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HomeMy Public PortalAbout6335 TRELAWNEY AVE_Plumbing__ 76AB6/•CE817-BSB APPLICATION FOR PLUMB G PERMIT 1 COUNTY OF LOS ANGELES DEPARIIID:NT OF COUNTY ENG II� BUILDING rr � �AN�D�SAFElY DMSION L C88BATT D ITT BOP4 d HW dim DDRESS t 1OCAT2IY FOR APPLICANT TO FILL IN HERBERT NUMBER FIXTURE OR ITEM 0 WATER CLOSET N6IL BATH TUB ADDRESS SHOWER CRY TEL. RO LAVATORY comEA !m ADDRESS 7.151 DISHWASHER CRY T'�. N G 3C7 e is sun 0 LAUNDRY TUB R80@YBAIIpR NO cODIRT ri CLOTHES WJ{�H DISTRICT O P N WATER HEATER O GAS ST37EK DIDUSTRIAL WASTE APPROVAL DUUT=ON RECORD APPROVALS �jRm R Ad DATE INSPECTOR B SIGNATURE UNDER SLAB WORK PERMIT S 2 00 ROUGH PLUMBING TOTAL FEE ,j GASPIPING 1 HEREBY ACXHOWLEDGE THAT I HAVE READ THIS APPLICATION GAS�T AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COYPU HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ARD/OR GAS LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWXER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL OPERTY ., SIGNATURE FINAL OFPRRMITTC J72 2 Or gALIDATION ROBERTA WOOD U� SUPERVISING MECHANICAL ENO R C[ ■ 0 CABx 4� 1 9 7 0 5 DEC 12 5 0 3.00 70AWY IT s•eo m APPLICATION ppFOR PERMIT DEPARTMEND NT OF BUILDING AES SAFETY COUNTY ®I I� G COUNTY OF LOS ANGEL WILLIAM J FOX, CHIEF ENGINEER J FOR APPLICA TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO. T A, _ 9,28-gm PLUMBER RECEIVED BY READY FOR DATE ISBU[D _ /C L FIRST INSPECTION ADDRESS /�- , BUILDING CITYTEL NO ADDRESS COUNTY LOCALITY LENS[ NO ED PERMIT FNEAREST EES cROS[ST MYMD" TYPE OF FlxwJIX OI11T[M FEE OWNER MAIL WATER CLOSET (TOILET) O SO s ADDRESS BATH TUB Goo C �— T L NO SHOWER 030 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY WASH BASIN) O SO APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK 050 STATE LAWS REGULATING PLUMBING I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB LAUNDRY TUR OR TRAY O SO ANGELES COUNTY LICENSE OR IAM H[ LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCR ABO. GAB BYBTeM_OUTLETB O EO SIGNATURE OF WATER HEATER 0 O EO PERMITTEE SLOPSINK @ 050 INSPECTiON RECORD FLOOR SINK O EO FLOOR DRAIN 050 DISHWASHER O 00 DRINKING FOUNTAIN O RO URINAL O ROI J HOUSEBEWKR 030 Z MISCELLANEOUS 13 O APPROVALS DATE INOPEGTOR[ NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1 00 V CESSPOOL SEPTIC TANK SEPTIC TANK DRAIN ( ) PIT ( ) ® 1 DO SEWER PERMIT 1 00 GAB TEST TOTAL FEE S 1♦!O UTILITY CONOTIFIED FINAL 3 ?ZI-S7 I reasar#a E m APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY L w G COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FIL IN DISTRICT NO GROUP ZONE PERMIT NO 4"" ,-z PLUMB[ RECEIVEDB READY FOR DATE I615UED FIRST INSPECTION /Y tTJ ADDRESS CITY ` TEL N ADDRESS / COUNTY LOCALITY S LICENSE NO EXPIRES NEAREST PMMW FEES CROSS ST L MYMiER TYPE OP FIXT%I"OR ITEM FEE OWNER A MAIL WATER CLOSET TOILET O 50 0 ADDRESS BATH TUB O DO CITY I TEL NO �f SHOWER 080 I HEREB ACKNOWLEDGE THAT 1 HAVE READ THIS i LAVATORY WASH SARIN O 80 APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK O a0 STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY a O So ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY D RIS ROVE a"BYBTd OUTLETS O a0 SIGNATURE OF lylv WATER HEATER 030 PERMITTE SLOP BINK 44 0 so INSPECTION RECORD FLOOR SINK a 050 FLOOR DRAIN O SO DISHWASHER O 00 DRINKING FOUNTAIN O a0 URINAL O DO J a HOUS¢BEWER 050 Z ISCZL Ne US V R O APPROVALS DATE IMEPEROR• NAYE ROUGH PLUMBING OAS PIPING GAB VENT CESSPOOL too CESSPOOL SEPTIC TANK SEPTIC TANK DRAIN ( ) PIT ( ) 1 00 SEWER PERMIT 1 00 GAS TEST "flAlIg L �/ yI O % UTILITY CO OJA NOTIFIED rB TOTAL FEE • FINAL -� DEC TION WORKERS'that Ihave COMPENSATION cafe of corse APPLICATION FOR PLUMBING PERMIT I hereby aHvm that I have a certificate of consent to esti 7 n1ure, or O certificate of Workers'Compensation Insurance CE�REV I0/81) or a certified cop thereof (Sec 3900, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY P❑olrcy No Company ifed copy is hereby furnished BU IDI NG FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS 2L Q���E6 Certifi c is filed it o building mspec- aJJ ti n n NUMBER FIXTURE OR ITEM ® HEE CAUrrTY Date Appl WATER CLOSET NEAREST �� i RTIFICATE OF EX ON RS BATH TUB CROSS ST COMPENSATION RAN SHOWER OWNER (This section need not be completed H the work Involved by, the permit is for one hundred dollars ($100)or leu ) MAIL MAILADD I certify that in the performance of the work for which this _ permit is issued I shall not employ any person in any manner SINK CITY TEL NO so as to become subject to the Workers'Compensation Laws �s�Ir1��s� � DISHWASHER CONTRACT �iJ0%eIs'/ Date Applicant CLOTHES WASHER n' NOTICE TO APPLICANT If after making this Cenrficote of ADDRESS Exemption, you should become subject to the Workers SWIMMING POOL RECEPTOR CITU 44V,4,914 TEL NO O Compensation provisions of the Labor Code you must forth LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be qL deemed revoked WATER NEATER STATE STATELICENSE NO G�/ CLASS A _J IC LICENSED CONTRACTORS DECLARATION DISTRICT BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS 6: (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER Od and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINALVA ATION d License Number L¢ Cksss DATE , V FI cc Contractor Dote 1BY O ❑ 1 am exempt under Sec W d N B 8P C for this reason Plan check fee ? Sigrwture Dote PLUMBING PERMITISSUING FEE$ TOTAL FEE 3 ' Nan check applicant SINGLE FAMILY '- �-„ HOME OWNER-BUILDER DECLARATION Name W_Wa5 /rQ W�r� dp0 I hereby affirm that 1 am exempt from the Controctoi s LicenseF 31 Z 7 A Low for the following reason (Section 7031 5 Business and Address37Zs E A.XJA,(-T4/r.J V/49(,4J Professions Code) City # e it e e e 5 ❑ �� A JC/� Tel Na�36/ 9 1, as owner of the property will do the work and the structure is not Intended or offered for sole (Section , ) s • 1 6 5 0 44 70Business and Professions Code) CONSTRUCTION LENDING AGENCY e s s 16 5 Q 5 I hereby affirm that there n a construction lending agency for the performance of the work for which this permit is issued I a 16—8 5 (Sec 3097, Civ C ) Lender's Name Lender ngddress I certify that I have read this application and state that the ► information n correct I agree to comply with all County 0 and State lows regulating Plumbing and hereby e 4"ntroLsfCfor nspechon purp sesSEE REVERSE f-0R EXPLANATORY LANGUAGE e Da � I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9610290013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285-0488 EXT LEGAL ID: FEES PAID 9UILDINTMZ7nT-- TR 14263 LT 81 BL 001 6335 TRELAWNEY AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801312 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 5382-020-062 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE- 596 GRID J2 LOCALITY TEMPLE CITY 49 WATER TREATING EQUIP 1 00 SYS 16 35 TENANT TOTAL FEES 44 10 ISSUED ON PROCESSED BY PLAN BY EXPTRW� 10/29/96 TC 10/29/97 OWNER TEL NO FINAL DATE CODE GANO ROBERT E CO TR GANO FAMILY TRU (818) 286-4025- 6335 TRELAWNEY AV �� TEMP 917801312 6ES�17'6TTi up WORK APPLICANT TEL NO ���� aaitias CHANGE OUT WATER SOFTENER EVINGER PLUMBING (818) 964-5673- YA°NUTOC JSPECIAL CONDITIONSI CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE EVINGER PLUMBING CO (818) 964-5673- P 0 BOX 298 LIC NO WALNUT, CA 91788 0298 277381 C36' UATER SERVICE ARCHITECT OR ENGINEER. TEL NO S N H OA^ 0I-1 9 n d PLASTIC Y/N METAL Y/N LIC NO ' V , y � un GAS VENT I N '(00"�� �c� . PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST CWV GRAY WATER SYSTEM I I REPORT ID- WR263 ROUTE TO BSO508