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HomeMy Public PortalAbout5625 ROBINHOOD AVE_Plumbing__ 'w'' " wu APPLICATION FOR PERMIT �► ` DEPARTMENT Of BDII.DING AND $AFE'1'Y �����' COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIS* ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. VALLEY BOULEVARD FLUMOM R[C IV¢D MY READY FOR DATE ISOU[D FIRST INOPECTION ADDRESS 900 EAST VALLEY DU1LD1NO yS CITY ROSEMEAD TEL. NO AT. 2-2719 wDDRESS COUNTY G S[ NO IR {i LOCALITY NKARERT PERMIT FEES CROS"ST. NUE■ TYr[OF FIRTUR!<OR IT[Y IEEE OWNER MAIL WATER CLOO[T TOILET 0.150 D ADD B MATH TUS 0.50 e C N SHOWM! 0.50 I H[RKSY KNOWLEDGE THAT I HAVE FLED4��D LAVATORY WMH OMEN O.'MO APPLICATION A D STATE THAT TNE AaOV[ I• CORR[CAGREE TO COMPLY WITH ALL COUNTY QRDINANCkKITCHEN SINK O.B OTATE LAWS REGULATING PLUYMING. I CERTIFY THAT 1 POSSESS THE MOVE VALILAUNDRY TUM TRAY O.50 ANGELS@ COU�NTTY�' LI fiINS[. OR 1 AM THE � GAL D V%� OF THE RKSIDBNTI R ARTY DKRCRI7[D ASOVE. GAS S1CST OUTLETS 0.60 SIGNATURE OR WATER HSA E2 0.00 PERM ITT SLOP SINK 0.50 INSPECTION RECORD FLOOR SINK 0.00 FLOOR DRAIN 0.50 DISHWASHER O.MO DRINKING FOUNTAIN 0.50 URINAL 0.00 J OUSE SEWER 0.50 MISCEJJIN[OUS E3 a O APPROVALS DAT[ 1 iA[CToR•• NAmig ROUGH PLUMBING GAS PIPING - �7 i GAM VErr CM"POOL 1.00 CESSPOOL SEPTIC TANKi SE'TIC TANK DRAIN ( ) PIT E ) Q 1.00 SEWER ' PERMIT . O 1. o GAO TEST 3' TOTAL FEE / DD UTILITY CO. NOTIFI[ Q FINAL 1 x° APPLICATION FOR PLUM E31NG PERMIT>�917.�°I7 BUIMING AND SAFETY DriMON I?.postmsdt of Co=ti EnSahmer Co>mtr of Los Anq.fes SU1LDIN0 —"25 Rabjn1200d JOHN A.LAMBIE,COUNTY F—NGiNSH}ZZ ADDREea CA-WATT 0.GRIFFIN,Su)~eof Bull-Drms LOCA Temple Ci FORAPPLIC.WTOFILLIN NeAkEgr CRO N 161 OWN" Clitf Spoon D167RICT NO. GROUP ZONE Rx"y FOR L"PICTION ADORE" 5825 b d 14-1 CITY T•C• T NO ffi 72311 WASTE RA PROVAI. PLUMBER Lynn L.Allen RMSMON ESCOED ADDRESS 2157 X. Durfbe CITY = MDnte TEL. NO. GI 846 LICENSE NO. 1673-50 NUHNIR TYrj[OF FIRTURi OR ftlm FR WATER CLOSET (TOILET) @ #1.00 BATH T D a 11.00 74, HOWER 0 ft.00 LAVATORY (WASH EABIN) a if'-00 KITCHEN SINK a 41.00 DISHWASHER a C.00 Xtr I,AUKDRY TUIS OR TRAY Q f 1.00 CLFXMESWAQHER $1.00 WATER HEATER ],00 G" 6[141 41.00 e- Goa a Vater & add Auto waaher APPROVALS DATE INSPECTOR'S SIGAATgRE UNDER8IAB WORK PERMIT # 1 00 ROUGH FLUbM'H46 OAS PIPING- LIBTOTAL FES GAS VENT BY jClTOWLEDG4 THAT I HAVE READ THIS APPLICATION HOT WATBR HEAT$R TE HAT TILE A90VE 18 CORRECT A)ID AGREE TO COMPLT LL COUNTY ORDIK"dM AND BTATH LAWS REGULATING PLUMDINQRLXTURES G, BY CERTIFY THAT 1 AY PROPERLY REGISTERED AAD/OR GA9 D AS REQUIRED BY LOS ANGELES COUNTY q BTATH OF NIA OR THAT I AN TH LEGAL OWNER O THE ABOVE UTILITY CO.NOTIFIlm ED REBIDENTIAL PROURERMITTEE ` INAL ROBERTA.WOOD, JOHN A_LAMI3IE ENOIN"M VAIMATION SUPMWISINQ MECHANICAL. ENG'R lci.7 R.o. cw 3 7 T, Yr'R 12 3 300 P WORKS I'S COMPENSATION Dec'"TION 7SAae8 f�YY o/BG I hereby afflrfhrtfll •thst,I have a oeoate of oonsent to self Insure, °"a�:^ APPLICATION FOR PLUMBING PERMIT or a'certHlcate of�orlgr a Compensation Insurance, of ■ oertffled oopy thereof(Seo.3800 Lab.C.) _ _ y COUNTY OF LOS ANGELES DEPT,OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Csc fled copy Is hereby ftwnlstred —�-� FOR APPL1Cu+T TO FLLjN(PRINT OR TYPQ BULDM ❑ Certfred copy is filed with the county b ktrg W"Won APDRES8 v/ dweirtlerlt f`. NUMBER FD(TURE OR rr9d •/ FEE LOCALITY ^ Data /v ApQ�oant WATER CLOSET mgr FICAT- OF FROM WORKERS' CR068 8T. COMPBJSAT)ON INSURANCE BATH TUB. ASSESSOR (This section need not be complstid if the work fmohr d by tf» r SHOWER MAP 9DQ( PAGE PARCFI permtt Is for one hundred do1Ws({100)or bee.) OWNER I oeriMy that In the perfortnanps of the work for whloh this perk LAVATORY Is Issued, I shall no; employ any person In any manner so as to / SISMArLO become subject to the Workers'Compensation Laws. DISWASHEI CITY TEL NO. Date APpk-rt CLOTHES WASHM NOTICE TO APPLICANT: l}, after making this Certlfloste of TT14CTOR' s Exemption,you should bsoome subfoct to the Workers'Compensation SWDAMNG POOL ROTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS provtstons or this permit shall be deemed revoked. LAWN f1PRPOCLEA SYSTEM IJCSI8MCONTRACTORS DECLARATION CrrY I hereby affirm that I ■m Iloonsed under provisions of Chapter 8 WATER T�1 (oommencing with Section 7000) of DhrhTon 3 of the Business and cine llTlFNO,OTa IIx MIM C gg Profeselens Codi,and my floeruend jle In Tull force aeffect _.�.Y NO �Y0�7LIQ- •r, 6P°�� LIIHDr�i Lkxxiva Number .IJo_ClewJ1 ,_ ATE t VALIDATION Corgrscx�l Date ❑ I am camp(under Seo. e ByZ y B.V C.f«this meson oar. PLQn check fed — , PLUMBING PERMIT ISSUING FEE ❑ _ Tb AL FEE ll�� �y� �p SfNGL.E FAMILY Y Pian dMeok aPP , 3307 28.03 HOME OWNHI-BUILDER DECLA. AT1ON Name - 1 ITct� I hereby affirm that I am exempt from the Contractor's license Law CJ h7 for the following reason ($eotfon 7031.8, Business end Professions Address TOTALCode): 28 - 110 ❑ I,as owner of the property,will do the work arid the structure Tel.Na cwai 28.010 Is not Intended or offered for sale (Section 7044, Bupiness CHANGE .� and Prof no Code). , JaraJ CONSTRUCTION LEIA NG AGENCY ��ytyt�tyy� I hereby affirm that there is a oonstructfon lending agency Tor the LItW—kJ l 1O/16/% perlermanoe of the work for which this permit In Issued (Seo. 3097, !J�m 1 AM9:� e LKWs Namb .7 7 Lenders Adidrese 1 certfy that I have read this applloatlon and state that the above , Information Is oorrect. I agree to compty with all County ordlru nose and State laws regulating Plumbing, and hereby authorize representathres of this County to enter upon the above-mentioned property for Inspection purpose•. SEE RElfF3 SE FOR E)GLJIIUTORY LAfNOVAGE rjc�s he f?7Co� oA(ER'SCOMPENSATION DECLARATION ;A66;aPWa/e9 APPLICATION FOR PLUMBING PERMIT roc oi�sOf/o }e�` I have a certificate of consent to self insure, '0C'o W&-ker's Compensation Insurance, or a certified aP 9 pec.3800 Lab.C.) Oce,ercr /a�? COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. �sG fir owls rre,. Company /'C�r rro ss'1fied copy is hereby furnished. BUILDING � O� hd Q FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS rhe�re�rhe rtified copy is filed with the county building Inspection rh BG 9� ,part ant. NUMBER FIXTURE OR ITEM @ FEE LOCALITY s�<,/- Es w p AppliWATER CLOSENEAREST CROSS ST. • /eco C>,' ERTIFICATE OF EXE TION FROM WORKERS' BATH TUB ASSESSOR r;`ersr�. COMPENSATION INSURANCE MAPBOOK PAGE PARCEL rjUa section need not be completed if the work involved by.the SHOWER Amit is for one hundred dollars($100)or less.) LAVATORY OWNER 'Pe, ceriity that in the performance of the work for which this permit MAIL Issued. 1 shall not employ any person in any manner so as to / SINK Q .ADDRESS js�, hzsecarre subject to the Workers'Compensation Laws. 'y Applicant DISWASHER CITY TEL.NO. '' Date Applicant CLOTHES WASHER CONTRACTOR s NOTICE TO APPLICANT. If, after making this Certiftcate of ExW4)doft,YOU SbOM beoome$Ubject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS f` �olloA ++i ftLiltwr.Cods,Yuu usual forthwithcomply with-such Gf/dal/ g provisions or this permit shalt be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION clTv 11! EL.NO.� , a I horeby pf(irm a2.1 am IlCensad tirtdsr provisions Of Chaptei 9 WATER HEATER STATE O C II ( re $ Ion 7p( o „�i{i�fCrl 3 of the Business grid GAS SYSTEM OUTLETS LICENSE NO`r C CLASS Prafe"Sorie'Code.and my ficva”ttt#n fuft force and affect. DISTRICT NO. OCESSED BY OUTLETS OVER 5 PER SYSTEM Car 7 Ltcensa Numt>� Lic.class - -� FINAL VALIDATION W DATE a„ Con+* o� r Date cr) F1FINAL z I am exempt under Sec. BY B.&P.C.for this reason Date: Flan check fee I Signature PLUMBING PERMIT ISSUING FEE$ 41 �a t ❑ TOTAL FEE L _ [Ilan check applicant SINGLE FAMILY __ HOME OWNER-BUILDER DECLARATION flame i f [_ri- j I hereby affirm that I am exempt from the Contractor's License Law — 3 for the following reason (Section 7031.5, Business and Professions Address i I f AL2S 1 Code): _ ❑ Gly Tel.No. _.�..�D_K ..._ I,as owner of the property,will do'the work and the structure f is not intended or offered for sale (Section 7044, Busine$S ► tiHANGE ■;jj_ and Professions Code). CONSTRUCTION LENDING AGENCY fiEt?Eti!—i I'! I hereby affirm that there is a construction lending agency for the - j performance of the work for which this permit is Issued(Sec. 309'x, =501 :.,■ tl Civ.C.) I Lender's Name Lender's Address a I certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-menU©aed f property for inspection purpose E" SEE REVERSE FOR EXPLANATORY LANGUAGE COLKTY OF LOS ANGELES TEMPLE CITY # 0508 PLLMING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TLMAS PL 0508 0107200003 BUILDING AND SAFETY / LAND DEVELOPMENT- TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PArff-- BUILDING ADDRESS: TR: 16957 LT: 61 BL: .001 5625 ROBINHOOD AV FEE DESCRIPTION: QU11NT I TY: LION: AMOLINT: TEMP CA 917802720 ASSESSOR INFORMATION NUMBa: NEAREST CROSS STREET: BOGLIE 8586-021-022 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 63 LOCALITY: TEMPLE CITY O7 BAT ITLBS/$HOYER8 1.00 FIX 16.20 TEKANT 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSM ON: PROMSED BY: PLAN BY: EXPIRES TOTAL FEES 60.15 07/25/01 LR 01/21/02OWNER: FINAL TE CODE: . LOUFEK LYNN F•BERTIE D (626) 445-8037 / 5625 ROI AV ION lkauv TEMP 91780270 - FINALIZE EXPIRED PERM 53350 JOHN YILDE (626) 44&2175-•' 4905 BALDWIN AVE SPECIAL CONDITIONS: TEMPLE CITY, CA y ANGEL SE CplCONTRACTOR: TEL. NO: \ APPROVALS DATE INSPECTOR SIGNATLIRE YILDE'S CONSTRLIO'TION (626) 448-2175- 4905 BALDWIN AVE LIC. NO .' LINDER SLAB WORK TEMPLE CITY CA, 91750 401407 B %j PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: -T E L-. NCF-.- LIC. GAS PIPING 1y` GAS VENT 2;?',`l L 01Y UL) LAWN SPRINKLERTr GAS TEST c Serer- GRAY WATER SYS I tA • ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROLITE TO: 880508