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HomeMy Public PortalAbout6456 TEMPLE CITY BLVD_Plumbing__ 76A997CVI CC-91701 -Y/>a APPLICATION FOR PLUMBING PERMIT BUILDING DSAFETY DIVISION FOR APPLICANT TO FILL IN (MINT OR TY PEI BUILDING ` Q NUMBER FIXTURE OR ITEM 9 FEE ADDRESS v C WATER CLOSET LOCALITY BATH TUB NEAREST CROSS ST SHOWER OWNER LAVATORY MAIL ADDRESS SINK CITY TEL NO DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR LAWN SPRINKLER SYSTEM CITY TEL NO STATE LIC WATER HEATER LICENSE NO CLASS DISTRICT NO OUP NE CESS BV U GAS SYSTEM OUTLETS �/ O , C OUTLETS OVER 5 PER SYSTEM UST L U WASTE RIUOVAL y INSPECTION RECORD Z Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE mi Plan check applicant Name6;4APPROVALS DATE INSPECTOR B SIGNATURE UNDER SLAB WORK Address Z1.0 ROUGH PLUMBING City Tel NO GAS PIPING I SP Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT TME ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING \ 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR PLUMBING FIXTURES ft LICE NSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAB TEST Q CALIFORNIA OR THAT I AM THE LEGAL OWNER 01, AND INTEND TO RESIDE IN THE ABOVE OEB Sf0 REBI IAL PROPERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE FINAL Z- PLAN CHECK VAIVATION CN M D CASH PERMIT VALIDATION CN mo CASH 833�Jja 27 5 0 10.50A5d IE 17 DOE APPLICATION FOR PLUMBING PERMIT oee n DIVISION OF BUMDING AND SAFETY Depaimmad of Ca1 WM J FOX. COUNTY ENGINEER BUILDING ADDRE.SB `T CAHBATT O GRIFFIN CUR T OF YUILBINO . LOCALITY FOR APPLICANT TO FILL IN NEAREST JROSS JT O NER DICTRICT NO GROUP ZONE RGADY FOR Incrccr toE MAIL MAILADDRESS /� INDUSTRIAL y WASTE APPROVAL PLUMBER c INSPECTION RECORD ADDRE58 G� CITY TEL NOl 4 LICENSE NO NUMB" TYPE OF FIKTVRE OR ITEM FEE WATER CLOSET (TOILET) s BATH TUB /J SHOWER LAVATORY (WASH BASIN) _ r r ROCk- KITCHEN SINK F DISHWASHER lw&uT 7413 LAUNDRY TUB OR TRAY y fiz; TUD CLOTHES WASHERW/ —r i_ D O L /Y n y s TOTAL NO 080 APPROVALS �GFEDEIJ. D DATE INSPEETOR S SIGNATURE _AS HYHT OUTLETS ® 1 DO WATER HEATER 100 Q UNDER BLAB WORK ROUGH PLUMBING PERMIT E 1 00 GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUM BIND FI%TURES PLUMBING 1 HEREBY CERTIFY TXAT I AY PROPERLY REGISTERED AMD/OR GAC TENT LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED CALIFORNIA OR THAT I AY THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENT L PROP TY SIGNATURE OF PERM ITTE FINAL WILLIAM J FOX. Courm ENGINEGR VALIDATION _Zol542n W14 3 5.80 n by 91T EPun TeweeT cLIeIT a es APPLICATION FOR PLUMBING PEfRMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUIL ��JJ OHNDANG AND LAMBIIESAFETY COUNTY EINGINON BUILDING EER rf(EA RESS (IJ-L u E COLEMAN W JENKINS SUPT OF BUILDING AL]TT �e ' FOR APPLICANT TO FELL IN BTCNUNBlR FIATURC OR ITQM QACM FKQ /�WATER CLOSET $193 RATH TITS 193 r SHOWER 193 cm �' No17— �3 LAVATORY 125 CONTRACTOR RINK lis ADDRESS DUUMASNER 195 Cm TEL NO LAUNDRY TUR 193 STATE LIC LICENSE N CLASS CLOTNES WASHER I— DISTRICT NO GROUP ZONE I P CKSSKD Y WATER HEATER ISS OAS SYSTEM_/—OUTLEYs ISO INDUSTRIAL WASTE APPROVAL O_ O OUTLETS OVER S PER SYSTEM 30 PECTION CO% V ?'2D OF V w o_ I L <+ Z APPROVALS DATE INR cT R D BIONATUIE PERMIT S 2 00 UNDER SLAB WORK 5 ROUGH PLUMBING bail TOTAL FEE GAS PIPING 1 HSTATv THAT THE THAT I HAVE AND TNI[ L.—"-- AND ..LY GAS VENT rtLL THAT TH[ DINA I[ LAND S AND AOn[[ CONING WITH ALL couNTx O11aINANCCe AND rtwT[ uw[ R[auuilNa HOT WATER HEATER PLUMBING I H[n[eY CKaTF TNwT I M IROI[nLr n[alrt[n[O ANO/ow PLUMBING FIXTURES LI[[N[[O A! R[pUIRIp [T AMO[L[D COUNTY AND [TAT[ 01 GAS TEST ` CALIFORNIA OR THAT I A H[ llOAl OWNER OF AND INTEND TO BESIDE IN THE ADCVE BIDED nRGIDENTIAL PnonRTY UTILITY CO NOTIFIED SIGNATURE /;/ OF PERMITTEE FINAL VALIDATION CK M O CA[H SAL[ 811 Oe DEC 16 5 D '],' 5- o Awtll / 76A6e7 (CE-817)-4/7E APPLICATION FOR PLUMBING PERMIT A COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO BUILDING ADDRESS HARVEY T BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE NEAREST CROSS ST NUMBER FIXTURE OR ITEM 0 FEE OWNER WATER CLOSET 1 75 MAIL BATH TUB 1 75 ADDRESS SHOWER 1 75 CI TEL NO i�Y LAVATORY 1 75 CONTRAC OR SINK 1 75 ADDRESS DISHWASHER 1 75 CI y TEL NO CLOTHES WASHER 1 75 STA OF LICENSE NO J �Ir CLASS � -714 LIC SWIMMING POOL RECEPTOR 1 75 DISTRICT NO GROUP NE RO SEED BY LAWN SPRINKLER SYSTEM 1 75 !' /TP `/ 1 WATER HEATER 1 75 INDSE A TPPROVAL p GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD X„Q OUTLETS OVER 30 C 5 PER SYSTEM O yd Z Plan check fee 5BG RBve,LG PLUMBING PERMIT ISSUING FEE $ 3 DO TOTAL FEE 5 APPROVALS DATE iNl vcc TOL ! lIaHATune Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel NOGAS VENT HEREBY ACKNOWLEDGE THAT HAVE ROAD THIS APPLICATION HOT WATER HEATER AND !TATE THAHATHE A T THE ABOVE CNDECT AND AGREE COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAW! REGULATING PLUM BIND GA$TEST 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LI LENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAT[ OF CA41MRNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED ESIDENTIAL PROP RTY FINAL 910 NA TU RE OF PERMITTE PERMIT VALIDATION cK D cAlN PLAN CHECK VALIDATION CK M 0 CASH [ 0570 WJM16 5 4.75- 76067 - CM17 5/70 L.�V� " APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIMION Sty IN 3( T �� JOHN A. LAMBIE COUNTY ENGINEER �-`ih P Pf' COLEMAN W.JENKINS SUPT OF BUILDING LOCALITY FOR APPLICANT TO PILL IN PR NT OR TYPE L 9 NZARM NUMBER FIXTURE OR ITEM EACH FEE CROSS ST / ovnm C. AA WATER CLOSET 3 iJ EL AD BATH TUB F3S- 5- ADDIT9R i SHOWER .fs- CRI' TEL NO LAVATORY j S CONTRACTOI e /fit Ly ,ee1.5 UAyFj/.4� /j7JL SINK ; ADDRBS DISHWASHER 'fs CRT L/9 I�iS.N Oil TEL NO �/n�Z��.a CLOTHES WASHER 150 STATE LIC LICENSE NO �iSS6O CLASS G jCa SWIMMING POOL RECEPTOR 1 50 DISTRICT NO LOR P ZONE P BS[ Y AWN SPRINKLER SYSTEM 2 00 0 WATER HEATER 1 50 DIDUSTLAL WASTE APPROVAL GAS SYSTEM OUTLETS 150 D18PECTION RECORD OUTLETS OVER 30 5 PER SYSTEM N Z Plan check fee 2S% of ahove See reverse PLUMBING PERMIT ISSUING FEE S 00 TOTAL FEE S� APPROVALS DATE INS"CTOR E SIONATUNE Plan check applicant UNDER SLAB WORK N eme ROUGH PLUMBING Address GAS PIPING G. VENT City Tel No HOT WATER HEATER 1 NEWBY ACKNOWL[DO[ THAT 1 NAV[ READ THIS AWLICATION AND STAT[ THAT THE ASOV[ IE COKEECT AND AOIQ[ TO CO"LY PLUMBING FIXTURES WITH ALL COUNTY OIIDINANCES AMD STAT[ LAWS MGULATINO GAS TEST PLUMBING 1 H[Knr CERTIFY THAT I AM PKO'[RLY REGISTERED ANDIOK UTILITY CO NOTIFIED LIC[MEtO AS REOUIH[O SY LOS ANGELES COUNTY ANO RAT[ OF CAYFORN IA OR THAT I AM THIS L[OAL OWNER OV AND INTEND TO BESIDE IN THE ASOV[ DSKRIEED NUIOEHTIAL PROM FINAL SIGNATURE _ JACK R ALLEN, SUPERVISING MANICAL ENO q OF PERMITTEE PERMIT VALIDATION CH M o CASH PLAN CHECK VALIDATION CH M o CASH Ly,p 5 9 7= DEC 9 5 D 2 0,5 0- Q WORKERS' that have COMPENSATIONDECLARATION of APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 20 0078 DPW 8/87 JRsure or d certl}icate of Workers Compensation Insurance 78A667A or q certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS Policy No Company6 M_ [_{al Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) AOID�REu r BoT (y(/ Certified copy is filed with the county building inspec- L r non department NUMBER FIXTURE OR ITEM ® Fff� LOCALITY Lt Data _ApphSont ©✓�r�"'� WATER CLOSET .� NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE OWNER r,112,AQh (This sectlon need not be mrnpleted H the work Involved by SHOWER It the peat Is for one hundred dollars($100)or less) 2 LAVATORY �,O MAIL ADDRESS I certify that in the performance of the work for which This permit is issued, I shall not employ any person in any manner SINK lizCRY TEL NO —159 7 so as to become subject to the Workers'Compensation LowsDISHWASHERr CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If, after making this Cerhftcate of SWIMMING POOL RECEPTOR • Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- CITY TEL NO 7-oy '7 with comply with such provisions or this permit shall SPRINKLER SYSTEM shall be STATELIC deemed revoked 01 WATER HEATER LICENSE NO MSS LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby offum that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS a,e (commencing with Section 700D) of Division 3 of the Buslnsas OUTLETS OVER } and Professions Code,and my license is In full force and effect 5 PER SYSTEM FINAL VALIDATION C: DATE 3 q Z S License Number L¢ Cam FINAL d• Contractor Date By O ❑ F am exempt under Sec irs+f W B 8P C for this reason U v co Plan check fee Signature BING Date Z PLUMPERMIT ISSUING FEE$ 60 TOTAL FEE O'D Plan check applicant SINGLE FAMILY j HOME OWNER BUILDER DECIARATION Name AC CT.i I hereby affirm that I am exempt from the Contractor s Litems Address _ T Low for the following reason (Section 7031 5 Business and Professions Code) City Tel No Oau7 _a.IJI) ❑ 1, as owner of the property will do the work and thelop �uI AL _ O�1 ITER:, structure is not intended or offered for sale (Section 704, liminess and Professions Code) CONSTRUCTION LENDING AGENCY CHECK 58.00 I hereby affirm that there is a construction lending agency for the performonce of the work for which this permit is issued CHANE .UIJ (Sec 3097 Cry C ) Lender's Name ME-ODD 8/15/51 Lender's Address 89637 1 AM 7:37 1 certify that I have read this application and state that the Poo information is correct 1 agree to comply with all County ordinances and State jaws regulating Plumbing and hereby cuthonze reprelentatives of this County to enter upon the above-memioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permit" Date