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Home My Public Portal About5949 TEMPLE CITY BLVD_Plumbing__ PM 9,1V 2.5M SETH 11.46 APPLICATION FOR PERMIT DEPAATIVIENT OF BUILDING AND SAFETY CJ.OUNTY OF LOS ANGELES L�lI ADING t WM. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE C PERMIT No4 tom- ' •� -1' ROUGH FIXTURES I�COMPLETE HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION AS- APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY 4. Joe d. NAME ADDRESS e Id ADDRESS �. LOCALITY NEAREST CITY �+ f p• CITY TEL. s CROSS ST. COUNTY CERT.No. J A-% 11XPIRUS6EXPIRE NAME LOCATION OF SEPTIC TANS, OR CESSPOOL. z MAIL 3 ADDRESS NORTH O CITY TEL.NO: I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIF/CAYE OF QuWFICA•ION. t/✓��?•Lam-✓ � PLumman 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBE® ABOVE. 3 OWNER CORRECTIONS SOUTH DESCRIPTION OF WORK Z ATH TUB FURNACE19 SHOWER DISHWASHER 'O LAVATORY REFRIGERATOR KITCHEN SINK —WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE.. INspu roR•6 NAMs WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I, ETERIGAS SODA FOUNTAIN GAg'PIPING I I • OUTL GAS VENT I_ CESSPOOL I TOTAL NUMBER OF FIXTURES SEPTIC TANK' I I CESSPOOL SEPTIC TANKSEWER ll SF, UTILITY CO.NOTIFIED TOTAL. FEE FINAL D.B.B.-19 23M BETE 11-46 APPLICATION FOR PERPHT� DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES L ' � k WM.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROurl zo 19 . PURM lO. ROUEN :FIXTURES COMPLETE it READY POR DAT@ ISSUED HEATER __CESSPOOL 1__�.SZPTICTANK RECEI FIRST INSPECTION AS M18CELLANEGU APPLICANT FILL IN HEAVILY OUTLINEID PORTION ONLY Joe K NAME 1, ADDRESS W B ADDRESS LOCALITY. NEAREST / �I CITY• TEL.N CROSS ST. CERT.No. EXPIRES�p � NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL NORTH O ADDRESS CITY TEL.No. 1 AM THE LEGAL POSSWOOR OF THE ABOVE' LOS ( ANGELES COUNTY CERTIFIC T6 OP QUALiFICATyO PLumspi 1 i AM THE LEGAL OWNER F THE,PROPERTY 0119RIS119D ABOVE. 3 OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z ATH TUB FURNACE L7. HOWER -DISHWASHER D AVATORY REFRIGERATOR -KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP , SLOP OINK FLOOR DRAIN LWASH TRAY URINAL APPROVALS 02 TER CLOSET DRINKING.FOUNTAIN • DATE INSPECTOR'S NAME ER NEATER DENTAL LAVATORY no PLUMBING I ES GAB SODA FOUNTAIN GAS'PIPING I I OUTL GAS VENT I CESSPOOL I AL NUMBER OF FIXTURES SEPTIC TANK I I 8Poo SEPTIC TANK SEWER s S UTILITY CO.NOTIFIED Ilool TOTAL FEE '��-7/�� G� '�',t � " R1NAL D.B.B.1`7 25M SETS 10-47 APPLICATION FOR PERMIT. DEPARTMENT OF BIDING AND SAFETY COUNTY OF LOS ANGELES WM.J. FOX.CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION DISTRICTNO. CIPROUPI ZONW_____r_m'XNffNO.__ p _ t ROUGH FIXTURES COMPLETE F ��° •_ O S ® R HEATER CESSPOOL SEPTIC TANK RECEIVED BY FlRIlT INSPECTION READY FOR DATE ISSUED AS MISCELLANEOUS �UC��/�/-• 'T ZElZI LICANT FILL IN HEAVILY. OUTLINED PORT19N O Y �• Jos K NAME ADDRESS. m KADDRESS LOCALITY j: NEAREST tL CITY ° TEL. CROSS S•P. COUNTY CERT.No. EXP1R . . J60-1 Am � N LOCATION OF SEPTIC TANK, OR CESSPOOL ADDR NORTH O s CITY TEL.NO I AM TH EGAL sa ANGELES C TY CE IFI ALIF J eJ PLY eR-./ e•^3 1 AM THE LEGAL OWNER.OR THE PROPERTY DESCRIBED ABOVE. 3 DwHER CORRECTIONS SOUTH ,J DESCRIPTION OF WORK z_ ATH TUB FURNACE 19 Ir ROWER DISHWASHER 0 AVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP LOP SINK QLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPBGTOleS PIANa WATER_ TBR DENTAL LAVATORY ROUGH PLUMBING - I ET A8 SODA FOUNTAIN OUTL GAS.PIPING GAS VENT CESSPOOL I TOTAL NUMBER OF FIXTURES 6✓ SEPTIC TANK CESSPOOL__EPTIC TANK SEWER �d FINALUTILITco.NOTIFIED TOTAL FEE FINAL 2�- 7SASs7,47 25M SETS 7-48 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND 'SAFETY COUNTY OF.LOS ANGELES UMBING 1 ' WILLIAM.J. FOX, CHIEF ENGINEER DISTRICT O. BRO PERMIT NO. FOR APPLICANT TO FILL IN 4 C- 3 So 6 3 k- PLUMBER RECEIVED BY READY FOR DATE ISBUED FIRST INSPECTION ADDRESS ev (�- y , v CITY TEL.Na. JOB r� ADDRESS OU-! L-5C.,y P- o COUNTY LICENSE NO. EXPIRES �P ( LOCALITY. . e. 6�d-f.• ICERTIFY THAT I POSSESS THE ABOVE VALID LOS NEAREST R CROSS ANGELES COUNTY LICENSE. OWNER �. ��/r, lf Al .1 MAIL e��`1 _ PLUMBER ADDRESS �+ /t, d? i-"I G PERMIT FEE 19: $1.00 FOR THE FIRST FIXTURE OR CITY- irp Cie TEL. No.J/T P. i , ITEM LISTED BELOW; PLUS 50C FOR EACH ADDITIONAL 1 AM THE GAL OWNER F 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 NUMBER TYPE OF FIXTURE OR ITEM WATER' CLOSET (TOILET) CORRECTIONS BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK LAUNDRY TUB OR TRAY GAB SYSTEM OUTLETS WATER HEATER SLOP SINKJ - a FLOOR SINK Z FLOOR DRAIN O IY DISHWASHER G DRINKING FOUNTAIN URINAL MISCELLANEOUS . APPROVALS -" DATE INSPECTOR'S NAME ROUGH PLUMBING GAB PIPING GAS VENT. CESSPOOL SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK CESSPOOL dl� $ W SEWER HOUSE SEWER $ - GAS TEST t TOTAL FEE $ UTILITY 130'NOTIFIED O FINAL ORKERS'Chave P DECLARATION APPLICATION FOR PLUMBING PERMIT 20-0026 DPW 4/87 affirm that I have a• >cate of consent to self i ,76A667A sure,or a cxrtificate of�Nc ompensation Insurance,ora CE 817(REV. 8/86) c�rtif�d copy thereof(Sec. 3800, Lob. C.) I �-' COUNTY OF LOS ANGELES j DEPT: OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING' Certified copy is filed with the county building inspection ADDRESS �I r- �c department. I NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER.CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. /✓� COMPENSATION INSURANCE ! SHOWER OWNER ' (This section need not be completed if the work involved by NAIL; , the permit is for one hundred dollars($100)or less.) Jf. LAVATORY OW ADDRESS I certify that in the performance of the work for which this pent- SINK mit is issued, I shall not employ any person in any anner so CITY TEL.NO. as to become subject to the Worker' so n ws DISHWASHER• 1�7 CONTRACTOR Iva � � r Date r Applicant CLOTHES.WASHER ADDRESS,47j ! � i r, NOTICE TO APPLICANT: If; after making this Certificc of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the'Workers' ompen- CITY a /ij TELi sation provisions of the Labor Code,.you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATELIC. ed. WATER HEATER LICENSE NO., ;? G- r W CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO, PR21D BY I hereby affirm that I am licensed under provisions of Chapter' GAS SYSTEM OUTLETS �( 9(commencing with Section 7000)of Division 3 of the Business, OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINALVAL• ION >.fect. `'. DATE z� CL L cense Numbers Lic. Class O I O F V 'Contractorj��iz L"Date �`�✓ I I a 'F1I am.exempt under Sec. aW ' P B.&P.C. for this reason ► Plan check fee Date: • PLUMBING PERMIT ISSUING FEE$ 8 5 2 7 A Signature TOTAL FEE I # 0.0 0 0,0 5 • SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant o o 52 5:0 1 hereby affirm that I am exempt from the Contractor's License Name Law for the following.reason (Section 7031.5, Business and Professions Code): Address 0 0 052505. ❑- I, as owner of the property, will do the work and the City Tel. No. structure is not'intended or offered for sale(Section 7044, 2 06 m 8 7 Business and Professions Code). CONSTRUCTION LENDING AGENCY 1 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.). Lende?'s Name Lender's Address i ` I certify that I have read this application and state that the above information Is correct. I agree to comply with all County poll ordinances and State laws regulating Plumbing, and hereby I authorize r prese atives of this County to 'enter upon the i Q05-a-kne one r erty or Inspectioryurposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature ofPermit)W Date