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Home My Public Portal About5111 SANTA ANITA AVE_Plumbing__ QBABFJ.-G�81�-1157, APPLICATION',FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES , DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILD UI DIN -JOHN A.LANIRM County ez ADDRESS G ,(' AS$ATT D. CzZn Ti.Supt of�ulld-s LOC ALITY FOR OR TO FILL IN NEAREST CROSS ST. i NUMBER FIXTURE OR ITEM WATER CLOSET OWNER MAIL BATH TIIB ADDRESS C TEL NO. • SHOWER LAVATORY CONTRACTOR o gig 443612 ADDRESS DISHWASHER CITY a TEL NO TUB CONTRA R' STATE LAUNDRY REGISTRATION NO. Q4.1 COUNTY CLOTHES WASHER } GROUP ZONE READY FOR INSPECTION DISTRI NO: WATER HEATER GAS SYSTEM INiDIIS WASTE.APPROVAL INSPECTION RECORD Ile APPROVALS $1.00 PER TEEM OR FDITURE DATE. INSPECTOR'S SIGNATURE $ UNDER SLAB WORK PERMIT $ 00 ROUGH PLUMBING TOTAL.FEEGAS PIPING ✓c� d� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER I 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 ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIA PROPE Y. SIGNATURE OF PERMIT T FINAL ;,.....,..:; ROBERTA.WOOD. Of VALIDATION SUPERVISING MECHANICAL ENG'R CE. N.O. CASH � ' 0067 ` WORKERS'COMPENSATION DECLARATION - APPLICATION FOR PLUMBING PERMIT •I hereby,nffirrr/„thpt I have a certificate of consent to self ] / 87A insure, or a certificate of Workers'Compensation Insurance, CE 117(REV.8/88) •or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES ®SPT. OF PUBLIC !A/OfiECS Policy No. Company Certified copy is hereby furnished. F ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) .BUILDING Certified copy is filed with the county building inspec- ADDRESS tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY ` Date Appllgont WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER J't6 (This section need not be completed if the work involved by SHOWER the permit Is for one hundred dollars($100)or less.) LAVATORY MAIL ADDRESS I certify that in. the performance of the work for which this permits issued, I shall not employ any person inany manner SINK CITY" n r.� TEL.NO.1119rX �7 so as to come subject to the Workers'Com sation s. DISHWASHER 1 L' ` CONTRACTOR Dat pplicanf CLOTHES WASHER ADDRESS NOTICE T PPLICANT: If; afte making t ertificate of SWIMMING POOL RECEPTOR A4 !Tf Exemptio , you should beco a subject to the Workers' CITY 0 TEL.NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER'HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER c and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINALVALIDATION DATE 14161 License Number Lic.Class g: FINAL', If Contractor Date BY U 19 ❑ 1 am exempt under Sec. B.&P.C. for this reason R 6 9 4,8 A • Plan check fee * # O O O 0.0 5 Date: PLUMBING PERMIT ISSUING FEE$ . Signature +0 o =' TOTAL FEE °� v SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION " Name I hereby affirm that I am exempt from the Contractor's License Address Law.for-the following reason. (Section 7031,5,. Business and Professions Code): City Tel. No. I, as owner of the property,..will do the work and the 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 (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify thof I have read this application and state that the above information is correct. I agree to comply with all Count ordinances and State laws regulating Plumbing,and hereby l authorize repr sentatives f this C my to enter upon the above-me io ed pro er ori tion purposes. w � SEE REVERSE FOR EXPLANATORY LANGUAGE Sig a ur11 Per. tt a •Y Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0203220004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: GAL S PAID BUILDING ADDRESS: TR: 13363 LT: 12 15111 SANTA ANITA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803620 ASSESSOR INFORMATION NUMBER: ' NEAREST CROSS STREET: FREER 8574-009-012 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY 13 DISHWASHERS) 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 IS-SUED ON: PROCESSED AN Y: EXPIRES ON: 47 WATER HEATERS) 1.00 WTH 16.20 03/22/02 JK 09/18/02 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 OWNER: TEL. NO: TOTAL FEES 92.55 FINA E FINAL BY: CODE: TIPTON;GILBERT M. & MERCEDES S. (626) 964-0454- 18333 MESCAL STREET ROWLAND HTS 91748 "Sc IlPTION 0 - PLUMBING FOR KITCHEN REMODEL/RELOCATION APPLICANT: TEL. O: SAME AS OWNER - SPECIAL CONDITIONS: ��,GELES CO CONTRACTOR: TEL. N0: - ��S U�/A�' APPROVALS DATE INSPECTOR SIGNATURE SAMELIC. NO UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHI OR ENGINEER: TE 0: ROUGH PLUMBING LIC. N0: GAS PIPING P D L�C � r, „0R�� GAS ENT 0 A HEATER MBI G FIXTURES 0 IIIA_ A SPI LERS O Jr. I r±` GAS TES COMPANY 46��c service Yhat�� c V GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: SSO5O8 • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0110010018 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID TR: 13363 LT: 12 5111 SANTA ANITA•AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803620 S SSOR I 0 NUMBER: NEAREST CROSS STREET: FREER 8574-009-012 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED 0N: PROCESSED B LEXPIRES 45 WATER CLOSET/URINAL 1.00 FIX 16.20 10/01/01 JK 03/30/02 . TOTAL FEES 76.35 OWNER: TEL. NO: L TE FINAL�B CODE: TIPTON;GILBERT M. 6 MERCEDES S. (626) 964-0454- ¢d// 18333 MESCAL STREET ROWLAND HTS 91748 DESCRIPTION OF-WRY-- FINALIZE R FINALIZE PERMIT #6948 APPLICANT: TEC-. O: SAME AS OWNER - �__ SPECIAL CONDITIONS: CONTRA TOR: TEL. N0: r ~'`�d:�j�� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER � f ir; \ DE SLAB OR LIC. NO is i ! ,? WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECTOR G EER: / i I �" \ �l+ + ROUGH PLUMBING LIC. NO•'; �•J r --- -I i `' __ ��_-1 GAS PIPING G-AS VENTI �j =• OT WATER HEATER - - - -- _ -L PLUMBING FIXTURES �ILAWN SPRINKLERS UTILITY COMP 0 ED •`+• V� \ +•f � ' 1 /•' •L fly b C G -WATER SYSTEM REPORT ID: DPR263 ROUTE TO: 8S0508 r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1403140008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: ITR: 13363 IT: 12 I 1 5111 SANTA ANITA AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803620 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 18574-009-012 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY CA1 1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 (- TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: 1 145 WATER CLOSET/URINAL TOTAL F1.00 EES FIX 16.20 103/ 14/14 SR J (OWNER: TEL. NO: I IFINAL ATE FI AL Y: CODE: 1 INGUYEN, TO (626) 592-0155- 1 1 1 15111 SANTA ANTIA AVE 1 J 1 TEMPLE CITY CA 91780 I IDItSeRIPTION 6F WORK I I (REPLACE FIXTURES FOR BATHRO M REMODEL J 1APPLICANT: TEL. NO: I I 1 SAME AS OWNER ISPECIAL CONDITIONS: J I I I I CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 SAME AS OWNER - I I I LIC. NO 1 (UNDER SLAB WORK I I I 1 J IWATER SERVICE I I J J I IPLASTIC YIN METAL YIN J I I (ARCHITECT OR ENGINEER: TEL. NO: I I J 1 1 I - I IROUGH PLUMBING I I 1 LIC. NO: 1GAS PIPING I I IGAS VENT J I I IHOT WATER HEATER I I J I 1PLUMBING FIXTURES J J I I I I ILAWN SPRINKLERS 1 I IGAS TEST I J J I JUT LITY COMPANY NOTIFIED J I JCWV J J I I IGRAY WATER SYSTEM 1 I I I 1 I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I J I J J I I