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Home My Public Portal About6340 ROSEMEAD BLVD_Plumbing__ 76A667-CE817-'c-57 E 1 APPLICATION FOR PLUMBING PERMIT L� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER B UILDING BUILDING AND SAFETY DIVISION SSJOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING ITY FOR APPLICANT TO FILL IN ST ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET ------------ - - MAIL BATH TUB ADDRESS SHOWER CITY TEL.NO. ' LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY TEL.NO. LAUNDRYTUB CONTRACTOR'S STATE -- REGISTRATION NO. COUNTY CLOTHES WASHER El DISTRIC 7 NO. GROUP ZONE READY FOR INSPECTION WATER HEATER -�J GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD S H6 APPROVALS @ $1.00 PER ITEM DATE INSPECTORS SIGNATURE OR FIXTURE $ UNDER SLAB WORK ROUGH PLUMBING PERMIT $ ;.-7 00 _- GAS PIPING TOTAL FEE1. GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING FL.UMBING FIXTURES PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER,OF THF ABOVE UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL PROPERTY SIGNATURE 2 J OFPERMITTEE `' '�� i�.-�'�s- FINAL LP) ROBERT A. WOOD, = VALIDATION SUPERVISING MECHANICAL ENG'R CK.. M. CASH 76A667-CE817-11-57 J- APPLICATION FOR PLUMBING PERMIT 4, COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ` BUILDING AND SAFETY DIVISION BUILDING �J JOHN A. LAMBIE, County Engineer ADDRESS CASSATT D. GRIFFIN, Supt of Building LOCALITY FOR APPLICANT TO FILL IN NEAREST NUMBER FIXTURE OR ITEM CROSS ST. OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY TEL. NO. LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY yL�.- TEL. NO. LAUNDRY TUB CONTRACTOR'S STATE ,❑ REGISTRATION NO. , COUNTY ❑ CLOTHES WASHERDISTRICTNO. GROUP I ZONE I READY FOR INSPECTION WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD � APPROVALS r @ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE OR FIXTURE $ _ UNDER SLAB WORK PERMIT 00 ROUGH PLUMBINGTD, TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATERS WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST F LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPE P. SIGNATURE r OF PERMITTEE / c /'-YF;">Jr-/�7-t�G- FINAL ROBERT A.WOOD. ®F VALIDATION SUPERVISING MECHANICAL ENG'R CK. N.O. CASH s76A667-CE817-8-57 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER , BUILDING BUILDING AND SAFETY DIVISION 2l ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM -� WATER CLOSET OWNER I,I alb MAIL / BATH TUB ADDRESS SHOWER CITY TEL.NO. LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY - TEL.NO. LAUNDRY TUB CONTRACTOR'S-1 STATE ` REGISTRATION NO. ? COUNTY ❑ CLOTHES WASHER DISTRICT NO. GROUP ZONE READY FOR INSPECTION WATER HEATER i C. GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD r 41i APPROVALS @ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE OR FIXTURE $ r ;!!.+ �1 UNDER SLAB WORK ROUGH PLUMBING PERMIT S 1 00 GAS PIPING TOTAL FEE L ,'' Q GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST F.ih�(' ?--!7•t;� / _ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 7.�/. ice.• CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED 2,17-5"j / DESCRIBED RESIDENTIAL PROPERTY._ SIGNATURE p ri OF PERM ITTEE FINAL !R ! P'ox z-�,. -�O ROBERT A. WOOD. O` VALIDATION SUPERVISING MECHANICAL ENG'R CK. l M. 0. CASH .. - 16. lei -7 A 6F7-TriCE 817 8/68 ^ • �� /�j APPLICATION FOR PLUMBING ERMITr ` • COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS b J O 'f/ SHOWER 1.50 CITY r.j. TEL. NO. ' LAVATORY 1.50 CONTRACTOR e S SINK 1.50 ADDRESS JD E.t! y, DISHWASHER 1.50 CITY ATUF )�I�pr /TEL. NO. �` CLOTHES WASHER 1.50 LIC LICENSE NO. y Y 7 CLASS C, p SWIMMING POOL RECEPTOR 1.50 � DISTRICT GROUP ZONE PROCESSED BY a LAWN SPRINKLER SYSTEM 2.00 V /� -I/ d O U WATER HEATER 1.50 INDUSTRIAL p WASTE APPROV _ H GAS SYSTEM OUTLETS 1.50 INS TION RECORD w OUTLETS OVERn- 5 PER SYSTEM .30 ��'- Z — x ;o b Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING F'F:E 8 2 00 TOTAL FEE D APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING -- Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER LA HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION D STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES H ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST MBING. HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR UTILITY CO. NOTIFIED ENSED ASREOUIRED BY LOS ANGELES COUNTY AND STATE OF LIFORNIA OR THAT 1 A THE LEGAL OWNER OF,AND INTEND TO IDE IN, THE ABOVE i RIBED RESIDENTIAL P P RTv. FINAL NATURE JACK R. ALLEN, SUPERVISIN HANICAL ENG'R. F PERMITTEE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH l.P' 20511IZ06 S&30 5D 18.50- m 76A667A_ CE P171RE V,.6/78) APPLICATION R PLUMBING PERMIT" COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET NEAREST BATH TUB CROSS ST. SHOWER OWNER LAVATORY MAIL ADDRESS SINK CITY TEL.NO. DISHWASHER CONTRACTOR CLOTHES WASHER 01 0111 ADDRESS SWIMMING POOL RECEPTOR CITY TEL.NO. LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. J CLASS Cr 2- GAS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK OUTLETS OVER 5 PER SYSTEM ROUGH PLUMBING GAS PIPING a GAS VENT HOT WATER HEATER IQ�� PLUMBING FIXTURES, GAS TEST. UD Plan check fee UTILITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ ' TOTAL FEE FINAL Plan check applicant PLAN CHECK VALIDATION Name Address City Tel. No. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ' q AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION ;2 /iL 1 1 t A I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE O O O O O 5 LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL q /� PROPERTY. L e� O O T Q O O SIGNATURE - OF PER ITTEE O O O ' 0,00x U DISTRICT NO. P C E ` Y 1.03-78 INDUSTRIAL WASTE APPROVAL WGRKERS'COMPENSATION DECLARATION APPLICATION -FOR PLUMBING PERMIT I hereby,.affirm that I have a certificate of consent to self'in- 20-0026 DPW 4/90 76A667A sure,or a certificate of Workers'Compensation Insurance,or a [� certified copy thereof'(Sec. 3800, Lab. C.) 1IuIl COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Iompany , Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /9�W Certified copy is filed with the co my building i pection ADDRESS!O department. NUMBER FIXTI)RE OR ITEM @ FEE LOCALITY WATER CLOSET(TOILET) Pate Applicant .J n NEAREST CERTIFICATE OF EXEMPTI N FROM WORKERRSS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER SHOWER (This section need not be completed if the work involved by MAILo the permit is for one hundred dollars ($100)or less.) LAVATORY 7 4 Q ADDRESS�p� I certify that in the performance of the work for which this per- O mit is issued, I shall not employ any person in any manner so SINK CITY /��- TEL. NO 3%-0 pd as to become subject to the Workers'Compensation Laws. tWSH � L7 L7 CONTRACTOR6 L..;64 �Ar_G C)N�-L—�, Date. Applicant CLOHES WAS ER NOTICE TO APPLICANT: If, after making this Certificate of Ex- a t�G ci ADDRESS�� A( P4- � �, T—e emption,you should become subject to the Workers'Compen- R 3J TEL. NO cation provisions of the Laba�';.'ode,you must forthwith comp- � - v ly with such provisions or this permit shall be deemed revok- `� a STATE '3 LIC. l� ed. / WATER HEATER /y LICENSE NO. J =-�1�� CLASS LJ LICENSED CONTRACTORS DECLARATION // DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter / GAS SYSTEM OUTLETS / 6, Q 9.(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER J'Qu �"� and Professions Code, and my license is in full force and ef- 02 5 PER SYSTEM �4• Q FINAL qVALIDATION fect. �y2( + HOSE BIB �� Q DATE License Number✓ 5 _ 0 Lic. Class V' A. r� �(� SLG. 9� FINAL Q V Contractor� ( .ipC� Date �� % a G BY G 1 am exempt under Sec. �- %Gsa• OLsC�j V B.&P.C. for this reasonbad Plan ch ck fee ab Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE SINGLE FAMILY applicant Plan check a HOME OWNER-BUILDER DECLARATION PP i 5 I hereby affirm that I am exempt from the Contractor's License Name ;t;ToA Law for the following reason (Section 7031.5, Business and Professions Code): Address 1146x6_e�4.3 11 3 0 I, as owner.of the property, will do the work and the City, Tel. No. 1 ITEMS structure is not intended or offered for sale(Section 7044, Business and Professions Code). , TOTAL 1146.60 ' CONSTRUCTION LENDING AGENCY CASH 1146°64 I hereby affirm that there is a construction lending agency for CHANGE .00 the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name 0040-0401 5/ 6/96 6235 1 AM 11"02 Lender's Address I certify that I hove read this application and state that the , above'information is correct. I agree to comply with all County ordinan es and State law egulating Plumbing, and hereby author' a represent tives f this Cou ty to enter upon the o -mentioned o ` for inspe on purposes. SEE REVERSE.FOR EXPLANATORY LANGUAGE ig{ ure.ol i e� Date WORKER'S COMPENSATION DECLARATION 20-0026 DPW 9/89 APPLICATION FOR PLUMBING PERMIT I hereby affirm that I Have a certificate of consent to self insure, 76A667A or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 lab. G) ' " Q 5��Gt�`l � p ,m m er COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No. 'Peompany Certified copy is hereby furnished. - ❑ / FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /- Certified copy is filed with the count pu(Idingrnspecti n ADDRESS (Q �[fl department. j P `�� NUMBER FIXTURE OR ITEM @ FEE LOCALITY �-Z:: 'X ► ( � D Date n A� 40 Applicant L��.F �� J R -Li/C. WATER CLOSET � '7 NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. "4 (moi n COMPENSATION INSURANCE ASSESSOR MAP BOOK (This section need not be completed if the work involved by the SHOWER ✓ �~ PAGE l PARCEL permit is for one hundred dollars($100)or less.) S LAVATORY S OWNER I certify that in the performance of the work for which this permit MAIL is issued, I shall not employ any person in any manner so as to SINK ' lJ ADDRESS become subject to the Workers'Compensation Laws. DISWASHER CITY f+ `�CQ7"�r ) TEL.N _ Date Applicant CLOTHES WASHER !� G ^� NOTICE TO APPLICANT: If, after making this Certificate of CONTRACT R AG LL s ` Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ��•��TTT 41 provisions of the Labor Code, you must forthwith comply with such ADDRESS �a provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. �f I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER 1 0 M 0- (commencing (commencing with Section 7000) of Division 3 of the Business and STATE E NO. LIC. O Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS LICENS ��p S` 8pZ CLASS 0 OUTLETS OVER DISTRICT-NO. . PROCESSED BY 5 PER SYSTEM 6 o f.0 � License Number Lic.Class `�� V 7 r 7 DATE VALIDATION d Contractor Date S v t D U) 1:1c FINAL I am exempt under Sec. / , � �5 BY r , B.&P.C.for this reason Plan check fee , / i(_ ! •_ Date: Signature PLUMBING PERMIT ISSUING FEE$ la-7 ❑ TOTAL FEE _ T"'- '- 11 Plan check applicant )�0 ;i ,@ R F SINGLE FAMILY HOME OWNER-BUILDER DECLARATION NameL(� ,^•_I(_; I hereby affirm that I am exempt from the Contractor's License Law CHECK for the following reason (Section 7031.5, Business and Professions Address ( 8'7 o�t�-v CFfE=.3 E �s_l;f Code): '1 City COS r' I,as owner of the property,will do the work and the structure Tel.No. «7 is not intended or offered for sale (Section 7044, Business 757-'73 ' I I='i T ;, ., 4 and Professions Code). JJ�I' 111 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, 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 above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0307150017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING D S: ON FILE 6340 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801544 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5382-021-026 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.20 TENANT: TOTAL FEES 43.95 ISSUE ON: PROCESSED BY: PLAN BY: EXPIRES ON: VALUEMART 07/15/03 JK 01/11/04 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: VANNIER WILTON E CO TR VANNIER TRUS DESCRIPTION OF WORK C/O WATER HEATER APPLICANT: TEL. NO: GENERAL INSTALLATION (323) 753-2541- P.O.BOX 43007 SPECIAL CONDITIONS: LOS ANGELES 90043 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE GENERAL INSTALLATION (323) 753-2541- 6558 WEST BOULEVARD LIC. NO UNDER SLAB WORK LOS ANGELES, CA 90043 151839/C36 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. NO: 'CATS-1i)I P I N G GAS VENT HOT WATER HEATER PLUM13ING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIE CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0703200006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 6340 ROSEMEAD BL IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801544 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN 15382-021-026 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl 1 147 WATER HEATER(S) 1.00 WTH 16.20 1 (TENANT: I TOTAL FEES 43.95 IISSUF,D ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 IVALUE MART FOOD WAREHOUSE 1 103/20/07 JK 09/16/07 IOWNER: TEL. N0: I IFINAL AT FI CODE: 1 1VANNIER WILTON E CO TR VANNIER TRUS (626) 291-5990- 1209 OAK MEADOW RD 1SIER 910242611 1 IDESCRIPTIOR OF WORK I I 1WATER HEATER CHANGE OUT I I I I (APPLICANT: TEL. NO: IGENERAL INSTALLATION COMPANY (323) 753-2541- IP.O BOX 43007 1 ISPECIAL CONDITIONS: I ILOS ANGELES CA 90043 I 1 I ! I I I ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 (GENERAL INSTALLATION CO. (323) 753-2541- 1 1 1 IPO BOX 43007 LIC. NO I 1UNDER SLAB WORK 1 1 1 ILOS ANGELES CA 90043 151839 C36 1 I 1 1 1 I i WATER SERVICE I i 1PLASTIC YIN METAL YIN 1 I (ARCHITECT OR ENGINEER: TEL. NO: I I I I I - I IROUGH PLUMBING LIC. NO: I 1 I 1 IGAS PIPING I 1 I I I I 1 I IGAS VENT I 1 I I I I 1 I 1HOT WATER HEATER 1 1 1 I I I 1 I I PLUr-SING FIXTURES 1-1I 1 1 I I I ILAWN SPRINKLERS 1 1 I I I I I I IGAS TEST I I I I I I 1 I 1UTILITY COMPANY NOTIFIEDI 1 I I I IcWV I I I I I IGRAY WATER SYSTEM I I I I I I I I I I I I I I I 1 I I I I I 1 I I I I I 1 IREPORT ID: DPR263 ROUTE TO: BS0508 I 1 I I I I I I I