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Home My Public Portal About5450 ROSEMEAD BLVD_Plumbing__ NBAe7 IG BA APPLICATION FOR PLUMBING PERMIT 1 DrMON OF BULDING AND SAFELY DtpaMmaet of County fSRgi Saar Cotmty of Los Angdtt euILDINa WM J FOX COUNTY ENGIN®t ADDRE88 O MLrh CASGATT D GRIFFIN aDP T OF MUILDINO LOCALITY LI y� FOR APPLICANT TO F= IN NEAREST W A OWNER O r/ O ry mall igig DISYRIC7 NO GROUP I ZONE RUDE LOA INtlrGi IDE MAIL ADDRESS �L INDUSTRIAL CITY .4/ WASTE APPROVAL PLUMBER Io NO//V/00 INSPECTION RECORD S P[ f ADDRESS J�..11 ✓ew R ✓ OE RS) ry CITY DO A'V TEL NO TO- 6 1 1 LI EN ENO 1491L I e a 3 6 NUMBER ME or FII(TURE OR ITEM FEE 2 WATER CLOSET (TOILET) s BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER TOTAL NO 080 20 APPROVALS DATE INSPECTOR S SIGNATURE SAS SYSTEM OUTLETS ® 100 UNDER SLAB WORK WATER HEATER 1 00 11 �l S ROUGH PLUMBING PERMIT t 1 00 OAS PIPING TOTAL FEE AO GAB vENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER _ AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REONLATING PLUMBING FIXTURES PLUMBING 1 HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR AS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY SIGNATURE OF PERMITT FINAL i O moi.• WILLIAM J FOX.COUNTY ENGINEER VALIDATION 130 AM27 3 420 � By r? DEPUTY m 75AnEAT(C9 8170) -ApF & APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPEI BUILDING S AN $ASEtIDead NUMBER FIXTURE OR ITEM 0 FEE WATER CLOSET LOCALITY Temple City BATH TUB NEAREST CROSS ST Q SHOWER OWNER U.S.A. Petroleum LAVATORYIL D AADDDRESS 2633 — 26th Street SINK CITY Santa Monica TEL NO 333-4772 DISHWASHER I CONTRACTOR Owen Bros. Plumbing► Inc. CLOTHES WASHER •I ADDRESS 4265 N. Baldwin Ave. SWIMMING POOL RECEPTOR CITY BZ Monte TEL N0443,M8 LAWN SPRINKLER SYSTEM STATE ''I WATER HEATER LICENSE NO 231 741 LIC ASS C36-20 GAUSTSEY7STEEyM OUTLETS 06TR� UP ;ONE Y O PER S55TEM INDUSTRIIALL �f WASTE APPROVAL EL' INSPECTION RECORD W d N Plan check fee PLUMBING PERMIT ISSUING FEE f t) TOTALFEE Plan check opplitanr NOTe APPROVALS DATE INS TOR S SIGNATURE UNDER SLAB WORK '-/24 Address ROUGH PLUMBING - 37 CITY Tel No GAS PIPING 1 HEREBY ACNNOWLEOGE THAT I HAVE NEAR THIS APP ATNIN AND STATE GAS VENT THAT THE ABDVE R COMECT AND AGREE TO COMPLY WIT(ALL COUNTY ONDMANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER I HEREBY CERTIFY THAT I Ar PROPERLY REGISTERED AMD/011 LICENSED AS PLUMBING FIXTURES REGU111ED BY LOSANGELES COUNTY AND STATE OF CAUFORN A OR THAT I Ar THE GAS TEST WN LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITYCO NOTIFIED SIGNATURC OF PERMITTEE FINAL PLAN HECK VALIDATION CB mo CASH PERMIT VALIDATITNCL9_ECv P E8'3 5VAPR 10 1 6.0 0 Aft TaAaaT-cENen e as APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BOLLDDRa JOHN A LAMBIE COUNTY ENGINEER ADDRffiS COLEMAN W JENKINS SUPT OF BUILDING LOCALITY FOR APPLICANT TO FDS IN CROSS BT NUMBER FIXTURE OR ITEM EACH PER OWNER WATER CLL ET $1 25 KAZ BATH TOR 175 DRESS 5 SHOWQ 175 CTR „ TEL Nq4f LAVATORY 173 CONTRACTORpi BDR 173 ADDRESS DISHWASHER 125 CRT TEL NLAUNDRY TDB 173 STATE LILICENSE NO O CLCLOTHES WARNER 115 DISTRICT NO O UP ONQWATER HEATER 130aAasxarEeSoarISTB 150 ASTOEAPPROVAL ,(((�+Lq,-9-17O RIAL OOTLEIS DVIOI 3 PER BTSTEId 00 INSPECTION RECORU -LPGG W i 1 z Z_ Tom.: APPROVALS DAT! INSmc ONATUN[ PERMIT i 2 00 UNDER SLAB WORK / ROUGH PLUMBING TOTAL FEE GAS PIPING I NEMBYSTATZ ACT TH9 DO[ THAT I NAV[ AND THIS ARL I4TION GAS VENT Ano RAT[ TNAT TN[ ROINA 1[ CO ND T AND LAG�AWS E COMPLY WITH ALL COUNTY WOINAMCi[ AND RAT[ LAW[ REGULATING PLu nelnG NOT WATER HEATER I M[ROY CRWIFY THAT I AM FRGRRLY RMOISTSIMID ANO/OR PLUMBING FIXTURES _ ucw[[D A[ P[Gm Y w[ ANGELES COUNTY AND STAT[ OF GAS TEST CALIFORNIA ON T GAL OWNER N OF AND INTEND TO P[[IDLw TN[A [ [11D[MTIAL PNGINI[PTY UTILITY CO NOTIFIED QIGNATUR[ OP PQRMITTQ[ FINAL r /VOLT IDAITON CN M O CASH LAL,O3 7 6 1—� JUL 27 5 D 9.50" f 76A567-CEb SIT 6 65 APPLICATION FOR ]PLUMBINIb PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION 1DU.DLNO b /D ' JOHN A LAMBIE COUNTY ENGINEER ADDRI'98 COLEMAN W JENKINS SUP T OF BUILDING LOCALITY Gi FOR APPLICANT TO FILL. IN CROSS ST NUMBER FIXTURE OR ITEM EACH FEE OWI® WATER CLOSET Stu IIAII. RATH TDB IRS ADDRESS SHOWER IRS CITY gCLA LAVATORY 115 Q CONTBACTOI SDI[ IRS ADDRESS DISHWASHER IRS CITY B Izs 5 aD STATE C LICENSE NO / /CLOTHES WASHES 125 DISTRICT NO O P WATER HEATER 150 Q rINDUSTRIAL OAS SYSTEM OUTLETS I `� WASTE APPROVA(OUTLETS OVER 5 PER SYSTEM 5015rn Alt? PECTION O 1 Z APPROVALS DATE InEP EICHATURE PERMIT S Z 00 UNDER SLAB WORK - ROUGH PLUMBING TOTAL FEE GAS PIPING S I HSRETv THAT THL[OO[ THAT I NAV[ RSAAND TNI[ ATO COMPLY GAS VENT AND [ALL THAT TH[ OINA IE CO AND S AND AGMLAWS E COMING NUMBING COUNTY MOINANC[[ AND [!AT[ uw[ R[aulATina HOT WATER HEATER _�- I HSD<oY CIRfIIY THAT 1 AM PROPERLY N[OIR[R[D AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED OY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE A[OW DESCRIBED RESID IAL PACPSRTr UTILITY CO NOTIFIED SIGNATURE -7 OF PERMITTEE All FINAL ALIDATION (vCK/ M O CASH LACo1 0 3 4�8 APR 6 5 D 1 625- b gwkt,� WORKERS Ihave COMPENSATION cafe ofA once 4 APPLICATION FOR PLUMBING PERMIT /� I hereby affirm cep that I have a certificate Comte of 44onsent to self 7ag6yA c+ �pS P�Iv�'C L w/7 imure or a certificate of Workers Compensoiion Insurance CE 817(REV 10/87) '�F�- �4 (] l��'IV or a certified copy thereof (Sec 3800 Lab C) / i COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Certified copy is hereby furnishedBUIIDI FOR APPLICANT TO FILL IN(PRIM OR TYPE) AODRE Certified copy is filed with the county budding unpec- tion department / NUMBER FIXTURE OR ITEM ® FEE LOCALITY Dote //-A 91 AppliSant ^f /1Lp/Ll WATER CLOSET NEAREST �p f CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE (This section need not be completed Re work Involved by SHOWER OWNER MalthePermit Is for 9"hundred dollen({100)or len) LAVATORY ADDRESS 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 Cm TEL NO so as to become sublect to the Workers Compensation Laws DISHWASHER COMRP.CrOR A 4A /Date Applicant CLOTHES WASHER ADDRESS _ _OTIpt TO APPLICANT If, cher risking this Certificate of SWIMMING POOL RECEPTOR Workers'Exemption you should become subject to the Woers' Compensation provisia of the Labor Code you must forth LAWN SPRINKLER SYSTEM CITY •f TEL NO with comply with such provisions or this permit shall be STATE •J LIC deemed revoked WATER HEATER LICENSE NO CSS LICENSED CONTRACTORS DECLARATION DISTRICT NOPROCESSET)B I hereby offum that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINAL VALIDATION y ��_A� q 6 C DATE License Number SLJO LK Clan 3F/ — OC 1/ Q �_ FINAL �•�� O Comractor,4l La&,, Date BY ❑ I am exempt under Sec B BP C for this reason Plan check fee 52 D to PLUMBING PERMIT ISSUING FEE$ $gnnti r TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Nome is I hereby affirm that I ism exempt from the Contractor's License Address Law for the following reason (Section 7031 5 Business and ( 4 9 7 A Professions Code) City Tet No ❑ 1, as owner of the property will do the work and the 1 • a • • • Jr structure is not intended or offered for sole (Section 70" Business and Professions Code) 2's • 4 4,i5 0 CONSTRUCTION LENDING AGENCY a s• • 4 4,5 O um I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued ) 1 1 0—8 2 (Sec 3097,Civ C ) Lender s Name Lender's Address I certify that I have read this application and state that the polo 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 i ection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE -SqKatvA of Permmee Dote I COUNTY OF LOS ANGELES TEMPLE CITY $ 0508 `PPLI INGIPERMIiN DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL70508I9901050013 qWILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 •� - PHONE (626) 285-0488 EXT LEGAL ID FEES PAID SUILDINGADDRES TR 11218 LT 2 BL A �9010IBR_OADWAYM FEE DESCRIPTION QUANTITY LON. AMOUNT TEMP�CA'917802310 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET 5388-003-003 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY 47 WATER HEATER(S) 1 00 WTH 16 20 TENANT TOTAL FEES 43 95 EXPIRES ON' - 01/05/99 UT 01/05/00 OWNER TEL NO. FINAL DATE FINAL 8 SITEMAN ROBERT;BARBARA TRS - / 1647 WICKLOW CT l THOUSAND OAKS, CA 6ESCRTg1 Im,6_ -----r i CHANGE-OUT OF WATER-HEATERAPPLICANT TEL NO r - SAME AS OWNERCONTRACTOR TEL NO - SPECIAL CONDITIONS 5 PTIGELES Co APPROVALS DATE INSWr6ff7§raUrUffE__ SAME AS OWNER LIC NO LINDER SLAB WORK WATER SERVICE f% PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER ROUGH PLLE40ING LIC N4 GAS VENT Ill llll PUBLIC WORKS HOT WATER HEATER GAS TEST QDSUTILITY COMPANY NOTI v6//c Service Tha��ctCWV REPORT ID DPR263 ROUTE TO BS0508