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HomeMy Public PortalAbout6349 TRELAWNEY AVE_Plumbing__ DEP „ s MEETCOUNTY OF LOS ANGELES , I APPLICATION FOR PEBffiT DEPARTMENT OFF LOS NG AND SAFETY PLUMBINGWM.J FOX,CHIEF ENGINEER NATURE OF %. ` DISTRICT NO. GROUP ZONE PERMIT IT R OAL UGH IUITUR[8 COMPLETE �� COOL CeTIC.TANK READY POR DATE IBBIIRD FIRST INGP[OTIoN a" AII&SKI.LABICOUG 2 "PLICA" FILL IN HEAVILY OUTLINED PORTION ONLY " woREn �G�n yj h a G a'b Locmmv IC C/EAREST •r» Le 1 Tla NO 9CROUNTY NO /� p[PIR[H ' NAM[ C OF SEPTIC TAN$ OR CESSPOOL ADD"'nmR If r7 -t /d w+t B • NORTH o CITY C I jr TEL No • 1 AM TNR LEGAL OF THE ABOVE LOG ANG/ILIDI COUNTY CETTIPICATE OF QUALIFICATION PwrNm 1 AM THE LEGAL OWNER OF THE PROPERTY DIOCRIBRD ABOVE. • OITNq CORRECTIONS BOOTH J DESCREMON OF WORK i ATM TUB FURNACE C3 a xowme ••IBNwAsxsR o VATORY REFRIGERATOR ITCHEN BINK WATER GOPTU HIR R LINK �AMNO TRAP ENK FLOOR DRAIN ti WARN TRAY URINAL APPROVALS WATER CLO[[T DRINKING FOUNTAIN DATE WATER MAL LAVATORY , ROUGH PLUMBING RTRR�� OUTLa"DOOA FOUNTAIN OPIPING GAG VENT • C[G[POOL TOTAL NUMBRR OF FIXTURES 8XPTIC TANK [BBPOOE RIM-TIC TANK 1 � B[WER ••; � vraln co NOTIFIm TOTAL FEE � 1 7e 7 DUG 19 v-EI APPLICATION FOR PERIIM DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN 5� 33da UMBER' RLO[IVm RLADY FOR FIRST INSPECTION ��^ [ PI ADOR[BB l CITY TL NO J ADDR[RY E /^- COUNTY LOCALITY PERMIT FEES OWNER r— `P _ MUMEEp TYR OF II%Ttl pE Op IRM FCL MAIL o wu Q\ WATER CLOSET(TOILET) @ O OO O ADDRESS /� e BATH TUS ® O OO CITY TEL NO/ 9� SHOWER @ 600 1 HERESY ACKNDWLEDDL THAT 1 HAV[ READ THIS LAVATORY (WASH BASIN) @ O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AAND ND AGREE ORDINANCES LAWS R[CULATING PLUMSINa KITCHEN BINK @ 060 1 CERTIFY THAT I PCdBLSY THE ABOVE VALID LOS -- LAUNDRY.TUB OR TRAY @ 060 ANOELEB COUNTY LIC[ 04 OR 1 THE LEGAL OWNER OF THE R®IDENT,AL O ISED OVL / GAR SYDTEIh' ^UTL[TS @ O 6D SIGNATURE OF WATER HEATER @ 0513 P[RMI SLOP BINK @ DSD INSPECTION RECORD FLOOR SINK @ 0.00 FLOOR DRAIN @ GOO OISHWABHER @ O 114:1 / DRINKING FOUNTAIN @ Goo _ J URINAL @ C.SO = HOUSE S[W[R O.SG O MISCELLANEOUS 13 APPROVALS DATE INM4RFRIP[ MAIf ROUON PLUM•INO II PIPING OAS VENT - 2-a O[S•POOL @ 1.00 0[SSPOOL SEPTIC TANK$ SEPTIC TANK DRAIN ( ) PIT ( @ 100 0[WER DS OAS T� uTlurY DD NDTIFI[o TOTAL FEE • �� FINAL 1ZL DEC TION —r- WORKERS' theIhave COMPENSATION cafe of corse APPLICATION FOR PLUMBING PERMIT I hereby affirm That I have a certificate of consent to self 7oP.667A insure or a certificate of Workers'Compensation Insurance, CE 817(REV 10/6I) or a certified pt'thereof (Sec 3800 tab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY %COMPEUNSATIU pony e fishedFOR APPLICANT TO FILL IN(PRINT OR TYPE)i c reit'bwldmg mapec NUMBER FIXTURE OR REM ® FEEDatep i WATER CLOSETNEAREST � L�� ��^^E I M ORKERS' BATH TUBCROSS 57 L.+GM/'-FSATI U SHOWER OWNER (This section need not be completed H the work Involved by MAIL ` the pormit Is for ono hundred dollen($I00)or less) LAVATORY ADDRESS '\ 'i \ r•' i . .\ .K •�'. - - Y�,�•,` I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner SINK CITY v` TEL NO so as to become subject to the Workers'Compensation Laws DISHWASHER CONTRACT U�C�ty Data Applicant CLOTHES WASHER �T NOTICE TO APPLICANT If after making this Certificate of ADDRESS 70A 4 r Exemption you should become subject to the Workers' SWIMMING POOL RECEPTOR r�yy / Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY m.4 TEL �7S1O7 with comply with such provisions or this permit shall be STATE ` LIC deemed revoked WATER HEATER LICENSE NO -3�Z�J LICENSED CONTRACTORS DECLARATION DISTRICT BY I hereby affirm that I am licensed under Provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code and my license n in full force and effect 5 PER SYSTEM Is' 4FINAATEL _ LIDATION License Number Lic Class V /fe I Contractor Date O ❑ 1 am exempt under Sec gelW d B 8P C for this reason N Plan check fee = Date PLUMBING PERMIT ISSUING FEE$Signature ;131 8 4 a TOTAL FEE Plan check applicant # e e ' e e 5 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name C— , .4 A 0./`}742-3t eo 1 - - 1650 1 hereby affum that I am exempt from the Contractor's License Low for the following reason (Section 7031 5 Business and Addresss • • 1 6 5 Q 6 Professions Code) City Tel Tel No 3c/ 1 016-85 ❑ I as owner of the property, will do the work and the structure is not intended or offered for sale (Section 007044, 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, Civ C ) Lenders Name Lender s Address I certify that I have read this application and state that the ► above information is correct I ogree to comply with all Count' 4=!! s regulatimbing and herebyof this Cto enter upon they for inspp rposesSEE REVERSE FOR EXPLANATORY LANGUAGE t COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0707240016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY G 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 14263 LT 11 6349 TRELAWNEY AV 1 FEE DESCRIPTION QUANTITY DOM AMOUNT I TEMP CA 917801312 ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 15382-020-060 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID S2 LOCALITY TEMPLE CITY, Cl 107 BATHTUBS/SHOWERS 3 00 FIX 48 60 1 TENANT 13 DISITYASHER(Sk 1 00 FIX 16 20 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 121 HOSE BIBB(S) 2 00 FIX 32 40 07/24/07 SR 01/20/08 25 LAVATORIES/SINKS 00 FIX— 48 60 OWNER TEL NO 145 WATER CLOSET/URINAL 00 FIX 16 20 FINAL DATE `, CODE NO DANIEL/TRACY (626) 288-2171- 151 IOW PRS GAS 5.OUTLET 00 SYS T 16 20 1 1 j 6349 TRELAWNEY AV TOTAL FEES 205 95 c\ RM n TEMP 917801312DESCRIPTION OF WURK PLUMBING FOR NEW BATHROOM S REMODEL BATHROOMS JAPPLICANT TEL NO 1MBUILDM (323) 478-0800- 4448 EAGLE ROCK BLVD SPECIAL CONDITIONS 1LOS ANGELES CA 90041 1 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SICNATVRS 1 JERRY PING CONSTRUCTION (562) 500-5020- 18442 HOLDER ST LIC NO 1UNDER SLAB WORK BUENA PARK CA 90620 212879 B1 1 ' WATER SERVICE ARCHITECT OR ENGINEER TEL NO 1PIASTIC Y/N METAL Y/N 1 ROUGH PLUMBING i LIC NO GAS PIPING GAS VENT 1 1HOT WATER HEATER 1PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST 101'ILITY COMPANY NOTIPIID CWV GRAY WATER SYSTEM 1 1 1 1 1 REPORT ID DPR263 ROUTE TO BS0508 1