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Home My Public Portal About6042-6044 TEMPLE CITY BLVD_Plumbing__ 7W87-CE81712/59 TEMPLE Cory APPLICATION FOR PLUMBING PERMIT � COUNTY OF LOS.ANGELES DEPARTNB;NNT OF COUNTY ENGRIEER BUILDIIITG�AIMIT�D SAFETY MSI0 BUILDING JOHN A. I COUNTY NGINEER WILLIAM A.JENSEN.Su-T of BuaDINa LOCALITY FOR APPLICANT TO= IN NEAREST' CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL RATS TUR DAD BF.S d CITY L.NO. SHOWER CONTRACT LAVATORY am ADDRESS DISHWASHER CITY A 9TEL. NO WX CONTRA R'S STATS LAUNDRY TUR REG ON NO. COUNTY ❑ CLOTHES WASHER DISTRICT 0OY I�H�/I GV I Z O S Y WATER HEAT88 GAS SYSTEMINDUSTRIAL WASTE APPROVAL • /' INSPECTION OSD , -- O - F C1 W a rA 0 51.00 PER ITEM OR FDITURE $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ E 00 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING .GAS PIPING ` 17 I HEREBY ACKNOWLEDGE THAT i HAVE BEAD THIS APPLICATION AND STATE THAT THE ABOVE IS. CORRECT AND AGREE TO COMPLY GAS VENT I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. H07 WATER HEATER 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF .S TEST f n CALIFORNIA OR THAT 1 M THE LEGAL OWNER OF THE ABOY DESCRIBED RESIDENTIA R RTY. UTILITY CO.NOTIFIED SIGNATURE �, OF PERMITFINAL �r VALMATlO ROBERT A.'W Ob `H , �.f pQ, M•,p ppm SUPERVISING M iANICAL ENG'R LA(;o 5 0 0 2% OCT 1 5 D 3.5 0 a 7Ci567-CE817 12159 1% ' APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY �IVISION ADDRESS JOHN A. LAMBI COUNTY NGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CRO SSTT. FNURMIERFIXTURE OR ITEM OWNER T. WATER CLOSES �^ ADDRESS BATH TUB CITY L. NO. "& oQ SHOWER LAVATORY CONTRACT SINK ADDRESS 11 DISHWASHER CITY 2y-* �� TEL NO — -Zl(�IJ CONTRA R'S STATE LAUNDRY TUB REGIS TION NO. COUNTY ❑ CLOTHES WASHER DISTRICT G P g�UFK O S Y WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD a Y� U a 0 F U w a w z 0 $1.00 PER ITEM OR FIXTURE $ Tj APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK /} TOTAL FEE ROUGH PLUMBING - L� 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 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I M THE LEGAL OWNER OF THE ABOV DESCRIBED RESIDENTIAL R RTY. UTILITY CO.NOTIFIED SIGNATURE `A OF PERMITTEE FINALS Dr VALIDATI9N- ROBERT A. WOOD, CK. M.O. C cnsH SUPERVISING MECHANICAL ENG'R LA�o5002'1-0 OCT 1 5 D 3.50— a �� 1I WORKERS'COMPENSATION DECLARATIONal w APPLICATION FOR PLUMBING PERMIT , I hereby affirm that I have a• certifPcate of consent to-self ISH c& e».121,80) insure,or a certificate of Workers'Compensation Insurance,or ` a certified copy thereof(Sec.380".C.) 11 j � COUNTY OF LOS ANGELES BUILDING-AND SAFETY Policy o pany Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING �Q ADDRESS /� ertified copy'is filed with the county building Inspection NUMBER FIXTURE OR ITEM 40 FEE department, WATER.CLOSET LOCALITY DatApplicant NEAREST � BATH TUB .�•. CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' �� 1 COMPENSATION INSURANCE SHOWER f OWNEi; W a/ ('Phis section need not be completed if the work involved. LAVATORY MAIL- (This AIL c 0 by the permit is for one hundred dollars ($'100) or less.) ADDRESS C a SINK � CITY D b'3 TEL.N �3 I certify that in-the performance of the work for which this DISHWASHER ir permit is Issued, I shall not employ any person in any manner C'ONTRA'CTOR O so as-to become subject to the Workers'Compensation Laws. CLOTHES WASHERA ~ DDRESS ✓ IU Date Applicant SWIMMING POOL RECEPTOR Il NOTICE TO APPLICANT: If, after making this Certificate of CITY q,17 L' Z U) Exemption, you -should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE4} ��/ LIC. 3)" L Compensation provisions .of the Labor Code, you must forth- LICENSE NO,✓ 7�'�C CLASS � with comply with such provisions or this permit shall be WATER HEATER deemed revoked'. GAS SYSTEM OUTLETS DISTRICT NO.AV— PROCESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that.I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL r.�••t VALIDATION ness and Professions Code, and my license is in full force and DATE O effect. Vkv License 7 Lic.Class r J r BY FINAL Contractor Date ❑ I am exempt from the licensing requirements as I am a II Plan check fee licensed architect or a registered :professional_engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lic,or Reg.No. Date 'I Plan check applicant Q� HOME OWNER-BUILDER DECLARATION Name I hereby affirm that 1 am .exemptfrom the Contractor's Address a O 26 A License Law for the following reason (Section;7031.5.,•Busi- City Tel.No. ;� o 0'.0 0 0 5 ness and Professions Code): I, as owner of the property, am exclusively contracting. i .o 1 0, O 0 with licensed contractors to construct the project ` (Section.7044,Business and Professions Code). O ('C CONSTRUCTION LENDING AGENCY C 1, 1 2-8 3 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 1 + above information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances ,and State laws regulating Plumbing, and hereby authorize representatives, of this County to enter upon the ove-mentioned.pr p rty for inspection purposes. i a ure of P fttee Date P WORKERS'COMPENSATION DECLARATION7sA A667 I hereby affirm that I have a certificate of eongept to self• ; CE�,, h_ee, P Q L I C A T I O N IF O R PLUMBING PERMIT insure,or a certificate of Workers'.Compen'ation Insurance,or a certified copy thereof(Sec.3800, C. . 'COUNTY OF LOS ANGELES BUILDING.AND..SAFETY Policy:Nffl�J�mpany i• , a Certified copy is.hereby furnished. , FOR APPLICANT'TO'FILL IN (PRIN P OR TYPE) BUILDING �7d Cert,fied copy is filed withthe county.building inspection NUMBER FIXTURE OR ITEM • FEE ADDRESS ar t�Z_ r ` LOCALITY Date 9f -®Applicant WATER CLOSET NEAREST BATH TUB CROSS ST,. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER AJ (This section need not be completed if the. work involved I LAVATOFIY MAIL AD:.DKESS 41 by the permit is for orie hundred dollars ($100) or less.) (J , SINK. ��/�� O CITY l`E'Z'�7 ��J •} I certify that in'the, performance of,the work for which.this D'ISHWASHEFR. V permit is.issued, I,s-'all not•employ any person in•any manner CONTRACTOR so as to become subject to the Workers'Compensation Laws: CLOTHES WASHER 'ADDRESS 9��. O` Date Applicant, . SWIMMING POOL RECEPTOR. NOTICE TO APPLICANT:'If,after inaking,this Certificate-of CITY. L: W L 1. 3 01 Exemption, you. should become subject to the Workers' LAWN'.SPRIN,KLE:R SYSTEM n- Compensation provisions of the Labor Code, you must forth- 1 STATE LIC. .N with.,. comply ,with.-such provisions,or this ,permit-shall be A WATERHEATER --. LICENSE NO , . CLA deemed revoked. I L EN DISTRICT'NO. PRA�B SS 'BY IC i � - � GAS SYSTEM. OUTLETS LICENSED CONTRACTORS DECLARATION ' i OUTLETS OVER .I hereby 4ffirm that I am licensed..under provisions of Chapter i 5 PER SYSTEM. . 9 (commencing with Section'7000)of:Division 3-of the"Susi- I FI N.AL. nese and Professions Code,, and my license is In full force and •i DATE „-�„� VALIDATION effect. 3� FINAL License Malb ic,Class BY Contractor •ate —/7 0 I am exempt from the licensing requirements as I am a ° Plan.che..ck fee licensed architect or a registered' professional engineer acting•in my professional capacity (Section 7051, Bus- iness us " PLUMBING.PERMIT ISSUING FEE$ ; iness and Professions.Code). k - TOTAL FEE• , Lic.or Reg.No. Date Plan check applicant HOME'OWNER-BUILDER DECLARATION � Name I hereby .affirm 'that. .1 am exempt from. the Contractor's. ) Address License Law for the following reason 'Section.7031'.5.', Busi- ( City Tel.No. ness.and Professions Code): - = 9 0 2 7 A OI, as owner of the'property, am exclusively contracting ; o 0 0 a with licensed contractors to construct the project. (Section 7044;Business and.Professions Code). 1� • ,. � � w. 1 •a,QQ 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.). `? 11'2 rs;193 'Lender's Name 1I Lender's.Address y I.•certify that: Ihave read-this,application and state..that the above informed on iis'-correct.I agree to.Comply With all.County SEE REVERSE'EO.R•E3CPLANATORY:LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize. representatives of this -County to enter :upon the _ ove=mentioned.pro . rty for inspection purposes. Si na ure"o.f P .n,ittee. Date s w � � y COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0107130002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE PHONE: (626) 285-0488 EXT: LEGAL ID: F55S PAID BUILDING TR: 39984 LT: 1 UN: 8 6042 TEMPLE CITY:BL C FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802053 ASSESSOR BER: NEAREST CROSS STREET: WOODRUFF 5385-014-046 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY 64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 TOTAL FEES 43.95 ISS PROCESSED : PLAN BY: EXPIRES ON: 07/13/01 JK 01/09/02 OWNER: TEL. 0: FINAL DATE FINA BY: CODE: KENNETH CITY BL (626) 286-2533- 7-0 J a L ,"/ A TEMP 917802018 ffeg ipnoA�F-ga � REPAIR WATER LEAK AT METER LOCATION APPLICANT: TEL. N KIM WONG PLUMBING (626) 448-1383- 9631 ALPACA STREET SPECIAL CONDITIONS: S.EL MONTE, CA91733 R��s4 �j`�� CONTRACTOR: TEL. NO: � �.)/ ��il�x�\? APPROVALS DATE INSPECTOR SIGNATURE KIM WONG PLUMBING (626) 448-1383- 9631 ALPACA ST. LIC. NO ` R SLAB WORK SOUTH EL MONTE CA 91733 752619 C36 * s / � �, WATER SER ICE C TEC OR E ER: T 0: PLASTI N Mir— 7 METAL Y/N GH PLUMBrNG v LIC. NO:"! S PIPING GAS VENT HOT WATER HEATER -- --- --- - -- -- - - - _-- -4PLUMBING FIXTURES LAWN SPRINKLERS GAS T9ST UTILITY COMPANY NOTIFIED' CWV GUY WATER SY9TEW- - e � av�lK Rept * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508