733 LAVATORY 1.25 CONTRACTOR p,,„•r;n T SINK 1.25 ADDRESS 2d7iC DISHWASHER 1.25 CITY - -,�-L Citi; TEL. NO., 1, LAUNDRY TUB 1.25 CONTRACTOR'S STATE REGISTRATION NO. COUNTY CLOTHES WASHER 1.25 DIST tIICCT QJ/Iyo� G P Zc]N "TE BY WATER HEATER "' -L50 1.50 INDUSTRIAL GAS SYSTEM OUTLETS o WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U fY O H V _._ W CL H Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT I j WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I 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,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE - OF PERMITTEE - - LIDATION ROBERT A. WOOD CK... M.O. CASH SUPERVISING MECHANICAL ENG'R I,.y 71 '8COMPENSATION D 11 20Ot)26DPW6/tI0 APPLICATION FOR PLUMBING PERMIT 76ACE7A I hereby affirm that I have a certificate of consent to to self Insure, or a certfilcate of Worker's Compensation Insurance, or a certlfled copy[h PIPoI No COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS PIV. Gardfled copy Is hereby to nkslvd_ComparryV FOR APKrW f TO FR1 IN(PRINT OR TYPE) Bumme 1 /v ❑ CerdW copy is Mad with theADDRESS oou I NEAR department tg- I NUMBER FDCfLRFEEE OR ITEM F Dote Appfoant WATER CLOSET LOCALITY EST F CERTmcATE OF DcEjAPTION FROM WOFIKERS' CFi088 ST. ATH 1118 COMPENSATION INSURANCE MAP BOOT( PAGE PARCEL WS Mille section need not be oompWted If the work Involved by the SHOW �� permit Is for one hundred dollars(;100)or Hie.) omm I card that In the LAVATORY ty performance an of the work for which this permit MAIL b Issued, I shall not employ any person o any manner so •s to Sm Qa become subject to the Workers' Compensation Laws. DOWA8FER CITY LF— e—J Ta-NO. yy ' Data Ap~ CLOTHES WASHER CON7pACTOR ID P NOTICE TO APPLICANT: If, atter making this Certlfloate of Examptton,you should become sub)act to the Worker'Compensatlon SWIMMING POOL RECEPTOR f A provislwui of the Labor Code, you must forthwith comply with such v provlslons or thts permit shall be deemed revoked. LAWN SPRINKLER SYSTEM ` 1 r• LICENSED CONTRACTORS DECLARATION WATER HEATER CITY v 1 v d I hereby aMrm that I am licensed under provisions of Chapter B DOSTL HD 3 CLASS G $ (oommencing wlth Seoflon 7000) of DIvlslon 3 of the Business and GAB SYSTEM OUTLETS Professions Cods, and my license Is In full force and effect !r� Llo Clew'J-7► moi) C20 OUTLETS OVER DOT1RICT NO. PROCESSED BY cc,/3 r 1 � l 5 PER SYSTEM o LloerDee NurtDber U y MW J10N nW. Contraotor Date ' fn ❑ 1 am exempt undT+f1er.8eo. BY �7 40.65 B.BP.C.for T1t �tl 1 I h E S r —q Plan Cflec fere - TOTAL - 40- 6.5 SigPLUMBING PERMrr ISSUING FEF ElTOTAL FEE 31NGLE FAMILY Pian*t eok epplk)ertt HOME OWNER-BUILDER DECLARATION Name f�- nvt �:i /a L hereby affirm that I am exempt from the Contractor's Lldense Law '.!'L�Mu"lJLx111 wj/351i 93 for the following reason (Section 7031.6, Business and Professions Address 776 1 rt111:T7 I Code): v CRy Tet. No. ❑ I, as owner of the property,will do the work and the stfucture Is not Intended or offered for esie (Seotfon 7044, Buslneaa and Profeesiona Code). ' CONSTRUCTION LENDING AGENCY I hereby affirm that then Is a oonstruction lending agency for the performance of the work for which this permlt Is Issued (Sec. 3007, Ctv.C.) Lender's Nemo Lenders Address I certify that I have reed this application and state that the above Informs le cdrrscL I agree to oompty with all Courtly ordlnnrDces nn tat Inws Te uI ting Plumbing, and hereby authorize r n tlVee o} 'Al. County to enter upon the above-mentioned o I n pu BEE IFE-VFR8E FOR EXPLANATORY LAN43AJAGE 3 � 3j - 93 Slgn re ofperilriftitas Deft COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLUMBING PERMIT DEPAR'?CWr OF PUBLIC %URKS 9701 LAS TUNAS PL 0508 0911120021 BUILDING AND SAFETY / LAND DEVELOPMENT TF?4PLE CITY CA 91780 PHONE: (626) 285-0488 ETT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 16957 LT: 75 _ 5521 ROBTNHOOD AV FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEFF CA 917802719 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8586-022-023 01 PERMIT ISSUANCE FEE 27.75 THOMAS PALMS: 597 GRID: B3 LACiLITY: TEtPLE CITY, C 47 WATER HEATER(S) 1.00 WTH 16.20 TTaU+TT: TOTAL FEE_ 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 11/12/09 SR 11/12/10 01QPSR: TEM. NO FpiAL DATETHEIN, x24 (714) 671-2153- BY: CODE: 5521 ROBINEOOD AV 1 �� MLa W_ TE241P 917802719 DtOCRIPTION OF WORK WATER HEATER CHANGE OUT 40 QALTON APPLICANT: TEL. NO: CLEARY (661) 775-2944- 24895 AVE ROCXE=TE SPECTAT, CONDITIONS: VALENCIA, CA 91355 CONTRACTOR: TEL. NO: - AppRbvALs DATE INSPECTOR SIGNATURE PAYLE98 WATER HEAXE S (661) 775-2944- 24895 AVENUE ROC7 FELlkn LIC. NO UNDER SLAB FARX VALENCIA CA 91355 B/L RHE + WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR EUIN]=R: TEL. NO: ROUGH PLUMBING LIC. NO: GAS PIPING 'GAS VEND HOT WIATER FTfUTF.R PLbMBING FIXTURES LAWN 9PR»THRS GAS TEST UTILITY 03HPANY NOTSF'IE CWN GRAY WATER SYSTEM + ADDITIONAL DATA ON FILE REPORT ID: DPR263 RDUPE TO: BS0508