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HomeMy Public PortalAbout5425 SANTA ANITA AVE_Plumbing__ 76AG97C (CE-8178) -9/75 APPLICATION FOR PLUMBING PERMIT CITY OF TEMPLE CITY READY FOR INSPECT10k. 96474 BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TY PEI BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS 5425 Santa WATER CLOSET LOCALITY Temple Cit BATH TUB NEAREST CROSS ST. SHOWER OWNER Villa Grandda A is. LAVATORY MAIL ADDRESS Same SINK CITY game TEL.NO.443-0160 DISHWASHER CONTRACTOR General Installation Co. CLOTHES WASHER ADDRESS 6558 West KB1Vd. SWIMMING POOL RECEPTOR CITY L. A. 90043 TEL. NO. 753-2543. LAWN SPRINKLER SYSTEM STATE LIC 1 WATER HEATER 31.00 LICENSE NO. C36-151839 CLASS DISTRICT NO. UP ZphLE RO SSED BY C GAS SYSTEM OUTLETS V+ � 3 OUTLETS OVER � 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL yJ CL INSPECTION RECORD Z Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant NameD �� APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel. No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATU RE OF PERMITTEE C ��'f/ wV' �� FINAL PLAN CHECK VALIDATION CK. M.O. "k—ty PERMIT VALIDATION GcK.:)-.0. CASH 76A667 (CE-617)- 3/73 Ci TY OF TEMPLE CITY �'��'�'� C�U�t INSPECTION APPLICATION' FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 06249 BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDINGADDRESS, 5425 Santa Anita HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Temple City FOR APPLICANT TO FILL IN (PRINT OR TYPE) CROSS ST . NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1,75 OWNER Villa Granada Ants MAIL BATH TUB 1.75 ADDRESS same as above SHOWER 1.75 CITY same TEL-NO.44-3-0160 LAVATORY 1,75 CONTRACTOR GINERAL INSTALLATION CO. SINK 1.75 ADDRESS 6558 WEST BLVD. DISHWASHER 1.75 CIN Las Angeles TEL. NO. PL 3-2541 CLOTHES WASHER 1.75 STATE LIC LICENSE NO. C 36 151839 CLASS SWIMMING POOL RECEPTOR 1,75 LAWN SPRINKLER SYSTEM 1.75 � DISTRICT NGROUP ZONE ROC SSED BY �Q O� � Z WATER HEATERj•(7J`� 3.00 WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORDOUTLETS V 5 PER S STTEMR .30 Ready for Inspection Now o U WATER SOFTENER a rn Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 33 00 TOTAL FEE 101.00 APPROVALS DATE INSPECTOR SIGNATURE' Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING , PLUMBING. GAS TEST 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICEN SEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDEN AL P OPERTY. FINAL SIGNATUREG G� ��.r,..s,�„� OF PERMITTEE_ ,,,...cccaaa,,,___,,,.....lIIIII . O o RMI VA! � IONN S-7T O Cluj. OM.O`b CASH PLAN CHECK VALIDATION CK. M.O. CASH —' o O o G p` o P. G .1.�7�G� 1 SJ SJ err U / �7 O O o •p` �O O O Cn CH 76A$67 (CE�817).-B-71'• • ,• APPLICATION FOR PLUMB G PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER _ BUILDING AND SAFETY DIVISION BUILDING ADDRESS LOCALITY e, ate C,•r FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. fI-� �✓'+-''� NUMBER FIXTURE OR ITEM @ FEE �,n OWNER I�yj!/� ,PYA CO�+0 T. Cri• riY�. WATER CLOSET 1.75 MAIL BATH TUB 1.75 ADDRESS SHOWER 1.75 CITY TEL.NO. / LAVATORY 1.75 O CONTRACTOR 1 SINK 1.75 � ADDRESS �loc3 SIP /l DISHWASHER 1.75 CITY ' TEL:NO. 9ftl 7'7-3 3 CLOTHES WASHER 1.75 STATE A LIC SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLASS /.3 L�� ��3 C r 3 31 DISTRICT N G O'UPZ E PROC Y LAWN SPRINKLER SYSTEM 1.75 .(—/j WATER HEATER 1.75 IND USTRIAL }' WAST E APPROVAL GAS SYSTEM j OUTLETS 1,75 INSPECTION RECORD (� OUTLETS OVER 5 PER SYSTEM .30 A V Im O. H Z yq Man check fee See reverse. V PSE PLUMBING PERMIT ISSUING FEE $ 3' 00 Plan check applicant TOTAL FEE 3 APPROVALS DATE INS. CTOR'3 SIGNATURE UNDER SLAB WORK 0 • Name h�.,•�„S �y',.. p• �- ROUGH PLUMBING g 3Jz- Address 1/063 ,s rd GAS PIPING City ;f%c Y Tel. No. _ 3 GAS VENT �� A I HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE BEAD THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 725 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND 'STATE OF CALIFORNIA OR THAT 1 AM T C'�LEGAL OWNER OF; DI INTEND TO RESIDE IN THE ABOVE DES IBEDkRESIDENTI L P Y. FINAL SIGNATURE OF PERMITTEE ����"" • t� "IPA", PERMIT VALIDATIO CK. M.O. CASH PLAN CHECK VALIDATION CK. .O. CASH ;., 7V c 5 9� See 2 0 •'D; 1 2 0,004 LAo9095N WT 4 5 o 193.75- 764667(CE-817)- 5/73 It APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: ADIDRESS HARVEY T. BRANDY, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST NUMB R FIXTURE OR ITEM @ FEE CROSS ST. X5 �y WATER CLOSET 1,75 OWNER �/y� �����A •. � � 1. MAIL BATH TUB 1.75 ADDRESS SHOWER 1,75 CITY TEL. N0. LAVATORY 1,75 CONTRACTOR 'l ./ � SINK - /' 1.75 ADDRESS '4d,67 P,4 DISHWASHER 1.75 CITY � ,�, TEL. NO. � l•fj CLOTHES WASHER 1.75 STATE LICENSE NO. Z��� LIC SWIMMING POOL RECEPTOR 1.75 7JRIA NO. GRO P "ZONE ' PROCESSED BY LAWN SPRINKLER SYSTEM 1.75 WATER HEATER 1.75 VAL a GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD CD OUTLETS OVER V 5 PER SYSTEM .30 CD w •er • y N Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 31 00 TOTAL FEE t7 APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name J r� � ROUGH PLUMBING Address ' ��✓lrey GAS PIPING City f �� Tel. No.�.//"t ?7/ ' (i GAS VENT HOT WATER HEATER IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES L/ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REf1UIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIB RESIDENTIAL PROPERTY.° FINAL SIGNATURE OF PERMITTEES ^'1'f :• �`d'1+' �� PERMIT VALIDATION I�K.'I M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH �(\\JJ// u 2:� h 5 9 4.7 _.- . 76A667 (CE-817)- 8/73 `Oita hof Temple City 9-" APPLICATION .FOR PLUMBING PERMIT COUNTY OF LOS ANGELES B 35112 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION NG IV MAKE CHECKS PAYABLE TO: ADIDRESS 5425Santa Anita C(,u., HARVEY.T. BRANDT, COUNTY ENGINEER LOCALITY Temple City FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. & a�D _� .tJ NUMBER FIXTURE OR ITEM FEE OWNER Villa Grande A tse WATER CLOSET 1.77 5 p MAIL BATH TUB 1.75 ADDRESS 5425 Santa Anita SHOWER 1,75 CITY Temple City TEL. NO. 443-0160 LAVATORY 1,75 CONTRACTOR SINK 1.75 ADDRESS 6558 WEST BLVD. DISHWASHER 1.75 CITY Los An eleS TEL. No. PL 3-2541 CLOTHES WASHER 1.75 STATE LICENSE NO. C 36 151839 c ASS SWIMMING POOL RECEPTOR' 1.75 DISTRICT NO. GROUP ZONE PR G SSED BY LAWN SPRINKLER SYSTEM 1.75 J—.O 1 WATER HEATER 1.75 3 00 WASTE APPROVAL ly GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v OUTLETS 5 PER SYSTEM OVER YSEMR •30•• ~ Ready for Inspectiort NOW. v WATER SOFTENER W C07 Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICEN SEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDE L PROPERTY. FINAL 6-7-77 , SIGNATURE G OF PERMITTEE GrV�� PERMIT VALIDATION, cK. M.O. cases PLAN CHECK VALIDATION CK. M.O. CASH e .6 5 , 7 5 B '�.J 0 d 3 76A667 (CE-617)- 6/73 CJ'_ty Or Temple City APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: FBUILDING 5425 Santa AnitaHARVEY T. BRANDT, COUNTY ENGINEER CALITY�aFOR APPLICANT TO FILL IN (PRINT OR TYPE) AREST OSS ST. NUMBER FIXTURE OR ITEM FEE WATER CLOSET 1.15 OWNER Moyer Construction (B28284) MAIL BATH TUB 1, 5 ADDRESS same SHOWER 1."5 CITY TEL. NO. LAVATORY Oy ^ 1, 5 CONTRACTOR GENERAL INSTALLATION CO.. SINK R 1.75 ADDRESS 6558 WEST BLVD. DISHWASHER •(]i CITY Los Angeles TEL.'NO. PL 3-2541 CLOTHES WASHER 1. 5 /DAiLIC STATE LICENSE NO. C 36 151839 CLASS SWIMMING POOL RECEPTOR 1."5 DISTR T NO. GROUPONE PRO ESSED Y LAWN SPRINKLER SYSTEM 1.75 Q 1 • CJ .-1 WATER HEATER 1.15 1 8 INDUSTRIAL WASTE APPROVAL a GAS SYSTEM OUTLETS I.-'IsINSPECTION RECORD CD v OUTLETS OVER i 5 PER SYSTEM S Ready for InspectionNow o WATER SOFTENER W a y Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ d TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan chef applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING llr AS VENT V City Tel. No. G �1 /I + I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER - AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES r�✓� `d ��� - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING f PLUMBING. GAS TEST 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF RNIA CALIFOOR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDE L��0� FINAL SIGNATURE /I/�Q • OF PERMITTEE PERMIT VALIDATION f LK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASHI %� 3 9 3'E'-'OCT ?-4 5 D 7.5 0 ,653 16A667 (CEP17)-4/77 C✓� Y : A APPLICATION FOR PLUMBIN PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING C' MAKE CHECKS PAYABLE TO: ADDRESS SF}r✓ ;r ADDRESS Jr/ HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST NUMBER FIXTURE OR ITEM ® FEE CROSS ST. f_ WATER CLOSET 1,75 �� OWNER ,e�7 e,� gfo^- 6'®. ��✓�, MAIL 1- 3 BATH TUB 1.75 Q ADDRESS SHOWER 1,75 CITY TEL. NO. )( LAVATORY 1,75 (�`o CONTRACTOR UL7b J`rY�S ,�� fy c 3 SINK 1.75 ADDRESS e�3 S� �;w�G7c• ,,L•7�1 DISHWASHER 1.75 C✓ CITY �rf�;% �y TEL. NO. 177-93 CLOTHES WASHER 1.75 STATE LIC SWIMMING POOL RECEPTOR 1.75 LICENSE NO. rj/ S CLASS C `- G DISTRICT GR P ONE F� ES BY LAWN SPRINKLER SYSTEM 1.75 ((////qq 3 WATER HEATER 1.75 :> © INDUSTRIAL 9 �, WASTE APPROVAL sG $11 GAS SYSTEM $ OUTLETS 1.75 INSPECTION RECORD C3 OUTLETS 5 PER SYSTEM OVERjf .30 r jr CheIt 4 a /l.J! y Z ov Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE S APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name �,�� rl S' �vlsa G/�Y ROUGH PLUMBING r Address /boy 3S, ,��n,1?e S- ,,L;—fW GAS PIPING City Tel. No. �' GAS VENT ��' � r I�IV-1-7 1/ HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM TH LEGAL OWNER OF, AN INTEND TO RESIDE IN THE ABOVE DESCRI D SSIDENTIALP�/OP Y� FINAL SIGNATURE OF PERMITTEE .�✓=� �i PERMIT VALIDATI. N CK. M.O. CASH PLAN CHECK VALIDATION CK. o. CASH u ,o7 0 7 ON SEP 20 9 9 D 1.00 Q ,. 9 0 9 7 N .DDT 4 5 D 2 4 625'e V .71fiA667 (CE-817)-4/72 T APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING ADDRESS - Z p. HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY e FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. Q` VIa NUMBER FIXTURE OR ITEM @ FEE / WATER CLOSET 1.75 OWNERAIL G.� BATH TUB 1.75 ADDRESS%keLI f:'_ oV, SHOWER 1.75 CITY TEL. NO.2(2 LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESS DISHWASHER 1.75 CITY TEL. NO Z Tc/.r, CLOTHES WASHER 1.75 STATE LIC LICENSE NO. S CLASS G�S3 SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GROUP I ZO.NEj PROCES§ED BY LAWN SPRINKLER SYSTEM 1.75 �DQ WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL ' GAS SYSTEM OUTLETS 1.75 CD INSPECTION RECORD v OUTLETS OVER 99 5 PER SYSTEM .30 CD W _ y Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan Che k applicant UNDER SLAB WORK Name L ROUGH PLUMBING Address �Y GAS PIPING City Tel. No GAS VENT LHOT WATER HEATER EBY ACKNOWLEDGE AT 1 HAVE READ THIS APPLICATION ._ TE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES LL COUNTY ORDINANCES AND STATE LAWS REGULATING G. GAS TEST EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED AS RE(JUIRED BY LOS ANGELES COUNTY AND STATE OF NIA OR THA I AM THE LEGAL OWNER OF, AND INTEND TO N THE ABOV DESCRIBED RESIDENTIA ERT. FINAL U RE ERMITTE PERMIT VALIDATIONCK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. C�gA{{S+�H I tt,0 0 8 2 rJ t JAN3 5 a 6.5 7GA667A ' CE-817(REV.6/78) City Of Temple City es APPLICATION FOR .PLUMBING PERMIT 9858 COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE), ADBUILDING 5425 Santa Anita NUMBER FIXTURE OR ITEM ® FEE WATER CLOSET LOCALITY Tem e_Cit / ' :NEAREST BATH TUB .CROSS ST. SHOWER OWNER Villa Granada Apartments LAVATORY MAIL [ADDRESS 5425 aAnita SINK CITY Temple City TEL.NO:L�48�0338 DISHWASHER CONTRACTOR eeal Xnstallation CLOTHES WASHER ADDRESS 6558.. Blest Blvd. SWIMMING POOL RECEPTOR try, L. A. TEL.NO.7553-2541 LAWN SPRINKLER SYSTEM [STATE LIC. WATER HEATER3 e 00 LICENSE NO. 151839 CLASS C36 GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING 6 GAS:PI PING GAS VENT _ HOT WATER HEATER 4.2�) P,LUMBING.FIXTURES GAS TEST Plan check.fee UTILITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ 7.00 � o TOTAL FEE10.00 FINAL ��� Plan check applicant PLAN CHECK VALIDATION Name 4 Address City Tel.No. 0009.9A I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE # O O O O o5 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. .PERMIT VALIDATION O O 1 Q.0 0 1 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 10 O O 1 Q O O M LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. p 04,28-80 SIGNATURE OF PERMITTEE • � �'d� ' DISTRICT NO. PROCESSED BY, � O � INDUSTRIAL WASTE APPROVAL WORKERS'COMPENSATION DECLARATION APPLICATIbN FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A6676 �' insure, or a certificate of Workers'Compensation'Insurance, SCE 817(REV. 10/81) or a certified copy thereof(Sec. 3&)0, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. � Company Certified copy is hereby furnNhed.: BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Mat aL. Certified copy is filed with the county building inspec- tion department. NUMBER FIXTURE OR ITEM FEE LOCALITY Date ppli4ant • WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKER BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER Jop (This section need not be completed if the work involved by SHOWER y� the permit is for one hundred dollars($100)or less.) LAVATORY MAIL ADDRESS J(i2 I/��.• I certify that in the performance.of the work for which this permit is issued; I shall not employ any person in,any manner• SINK CITYTEL NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date oplicant CLOTHES WASHER /Q NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS !✓�• SWIMMING POOL.RECEPTOR Exemption, you should become subject to the Workers' n Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY 0 TEL.NO��117 7 d/ with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO:,. CLASS LICENSED CONTRACTORS DECLARATION •DISTRICT NO. PRQ9ESSED.BY 1 hereby affirm that I am.licensed under,provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section.7000)of,Division 3 of the-Business LE ER 'I f� d and Professions Code,and m license is in full force_pnd�ffect. 5 PER SYSTEM . DATE. p'� 's ATIc f 0 pp,�j vp M License Number. �. Lic. Class ' FINALr'�. 09 0 I Contractor Date BY U ❑ I am exempt under Sec • /1/�� y B.&P.C.for this reason Man check fee ' Date. PLUMBING PERMIT ISSUING FEE$ Signature ` TOTAL FEE Plan check applicant SINGLE FAMILY r 2 6 5.9 A HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contracior.'s License +I a o 0 0 0 5 Law for the following reason (Section 703.1.5, Business and Address Professions Code): City Tel. No. 2,o o J O.5 O ❑ I, as owner of the property, will do the work and the a o o structure is not intended or offered for sale (Section , 3 Q'" 7044, Business and Professions Code). 6 C 9_8.v CONSTRUCTION LENDING AGENCY f I hereby affirm,that there is a construction.Lending agency for the performance of the work for which this permit is issued (Sec. 30.97, CIv. C.). I Lender's Name l' Lenders Addresl; 1 certify that I have read this application and.state that the above information is correct'. t agree to comply with.all County ordinances and State laws regulating Plumbing, and hereby outhoriie. representatives of this .County to enter upon the , above-mentioned r perty for inspection purposes. r ( SEE REVERSE FOR EXPLANATORY LANGUAGE i9'T/- Signature of Permittee Date • , COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OP PUBLIC WORKS 9701 LAS TUNAS PL 0508 1402050005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 10898 IT: 3 BL: .001 1I 5425 SANTA ANITA AV [ (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803669 ASSESSOR INFORMATION NUMBER: NEAREST CROSSSTREET: LIVE OAK 18573-018-034 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY CAI I 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I I 1TENANT: 113 DISHWASHERS) _ 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: 1 1 125 LAVATORIES/SINKS 2.00 FIX 32.40 102/05/14 SR 145 WATER CLOSET/URINAL 1.00 FIX 16.20 1 (OWNER: TEL. NO: I TOTAL FEES 108.80 [FINAL TE FI Y: CODE: I IVILLA GRANADA APARTMENTS - I I I 15425 SANTA ANITA AVE I I I [TEMPLE CITY CA 91780 1 IDES&RIPTIbN11OF WORK I I I (INSTALL THE FOLLOWING: SHOWER, TOILET, LAVATORIE, KITCHEN 1 I [ ISINK, GARBAGE DISPOSAL AND DISHWASHER (UNIT 217) 1 (APPLICANT: TEL. NO: I I (DEMENT, JESSICA (818) 322-8810- I [ 1 120929 VENTURA BLVD. I ISPECIAL CONDITIONS: 1 IWOODLAND HILLS 91367 I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IDEMENT PLUMBING INC (818) 322-8810- 1 I I 120929 VENTURA BLVD 47-366 LIC. NO 1 (UNDER SLAB WORK 1 1 [ WOODLAND HILLS CA 91369 963650 i [WATER SERVICE I I [ 1 [ IPLASTIC YIN METAL YIN I I [ (ARCHITECT OR ENGINEER: TEL. NO: 1 I I I [ I - I � I 1 LIC. N0: 1ROIIGH PLUMBING [ I GAS PIPING IGAS VENT [ I I I [HOT WATER HEATER [ I I IPLUMBING FIXTURES I I I I I (LAWN SPRINKLERS I 1 1 I 1 IGAS TEST I I [ 1 I (UTILITY COMPANY NOTIFIEDI I I ICWV 1 [ I I GRAY WATER SYSTEM I I I I I I [ I I I [ [ [ I IREPORT ID: DPR263 ROUTE TO: BS0508 1 1 [ 1 I I I I I I • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF.PUBLIC WORKS 9701 LAS TUNAS PL 0508 1402050004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: ] TR: 10898 LT: 3 BL: .001 I I 5425 SANTA ANITA AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803669 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LIVE OAK ] 18573-018-034 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY CAI 1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 I ITENANT: 113 DISHWASHER(S) 1.00 FIX 16.20 [ISSUED ON: PROCESSED BY: PLAN BY: 1 125 LAVATORIES/SINKS 2.00 FIX 32.40 102/05/14 SR [ ] 45 WATER CLOSET/URINAL 1.00 FIX 16.20 1 [ OWNER: TEL. NO: I TOTAL FEES 108.80 IFI TE FINAL BY: CODE: [ VILLA GRANADA APARTMENTS - I 15425 SANTA ANITA AVE I [ 1 [TEMPLE CITY CA 91780 1 IDES I ION F WORK I I I INSTALL THE FOLLOWING: SHOWER, TOILET, LAVATORIE, KITCHEN 1 I [ ISINK, GARBAGE DISPOSAL AND DISHWASHER (UNIT 218) [ [APPLICANT: TEL. NO: I [ [ IDEMENT, JESSICA (818) 322-8810- I I 120929 VENTURA BLVD. I ISPECIAL CONDITIONS: 1 [WOODLAND HILLS 91367 1 � I ]CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE I DEMENT PLUMBING INC (818) 322-8810- I I 120929 VENTURA BLVD 47-366 LIC. NO [ ]UNDER SLAB WORK I I WOODLAND HILLS CA 91369 963650 [ 1 I 1 [ ]WATER SERVICE I I ] I IPLASTIC Y/N METAL Y/N I ] ARCHITECT OR ENGINEER: TEL. NO: I I - I IROUGH PLUMBING 1 LIC. NO: I I ] 1 I IGAS PIPING I 1 I IGAS VENT IHOT WATER HEATER 1 I I I I I I I I I IPLUMBING FIXTURES I I ] ILAWN SPRINKLERS I I I I I I I I I GAS TEST I I 1 I I 1 I I [ (UTILITY COMPANY NOTIFIED[ ] I I I� I I I I IGRAY WATER SYSTEM I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I ]REPORT ID: DPR263 ROUTE TO: BS0508 I I I ] I I I I I I