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Home My Public Portal About5811-5811 1/2-5813 TEMPLE CITY BLVD_Plumbing__ 78A887-6E#817 12-84 f 6/ L APPLICATION FOR PLUMB NG PE IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS Q COLEMAN W. JENKINS,SUPT of BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBERFIXTURE OR ITEM EACH FEE ' OWNER � WATER CLOSET $1.25 MAIL BATHTUB 1.25 ADDRESS CITY TEL. NO. SHOWER 1.25 LAVATORY 1,25 CONTRACTOR LEE'S PLUMBING,INC: SINK 1.25 S ADDRESS 2407 N.Lee Ave. DISHWASHER 1.25 CITY SO.El Monte TEL. NO. 444-0528 CONTRACTOR'S C 36 206367 STATE LAUNDRY TUB 1.25 REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT N G R 0 U I a N� P 7 BY WATER HEATER 1.50 ® i GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD O to O H V W IL H Z APPROVALS DATE INSPE S SIGNATURE PERMIT $ 2 00 UNDER SLAB 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 n WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER , PLUMBING. I HEREBY CERTIFY THAT I-AM PROPERLY REGISTERED AND/OR PLUMBING FIXTUREStw LICENSED AS 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 DESCRIBE . ESI�AERTY. UTILITY CO.NOTIFIED SIGNATURE s OF PERM ITTE FINAL �v WA LIDATION ROBERT A.WOOD CK. M.0. CASH SUPERVISING MECHANICAL ENG'R Ll,o0445Q; SEP 5 5 D 21.25 ��%��rrr'2aZr►2/ ,eA667 APPLICATIOISI FOR PLUMBING PERMIT IBS.(„o.BB ,1 DMSION OF BUILDING AND SAFETY ^- Department of County-Engineer County, of Los Angeles BUILDING JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D,GRIFFIN,SUPT OF BUILDING LOCALITY FOR APP CANT TO FILL IN NEAREST IF CROSS ST. OWNER DISTRICT G UP ZONE I READY FOR INSPECTION MAIL ADDRESS INDUSTRIAL CITY TEL.N WASTE APPROVAL PLUMBERINSPECTION RECORD ADDRESS ry ry 4 I_�mea P^ tyr V mW. T”EM&3't N._ CITY / TEL.NOCY . V e_► .ice^, La,A.,U, Iv .p tr�ci�S3 5 LICENSE NO. RLr�F�T+ m t.tt4�. ^ �f,TQl4_ NUMBER TYPE OF FIXTURE OR ITEM FEE \� .,--4-f-C <PG1 t Qy( WATER CLOSET (TOILET) @ $1.00 L_41�gr �\A eo A E�a Gg1J.,• BATH TUB @ $1.00 SHOWER @ $1.00 q 2r� LAVATORY (WASHBASIN) @ $1.00 YKITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHESWASHER @ $1.00 WATER HEATER @ $1.00 .GAS SYSTEM @ $i.00 6 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT g 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THISP (CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST C2 Hca Q, LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL .OWNER OF THE ABOVE UTILITY CO.NOTIFIED k w DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE FINAL a •b kl 576 OHN A.LAMBIE, COUNTY ENGIN ,� ALMATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR C M.0. CASH �.�CoB 2 6 EL-01 JUL 16 3 1 7.0 0 � '•`'Jt• RKEROf COMPENSATION DECLARATION. APPLI ATIO FOR PLUMBING PERMIT L,herebyigaffirm that I have a certift$Nse of consent to self 76A667A F ,,r• insure, onya certificate of Wdl'IYrs'Compensation Insurance, CE 817(REV. 10 8 �F'- 11.. NN LLJJ .,or a cettRied• py thereof(Sec. 3800, Lab. C.) UY .CLWACsELE BUILDING AND SAFETY Pdl cy No. N ks' Company 1 ,N% ❑ Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Q Certified copy is filed with the county building inspec- ADDRESS 8// T /J r0 tion department. NUMBER FIXTURE OR ITEM FEE LOCALITY /�. ` I WATER CLOSET Date Appligant NEARECROSS ST . I If CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued,I shall not employ any,person in any manner SINKD CITY TEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER p CONTRACTOR G Date Z7 b7 ppli�a M ` CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after eking this ertificate of o�7 S. Cb?,v5� Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY add 'S TEL. NO. with comply with such provisions or this permit shall be STATEn �j LIC. deemeq revoked. WATER HEATER LICENSE NO. �Q2 Y/ CLASS. C �� LICENSED•CONTRACTORS DECLARATION DISTRICT NO. !� ESSED e I hereby,offirm•that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS YO (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER c and Professions Code,and my license is in full force and.effect. 5 PER SYSTEM FINAL VALI TION License Number„y�O zy Lic. Class d'3 G_ DAT - -� C, Fl4iZ C Contractor �r%/g Date 7 BY ❑ I am exempt under Sec. H L B.&P.C. for this.reason Plan check fee ® C Date: PLUMBING PERMIT ISSUING FEE$ @ 7 5 5,5 A C Signature TOTAL FEE 1 Z01572 #'o o a 0.0 5 SINGLE FAMILY Plan check applicant ) o o 1 6,50 ' 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. 0 - 11 6500- 1, 500- I, as owner of the property; will do the work and the o7.29-87 \ structure is not intended or offered for sale (Section 7044, Business and Professions Code). y 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 that I have read this application an..d 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 property nsp'ection purposes. p/II/JSEE REVERSE FOR EXPLANATORY LANGUAGE r 7 S Sig ature of Per 'flee Dat ' o � r COUNTY OF LQS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1206260044 •BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: ' I FEES PAID I BUILDING ADDRESS: ITR: 6561 LT: 614 BL: .001 I 5813 TEMPLE CITY BL IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802113 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: WORKMAN I 18587-015-003 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl 1 119 FLOOR SINK(S) 1.00 FIX 16.20 I 1 ITENANT: 125 LAVATORIES/SINKS 6.00 FIX 97.20 ISSUED ON: PROCESSED BY: PLAN BY: [LAD/LAD FAMILY DENTRISTRY 141 TRAP PRIMERS) 1.00 SYS 16.20 111/19/12 SR I 145 WATER CLOSET/URINAL 1.00 FIX 16.20 1 1 10WNER: TEL. NO: 147 WATER HEATER(S) 1.00 WTH 16.20 IFINAL DATE FI Y: CODE: ILAD CHIMAN;JASHU TRS LAD FAMILY TRU (626) 287-4094- 1 TOTAL FEES 189.80 I 4 15813 TEMPLE CITY BL. I ITEMPLE CITY CA 91780 I ID28CItIPTION OF WORK I I ]PLUMBING FOR INTERIOR TI & ADDITION (PHASE yl (APPLICANT: TEL. NO: 1 I I ITALWAR, SHIV (909) 591-3939- 1 1 I 14091 RIVERSIDE DR I [SPECIAL CONDITIONS: (CHINO CA I I 1 ]CONTRACTOR: TEL. NO: 1 ]APPROVALS DATE INSPECTOR SIGNATURE I IC M M CONSTRUCTION INC (858) 692-78.96- [ 1 I DHA C M M ENGINEERING & CONST LIC. NO [ ]UNDER SLAB WORK I I I 125231 DANA VIEW LANE 884810 * 1 1 1 ] I ]DANA POINT CA 92629 ] IWATER SERVICE ] I 1 I I IPLASTIC Y/N METAL Y/N ] 1 ]ARCHITECT OR ENGINEER: TEL. NO: I I ] I ITALWAR, DESIGN CONCEPTS, SHIV (909) 591-3939- I IROUGH PLUMBING 1 ] ] 14091 RIVERSIDE DR. #110 LIC. NO: 1 II I ICHINO, CA 91710 NONE (GAS PIPING I IGAS VENT I I 1 I I ]HOT WATER HEATER 1 1 IPLUMBING FIXTURES I 1 I I I ILAWN SPRINKLERS ] 1 I I I I I I GAS TEST I 1 ] ]UTILITY COMPANY NOTIFIED( jCWV 1 (GRAY WATER SYSTEM I I I 1 I I I I I 1* ADDITIONAL DATA ON FILE 1 I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I I I I I COUNTY OF L'OS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1211190015 'BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 6561 LT: 614 BL: .001 1 5813 TEMPLE CITY BL 1 I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 TEMP CA 917802113 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: WORKMAN 18587-015-003 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C 125 LAVATORIES/SINKS 5.00 FIX 81.00 1 ITENANT: 147 WATER HEATER(S) 1.00 WTH 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: ] (LAD/LAD FAMILY DENTISTRY I TOTAL FEES 125.00 111/19/12 SR I (OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: 1 ILAD CHIMAN;JASHU TRS LAD FAMILY TRU (626) 287-4094- 1 15813 TEMPLE CITY BL. 1 ITEMPLE CITY CA 91780 I DEMCRIPTION OF WORK si I (PLUMBING FOR INTERIOR TI & ADDITION (PHASE 2) ] (APPLICANT: TEL. NO: I I I ITALWAR/DESIGN CONCEPTS, SHIV (909) 591-3939- I I 14091 RIVERSIDE DR I ISPECIAL CONDITIONS: ] (CHINO CA 91710 1 I ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 IC M M CONSTRUCTION INC (858) 692-7896- I I IDBA C M M ENGINEERING & CONST LIC. NO I UNDER SLAB WORK 125231 DANA VIEW LANE 884810 * I (DANA POINT CA 92629 1 IWATER SERVICE I I I I I IPLASTIC Y/N METAL Y/N I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 I I I ] ITALWAR, DESIGN CONCEPTS, SHIV (909) 591-3939- 1 IROUGH PLUMBING 14091 RIVERSIDE DR. #110 LIC. NO: 1 I (CHINO, CA 91710 NONE ] GAS PIPING I I I .I IGAS VENT I I I 1 IHOT WATER HEATER I I I I IPLUMBING FIXTURES I I I I � I I I ILAWN SPRINKLERS I I I I I I IGAS TEST I I I I I � ]UTILITY COMPANY NOTIFIED( I I I I ICWV I I I IGRAY WATER SYSTEM I I I I I I I I ] I I I I I 1* ADDITIONAL DATA ON FILE I IREPORT ID: DPR263 ROUTE TO: BS0508 1 I I I I I I