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HomeMy Public PortalAbout5940, 5942, 5944 TEMPLE CITY BLVD_Plumbing__ 76A667-CE#817 2-62 TEMPLE CRTY APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS + WILLIAM A.JENSEN, SUP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CRONEAREST S TT. Y v NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1,25 ADDRESS SHOWER1.251 CITY TEL. N LAVATORY 1.25 CONTOR SINK 1,25 ADDRESSow y DISHWASHER 1.25 CITY TEL. LAUNDRY TUB 1 :CO OR'S STATE REGIST TION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRIC 7 GRO ZONE P O E BY WATER HEATER 1.50 i• ( 3 GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD O. 1 u F= tu APPROVALS DATE INSPECTOR'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 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 A TH GAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DE RI D RESIDE L P RERTY. UTILITY CO.NOTIFIED 1 'r SIGNATURE / OF PERMITTE VALIDATIONROBERT A.WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R Ld:0 N5 0 5 6 JM 3 0 5 D 3,5 Q N " D.B.S.:17 26n€SETS 6-48 •• APPLICATION FOR PERMIT . DEPARTMENT OF 'DUILDING AND--.,SAFETY COUNTY OFLOS ANGELES P`�����G WK.J.FOX.CHIEF ENGINEER -1ATURE OF STALLATION DI `1. N GROU ZONE PERMIT ROUGH FIXTURES COMPLETE J' �_ / HEATER CESSPOOL I SEPTIC TANK RECEIVED Y READY FOR DATE ISSUED Iry CFIRST INSPECTION AS MISCELLANEOUS APPLICANT' FILL IN HEAVILY OUTLINED .PORTION ONLY � JOB y C - NAME p - A ADDRESS- 6 , 3L4, W M ADDRESS UrtAA. LOCALITY H JL CI —& _ TEL.NO a ndt" N . CROEASRSBST ST. CCU CERT.TY NO. EXPIRES/ -3045- j .NAME I _ LOCATION OF SEPTIC TANS, OR CESSPOOLLC 'MAIL $ ADDRESS NORTH_ O CITY TEL.NO. I .AM THE LEGAL POSSESSOR OF THE ABOVE LOS / ANGELES COUNTY CERTIFICATZ41K qU64FI O C pj!umozit I AM THE LEGAL OWNER OF THE PROPERTY�04CRIBED ABOVE. 3 OWNER CORRECTIONS - SOUTH - J DESCRIPTION OF WORK _a Z BATH TUB FURNACE ' ROWER DISHWASHER 1 B LAVATORY REFRIGERATOR ITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP LOP SINK FLOOR'DRAIN ® WASH TRAY URINAL APPROVALS —(pL—WATER CLOSET DRINKING FOUNTAIN, DATE INSP R'S NAME -WATER HEATER *+ENTAL LAVATORY - ROUGH PLUMBING I I ETERy.�-- uTL SODA FOUNTAIN GAS PIPING GAS.VENT i CESSPOOL I TOTAL NUMBER OF FIXTURES SEPTIC TANK �'ESSPOOI SEPTIC TANK SEWER I $ UTILITY CO.NOTIFIED TOTAL FEE - pC`I'C7 FINAL 76A667 17 2SM BETS 7-4B' APE%ICATION FOR DEPARTBIENT OF WILDING-AND SAFETY 'i PLUMBING� ��� COIJNTX OF LOS ANGELES CHIEF ENGINEER NATURE OF .INSTALLA77ON DISTRICT O: ORO UP ('O E PERMIT O. ROUGH FIXTURES. COMPLETE : HEATER __ CESSPOOL -I SEPTIC TANK R���CCCEIVED Y READY FOR DATE ISSUED Q � FIRST INSPBCTION A MI8CELLAN OU8 APPLICANT FIj L If HEAVILY OUTLINED PORTION ONLY -JOB. E NAME' ADDRES8 -0) /162 Ill —a ADDRESSME .� Pe' x!/161/. ' t . i• LOCALITY J NEAREST K CITY ! .Rn TEL:No. CROSS ST. COUNTY l LICENSE NO. EXPIRES C NAMELOCATION.-OF SEPTIC'TANK, OR CESSPOOL MAIL * .3 ADDRESS NORTH O CITY TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY. CERTIFICATE OR QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER • t CORRECTIONS SOUTH J DESCRIPTION OF WORK z _ ATH TUB FURNACE' HOWER DISHWASHER '; G -LAVATORY REFRIGERATOR ITCHEN SINK WATER SOFTENER L^OR SINK SAND TRAP GLOP SINK FLOOR DRAIN WASH TRAY - URINAL APPROVALS WATER CLOSET DRINKING FOUNTAINS DATE INBPeeroR's Nwwa WATER HEATER - DENTAL LAVATORY ROUGH PLUMBING I ETER awe SODA FOUNTAIN GAS PIPING I OUTL GAS VENT: CESSPOOL I TOTAL NUMBER OF FIXTURES SEPTIC TANK i CEBSPOOl SEPTIC TANK i SEWER I ... G �� _UTILITY CO.NOTIFIED lI ! TOTAL FEE 1 `�� L�.r2rd FINAL. 7BAS67 (CE-817)-4/72 APPLICATION F PLUM NG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO.• . . BUILDING 0 r ey ADDRESS 7 T HARVEY T. BRA•NDT, COUNTY ENGINEER LOCALITY 0 FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST .. NUMBER FIXTURE OR ITEM @ FEE CROSS ST. WATER CLOSET 1.75 OWNER el MAIL 6111-4 BATH TUB 1.75 ADDRE S 17<4 vv SHOWER 1,75 CI TEL. NO.. LAVATORY 1.75 CONTRAC OR + SINK 1.75 ADDRESS 2 DISHWASHER 1.75 CITY' ` TEL. NO. CLOTHES WASHER 1.75 STATELIC ® LICENSE N.O.2j d-y._i CLASS V SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. G OUP ZONE OCESSED BY LAWN SPRINKLER SYSTEM 1.75 O� ^L IC- -' \ WATER HEATER 1.75 INDUSTRIAL y WASTE APPROVAL II: GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v OUTLETS OVER C 5 PER SYSTEM .30 CD Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INS P_ECTOR'9 SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING v City Tel. No. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND. STATE THAT THEABOVE 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 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I r'q THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE lCjt IBED RESIDENTIAL PROPERTY. p� {/.//�/// r FINAL .�+• O�C /'!r �i�...G SIGNATU RE OF PER-MITTEE PERMIT VALIDA. �ON0c.. ' M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH 7 5 8�.APR -3O 5 D A96 . 4.7 5 7SA6e7 17 25M SETS 7-4e..• APPLICATION FOR PERMIT DEPARTMENT OF BUILDING .AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 'WILLIAM J. FOX, CHIEF ENGINEER ' DISTRICT GR P P . FOR APPLICANT TO FILL IN PLUMBER y * READY FOR ECE1'ED B DATE ISSUED � /�� -•/�/ �� /,RFIRST INSPECTION ADDRESS CITYp_ A_ /.(,TEL..No. ADDRESS COUNTYp LICENSE NO. EXPIRES LOCALITY , �'.t7-�L,Y�/i:t. G_t�.�..4 • 1 CERTIFY THAT I .POSSESS THE ABOVE VALID LOS NEAREST ANGELES COUNTY LICENSE. CROBS.ST. OWNER MAIL PUIMSER ADDRESS PERMIT FEE IS $1.00 FOR THE FIRST FIXTURE OR CITY. TEL. No. ITEM LISTED BELOW, PLUS SOc FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE. $1.00: MINIMUM FEE FOR ANY PERMIT $1.00. EACH GAS SYSTEM IS A SEPARATE ITEM. OWNER NUMOER TYPE OF FIXTURE OR ITEM WATER CLOSET (TOILET) CORRECTIONS BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK LAUNDRY TUB OR TRAY GAS SYSTEM OUTLETS WATER HEATER SLOP SINK J Q FLOOR SINK Z FLOOR DRAIN L7 R' DISHWASHER O DRINKING FOUNTAIN URINAL MISCELLANEOUS APPROVAL •• DATE IN$pEaW NAME ROUGH PLUMBING �_� Z• GAS PIPING GAS VENT CESSPOOL SEPTIC TANK - DRAIN'( ) PIT ( ) $ SEPTIC TANK CESSPOOL $ SEWER HOUSE SEWER $ GAS TEST ) f cT-(D UTILITY CO.NOTIFIED TOTAL FEE .—FINAL 76A667 17 25M 5ET9 7-48 APPLICATION ION T.OR PEis11 T DEPARTMENT OF BUILDING AND SAFETY 1i� 8d9i/ A!1 1V Y` YOAY6Li 1 COUNTY OF LOS ANGELESI I Wm.J. FOX.CHIEF ENGINEER NATURE OF-INSTAJUATION DIRI o. OU Zo E PERMIT o. ROUGH' FIXTURES COMPLETE i 4O READY FOi NEATER CESSPOOL SEPTIC TANK RECEIVEDrHY DATE UED ;+� /f`+/� 'FIRST INSPECTION MISCE6LANEOU8_ AJOB APPLIlgANT LLL IN HEAVILY OUTLINED PORTION ONLY a NAME �3 ,a' t /�`�//��/Vn/f/�yJ ADDREBS titD `e/- ey I ' /1,G:�7-pl o B ADDRESS / �•/,{ /�R+�/an�e ,/j LOCALITY �/�CJi'7y- y,. J CITY �.�Yy'^.! /� CROSS C/ /! �G� TEL.No. CROSS 8T. COUNTY' LICENSE NO. EXPIRES NAME , LOCATION OF SEPTIC TANS, OR CESSPOOL' K MAIL t NORTH O ADDRESS_ CITY TEL.No. I AM THE LEGAL POBB OCR OF THE ABOVE LOS ANGELES COUNTY.CERTIFI TE OR.7 UAL i AT N. PLUNeml I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. t owNen CORRECTIONS SOUTH J DESCRIPTION OF WORK _z HATH TUB FURNACE !C ROWER DISHWASHER Q —LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR BINK SAND TRAP VWA 'FLOOR DRAIN URINAL. APPROVALS SET DRINKING FOUNTAIN DATE INSPECTOR-8 HAMS TER DENTAL LAVATORY ROUGH PLUMBING rsAs QODA FOUNTAIN I I { OUTL GAS'PIPING r . . GAS VENT CESSPOOL ER OFFIXTURES SEPTIC'TANK AEPTICTANK SEWER S / UTILITY CO.NOTIFIED I f f TOTAL FEE FINAL U.S.N.& Z5M SETS 7-47 - APPLICATION FOR PERMIT ! . DEPARTMENT OF BUILDING AND SAFETY � COUNTY OF LOS ANGELES Wm.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT GROUP zo PERMIT NO. ROUGH FIXTURES COMPLETE '— HEATER CESSPOOL N —I SEPTIC TANK. RECEIVED•. Y READY FOR DATE ISSUED J FIRST INSPECTION GAB- MISCELLANEOammmm / G r` I ICA)XT FILL IN HEAVILY OUTLINEIDA oP��ORTgqION ONLY E NAME 1 ADDRESS sLe ®I� ofJ�j g ADDRESS „ LOCALITY j OY NEAREST p, CITY - TEL.No. CROSS ST. COUNTY m NAME �a CERT.No. EXPIRES LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL NORTH O ADDRESS CITY TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY'CERTIRTPO UAL PLUMEER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH W, DESCRIPTION OF WORK Ej BATH TUB ' =URNACE J D. °ROWER DISHWASHER a LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP LAP SINK =LOOR'DRAIN k-- C7ESSPOOt- ASH TRAY URINAL APPROVALS ATER CLOSET ■+RINKING FOUNTAIN DATE INSPECTOR'S NAME ATER HEATER DENTAL LAVATORY ROUGH PLUMBING I 6TE� CV SODA FOUNTAIN GAS PIPING I I GAS VENT CESSPOOL AL NUMBER OF FIXTURES "c I I , SEPTIC TANK QEPTICTANK SEWER I I S TOTAL FEE UTILITY CO.NOTIFIED I �'p"'- FINAL v.earri MOM e&.In nwe APPLICATION FOR �11Wi1 DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WM.J.FOX.CHIEF ENGINEER PLUMBING °NATURE OF INSTALLATION 13111rRl NO. GROUP —PERMIT NO. ROUGH FIXTURES COMPLETE �P HEATER CESSPOOL �I SEPTIC TANK REC61V READY WT DATE ISSY FIRST INSPECTION s � �� S. M18CELLANEOUB (� APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY K NAME ' ADDRESS X ADDRE8B r LOCALITY Cwt R j NEAREST d. CITY TEL.NeQ CROSS ST. COUNTY p� 0-a CBRT.NO. EXPIRES Y NAME LOCATION OF SEPTIC TANH, OR CESSPOOL Z MAIL NORTH ADDRESS CITY TEL.No. 1. AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFIQR QUALIFICATION. /T f7 PLIIDMMBB* I AM THE LEGAL OWNER OF THE PROPERTY DICRIBED ABOVE. 3 OWNER CORRECTIONS SOUTH _ J DESCRIPTION OF WORD Q Z . BATH TUB FURNACE 5 F b HOWER DISHWASHER Q r VATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR BINK SAND TRAP SLOP SINK ._FLOOR DRAIN iviS WASH TRAY _ APPROVALS WATER CLOSET _DRINKING FOUNTAIN DATE INSPECTOR'S NAME ` ., . WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I METE SODA FOUNTAIN GAS PiPINm I , GAS VENT I CESSPOOL I TOTAL NUMBER OF FIXTURES b SEPTIC TANK CES8P00LSEPTIC TANK � SEWER I ', TOTAL FEE S v UTILITYCO.NOTIFIED fAi E/rZ FINAL / ION WORKER'S I have a certificate of consent to 20-0026 DPW PW9189 APPLICATION I°OWPLUMBING PERMIT I heresy affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab.C.) Policy No. Company COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. ❑ Certified copy is hereby furnished. BUILDING F1 Certified APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is filed with the county building inspection department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY 4 Date Applicant WATER CLOSET NEAREST C' CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed If the work Involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) LAVATORY OWNERZI; �, z ��J I certify that in the performance of the work for which this permit " is issued, I shall not employ any person in any manner so as to MAIL / become subject to the Workers'Compensation Laws. LG ` ADDRESS zel __e DISWASHER CITY ` / TEL.NO. Date Applicant CLOTHES WASHER u CONTRACTOR NOTICE TO APPLICANT: If, after making this Certificate of � ��� � Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. } I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER CLQ (commencing with Section 7000)of Division 3 of the Business and STATE LIC.GAS SYSTEM OUTLETS LICENSE NO. CLASS V Professions Code,and my license is in full force and effect. OUTLETS OVER DISTRICT NO PROCESSED BY Q 5 PER SYSTEM ,{ �� C License Number Lic.ClassFINAL v t DATE �/_ ) VALIDATION Liua Contractor Date T (lt 41 04 ❑ I am exempt under Sec. FI AL 3307 70.65 � B.&P.C.for this reason 1 ITEMS Date: Plan check fee 5 ® TOTAL 70_65 Signature PLUMBING PERMIT ISSUING FEE$ 70.65 TOTAL FEE CHECK ❑ SINGLE FAMILY Plan check applicant CHANGE .00 HOME OWNER-BUILDER DECLARATION Name t-,t�� f, I hereby affirm that I am exempt from the Contractor's License Law �{11Lfu_��V1 a/ 4/93 for the following reason (Section 7031.5, Business and Professions Address Cod❑e) (,(i 9GG cc City Tel.No. 804825 1 AM11027 I,as-ewrrer of the property,will do the work and the structure is not intended or offered for sale(Section 7044, Business and Professions Code). 010. 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 and state that the above information is correct. I agree to comply with all County ordinances 010, and State laws regulating Plumbing, and hereby authorize representatives of this County to enter up the above-mentioned pro y for inspection p rposes. _ SEE REVERSE FOR EXPLANATORY LANGUAGE G � S anaturA of Permlttee Date