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Home My Public Portal About5013 SANTA ANITA AVE_Plumbing__ ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0012190008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: L-EGAL I : FEES PAID BUILDING ADDRESS: TR: 13363 LT: 18 5013 SANTA ANITA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803618 ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: GRAND 8574-009-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TEAT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 12/19/00 UT 06/18/01 OWNER: TEL. N0: FINDAE �NAL BY: CODE: MOYERS LYNN D;SCHILDT DAVID R - � a�� 5013 SANTA ANITA AV TEMP 917803618 D CR TON OF WOR INSTALL GAS LINE FOR WALL UNIT APPLICANT: TEL. NO: AIR-TRO HEATING AND AIR COND. (626) 357-5311- 1630 S. MYRTLE AVE. SPECIAL CONDITIONS: MONROVIA, CA 91016 CONTRACTOR: TEL. N0: 4 i i ,-� ! ��c new,.; APPROVALS DATE INSPECTOR SIGNATURE AIR-TRO INC. (626) 357-5311- 1630 S. MYRTLE AVE. LIC. NO �� ^� ', ". D SLAB WORK MONROVIA CA 91016 258228 C20 s E•' f %', ''- •- �' �� WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. N0: f- _ ,' �! '� \ '•�� ROUGH PLUMBING LIC. NO: ' i' - I i - -� GAS PIPI G - --- — --- -- - - - -- -- --� GAS VENT i - WATER HEATER 1. �' ti -- - - - - - -- p PLUMBING FIXTURES LAWN S RINKLERS GA5 TESTdq�q qp UTILITY COMPA Y NOTI IED CwV �03'`s,\�''=s•ii!^.C: -r}� may;". GRAY WATER SYSTEM REPORT ID, DPR263 ROUTE TO: BS0508 76A667 (CE-817)-8-71 �✓ � r �,�Q�,� G�r� ✓� .�, APPLICATION FrOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS LOCALITY % FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER' FIXTURE OR ITEM @ FEE OWNER WATER CLOSET 1.75 MAIL BATHTUB 1.75 ADDRESS SHOWER 1.75 C ITY TEL. NO. LAVATORY 1.75 CONTRACTOR SINK 1.75 7,r ADDRESS DISHWASHER 1.75 CITY G� TEL. N0. Q ua - CLOTHES WASHER 1.75 STATE LIC SWIMMING POOL RECEPTOR 1.75 LICENSE NO. p( ,� CLASS DIS9$1COT NO. G j� -I P ESSED BY LAWN SPRINKLER SYSTEM 1.75 'tea 5 'GfV� WATER.HEATER .1.75 INDUSTRIAL 1' WASTE APPROVAL O GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM .30 t Z O V N m Plan,check fee See reverse. PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE �Q APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO .COMPLY PLUMBING FIXTURES . WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND TATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AN NTEND TO RESIDE IN THE ABOVE DESCRIBE ESIDENTI PROP FINAL SIGNATURE OF PERMITTEE PERMIT VALIDATIO CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH :5989 1 Y-1 -i D ( „rj N a, 76AS67-C1#81.7 1.2-64 APPLICATION FOR PLUMBING PERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING �Q f JOHN A.LAMBIE. COUNTY ENGINEER RESS COLEMAN W. JENKINS,SUPT OF BUILDING , LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 BATH TUR 1.25 ADDRESS w SHOWER 1.25 CITY p EN LAVATORY 1.25SINS 1.25 ADDRESS wDISHWASHER 1.25 T �j013 S LAUNDRY TUB 1.25 CON OR'8 COUNTY . REGIS ION N CLOTHES WASHER 1.25 DISTRICT N GR P O S BY WATER HEATER 1.50 ! n V 4. GAS SYSTEM OUTLETS 1.50 WASTE MAP ROVAL OUTLETS.OVER 5 PER SYSTEM .90 INSPECTION RECORD O w ca 11.4 �v,�sir�' 9 'r' ?>; J 'r t��,= 2S�G:a- I to APPROVALS DATE INs Eci E PERMIT $: 2 00 UNDER SLAB WORK. ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT ANO STATE-THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 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 I AM E'L AL OWNER OF AND INTEND TO RESIDE IN,THE ABOVE DES BED ESIDENTIAL PR RTr. UTILITY CO.NOTIFIED .� SIGNATURE ® ¢ OF PERMITTEE FINAL VALIDATION ROBERT A.WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R Llo 8 3 2 512 DEC27 5 D 3.5 0- 1 ' n.B.s:-i7 zone SETS'12.46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY-OF LOS ANGELES L � WM.J. FOX,CHIEF ENGINEER ImAx NATURE OF .INSTALLATION DISTRICT NO. GROUP ZONE' PERMIT NO. ROUGH °FIXTURES 'COMPLETE. � �` I — -7, �L 7 HBATER CESSPOOL 86PTIC TANK E EI D Y READ FOR DATE ISSUED r� FIRST INSPECTION GAS .MISCELLANEOUS - � V � /"•~� r�� APPLICFILL IN HEAVILY OUTLINED .]-PORTION- O L� JOB may/ �. E. + NAME- 0 ADDRESS: "� W .. ... ...... - .ADDRESS LOCALITY A NEAREST E CITY TEL.No. CROSS 8T:_. COUNTY • , CERT.No. EXPIRES IK I NAME. i- LOCATION OF SEPTIC TANS, OR CESSPOOL Z MAIC 3 NORTH O ADDRESS ' - CITY TEL No. I .AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES'COUNTY CERTIFICATE OF QUALIFICATION. ' PLUMBER • ! AM THE LEGAL OWNER OF THE PROPEWDESCI11tED ABOVE.iq i OWNER CORRECTIONS SOUTH DESCRIPTION OF WORK ATH TUB FURNACE ROWER DISHWASHER O LAVATORY REFRIGERATOR ITCHIEN BINK WATER SOFTENER FLOOR BINK SAND TRAP LOP BINK FLOOR DRAIN ` WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN., DATE P6GiO2'8 NwNB ATER HEATER. ^ENTAL_.LAVATORY -ROUGH PLUMBING ETER 2 GAB SODA FOUNTAIN OU.TL GAS PIPING I: - GAS VENT ' CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK ESBPOOLSEPTIC TANK : SEWER. I S: r UTILITY CO.NOTIFIED I I I , TOTAL- FEES I �"'� FINAL 76AB87-CE817-8-58 ' • -APPLICATION FOR .'PLUMBING 'PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGmm k BUILDING AND SAFETY"DM$IONS. BUMDING JOHNA. , BnADDRESS p _ SS&TT D.GRRTn,Wt of� J / LOCALITY ff FOR APPLICANT TO FILL IN C ' ,v'nav� ROSS ST.' NUMBER FIXTURE OR ITEM dyCfl / OWNER WATER CLOSET .� um ' BATH TOB AlDIDRESS tiJ D� lGt��f ��yd'�i✓/5 SHOWER CITY✓fyi! t TEL.NO. Oii `•- ® LAVATORY CONTRACTOR Dp },� sm ADDRESS/ �r�vds��5�f.+P'lJD/✓ yC� DISHWASHER CITYA44, 4e-12f TEL.NO. /EO CONTRACTOR'S REGISTRATION NO.A� Z5 COU ATE TOS COUNTY ❑ CLOTHES WASHER DISTRI NO. GRO ZONE SSED BY WATER RESTER GAS SYSTEM nmUSTRIAL WASTE APPROVAL r INSPECTION RECORD APPROVALS @ $1.00 PER.ITEM DATE INSPECTOR'S SIGNATURE 8 FIBTORE $ `1 �� UNDER SLAB WORK PERMIT $ P-100 ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING: PLUMBING. PLUMBING FIXTURES 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 I AM THE LEGAL OWNER OF THE ABOVEUTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL- "� FINAL SIGNATURE , OF�PERMITTEF ROBERT A.WOOD. 01ALIDATION SUPERVISING MECHANICAL ENG'R '.0. CASH �AC0 7 9 8 96A Jura 15 5 .-A 5.0 0 M 76AS67 17 9-49 ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING �� ' COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. PLUMBER Revere Service CorDe RECEIVED BY READY FOR DATE ISSUED FI ISP��CT ON ADDRESS 11811 Teale St., BUILD �7 ADDRESS Double Dr-b NG CITY CulvCOUNTYer r+tliRt31 TEL. NO.L � (2153 LICENSE NO. 6!7O M EXPIRES V-9O 51 LOCALITY TaB11lz lA �ity NEARESTCROSS ST. Live �8$ Avee PERMIT FEES NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER GO Ft Stockwell I WATER CLOSET (TOILET) Q 0.50 I S ADDRESS Same as albove BATH TUB 0.50 I I CITY TEL. NO. SHOWER 0.50 I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q 0.50 I STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE. R 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPER DESCRIBED ABOVE. GAS SYSTEM OUTLETS a 0.501 SIGNATURE OF - i A WATER HEATER (it 0.501 PERMITTEEIEEE I SLOP SINK 0.501 INSPECTION RECORDxA�' FLOOR SINK a 0.50 1 FLOOR DRAIN 0.50 1 DISHWASHER a 0.501 DRINKING FOUNTAIN a 0.501 1 URINAL (a O.So I I ,J I HOUSESEWER (il 0.501 1 z MISCELLANEOUS (� 1 Water Softener i� 0 0 0 I�. APPROVALS DATE INSPECTOR'S NAME 1 ROUGH PLUMBING GAS PIPING 1 I I GAS VENT CESSPOOL a 1.001 CESSPOOL SEPTIC TANK: I SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 I SEWER PERMIT . I 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE 15 1 150 FINAL 7@)I,;4 17 5-80 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE_ PERMIT NO. l PLUMBER RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS BUILDING � CITY + TEL. NO. ADDRESS 1 �� COUNTY LOCALITY � LICENSE NO. � EXPIRES , NEAREST ! PERNIIT FEES CROSS ST. 7 NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) 0.50 $ ADDRESS d BATH TUB R O.50 CITY TEL. NO. ' SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK ( 0.50 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ O.50 • SIGNATURE OF WATER HEATER ® 0.50 PERMITTEE SLOP SINK 0.50 INSPECTION RECORD FLOOR SINK A 0.50 FLOOR DRAIN 0.50 DISHWASHER 0.50 L _ G A4 �!rs '7 DRINKING FOUNTAIN 0.50 A« 'j'' ' 'OOC7 A?4 i+ P+ s') r URINAL @ O.SO J HOUSE SEWER ® 0.50 Q Z MISCELLANEOUS C� O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) ® 1.00 SEWER PERMIT . 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE I $ _o FINAL ION WORKER'S I have a certificate of consent to !20-0028 DPW PN19189 APPLICATION FOR PLUMBING PERMIT u I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance,or a certified coogp/y,thhee eof(Sea..3880000 Lab.C.) oiPricy F." 17W Company--; COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. ❑ Certified copy Is hereby furnished. ADDRESS FOR APPLICANT TO FILL IN(PRINT OR TYPE) ® Certified copy is filed with the county building inspection department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY ;�� e DatakZil-,4Applicant WATERCLOSET NEAREST �+ f� CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE ASSESSOR f (This section need not be completed if the work Involved by the SHOWER MAP BOOK PAGE PARCEL permit is•for one hundred dollars($100)or less.) OWNER I certify that in the performance of_the work for which this permit 2 LAVATORY "2410 OD is issued, I shall not-employ any person In any manner so as to ` SINK, ADDRIL ESS Sal � >g?�g become subject to the Workers'Compensation laws. p� DISWASHER CITY . C� i�DQ TEL.NO Date Applicant ' CLOTHES WASHER CONTRACTdr OR "vr NOTICE TO APPLICANT: If, after making this Certificate of Exemption, Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the.Labor Codei.you must forthwith•comply with such .. /07.0/y, IP provisions or this permit shall be.deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITYj1a �j 4 6 TEL N - — / d I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER p (commencing with Section 7000)of Division 3 of the Business and GAS SYSTEM OUTLETS ILCENSE NO. �f�y 2 CLCASS V Professions Code,and my license is in full force and effect. OUTLETS OVER DISTRICT NO. PROCESSED BY g 5 PER YSTEM O LIcense.Numbe /X� Lic.Class'✓ �� - _ V DATE Z 3 FINAL VALIDATION 111 Cc itracto ate –�— CA ❑ FINALt Z I am exempt under Sec. . BY ACCT e'r B.&P.C.for this reason 33117 141.15 Date: 'PI3fi�Ch6CkfGe • , m i,I�MS PLUMBING PERMIT ISSUING FEE'$ Signature adl' TOTAL FEE TOTAL �. 1. 15F1 �r CHECK 14 1.i` Plan check applicant A( eR I SINGLE.FAMILY j CHANGEo(�C HOME OWNER-BUILDER DECLARATION Name / �/l I hereby affirm that I am exempt from the Contractor's License Law for the following reason ($action 7031.5, Business and Professions' Address Q� oG Cade): City� / oDDo—O�li ❑ S j-e�' I,as owner of the property,will do the work and the structure ; I Tel.No. 6432 1 �i�°o iQ Is not intended or offered for sale(Section 7044, Business and Professions Code). A CONSTRUCTION LENDING AGENCY I hereby affirnthat 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 f ` 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 propetty for inspection purpos SEE REVERSE FOR EXPLANATORY LANGUAGE Sianature of Permittee Date