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Home My Public Portal About6350 TRELAWNEY AVE_Plumbing__ UW7 CE`T 12159 TEMPLE CITY - �� APPLICATION FOR PLUMBING PERMIT O� 03 ANG DEP C� /Yy,� AO�U.NTY ANG C� B LAM 91 COUNTY ENOINCHR ADDS WILLIAM A JHNBEN, Burt DP BUILDING LOCALTTT FOR APFUCANT TO FILL ni NUMBER PIE'TURE OR ITEM OWl� WATER CLOSET K� BATH TOB D� CRT TEL. No SHOWER LAVATORY °O �G s �/�/vh./✓G �a SIR ADDRES87V7 DMHWABEER cnT A -/ i06 X TEN, NO .r CONTRA So 98 Y NDRT T" BEGIBTBATTON NOSTATELAM ORT CommCOIT CLOTHES WASHER DIBTRICTNNO GROUP ZONE PROCESSED BY WATER HEATER SOP - I 1 p�v✓I GAS SY TEN INDUSTRIAL WASTE A7W80 EL oN BEcoBD � l� , $ u� 4 by tf�r i 0 _r �fl/v � !1 m PEa RT3! APPROVALS DATE INSPECTOR S SIGNATURE PERMIT S E 00 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING GAS PIPING I HEARST ACKNOWLEDGE THAT I RAY{ READ THIS APPLICATION GAB VENT AND STATE THAT THE ABOVE IS CORRECT MD AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATHS 1 HEREBY CENTIFY TH AN PROPEBLT GISTERED ND/OR PLUMBING FIXTURES LICENSED AS REQUIRE T NOELES AND STATE OF GAS•1867• CALIFORNIA OR THA 1 AN HE L OVKK ABOVE DESCRIBED HlSIDN TY /' UTILITY CO NOTIFIED SIGNATURE OF TE PSRMITFINAL m� �AMATION ROBERTA WOOD ■ G Gw SUPERVISING MECHANICAL ENG R LCD 1141cd JIL 5 5 0 4.00- V CK aA a>.178 Ba APPLICATION FOR PLUMBING PERMIT 1 BUIMING AND SAFETY DIVISION Daparbnont of County EngJEERA County of Los AngeleBUILDING JOHN A LAMBIE,COUNTY EADDRESS 6350 Trelawney CASSATTD GRIFFIN SUPTOPBLOCALITY TeTR le it FOR APPLICANT TO FNEAREST CROSS ST OWNER DISTRICT O ORO Z N� a DT ■IRS 10 MAIL ADDRESS S O Qi INDUSTRIAL CITY TEL NWASTE APPROVAtLft�nen�Pr nrnnOT PLUMBER INSPECTION RECORD ADDRESS 4333 FlorenceCITY Bell TEL NOI1124LICENSE NO 39243 `��NUMBER TYPE OF FIRTURI OR ITEMPTBWATER CLOSET (TOILET) S C A/BATHTUB Q SHOWER 1 QLAVATORY (WASH BASIN) @KITCHEN SINK131SHWASHER LAUNDRY TUB OR TRAY Q $100 AZL CLOTHES WASHER @ $100 /O / T WATER HEATER PICO 1 GAS SYSTEM 100 I Floor drain ro 8° 04 n fat- /a/tL 67% ES - P/htME PGBR , APPROVALS DATE INSPECTOR 9 SIGNATURE UNOER BLAB WORK PERMIT $ 00 ROUGH PLUMBING PQ A 1v GAS PIPING' ) TOTAL FEE Q OAS VENT, 1 HEREBY ACZNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUM BIND PU(TUpEB PLUMBING 1 XEREBT CERTIFY THAT I AM PROPERLY REGISTERED AND/OR OAS TEST P92 afffl(AffAw LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGA OWNER OF ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PROP TY SIGNATURE OF PERMITTEE FINAL22 I%Tkzwlll ROBERTA WOOD, JOHN A LAMBIE COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG R ■ 0 urn L,ED5 -D 0 4'� ALt ? 2 5 D O 0G IIIPP 7GA667 (CE 617)-4/72 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO BUILDING ADDRESS /C HARVEY T. BRANDT, COUNTY ENWINEER FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST - /! NUMBER FIXTURE OR ITEM • FEE OWNER WATER CLOSET 175 ELLS" MAIL BATH TUB 1 75 ADDRESS SHOWER 1 75 CITY TEL NO LAVATORY 1 75 CONTRACTO j 7 SINK 1 75 ADDRE ,_" �x ,#s" r DISHWASHER 1 75 C EL CLOTHES WASHER 1 7S STATE LIC ENDtf' SWIMMING POOL RECEPTOR 1 75 LICSE NO CLASS LAWN SPRINKLER SYSTEM 1 75 DISTRICT NO GROUP ZONE PROCESSED BY WATER HEATER 1 75 WASTE 4PPROVAL d GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD OUTLETS OVER 30 5 PER SYSTEM W Or Plan Check fee SGB Revert. PLUMBING PERMIT ISSUING FEE B 3 00 TOTAL FEE APPROVALS DATE INSPECTOR B nrHAruRc Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel No GAS VENT HOT WATER HEATER IHEREBY ACKNOWLEDGE THAT I HAVE READ "IS APPLICATION AND STATE THAT THE ABOVE 16 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PL UMBI Na GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED " REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER , AND INT ND TO RCSIOE IN THE ABOVE DESCRIBE IDENTI OPERTY FINAL SI ONATU RE OF PERM( PERMIT VALIDATION CK M 0 CASH PLAN CHECK VALIDATION CK M 0 CASH Lnw 9 0 6 1 DGT 3 5 D .750 Q IX p" 7BA667AE817 8 57 APPLICATION FOR PLUMBING PER IT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 7ADDBESS BUILDING AND SAFETY DIVISION 6350 Trela eJOHN A LAMBIE COUNTY ENGINEER nCASSATT D GRIFFIN SUP T of BUILDING Tem e CFOR APPLICANT TO FILL IN lem0 eNUMBER FIXTURE OR ITEM Dr. Ifflel InWATER CLOSETBATHTUB 6 350 Trelawney SHOWER CITY TEL NO LAVATORY CONTRACTORStandard Plumbing SINE ADDRESS 4333 E. FlorenceDISHWASHER CI'Y Bell TEL xo LIILAUNDRY TDB CONTRACTORS 39243 REGISTRATION NO CLOTHES WASHER �jRl T N G P NE ¢ WATER HEATER GAS SYSTEM INDUSTRIAL 1 Disposal WASTE APPROVAL INSPECTION RECORD F/s� !✓fig ' S A9 I%7` ,4mantany- t-0 r MIT, APPROVALS $100 PER ITEM DATE - INSPECTOR S SIGNATURE 4 OR FLLTUHE B 4.00 UNDER SLAB WORK PERMIT ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST Yl CI/,IMBF_ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE GAL OWNER OF THE OVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL P ERT SIGNATURE OF PERMITTE! /�-T FINAL BZ Q ®* / IItWATION ROERT A WOOD / SUPERVISING MECHANICAL END; R C✓✓✓Vi/// N 0 GtN '{Lo6 3 0 2 SE 1 5 D 6.C,'�0 a t2 elr( w II/ge) APPLICATIONLU LNG ERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINTOR TYPE) BUILDING / ? / C ADDRESS (p J ! r NUMBER FIXTURE OR ITEM ® FEE / LOCALITY WATER CLOSET NEAREST BATHTUB CROSS Si ¢ SHOWER OWNER I MAIL 5� LAVATORY ADDRESS I r e. SINK CITY L TEL %0=7461i DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESZZ ' SWIMMING POOL RECEPTOR q Y � 11 TEL LLAWN SPRINKLER SYSTEMATE CWATER HEATER ENSE NOCLASSGAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR S 54MTURE UTLETS OVER NDER SLAB WORK PERSYSTEM OUGH PLUMBING AS PIPING U GAS VENT y HOT WATER HEATER Q PLUMBING FIXTURES 1EL' d GAS TEST E� Plan check fee UTILITY CO NOTIFIED Z PLUMBING PERMIT ISSUING FEE E TOTAL FEE FINAL Plan check oppl scant PLAN CHECK VALIDATION Name � y�✓' r —�/ / a Address City Tel No IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 2 9 3 7 9 A THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION # • • • • • rj 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REWIRED BY LOS ANGELES C AND STATE OF CALIFORNIA OR THAT 1 AM THE 21600 LEGAL OWNER OF AND 1 TEND RESIDE IN THE OV DESCRIBED RESIDENTIAL PROPERTY • 16,005 0 0 5 I L] SIGNATURE OF PERMrTTEE 0 3 1 7-80 DISTTI� /y P ESSED IND L OY WASTE APPROVAL WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby um that I have o cenificate o4 consent to self 7oA667A �MUre a <erti6cate of Workers Compensonon Insurance, CE817(REV 10/81) ora OPcYNified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY o Cam ny Certified copy is her tied ( BUILDING /��-Y) ❑ FOR AFRICAN TO FILL IN PRINT OR TYPE) (FilJc� Certd c py n 14 th budding inspec- ADDRESS h n rine NUMBER FUTURE OR ITEM ® FEE Dat WATER CLOSET LOCALI /�G / - NEAREST CERTIFICATE OF E 10 ORKERS' BATH TUB CROSS ST 09 '4` COMPENSATI SURA SHOWER OWNER (This section naafi not be completed If the work Involved by MAIL the permit is for one hundred dollars($100)or leu) LAVATORY ADDRESS I certify that in the performance of the work for which this -- s permit is issued, I shall not employ any person in any manner SINK CITY .\ TEL NO r so as to become subject to the Workers'Compensation Laws DISHWASHER GUMRACTO -��/�'�• Dote off CLOTHES WASHER ADDRESS .4a/— /4 NOTICE TO APPLICANTT If If after making this Certificate of Exemption, you should become subject to the Workeri SWIMMING POOL RECEPTOR �/y� Np/��7�/�J Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM cTrY f0qpD1" ' TEL �rf ' "r with comply with such provisions w this permit shall be STATE J��ZiS LIC deemed revoked WATER HEATER LICENSE NO J CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO PRpaSSED BY I hereby off inn that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 70DO)of Division 3 of the Business OUTLETS OVER 1,0,9 Y and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINAL VALIDATION L r License Number Lic Class q DATE V Contractor Date ❑ I am exempt under Sec G L 8 8P C for this reason N Plan check fee = Signature Date PLUMBING PERMIT ISSUING FEE$ p Jb LY 31 9 3 A TOTAL FEE �Q Plan check applicant SINGLE FAMILY I - - 1650 HOME OWNER-BUILDER DECLARATION Nome. )PAS�&'L1 J �-7� eO 1 hereby affirm that I am exempt from the Contractor s License �s • • • 1 Q Jr Q Law for the following reason (Section 7031 5, Business and Addres Z� T T• t t'O IY/N zCW Professions Code) City �LJ,la Tel No I Q 16 8 5 ❑ I, as owner of the properly will do the work and the structure is not intended or offered for sale (Section 14 ► 70 , 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 ) 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 laws regulating Plumbing and hereby e representatwes of this County to enter u n the noised property for inspection pu posit SEE REVERSE FOR EXPLANATORY LANGUAGE � n to a to COUNTY OF LOS ANGELES TEMPLE CITY K 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS PL 0508 1110250005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT (LEGAL ID I FEES PAID BUILDING ADDRESS ITR 14263 LT 6 I 6350 TRELAWNEY AV (FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917801311 15382-0OR INFORMATION NUMBER 101 PERMIT ISSUANCE FEE 27 80 THOMASH�TPAAGGE55596 GRILEMON2 LOCALITY TEMPLE CITY, CI 15382-022-033 107 BATHTUBS/SHOWERS 2 00 FIX 32 50 1 TENANT 125 LAVATORIES/SINKS 1 00 FIX 16 30 ISSUED ON PROCESSED BY PLAN BY 145 WATER CLOSET/URINAL 1 00 FIX 16 30 10/25/11 SR TOTAL FEES 92 90 TOWNER TEL NO FINAL DATE FINAL BY CODE NANGIANA KULTAR S INOERJIT K (626) 451-0455- 1 16350 TRELAWNEY AV I I (TEMP 917801311 I IDESCRIPTION OF WORK (PLUMBING FOR BATHROOM REMODEL (APPLICANT TEL NO I ISAME AS OWNER - 1 I ISPECIAL CONDITIONS I I I I ICONTRACIOR TEL NO I APPROVALS DATE INSPECTOR SIGNATURE I (SAME AS OWNER - LIC NO UNDFR SLAB WORK I I (WATER SERVICE (PLASTIC Y/N f AL Y/N I I ARCHITECT OR ENGINEER TEL NO (ROUGH PLUMBING LIC NO IGAS PIPING GAS VENT I I HOT PATER HEATER I I I I I IPLDMBING FIXTURES I I I I I (LAWN SPRINKLERSGAS I I I I LA PIR D 1UTI TEST I 1 (UTILITY COMPANY NOTI FIED GRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 I I I I I I I I I I I I IRE PORT Ip pPR263 ROUTE TO BSO508 I I I I I I I I I I