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76A667-CE.#B17 2-82 ia�/ � � -•
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS S— ,3
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
41
FOR APPLICANT TO FILL IN NEAREST ,
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY 7L. NO.
LAVATORY 1.25 CONTRACTO Ict�
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑.
REGISTRATION NO. QLrCr.� COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P EBBED BY
WATER HE 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER S PER SYSTEM .30 INSPECTION RECORD pr
0
W
N
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED REST AL PROP UTILITY CO.NOTIFIED _
SIGNATURE I 1 41
OF PER.MITT
FINAL "' ,'oi�,'"� c..z.-••�'.` '�.=s�".r c�
ALIDATION ROBERT A.WOOD Y
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
uj+,o81 ? oQDrC 7 ' 5D 3.50- 9
76A6670DBS"s-s, APPLICATION FOR PERMIT
DARTM�1�1'T OF BUILDING AND SAFETY PLUMBING
� COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
os R . GR P zo .
F APPLICANT TO FIL IN
rADDREBS
ER /�� RECEIVED BY READY FOR DAT ISSUED
J FIRST INSPECTION
BUILDING 7
OITY TEL.No. ry ADDRESS c�JJ p
COUNTY"' / ry LOCALITY �.lC
L NSE NO. (O EXPIRES / /7
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWN
MAIL r--�
WATER CLOSET(TOILET) 0.50 ADDRESS,.!J a-_�?
/ BATH TUB Q 0.50 CITY , TEL
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
^ LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES=
KITCHEN SINK 0 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1,PpSBEBB THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LI ENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTI ROPERTY DESCRI kb ABOVE.
GAB SYSTEM UTLETB 0 0.50
SIGNATURE OF
WATER HEATER 0.50 PERMITTER
SLOP SINK @ 0.513 INSPECTI RECORD
i
FLOOR BINK 0.98 `-
FLOOR DRAIN 0.50G^I/ L�lf/
DISHWASHER O.$O
DRINKING FOUNTAIN 0.50 —
URINAL 0.50
HOUSE HEWER 0.50 / Z
MISC LLA EOUB ' 0
2
C14.p / c�luic�
z APPROVALS 29Cl
em!Z wpxvz ~ DATE Irmpra.0111111 NAME
B V V-S. &Ldgx gw� ROUGH PLUMBING
*- BZPTIC
G PIPINGVENTjrTEVU13L -t r Q 1,013 CE89P130L
TANK. SEPTIC TANK
DRAIN ( ) PIT ( ) 0 1.00 ELISEWER
PERMIT 1.1310 GAS TEST Aff
C/
UTILITY CO.NOTIFIED
F
TOTAL FEE
I NAL
v• `WORKERS'COMPENSATION DECLARATION 4
I hereby, affirm that I have'a certificate of consent to self in- 20-0026, 4/87 APPLICATION FOR PLUMBING PERMIT
sure,or a certificate of Workers'Compensation Insurance)or a CE 817(REV.8/86) i
certified copy thereof(Sec. 3800, Lab. C.) I I LLLJJJ
Policy No. Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
Certified copy is hereby furnished., I
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
Certified copy is filed with the county building inspection ADDRESS L:
I NUMBER FIXTURE OR ITEM LOCALITY
department: @ FEE i
Date Applicant I WATER CLOSET(TOILET) NEAREST !
CERTIFICATE OF EXEMPTION FROM WORKERS'
BATH TUB CROSS ST. �J r-J L
COMPENSATION INSURANCE I SHOWER ; OWNER '
(This section need not be completed if the work involved by MAIL
the permit is for one hundred dollars($100)or less.) I LAVATORY ADDRESS
I certify that in the performance of the wor or w ich t4n�
r- CITY TEL. NO.
mit is issued, I shall not employ any pers in ny m o SINKas to become subject to the Workers'C/ alio DISHWASHER CONTRACTOR
Date ��� Applicant CLOTHES WASHERADDRESS
NOTICE TO APPLICANT: If, after making this Cer ificatSWIMMING POOL RECEPTOR
emption,you should become subject to the Workers'Compen- CITY TEL. NO.
'sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM
ly with such provisions or this permit shall be deemed revok- STATE LIC.
ed. WATER HEATER LICENSE NO. CLASS
LICENSED CONTRACTORS DECLARATION • DISTRICT NO. PROCESSED BY
I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS I
9(commencing with Section 7000)of Division 3 of the Business OUTLETS.OVER +
fed Professions Code, and my license is in full force andief- 5 PER SYSTEM FIN VALIDATION a
DA �f - O
License Number Lic. Class s U
FI 01:
Contractor Date B O
� V
I am exempt under Sec. I W
B.&P.C..for this reason
Plan check fee
Date:
• I PLUMBING PERMIT ISSUING FEE$ a ��7 ILO A
Signature TOTAL FEE �7V
SINGLE FAMILY # a`o a o 0 5
HOME OWNER-BUILDER DECLARATION Plan check applicant I o- 16,50
1 hereby affirm that I am exempt from the Contractor's License Name
Law for the following reason (Section 7031.5, Business and o o '0 1 b 5 0 0
Professions Code): Address ! 09,22-88
I, as owner of the property, will do the work and the City Tel. No.
structure is not 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 j
(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 „
ordinan an State laws egulating Plumbing, and hereby
oufho•1 rRfrbsentotives of this Coun>ep enter upon the
ab o honed p y for inspect' uroses.
�l (��d23 SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
Y
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT GV PUBLIC WORKS 9701 LAS TUNAS PL 0508 0603140008
BUILDING ASID SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 5434 RYLAND AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802721
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5586-025-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: ERPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 03/14/06 JK 09/10/06
TOTAL FEES 76.35
OWNER: TEL. NO: FINAL D E FINAL BY: E:
YANFEN WONG WAX MING (626) 442-9316-
543 �
5434 RYLANAND AVE
TEMPLE CITY CA 91780 DESCRIFT=N OF WORK
PLUMBING FOR BATHROOM
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
PATRICK CHIU AND ASSOCIATES (626) 308-9983- ROUGH PLUMBING
821 S. GARFIELD AVE., #202 LIC. NO:
ALHAMBRA, CA 91801 NONE GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
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 0602270015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 5434 RYLAND AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802721
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8586-025-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: BXPIRE3 ON:
13 DISHWASHERS) 1.00 FIX 16.20 02/27/06 JX 08/26/06
21 HOSE BIBB(S) 1.00 FIX 16.20
OWNER: TEL. NO: 25 LAVATORIES/SINKS 2.00 FIX 32.40 FIN1jd+ E FINAL BY: CODE:
YAN FEN C/WONG WAI MING (626) 442-9316- 45 WATER CLOSET/URINAL 1.00 FIX 1620 /�j
5434 RYLAND AVE 47 WATER HEATER(S) 1.00 WTH 16..20 vv
TEMPLE CITY CA 91780 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 DES9RIPTION OF WORK
60 DWV REPAIR OR ALTER 1.00 SYS 16.20 PLUMBING FOR BATHROOM AND KITCHEN
63 WATER PIPING BR/FIX 1.00 FIX 6.75
APPLICANT: TEL. NO: TOTAL FEES 196.50
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE /
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
PATRICK CHIU AND ASSOCIATES (626) 308-9983- ROUGH PLUMBING Z
821 S. GARFIELD AVE., #202 LIC. NO:
ALHAMBRA, CA 91801 NONE GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BSO508