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Home My Public Portal About5633 SANTA ANITA AVE_Plumbing__ 7rw0si-cE#8 17 z•sz TEMPLECRTY APPLICATION FOR PLUMBING PERMIT l COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION -BUILDING 33 ble 7� JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS WILLIAM A.JENSEN,SUPT OF BUILDING yOCALITY"� FOR APPLICANT TO FILL INCROSs TT. I'a.16 Oak., NUMBERFIXTURE OR ITEM EACH FEE OWNER p WATER CLOSET. $1.25 �� 00 `,d`/ c�/ ( 1I BEd Xl ISS /Gl `' A/ -BATH TUB 1.25' S" Do ADDRESS J SHOWER 1.25 CITY /�- `sem TEL.NO. LAVATORY L25 /Q 0� CONTRACTO _ IJ. �� SINS 1.25 ��f ADDRESS 0�7 0 '' �,,(-a 7)ie ,. DISHWASHER 1.25 C TY pS �C?Lr PS. CS/• TEL. NO.ff 1WS^g3 LAUNDRY TUB 1.25 ,� 'y Q pg g IT ON NO.. STATE _/� L"- (o COUNTY ❑ CLOTHES WASHER 1.25 �(: DIS CT NO. GRO P ZONE ESSE13 BY WATER HEATER 1.50 N GAS SYSTEM OUTLETS 1.50 7 110 INDUSTRIALWASPROVAL OUTLETS OVER 5 PER SYSTEM .30 �- �. INSPECTION RE ORD •C % s !;�=�I Gcd (u�!_� ` 0 99 f G • -Zan f r ' APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB'WORK BOUGH PLUMBING TOTAL FEE GAS PIPING. I HEREBY ACKNOWLEDGE THAT 1 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR, PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES.COUNT AND STATE OF GAS TEST CALIFORNIA OR THAT I AN LEGAL OWNER'O AND INTEND TO RESIDE IN,THE ABOVE DES BED RESIDENTIAL P PERTY. UTILITY CO.NOTIFIED P SIGNATURE // OF PERMIT-T% FINAL V LIDATION ROBERT A WOO ' CK M.O. :CASH SUPERVISIN MECHANICAL ENG'R ,Iso3QOCT 23 5D 47.. .25! 76][687-CE#8172-62 C' Y 1� APPLICATION FOR • PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY' DIVISION FAUDDE � �o e JOHN A.LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING Q 40 Cly FOR APPLICANT TO FILL IN CROSNUMBER FIXTURE OR ITEM EACH FEE /AllWATER CLOSET 81:25 .Z� dBATH TOB 1.25 ;z.19 O ON4,SHOWER 1.25 QS s TEL. NO. LAVATORY 125 Z ZL CONTRACTO dS �s SINS 1.25 /81 '7�' ADDRESS #61 l �� Q 0 DISHWASHER 1.25 CITY O j TEL NO. LAUNDRY TOB 1.25 2 �O CONTRACTOR'S ON NO. 9% O G 6 COUNTY ❑ CLOTHES WASHER 1.25 X 5-0 -' DISTRICT NC. GROUP ZONE PpqpSpSED BY I WATER HEATER 1.5.0 GAS SYSTEM OUTLETS 1.50 ;"Z q O D INDUSTRIAL (WASTE APPROVAL : -r fl 4• OUTLETS OVER 5 PER SYSTEM .30 / / PEC TION'RECORD Lu Ak 1 APPROVALS A E INSPECTOR'S SIGNATURE 'PERMIT $ 2 00 UNDER SLAB WORK / ROUGH PLUMBING f ,TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 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. 1 HEREBY CERTIFY THAT 1-AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES C LICENSED AS REQUIRED BY LOS .ANGELES COU TY AND STATE OF � GAS TEST CALIFORNIA OR THAT 1 AM E LEGAL _WN F,AND INTEND TO RESIDE IN.THE ABOVE DES ED RESIDENTIAL OPERT UTILITY'CO.NOTIFIED SIGNATURE •�� OF PER E FINAL I:IDATION ROBERT A jWO D cK. M.! cases SUPERVISING MECHANICAL ENG'R j 1 8'0 4Q OCT-23, 5 D 117.5 0 a 76A667-CERS17 2-66 CITY OF TEMPLE CITY APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES P 2S 4 DEPARTMENT OF COUNTY ENGINEER _ BUILDING AND SAFETY DIVISION _ BUILDING 5633 Doubles JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS.SUPT. OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN NEARESTaS61 CROSS ST. NUMBER FII�TURE OR ITEM EACHFEE OWNER Romanesque WATER CLOSET 81.25 BATH TUB 1.25 I CITY ADDRESS same SHOWER 1.25 TEL.NO. LAVATORY 1.25 CONTRACTOR General Installation Co. SINS 1.25 ADDRESS 6558 West Blvd. DISHWASHER 1.as Los Angeles TEL. NO. PL 3-2541 LAUNDRY TUB 1.25 LICENSE NO. C-36 151839_ .c�nss CLOTHES WASHER 1.25 DISTRICT GROUP rE PROCESSEDWATER HEATER 1.50 :: V, x GAS SYSTEM OUTLETS 1150 WASTE APPROVAL a OUTLETS.OVER S PER SYSTEM .90. v INSPECTION RECORD WATER SOFTENER Ready for Ins•pecti.on Now CD � W CL � Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 3 . 50 GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 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 A8 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 REBID TIAL PROP Y. UTi LITY CO.NOTIFIED SIGNATURE (jwF/!/J OF PERMITTEE FINAL VALIDATION JACK R.ALLEN cK M.O. CASH SUPERVISING MECHANICAL ENG'R. LA 8 .1 5 2 o JAN 2 7 5 D _350, 7 6A 6 67-C E#817,,.2-66 �n .APPLICATION FOR Pk�' BI-NG P RMIT COUNTY. OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING AND SAFETY DIVISIONU �.JOHN A. LAMBIE. COUNTY ENGINEER AD5%33COLEMAN W. JENKINS. SUPT. OF BUILDING LO FOR APPLICANT TO FILL IN NEAREST EARES T. NUMBER FIIsTURE OR ITEM EACH FEE CROSS OWNER qeolugz gl'il Le& WATER CLOSET $1.25 BATH TUB 1.25 ADDRESS 20 1. V/muie 2 AUDUe CITY laAUC.(�CL* TEL. NO. SHOWER 1.25 LAVATORY 1.25 CONTRACTOR ��/ PwkeA SINS 1.25 — ADDRESS 1417 17 C. Rcttiwn ct, 63�ud,. DISHWASHE 1.25 CITY f u�STATEC��f�f a TEL. NO _81 (g 11 LIC LAUNDRY TUB 1.25 LICENSE NO. 197747 1' 1 T 1 CLASS CLOTHES WASHER 3.25 DISTRICT NO. GR O P ZONE 1 'PR CE S I WATER HEATER 1.50 JrJ ip4 GAS SYSTEM OUTLETS 1.50 ® INDUSTRIAL a WASTE APPROVAL o OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD r� CC O W In . Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SL .8 WORK ROUGH PLUMBING TOTAL FEE 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 1 HEREBY CERTIFY THAT •I AM PROPERLY REGISTERED AND/OR PLUMBING.FIX E URS LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST i r[• i1� CALIFORNIA OR THAT i AM THE LEGAL OWNER AND NTEND TO RESIDE IN.THE ABOVE DESCRIBED RE ID TI E UTILITY CO MOTIFIED �• SIGNATURE OF PERMITTE FINAL - LIDATION JACK R.ALLEN cK. M.o., CASH SUPERVISING,MECHANICAL ENG'R. 8:.8 9iL,.9 ,full 5 5 n 850- WORKERS'COMPENSATION DECLARATION FOAG67A I hereby affirm that I have a• certificate of consent to self rM 817(R-90) APPLICATION FOR PLUMBING PERMIT insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800 La ) COUNTY OF LOS ANGELES BUI L ND SAFE Policy No. Company C `E ' m (ju C A �L Certified opy hereby furnis ed. FOR APPLICANT TO FILL IN (PRINT OR TYPE) ADDRESS 2 A ►-]�-�Tr-7 Ce if' d co y is unty building i spection UMB R FIXTURE OR ITEM • FEE p tme WATER CLOSET LOCALITY 6mlPLC-- CI D A cant NEAREST t V� BATH TUB CROSS ST. 4„ ER IFICATE OF EXEMPTION FROM WORKERS' 1 J U� COMPENSATION INSURANCE SHOWER OWNER ri LAVATORY MAIL (This section need not be completed if the work involved ADDRESS 3 S In!TA a by the permit is for one hundred dollars ($100) or less.) SINK CITY (eCITILITEL.NO.( qe_,Jo� U I certify that in the performance of the work for which this DISHWASHER CONTRACTOR C !ism' �� tr permit is issued, I shall not employ any person in any manner O so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER ADDRESS J ogeo e. Q rcr7yw (~j Date Applicant SWIMMING POOL RECEPTOR d NOTICE TO APPLICANT: If, after making this Certificate of CITY ( '� TEL.NO. (,�/�'� N Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE //�� Qq LIC. Compensation provisions of the Labor Code, you must.forth- LICENSE NO.Q1�O ! CLASS Go with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. P CESSD BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER L5 I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL VALIDATION ness and Professions Code,and my license is in full force and DATE 4?n "f ' effect. r WNIRLp� FINAL Lice er O is Class BY + <T•e" v. Conate mpt from the licensing equirements as'I am a Plan check fee �aq� licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ ('7O acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lic.or Reg'.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name _9 4 9 Q 0 A I hereby affirm that I am exempt from the Contractor's Address # o 0 o o o 5 License Law for the following reason (Section.7031.5, Busi- City Tel.No. ness and Professions Code): 2 0 0 1 Q O O ❑ I, as owner of the property, am exclusively contracting o 0 0 1 (1007- with licensed contractors to construct the project (Section 7044,Business and Professions Code). 0428-81 CONSTRUCTION LENDING AGENCY i I hereby affirm that there is a construction lending agency foi• the performance of the work for which this permit is issued(Sec.3097,Civ.C.). 2EADY e, mFI L I I N �'�q Lenders Name ' ss , 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances an laws regulating Plumbing, and h reby -aai a1 Santative f this Coun enter n t above- n roperty or inspe ur o Signature of Permittee Date , i I