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Home My Public Portal About5564 ROBINHOOD AVE_Plumbing__ C 7eAee7-C[#817 6.61' APPLICATION FOR PLUMBING PERMIT DEPI&Co S�09RNCU WM a WILLIAM A. JWNSKN, <Ur•T OF IVUILDD7a POR "P>XAM to FII.L nr O L/ ✓ Nu>rnE/e FUTURE oe ►ro+ Ow>� ML//v WAM rr od= as s � car ffi. so. 3 Mowee . LAVATOM �a ADERM /Q601 G vEe o A ,n [WAS= arr L4- n:1- 30- PL, / 7 LAU]=TUB Nm Ile CI.OTAW wamm DEs7lpticlr NO. GROUP WAM>�= t. an STE= 9AL 8 WAS= LPPEK)VJILd >�aMEN s APPROVALS DATE 1ltfT'ICTOR'4 54OliATU11Jt PERMIT $ —2100- UNDER SLAM WORK TOTALROUGH PLUMBING DAH PIPING 1 HIMX31(Y ACXNOWLKDM THAT I HAYI MAD THIS APPUtATIOM AHD NTAT* THAT nM AIOVX 11 CORALCT AHb A&,R TO COWq.Y GAB VENT wrrH ALL L'OUNTf OI DIKl CXR AND STATI LAWN Q6ULATUib PLUMBLUS. HOT WATER HEATER I HXRXMY CIRrIrY THAT 1 AN rRORLY IIIRTID1m AHD/01 PLUMBING FIXTURES LICt LNM AS 1RQUIRID ■Y LOSAN&X ti COUNTT AND RTATK OF C.AI_IFORMIA OR THAT I Aid THt � MAJ OMIrK OF THI A101/I GAB TENT D _ LA. 1 UTILITY CO. NOTIFIED SIGN OF i FINAL ��T.�MATION ' ROBERT a WOOD U.0. CLASH 8UP[RVIAINQ MECHANICAL ENG'R 5 8 5.04 DCT22 5 D 325- WORKERS'cocrya a Arlifl rte of consent APPLICATION FOR PLUMBING PERMIT I here;afflr ,that I have a certificate of cornent to self In- 7�A�4i90 - sure,orp certtflcate of Workers'Compensqtlon Insurance,oro certified copy thereof (Sec. 3800, Lab. C) COUNTY OF LOS ANGLES DEPT. OF PUBLJC WORKS Pollcy No. Company ❑ Certified copy Is hereby furnished. FOR APPIJCANf TO FILL IN(PRINT OR TYPE) BURAtNG CertlfledcnInspection .copy Is flled with the county building Inction ADD� eSS 1 �( ., �o„ department. NUMBER RXTlJRE OR ITEM FEE )OClUJTY Dctte Applicant WATER CL05FT(TOILET) NEAREST APP ST. AV CERTIFICATE OF EXEMPTION FROM WORK56' BATH TUB CROSS COMPENSATION INSURANCE SHOWS OWNER (This section rmwd not be completed 1F the work Involved by MAIL the pwmM Is For the hundred dollars (;100)or bas.) LAVATORY AWRESS I certify that In the pe-r-formance of the work for which this per- ( ' 1 4 mit is Issued, I shall not employ any person In any manner to SINK CFI' v �►rlit / �- NO 1 -00 as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRAC-TOR Date, Applicant CLOTHES WASHER NOTICE TO APPUCANT: If, after making this Certificate bf Ex- ADDRESS SW emptlon,you should become subject to the Workers'Compen- IAAhVNG POOL Crry TEL. NO. satlon proylslons'of the Labor Code,you must forthwith com LAWN SPRJN LER SYSTEMS ly with such provisions or this permit shall be deemed re= � STATE UG ad. WATER HEATER LKYNsE NO. CUSS LICENSED CONTRACTORS DECLARATION DLSTR1Ci NO. PROCF BY I hereby affirm that i am licensed under provisions of Chapter GAS SYSTEM OUTLETS Q 9(commencing with Sectlon 7000)of Dlvislon 3 of the Business OUTLETS OVER and Professions Code, and my license Is In full force and of- S PER SYSTEM FINAL VAUDAnON fact. HOSE BIB DATE r . License Number Llc. Class FI � P Contractor Date BY ¢ i G ❑ I am exempt under Sec. LU V B.BP.C. for this recnon Plan check fee , �Jl Date: PLUMBING PERMrr ISSUING FEE O Signature TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applfcant I hereby affirm that I am exempt from the ContractorsLlcense Nome 5/�./'. Law for the following reason (Section 7031.5, Brine" and ACCT.c4 Professlons Code): Address 3303 43.40 I, as owner of the property, will do the work and the City Tpl. No. 1 ITM structure Is not Intended or offergd for sale(Section 7044, _ Business and Professions Code). TOTAL 43.40 CONSTRUCTION LENDING AGENCY GECK Ity��4Q I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Itsued owe .00 (Sac. 3097, Civ. C.). i ` Lender's Name 00*- yy��►l 9/11/95 Lenders Address 2230 1 Ali 9.02 1 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 PlumbIN, and heroby authorize representatives of this County to enter upon the obAmenjYInspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date WORKERS'COMPENSATION DECLARATION 2a-0026 DPW 41'90 APPLICATION FOR PLUMBING PERMIT �� '� •� I hereb;-,'afflrnt.that I have a certificate of consent to self Irt- 7&A667A sure,or a certificdte of Workers'Compensation Insurance,or a . certlfied copy thereof (S*c. 3800, Lab. C.) COUNTY OF LOS ANGELES. DEPT. OF PUBLIC WORKS Pollcy No. Cgmpany Certified copy Is hereby fumished. FOR APPUCANf TO RLL IN(PRINT OR TYPE) BUILDING 0 Certified copy Is filed with the county building luspectlorr ADDRESS 56 H I[70 Vet department. WMBER FIXTURE OR rifts FEE LOCALITY WATER¢OSET(TOILET) Date Applicant NEAREST - CERTIFICAT`E Of MPTION FROM WORKERS' BATH TUB CRO55 57. E� COMPENSATION INSURANCE OWNER Q V i rt (This section named not be conVleted If the work lmrohnd by MAIL f�� the pennft Is for one hundred dollars(:100)or Ie"j. LAVATORY ADDRESS yL/_�!� �L'h tv,4 I certify that In the performance of the yrork for Which this per- SJ NIK F Cry-f— mit Is Issued, I shall not employ any person.In any manger so CffY C a rt' 0�( TEL O as to become subject to the Workers' Compensation Laws.. DISHWASHER. CONTRACTOR Date Applicant C107}iE5 WASHER ADDRESS NOTICE TO APPLICANT: If,after making this Certificate of Ex- emption,you should become subled to the-Worker'Compen- SWIMMING POOL RECEPTOR sotlon provisions of the Labor Code,you mutt forthwith comp- LAW SPR�gR SYSTEMS � TEL Nb. ly with such provisions or this permit.shall be deemed revok- 5TA UC ed. WATER HEATER LICENSE NO. CLASS LICENSED.CONTRACTORS DECLARATIOINGAS SYSTEM. OUTLETS Dlq$FCr I hereby affirm that I cim licensed under ptovlsions of Chapter 9(commenting with Section 7000)of Dlvlslon 3 of the Buslnew OUTLEM OVER and Professions Code, and my license Is In full force and ef- 5 PER SYSTEM FINAL _ �/A�J AT10N fact. HOSE BIB + DATE -f L - a License Number L1c. Clan�— W S�IC,V I FINAL U Contractor Date `.1 BY l; O I am exempt under Sec. B.BP.C. for this reason Plan Check fee Date: PLUMBING PERMIT ISSUING FEE$ ► Signature TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Pion check applicant i r I hereby affirm that I am exempt from the Contractor's Lice ml Nome Low for the following reason (Section 7031.5, Business and Professions Code): Address I, as owner of the property, wilL do the work and the City Tel. No. structure Isnot 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, Clv. C.). Lenders 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 a mil �rty for I Ion t� gs SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date WORKERS'COMPENSATION bEcL RA1loN APPLICATION F40R PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 7&A,667A .insure, or a certificate of Worikers' Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec_380, tab.C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY � Policy No. . Company G 1 Cgrtlfled copy Is hereby fumished. FOR�PPa('.� 1`11iNT To 1`11iIN(PRINT dR T'YPNG E) BUILDI ❑ � Certified copy Is filed with county bu ADDRPSS tion department. NUMBER f1)(TURE OR rfEM Q FEE LOCALtT Date Ap p l l 4a n WA76t Q06tt +— NEAREST CERTINCATt OF EmxnQN WORKERS' BATH TUB CROSS EX ' COMPENSATION INSURANCE (This sici n d*&d Iwf be completed IF the work Imrghred by SHCtiVER - � MAJL the pormM Is for one hundred dollars(;100)or less.) LAVATORY ADDRESS I certify that.ln the performance of the w xk fat whlth this permit Is Isiued,L shallnot employ any person In any manner SINK MY TQL NP so as to betome subject fo the Workers'Compensatign haws_ DISHWASHER CONTRACTOR Date Api5l l Ga n t C1oTH Es WAt>Ha NOTICE TO APPLICAN7r If, after aktng this Carttficate of ADDRESS Exemptlon, yay shourd become subject to the Workers' SWIMMINGPOOL REt�roR Compensation ptovlslons of the L,aboc Code, you Myst forth- LAWN SPRINGER SYSTEM NO ` wVh comply with suth provisions or this permit shall be STATE UC dbemgd revoked. WATER HEATER UqNSENo. CUSS eld LICENSED CONTRACTOR$DECLARATION i DISTRICT NO. BY I hereby trffirn5 that I am licensed under provisions of Chapte+9 GAS$YSIFM OUTLETS (commencing with Section 7000) of DLvlslcn 3 of the Business OU71EM OVER arld profession►Code,and my license Is In fulrforcq and effect. 5 E'ER SYSTEM FINAL YALIDATIdN DATE License NurnberLc�_ LIc_Clad FINAL 1 `` eJ..�� Contractor BY � � �ate-F-""'" n1 am exbmpt under Sec. BAP.C. for this reason Plan check fee Dates - . PLUMBING PERMIT ISSUING FEE$ Signature TOTAL PE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address 7 0 A Law for the following reason (Section 7031.5, Business and Professlons Code): City Tel. No. #,o'o�o 0 o 5 I, as owner of the property, will db the work and the structure Is not rntended or offered for sale (Section• 210 o 2Q50- 70", Q50- 70", Buslness and Professlons Code,} ; CONSTRUCTION LENDING AGENCY 2 0 5 0 6 1 hereby affirm that there Is a construction lending agency for 1 Q2.1 — 82 the performance of the work for which this poctnit Is'Issued (Sec. 3097, Clv. C.). Lendees Name, Lbnder's A&ress I certlfy that I have read this appflcatlon and sfate that the Above Infom,allon Is"correc.-t. I agree to comply with all County Ordinances and State jaws regulating Plumbing, and hereby authorize representatives of this County to artier upon the mentioned prp r rnapectlon purposes. ZEE REVERSE FOR EXPLANATORY LANGUAGE Sig Date ' I COUNTY OF LOS ANGELES TEMPLE CITY f 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0104160014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0485 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 16957 LT: 90 5564 ROBINHOW AV ASSESSOR INFORMATION NUlMBER: FEE DESCRIPTION: QUANTITY: LIOM: AMOUNT: JTEKP CA 917802718 NEAREST CROSS STREET: BOGUE 8586-018-012 01 PERMIT ISSUANCE FEE 27.75 J HOMAS PAGE: 597 GRID: B3 LOCALITY-- TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TENANT: TOTAL FEES 43.95 . 04/16/01 UT 10/13/01 OWNER: TEL. NO: F I DA FINAL BY: -EWE: HAMLIN LESLIE C;PANKRATZ DAVID V (909) 621-0051 Z, - - 4440 GLEN W D CLMT 917112121 DEMMPTION OF WORK k_,,) GAS L NE v APPLICANT: Tn-. W- SAME AS OWNERCONTRACTOR: - PNGELES e0 APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO / UNDER,�SLAB WORK WATER.SERVICE ARCHITECT OR TEL. PLAST{C Y/N METAL Y/N GAS IPING LIC. NO 111111 LLTJ ` UCC l V .0 1� K u ` PLUKRiNGr GAS TfST I iJ I G6�' ❑ 0 N: 19ervice.Th0' d k r t REPORT ID: DPR263 ROUTE TO: BS0508 1 ` COUWrY OF LOS ANGELES TEMPLE CITY / 0508 PLW[BING PERMIT DEPAHTMINT O1 PUBLIC WORKS 9701 LAB TUKXS PL 0508 0604240020 BUILDING AND aAYWPY / LAND DXVELOPMENT TWOLE CITY CA 91780 PHONE: (626) 285-0488 EXT, LIKILL ID. }EES PAID BUILDING ADDRESS: TR: 16957 LT. 90 5564 ROBffiOOD AV FIE DEBCRIPTIONt QUANTITY. UOM. AMOUNT: TEMP CA 917602718 ABSVSSOR INFORMATION YW®SR' IIYAQZST CROSS STREET: 8586-018-012 01 PERMIT ISSUANCE }Iy 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY. TEMPLE CITY, C 13 DISHWASHER(S) 1.00 FIX 16.20 TENANTS 21 HOST BIRB(8) 1.00 1IX 16.20 ISSUED ON: PROCESSND BY: PLAN BY: ZXPIRSB ON. 27 PR18S REG DEVICE(S) 1.00 DIV 16.20 04/24/06 JX 10/21/06 47 MATER WATER(S) 1.00 RTH 16.20 OWNER. TEL. !O, 51 LAA PRB GAS 5 OUTLET 1.00 SYS 16.20 F DA FINAL BY: CODE. PANXRATL, DAVID (909) 621-0051- 63 MATER PIPING BR/FIX 9.00 FIX 60.75 A 4440 GLEN AA TOTAL, PIIS 169.50 N (1 CLMT 917112121 DD98 PTI0N OF AORX REPIPR 9 FIXTURES, AATIR WATER, HOSE; BIHB, DI- -APPLICANT. TIL. HO. SAME AS ORNNR - SPICIAL CONDITIONS: CONTRACTOR: TEL. NOS APPROVAL& DATE INSPAMR SIGNATURE BAKE AS OWNER - LIC. NO - •' U19DIR SLAB RORlC MATZH SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR MMINE3M: TEL. NOi - ROUGH PLUMBING LIC. NOS GAB PIPING GAS VEXT HOT MATER HEATER .. PLUMBING FIXTUR38 LAMS SPR-Ma III8 GAB TEST UTILITY COMPANY NOTIFIED CAV GRAY MATER SYBTIM REPORT ID: DPR263 ROUTE TO. B80508