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Home My Public Portal About6355 TRELAWNEY AVE_Plumbing__ D.E.E.17 EENaT. I- APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFB'TR PLUMBING' ' COUNTY OFF LOS ANGELES WY J. POJ(.CHIEF Q/a1NII1! / NATURE OF INSTALLATION ROMP ZONE PERMIT No. ROUOX FI%TTlRES COMPLETE ? �/J Y XEATER CESSPOOL Sok TANK �/// RY READY POR DAT°IB°u, / _ _I /- .IRYT INfP°CTKIIt /Z - APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY IOE NAME ADDRESS ° ADORE" LOCALITY a _ cITY� TEL N ' eRAos"T@T CouNTr CERT No , O-('Y\ ERFIRKH - �' NAME LOCATION OF SEPTIC TANK, OR CESSPOOL MAIL ADDRESS NORTH O CITY T6 No I AM THE LEGAL POSSESSOR OF THE ABOVE LOO ANGELKB COUNTY CERTIFl OF AL ATION. ILII R 1 AM THE LEGAL OWNER OF THE PROP DE8CR10810 ABOVE. ONNO 4. � CORRECTIONS OIKrS Al dle SOUTH F ESCRIPTION OF WORK ue V`�RNACSt DIBXwABXEnORY REFRIGERATOR N SINK WATOI SOFTENER OINK IIANDTRAP INK ^^R DRAIN TRAY URINAL APPROVALS CLOSET DRINKING FOUNTAIN DATE 1nslscTOS�"us HEATER DENTAL LAVATORY ROUGH PLUYBINO/ / OUTLL a^^A FOUNTAIN GAB PIPING 'I/� L 3 1�-S�O PJ I✓ GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SKPTIC TANK CKBBPOOL GEPTICTANK SEWER F UTILITYCOMOnFTEDTOTAL FEE S -G �S7J moron 17 sas APPLICATION FOR PERM DEPARTMENT OF BUH DING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GR UIP ZO E F)ERMIT NO . 17 1PLUMBER Rizdavljo By READY FOR DATE ISSUED V. FIRSTINSPECTION 3 Z `D ADDRESS S BUILDING CITY TEL NO ADDRESS COUNTY \ LOCALITY LICENSE NO EXPIRES NEAREST PERMIT FEES cROBB BT NUNDUR TYPQ OF FII R[OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) O 80 8 ADDRESS BATH TUB O SO CITY TEL NO 9H6WlR O W I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY WASH BASIN) ® 0 BO APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN OINK a O EO STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LAB LAUNDRY TUB OR TRAY a O SO ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER OF THE RES DENTI L PROPERTY DEB WEIRD ABO B GAB SYSTEM-OUTLETS ® 030I SIGNATURE OF WATER HEATER Q O 501 PERMITT v SLOP BINK 0 O SOI INS ECTION ECOBD FLOOR BINK 0 O EO FLOOR DRAIN @ O EO ) DISHWASHER @ O SOI DRINKING FOUNTAIN @ O SOI / URINAL @ O SO .1 HOUSESEWER qp O SO Q Z MISCELLANEOUS ('J C I O #::JI APPROVALS DATE IM[!lCTOR[ NAM[ ROUGH PLUMBING GAS PIPING OAS VENT CE S S POOL 1 00 CESSPOOL SEPTIC TANK SEPTIC TANK DRAIN ( ) PIT ( ) ® 1 DO SEWER PERMIT 1 00 GAB TEST TOTAL FEE s UTILITY CO NOTIFIED Zr 4i1 �Sb J� FINAL b vasem, 17 see ® W APPLICATION FOR PERMIT L DEPARTMENT OFAND SAFETY - U 11A S I N G COUNTY OSS ANGELES NGELES FO L WILLIAM J FOX Ce11eF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZON * PO ' ER PLUMBER 4, RECEIVED BY READY FOR DATE ISSUED I� ADDRESS �•• / (7 ► / _ BUILDING ADDRESS 7 / ` _ ` CITY ? �� TEL NO Y _ COUNTY LOCALITY r I C LICENSE O EXPI ES NEAREST PERMri FEES KTNEAREST i NYM[OI TY'[OF FIYR[OR ITEM FEE OWNER MAIL .� WATER CLOSET (TOILET) a O BO Ill ADDRESS BATH TUB 050 CITY TEL NO SHOWER O So 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY WASH BASIN O SOAPPLICATION AND STATE THAT THE ABOVE LS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHENSINK O SoSTATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TLB OR TRAY O BOANGELES COUNTY LICENSE OR 1 AM H6 LEGAL OWNER OF THE RESIDENTIAL PROPERTY DSBCR ASO. OAS SYST[M OUTLETS 050 SIGNATURE OF I WATER HEATER BOB PERMITTER BLOPSINK o [o INSPECTfON RECORD FLOOR SINK O BO FLOOR DRAIN O BO DISHWASHER O BO DRINKING FOUNTAIN O So URINAL O BO W f HOUSHSEW[R V MISCELLANEOUS LL 7 O APPROVALS DATE INSPECTOR• NAME ROUGH PLUMBING GAB PIPING GAS VENT CESSPOOL too CESSPOOL SEPTIC TANK SEPTIC TANK DRAIN 1 ) PIT ( ) ® 100 SEWER PERMIT 1 00 GAS TEST TOTAL FEE UTILITY CO NOTIFIED FINAL Cs1710 EE APPLICATION FOR PLUMBING PERMIT 1 DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of roes An J3SS <u (14 JOHN A LAMBIE CouxN�ENGINEER ADDRESS CASSATT D GRIFFIN,SUP TOP BUILDING 7e / A LOCALITY FOR APPLICANT TO FILL IN NEARESTSS T Zk Qk OWNER "W DISTRIg NO GROUP ZONE auBT row INSPECTION MAIL 63. Tlv- d6 -pa Svc. 5 .� I l ADDRESS if INDUSTRIAL CITY �� TEL NO WASTEAPPROVAL PLUMBER J INSPECTION RECORD ADDRESS CITY o'IWL L/ Z TEL N T S L LICENSE NO NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) 0 8100 S BATH TUB *too ear 0 _ DG'- / SHOWER 100 RD 1'0=A LAVATORY (WASH BASIN) @ $100 KITCHEN SINK $100 DISHWASHER 8100 LAUNDRY TUB OR TRAY S100 CLOTHES WASHER $100 WATER HEATER $100 OA STE $100 If /.sv / Do APPROVALS DATE INSPECTOR S SIGNATURE t ER SLAB WORK PERMIT 8 ROUGH PLUMBING + PIPING TOTAL FEE OI 1 HEREBY ACKNOWLEDGE THAT 1 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 PLUMBING FIXTURES 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANNOR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT AM THE LEGAL HER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTI PROPERTY SIGNATURE OF PERMITT.8 � FINAL JOHN A LAMB1E COUNTY ENGINEER VALIDATION ROBERT A WOOD,CHIEF PLBG INSPECTOR (&5 8 2 Or, FUR 7 3 2.0 0 �;EE'10 E! APPLICATION FOR PLUMBING PERMIT 1 DTYISION OF BUILDING AND SAFETY DsparbnoW of County Engin L ee County of Lw An�>m B UILDINGh3ab /2Q.f'JOHN A LAMBIE COUNTY ENOINEER CASSATTD GRIFFIN•SUP TOF BUILDING - ' '' � �(+ IF F APPLICANT TO FILL IN SS OWNER NO GROUP �wE READY FOR IRIPSc ION MAIL ADDRESSITY O ROVAL PLUMBER INSPECTION RECORD ADDRESSta AA / CITY VU O LICENSE NO �ol 3'S NUMBER TYPE OF FIXTURE OR REM FEE WATER CLOSET (TOI LET) a $t 00 S BATH TUB s 100 D SHOWER sl oo —SOMF•/1NF HaMF / 77//A//!�• LAVATORY (WASHBASIN) ® $t00 KITCHEN SINK ® •I00 /�YJT {dDU LO hDT HN1!✓PQ DISHWASHER 0 •t 00 LAUNDRY TUB OR TRAY Q $100 CLOTHES WASHER a $t00 WATER HEATER si 00 GAS SYSTEM (q 100 APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT T 00 ROUGH PLUMBING n GAB PIPING TOTAL FEE 0 GAS VENT, 1 HERACNKOW LEDGE THAT 1 XAYE READ TXI! AP PLICATIOX HOT WATER HEATER AND STATE THAT THE ABOVE I! CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND !TATE OF CALIFORNIA OR THA 1 AM THE LEGAL NER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED gESIDEN L PROPERTY SIGNATURE OF PERMI'FFE I't' ` ti(�y PENAL JOHN A LAMBIE COUNTY ENGINEER VAlMATIO ROBERT A WOOD CHIEF PLBG INSPECTOR CR 0 L& 5GRH N MS22 3 2.00 to e. e WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affe that I have a certificate of consent to self 76A667A insure oro rbficate of Workers Compensation Insurance CE 817(REV 10/81) or o cern copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY oli o Com y Cernhed cop s here FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Cerhf y a ed It t building inspec- ho r NUMBER FIXTURE OR ITEM ® FEEADDRESS LOCALITY Date Appl nt WATER CLOSET NEAREST CERTIFICATE OF EXEMPT O RS BATH TUB CROSS ST �hA COMPENSATION IN RANCE SHOWER OWNER (This section roved not ba complMad If ilia work Itwolved by MAIL , the pertnti Is for ons,hundred dollars({100)or lass) LAVATORY ADDRESS tA sv ' r` tG t ` "�•y- �� ,X ' 1 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 Worker/Compensolion Laws DISHWASHER Ca+TR^ATORn, —FM4S.51A.�eCN Date Applicant CLOTHES WASHER ADDRESS X03 �IG7�7 J r NOTICE TO APPLICANT If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption you should become subject to the Workers' CITYTEL Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM AreAICV4 c/ %57t5? with comply with such provisions or the permit shall be STATE � CLASS /deemed revoked WATER HEATER �NO LICENSED CONTRACTORS DECLARATION DISTRICT NO SSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 70DO) of Division 3 of the Business OUTLETS OVER and Professions Code and my license is in full force and effect 5 PER SYSTEM FINAL _ AUDATION d License Number Lic Class DATE V FI Contractor Date BY O ❑ I am exempt under Sec LLLLL� 4 N B 8P C for this reason = Plan check fee Date PLUMBING PERMIT ISSUING FEE$ lips Signature TOTAL FEE a 31 al A Plan check applicant # a a a a s 5SINGLE FAMILY HOME OWNER BUILDER DECLARATION Name g•�gSAG�.vA UJA•TL'�2 Cb 1 hereby offrrm that I am exempt from the Contractor s Lcon" �j 1 — 1650 Law for the following reason (Section 7031 5 Business and AddrespV�E A1VL44- 7 Al V/ � Professions Code) Cay FIXAWIIS -q Tel No 2736/ • • • 16505 ❑ I as owner of the property, will do the work and the structure is not intended or offered for sale (SectionpopI Q 1 6-85 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 6 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 4g; gulating Plumbing and ebyLha County to titer u n thaw try for inspection sir SEE REVERSE FOR EXPLANATORY LANGUAGE e T CQUNTY OF LOS M6,LFS itMPLE CITY # 0508 PLLb',ti ✓cq+11i DEPARTMENT G° PUBLIC FORKS 9701 LAS TUNAS PI 05,-, '439,/1015 BUILDING AND SAFETY / LAN. DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 28.-�,.b EXI ID MS PAiD TR 14263 LT 10 1 1 6355 TRELAVNEY AV LO FLC 0F.CRIPTION FOAATIF• M AMOUNT iFMP CA 917801312 ASSEESOR INFORMATIONI VEAREST CRDSS STRCFT LE'OJ 5382 020-059 01 °E'2MiT 'SSUANCE FEE 27 75 TPONAS PAGE 596 C-ID J2 LOCALITY TEMPLE SIT, G 07 BATHTUBS/SHOWERS 2 00 FIX 32 40 TENANT 25 L6L4f0°IES/SINKS 1 00 FIX 16 20 TS: P'_..I py EXPIRES ON 4' 4AT.R CLOSET/URINAL 1 00 FIX 16 20 109/29/04 JK 03/28/05 _ TOT1,L FEFS 92 55 OWNER TEL NO -IhO-ATE�7N �kiY -- E— ZIF„'rR F41CHAEL ,626) 285-3615- 1 635, fRELAWNEY TEMPLE CITY 91780 IDEStA PI CAO - -- (1'LU�BING FOR NEW MASTEk B� e APDII — S. G.7NER - IaP`6'aL ZVRU7 IONT S __ I I I � SAA. AS OUNER - LIC NO ��CYECT�F�`I)7iT�E'✓� _ _�7r_ !PENS .!. YIN PETAL Y/I: I k3 -1 A DESIGN GROUP (818) 705-88 5454 ZEL:AH AVE, #215 E`1- 6 , CA 91316 •• I f !HOT TNTEP---H-UTER - --� -- --- -- ��ar—�r�-12 t -- — ILnuN aTt1Nlc,Ek?;— - IE r — ------- I m lith YP ~— -- ! — 1 I I REPORT ID DPR263 ROUTE TO OS0508 I�