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Home My Public Portal About6408 TEMPLE CITY BLVD_Plumbing__ 7e A eaT-CE ei 7+-ee T.Q7a+�olc �I�LI APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION eoBDRaa JOHN A LAMBIE COUNTY ENGINEER ADDRE88 COLEMAN W JENKINS SUPT OF BUILDING LOCAL17Y FOR APPLICANT TO FILL IN PR NT OR TYPE NEA1=T GROW ST NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1 50 MAIL t yy BATHTUB 150 DRESS O" 7—?-4 SHOWER 1 50 CTTY TEL NO LAVATORY - 150 CONTRA SINK 150 ADDREW DISHWASHER 1 50 Cm TEL NO -!IS/S'- CLOTHES WASHER 1 50 STATE LIC LICENSE NO 4Y7CLASS SWIMMING POOL RECEPTOR 150 DIfTRIC7 NO GROUP O�Q P BS[D SY LAWN SPRINKLER SYSTEM 2 00 y�Q S = 19?1 8 WATER HEATER 3 50 WASTE OVAL GAS SYSTEM OUTLETS 150 INSPECTION RECORD Z OUTLETS OVER O 5 PER SYSTEM 30 VrW 1 N z Plan check fee 259 of above See reverse PLUMBING PERMIT ISSUING FEE—$ 2 00 TOTAL FEE APPROVALS DATE InBPECTOR 8e1GNwTURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel No HOT WATER HEATER I H RICHEST ACKNOWL[DOK TAT I HAV[ P[AD TIII• APELIGTION ANO STATE THAT THE AWVX IS c.RHtcY AND AGREE To COMFIT PLUMBING FIXTURES WITM ALL COUNTY ORDINANCU AND [TATE LAWS REGULATING GAS TEST PLUMBING I HEREBY CKWIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED UGSNSEO AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM TME LEGAL OWNER OF AND INTEND TO REBIGE IN Tfx AWYE IBEG IIEIIDENTIAL P11 MWY FINAL SIGNATU Ri �Z� JACK R.ALLEN, SUPERVISING MECHANIC OP PQRMITTEC PERMIT VALMATION CK M cAS PLAN CHECK VALIDATION CK M D CASH (J 1707% SEP 5 5 D 350- a E iiw m .Eo m APPLICATION FOR PERM DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1 COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER DISTRICT NO GROUP ZONE PERMITNO. FOR APPLICANT TO FILL IN 86002 7i OO PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED -} FIRSTINSPECTION J� 3G.SI ADDRESS 6300 EAST VALLEY BLVD. k ./ CITY ROSEMEAD TEL O AT. 2.2719 LDRRESSG .S COUNTY 93MC CEN NO EXPIRES 6'30' LOCALITY, NEAREST PEM FEES CROSBST r c NYYp[R TYP9 OF FJ T RE OR ITEM FEE OWNER MAIL j WATER CW8ET TOILET) O SO ADDRESS BATH TUB 030 CITY EL NO SHOWER O SO 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY WASH BASIN O BO APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK O BO STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRYTUBORTRAY O SO ANGELES COUNTY LICENSE OR I AM THE LEGAL O W OF THE RESIDENTIA PERTY DESCRIBED ABOVE OAS SYSTEM—OUTLETS O Bo SIGNATURE OF 21 WATER HEATER O BO PERMITT SLOPSINK O BO 11 INSPECTION RECORD FLOOR BINK O BO FLOOR DRAIN O BO DISHWASHER O Bo DRINKING FOUNTAIN 050 URINAL O SO J HOUBESEWRR W O SO Q Z MISCELLANEOUS V R O APPROVALS DATE INEFECTOR R NAY{ ROUGH PLUMBING OAS PIPING GAB VENT CESSPOOL @ 1 Do CESSPOOL SEPTIC TANK SEPTIC TANK DRAIN I I PIT I I ® 1 DO OMER PERMIT I 1 00 GAB TEST UTILITY CO NOTIFIED TOTAL FEE FINAL �I�' 7S"°M ^ a°° m APPLICATION FOR PEBMT DEPAMIENT OF BUILDING AND SAFETY � ' w COUNTY OF LOS ANGELES (j WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DIBTRICTNO GROUP ZONE PERMIT NO (� PLUMBER - RECEIVED BY READY FOR DATE ISSUED FIRSTINGPQCTION ADDRESS ROSEMEAD \ BUILDING CITY TEL NO L!-- ADDRESS Y 93M V/ COUNTLOCALITY ICHN H NO E)crIFtES NEAREST f ' PERM FEES CROBGGT MUM711 Tfr[or FI;�m OR ITEM FEE OWNER MAIL WATER CLOG TOILET 050 S ADDRESS L' BATH TUB O SO CI / HL NO SHOWER 050 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THI LAVATORY WASH BASIN O SO 15-0 APPLICATION AND STATE THAT THS ABOVE IG CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING KITCHEN SINK O SO nnQ 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY O SO {J ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER OF THE RESIDENTI PROPERTY DESCRIBED ABOVE GAS SYSTB OUTLETS O SO SIGNATURE OF WATER HEATER O SO FHRMITT SLOPSINK O SO INSPECTION RECORD FLOORSINK O W FLOOR DRAIN O SO }� DISHWASHER O SO 2— "(,S-6 R4 DRINKING FOUNTAIN O SO URINAL O SO J HOUBESEWER O Sol 4 Z MISCELLANEOUS Z 0 APPROVALS DATE IMV[ROR• MANX ROUGH PLUMBING EAB PIPING / N GAS VENT CESSPOOL 100 CESSPOOL SEPTIC TANK SEPTIC TANK DRAIN ( ) PIT 1 ) ® 100 SEWER PERMIT 1 00 GAG TEST L UTILITY CO NOTIFIED TOTAL FEE E Q FINAL seAaai n ►,a ® APPLICATION FOR PERMIT _, -DEPAMIENNT OF BUILDING AND SAFETY L �' COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT O GROUP ZONE PERMIT NO o-o o 3 PLUMBER LLE /. ¢IVED BY READY#FOR DATE ISSUED r FIRST INSPECTION - �v ADDRESS F G L FV L U 0 _G BUILDING C CITY P i, O TEL NO .2 -4 � / ADORBSS of U SP COUNTYLOCALITYoA eC I LICENSENO EXPIRES _ _ NEAREST PERM FEES CROSS ST 1 0 NYYB6R TYRE OF FIX R[OR MU FEE OWNER F FF MAIL WATER CLOSET (TOILET) O SO S ADDRESS BATH TUB O SO CITY TEL NO SHOWER O SO1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY WASH BASIN O SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN BINK O SO STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY O SO ANGELM COUNTY LICENSE OR I AM THE LEGAL OWNITR GAB SVBT¢MJGOUTL¢TB QO SO OF THE PE/RTJ Y DES/^CRIBED ADDY SIGNATURE O� /w WATER HEATER SO PE , ¢ BLOPSINK a O Eo INSPECTION RECORD FLOOR BINK O SOI FLOOR DRAIN O 60 DISHWASHER O SOI /- !'n DRINKING FOUNTAIN OSO It//E a URINAL O SO J HOUB¢BEW¢R O SO Z Z MISCELLANEOUS / v n rc 0 I I APPROVALS DATE INePXOTGR• YE ROUGH PLUMBING 1 GAB PIPING OAS VENT CESSPOOL 1 00 CESSPOOL SEPTIC TANK SEPTIC TANK DRAIN ( I PIT ( 1 ® 100 SEWER PERMIT 1 00 GAS TEST TOTAL FEE s ®� UTILITY CO NOTIFIED FINAL WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT 1 hereby affirm that I have a certificate of consent to self 76A667A insure or a certificate of Workers Compensation Insurance CE 817(REV 10/81) or a certified copy thereof (Sec 38W Lob CC) COUNTY OF LOS ANGELES BUILDING AND SAFETY Pollcy No gEy0&Cf(ompany FJQ*/.L � ❑ — Certified copy is hereby furnished t FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the unty building inspe<- ADDRESS lion deportment NUMBER FIXTURE OR ITEM ® EEE /1 LOCALITY 7 Date 7 Appligo WATER CLOSET QV NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' J BATH TUB 612CROSS ST COMPENSATION INSURANCE SHOWER DWR (Thin stolon rived not be completed H the work Involved by MAIL the permit Is for one hundred dollop($100)or less ) LAVATORY �Q ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TC TEL NO S so as to become subject to the Workers Compensation Laws } DISHWASHER CONTRACTOR Date- Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers CITY ae TEL NO Compensation provisions of the Labor Code you must forth LAWN SPRINKLER SYSTEM C Kt Le C(7� with comply with such provisions or this permit shall be r STATE UC deemed revoked WATER HEATER LICENSE NO 2-2CLASS LICENSED CONTRACTORS DECLARATION DISTRICTNo WO B I hereby affirm that I am licensed under provisions of Chapter 9 OAS SYSTEM OUTLETS �t 1f ((commencing with Section 70DD) of Division 3 of the Bumness OUTLETS OVER (J LT and Professions Code and my license is in full force and effect 5 PER SYSTEM FINAL VALI TION y License Number 74a� Lic Class ✓ / DATE — afiQ FIN v Contractor ,0�SZOP1 A to 7 — &—X ❑ I am exempt under Sec U W B 8P C for this reason Plan check fee , y' \ Signalur PLUMBING PERMIT ISSUING FEE$ s-6 Z r � TOTAL FEE 2 5 01.4 A SINGLE FAMILY Plan check applicant �) # e e e e e 5 HOME OWNER BUILDER DECLARATION Name - I hereby affirm that I am exempt from the Contractor's License7- U S ( e 934.50 i Law for the following reason (Section 7031 5 Business and gess , Professions Code) City Tel No — 3 e e #34.505 ❑ I, as owner of the property, will do the work and the11010 7. 1 1 -86 structure is not intended or offered for sale (Section 704 Business and Professions Code) 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, Gv 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 and State jaws regulating Plumbing and hereby authorize reprelentatives of this County to enter upon the above menti ped perry for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Per mee Date COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC (ARKS 9701 LAS TUNAS PL 0508 0303100019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID: ftt:5 FAIL) BUILDING ADDRESS ON FILE 6408 TEMPLE CITY BL FEE DESCRIPTION QUANTITY LION AIN)UNT TEMP G 917801434 NUMBER.ASSESSOR INFORMATION NEAREST CROSS STREET LONGDEN 5383-014-001 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J1 LOCALITY TEMPLE CITY 07 BATHTUBS/SHOWERS 2 00 FIX 32 40 13 DISHWASHERS) 1.00 FIX 16 20 issuEo ON PROCESSED BY PLAN BY EXPIRES ON 25 LAVATORIES/SINKS 3 00 FIX 48 60 03/10/03 JK 09/06/03 45 WATER CLOSET/URINAL 2.00 FIX 32 40 OWNER 47 WATER HEATER(S) 1.00 TOTAL FEES WIN 16 20 FINAL DATE F 173 55 q-A By ,�^v/ L � 6408 TEMPLE CITY B ' HAAS KEM 03 V TEMP 917801434 DESMIPTION OF WORK REPLACE ALL FIXTURES APPLICANT TEL NO GENERAL TRADE CONSTRUCTION (626) 798-8950- 686 S ARROYO PKWY015 SPECIAL CONDITIONS PASADENA 91105 GENERAL TRADE CONSTRUCTION (626) 798-8950- A r � 686 S ARROYO PKWY 015 LIC. NO UNDER SLAB WORK PASADENA CA 91105 539968 BWATER SERVICE ARCHITECT OR ENGINEEK TEL NO / - / - \ PLASTIC Y/N METAL Y/M ' ROUGH PLUMBING LIC NO GAS PIPINGGAS VENTi HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST CWV GRAY WATER SYSTEM 1 REPORT ID DPR263 ROUTE TO' BS0508