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Home My Public Portal About5451 SANTA ANITA AVE_Plumbing__ 768667-CE8d712/59 TEMPLE CETT APPLICATION FOR PLUMBING PERMCT; � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BjTII.DING�AND S FETY RMSION BUnZING OHN A. MBIE. OUNTY NGINEER ADDRESS WILLIAM A.JENSEN,.SUPT OF BUILDING LOCALITY FOR APPLICANT TO F= IN NEAREST " CROSS:ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET BATH TUB DRESS SHOWER CPfY TEL.NO. LAVATORY CONTRACTOR SINS ADDRESS DISHWASHER CITYTEL. NO.JS��j LAUNDRY TUB REGISTRATION NO. � / STATE COIINTY Q. CLOTHES WASHER DIIS'TRICTNO. U ROUP I ZONE PR ESSED BY WATER HEATER S'� - At ® GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD' _ U . !!.7r1/ /!. Ais� // ✓b /J91� 7�1.� 0 V / V w G' via FECTTUBPER E� $ I T " - APPROVALS DATE INSPECTOR'S SIGNATURE —lPERMIT $ 2 00 UNDER SLAB WORK �I TOTAL FEE ROUGH.PLUMBING GAS PIPING 1 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 PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AN THE LE64L OWNER OF ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIG�PESRMI OFINAL Q �v VALIDATION ROBERT A.WOOD, CK. N.0. CASH SUPERVISING MECHANICAL ENG'R UACO4 0 4 9 503 JLIL 2 5 5 D 6.0 0 76 A 667—CE 817 8/68 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DMSION BUILDING �+ A JOHN A. LAMBIE, COUNTY ENGINEER , COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY //JJ FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST -CROSS ST. �jC� NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 _ BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY £ TEL. N LAVATORY 1.50 CONTRACTOR ea;e �! ''�� SINK 1.50 ADDRESS �� DISHWASHER 1.50 CITY L. N CLOTHES.WASHER 1.50 STATE LIC LICENSE N CLASS SWIMMING POOL RECEPTOR 1.50 DISTRIC N , GR�1JP ZO P OCES BY LAWN SPRINKLER SYSTEM 2.00 � ��f/� v WATER HEATER 1.50 INDUSTRIALASTAPPROVAL 2 GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD UIy OUTLETS OVER d 5 PER SYSTEM .30 'e Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE 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 1 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 GAS TEST PLUMBING. IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/'OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OW ER OF,AND INTHND TO 41 1 RESIDE IN,THE ABOVE DPFRIBE 9 RESIDEN AL PROPERTY. FINAL I SIGNATURE JACK R. ALLEN, SU ERVISING CHANICAL ENG'R. OF PERMITTEE PERMIT VALIDATION CK M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH . �.8 3 c 8C-1- JAI 12 5 D 3.5 0 - a6 76 A 667—CE 817 8/68 APPLICATION FOR PLUMBING PER IT �[ COUNTY OF LOS ANGELES u DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING �/ `�� a n JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS %4Y7 /7 COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY/� L FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST NUMBER FIXTURE OR ITEM EACH FEE OwNER WATER CLOSET 1.50KR BATH TUB 1.50 ADDRESS ��'✓�(/ ��J SHOWER 1.50 CI �.L ✓ TEL• LAVATORY1.50 CONTRACTOR j A. SINK 1.50 ADDRESS s DISHWASHER 1.50 C ZQ L. N CLOTHES WASHLICENSE CLASS 1.50 STATE LIC N SWIMMING POOL RECEPTOR 1.50 DISTRICTNO, GRO ZONE PR 8 BY LAWN SPRINKLER SYSTEM 2.00 . I C WATER HEATER 1.50 0 0 Ae, INDUSTRIAL v WASTE APPROVAL o GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD v OUTLETS OVER 30 CW. 5 PER SYSTEM N ,f. r Plan check fee 25%o of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE 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 1 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 GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES CO TY AND STATE OF CALIFORNIA OR THAT TME GAL OWN OF.AND INTEND TO RESIDE IN.THE ABOV DE RISE EBIDENTI ROPERTY. FINAL SIGNATURE JACK R. ALLEN, SU ERV SING MECHANICAL ENG'R. OF PERMIT PERMIT VALIDATION CK- M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH JAN11 5 D. 3:50.N ak rawor 1: N•EB ® OF BURDM AND SAFETY aPPLE:TLON FOR PEDUT COUNTY OF LOG ANGEM PLUMBING I WILLIAM J. PDX. CHIEF ENGINEER FOR APPLICANT TO PILL IN DISTRICT NO. GROUP ZONE PERMIT NO. PL UMB . R IVCD MV FIRST READY F= DATE DATE ISSUED ADORES BUILDING C .rd � ADDRESS COUNTY No. =pin=SjjOIS'l LOCALITY • .r=ef" NKAREST �+ PEDUT FSS CRONE ST. MYMBSR TWi or m3rmm M IoM REE OWNER I �• "ib MAIL WATER CLOSET ILEI moo �0 ADDRESS BATH TUB 0.50 v V OiTV TEL MO. SHOWER O•BO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIN LAVATORY WARN BASIN O.BO APPLICATION AND STATE THAT THE ABOVE IN CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN MINK O.BO Q STATE LAWN REGULATING PLUMBING. 1 CERTIFY THAT 1 PO THE ABOVE VALID LON LAUNDRY TU■ R TRAY 0.00 ANGELES COUNTY LICXqw6R-ISM THE LEGAL OWNER OF THK RESIDENTIAL P TY C ABOVE. GAB UTLETN O.SO 0 816NATURE OF —IVY. ,ryt WATER NEATER O.MO e5 Q PERMIT GLOP BINK O.MO MSPECTION RSD FLOOR BINK a 0.00 FLOOR DRAIN 0.00 DRINWASHER 0.00 s(..•i.•E r.v'T rte•• s! r =d•....�.. DRINKING FOUNTAIN 0.50 ' '�'V,.., -v E�K URINAL 0 0.50 `d6 J HOUSE NEWER 0.80 Z N18CNLLANN000 tr O r� APPROVALS ro DATE INMPLCTtt11•B NAME t ROUGH PLUMBING OAS PIPING GAB VENT CESSPOOL 1.00 CESSPOOL NEPTIC TANKi BEPTIC TANK DRAIN ( ) PIT ( ) ® 1.00 NEWER . PERMIT . 1.p0 GAB TEST '1 Q��1 UTILITY CO. NOTIFIED TOTAL PEE N FINAL , WORKERS'COMPENSATION DECLARATION I APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self '76A6674 insure, or a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company LJ Certified copy is hereby furnished. BUILDING r/ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is filed with the county building:1;nsec- NUMBER FIXTURE OR ITEM tion dM ent. @ FEE LOCALITY , Date Appligant WATER CLOSET NEAREST LV CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB f�• COMPENSATION INSURANCE OWNER (This section need not be completed If the work Involved by SHOWER PM the permit is for one hundred dollars($100)or less.) LAVATORY MAIL I certify that in the performance of the work for which this ADDRESS permit is issued, I shall not employ any person in any manner SINK CITY TEL.NO. so as to be ome subject to the Worker 'Compens do Laws. DISHWASHER e CONTRACTOR `� t �P Date Applicant CLOTHES WASHER ADDRESS 1 NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR q Exemption, you should become subject to the Workers' CITY tilZp, TEL. NO: Compensation provisions of the Labor Code, you must forth- v 1 with comply with such provisions or this permit shall be LAWN SPRINKLER SYSTEM. STATE LIC. deemed revoked. WATER HEATER LICENSE NO.. .Z CIASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. IPROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS .et^om (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER vV� >' and Professions Code,and my license is in full force d Fffect. 5 PER SYSTEM FINAL /� a. I DATE / -rrc V LIDATION u License Number Lie. Class—6 at ` FINAL Contractor t.ktDate BY a-" I- ❑ IL I am exempt under Sec. rA B.$P.C. for this reason P Date.nature Si9 PLUMBING PERMIT ISSUING FEE$ Yp • TOTAL FEE SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am.exempt'from the.Contractor's License I 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 j r'2 7 0 0 A 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY ! t1 0 0 0 o'o 5 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued i 2 o 0 1 6 5 0 (Sec. 3097, Civ. C.). c o o l 6.5;;0 v , Lender's Name_ s'` .6. 1 0-8 3 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 presentatives of this County to enter upon the 1 above-me ioned property for inspection purposes. c� � SEE REVERSE FOR EXPLANATORY LANGUAGE Signatu of Permittee Datb WORKERS'COMPENSATION DECLARATION 7GA647A APPLICATIONI hereby affirm that I have a• certificate of consent to self CE 017 (2-90) FOR PLUMBING PERMIT ¶� insure,or a certificate of Workers'Compensation Insurance,or N N a certified copy thereof(Sec.3800,Lab.C.) P28849 zenith National I COUNTY OF LOS ANGELES J , r BUILDING AND SAFETY Policy No. Compan Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS 5451 -Santa Anita ® Certified copy is.filed with the county building inspection NUMBER FIXTURE OR ITEM 0 FEE LOCALITY Temple City department. Date Applicant WATER CLOSET NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if -the work involved LAVATORY MAIL by the permit is for one hundred. dollars ($100) or less.) ADDRESS a SINK CITY Temple Cit TEL.NO. O I certify that in the performance of the work for which this DISHWASHER. V permit is issued, I shall not.employ any person in any manner CONTRACTOR ir so as to become subject to.the Workers'Compensation Laws. CLOTHES WASHER ADDRESS1350 E. Las Tunas Date Applicant SWIMMING POOL RECEPTOR V NOTICE TO APPLICANT: If,after making this Certificate of CITY San Gabriel TEL.26.— 4 a Exemption, -you should become subject to the Workers' LAWN SPRINKLER SYSTEM Compensation provisions of the-Labor Code, you must forth- STATE LIC. , with comply with such provisions or this permit shall be WATER HEATER LICENSE NO. CLASS ..C2 0 _ deemed revoked. 1 GAS SYSTEM OUTLETS 00 DISTRICT NO. PRO SSED BY LICENSED CONTRACTORS'DECLARATION OUTLETS OVER 0 I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of.•Division 3 of the B.usi- FINAL ness and Professions Code,and my license is..in full force and DATE VALIDATION effect. FINAL- License Number 22-1 ,751 Lic.Class C-2 BY sc► Contractor Date. I am exempt from the licensing requirements as I am a' Plan,check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ ] 50 acting in. my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE 50 Lid.or Reg.No. Date Plan check,applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from 'the Contractor's Address —4 2 5 7.21A License Law for the following reason (Section,7031.5, Busi- ;City Tel.No. 0 0 0 o•0 5 ' 4 'mess and Professions:Code): I, as owner of the property, am exclusively contracting l o o 1 65.0 with licensed contractors to construct the project (Section 7044,Business and Professions Code). I 0 0 0 1 6 5 0= CONSTRUCTION LENDING AGENCY O6 07.-83 U I' hereby affirm that there is a construction lending agency for the performance of the work for which this permitis issued(Sec.3097,Civ.C.). ` t Lender's Name• Lender's Addrdss I cettify that I have read this application and state that the above' f oration is correct:I agree to comply with all County SEE REVERSE FOR.EXPLANATORY'LANGUAGE ordin nces and State laws regulating. P bins, and hereby author' presentatives of this Cou to enter upon the abo - oned property for' c o rposes. /19 re Signature of.Permittee , 'Dat