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Home My Public Portal About6358 TRELAWNEY AVE_Plumbing__ TEAOEf n E-�E m APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY P L U M 111 G 1 COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPUGfNT TO FILL IN DISTRICTNO. GROUP ZONE PERMIT N�� LUMBER1�7A" RECEIVEQ BY READYFOR DATE ISSUED 1 11 FIRST INSPECTION D R BUILDING CITY T ADDRESS COUNTY 'y LICENSE No EXPIR NEAREST IT PERMFEES CROSB ST MYYEEd TY"OF FlZTYIfE OII ITEM FEE OWNER MAIL WATER CLASET TOILET O so III ADDRESS BATH TUB O so CITY TEL NO SHOWER O SO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY WASH SABIN O SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK 40 O SO STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY @ O SO ANGELES COUNTY LICENSE OR 1 AN THE LEGAL OWNER OF THE RESIDENTIAL PR PERTY DESCRIBED ABOVE. GAS SYSTEM-OUTLETS a O SO SIGNATURE OF WATER HEATER @ 050 PERMITTE SLOPSINK go O e INSPECTION R&OBD FLOOR BINK @ O SO FLOOR DRAIN a O SO DISHWASHER O SO DRINKING FOUNTAIN O SO URINAL O SO .J HOUSESEWER a O SO4 O Z MISCELLANEOUS D APPROVALS DATE INNEmOR• NAME ROUGH PLUMBING GAS PIPING OAS VENT CESSPOOL 1 00 CESSPOOL SEPTIC TANK .{� SEPTIC TANK DRAIN ( I PIT ( I ® 100 �p SEWER PERMIT 1 00 GAS TEST UTILITY CO NOTIFIED TOTAL FEE 2 f%r ylhV FINAL '7E " 17 llrl APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY PLUMBING COUNTY OFF LOS LOS ANGELES WILLIAM .1 FDX. OHI[F ENOINELR usuT "u FOR APPLICANT TO FILL IN PLUMBER le. rX L RECEIVED BY READY FOR DAT[ ISSUED c �j FIRST INSPECTION ADDRESS / 4A19 MAL �7 AA.. eU1Lo1NG _ CITY TLL NP O 6 D S ADDRESS COUNTYLOCALITY 1 1 N GREET Q PERMIT FEES cRvee Br NUMEMR TY/E OF IIXTYRL OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) ® O 60 • ADDRLBB BATH TUB ® O SO CITY TEL No SHOWER ® O 60 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) ® 0501 APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCEB KITCHEN BINK ® 0501 AND STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB LAUNDRY TUB R TRAY O SO ANGELES COUNTY LICENBF- OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL P ERTY DESCRIBED SDVE OAS SYBTEM OUTLETS @ O SO SIGNATURE OF WATER HEATEff 0501 PERM ITT[ SLOP SINK ® 050 INSPECTION RECOffD FLOOR BINK ® 050 FLOOR DRAIN ® O SO DISHWASHER ® O SO DRINKING FOUNTAIN O SO URINAL ® 0501 J Q HOUSE B[WER 0501 =_ MISCELLANEOUS !2 p APPROVALS DATE IMVEQTOR•e NAME M ROUGH PLUMBING nA GAS PIPING V I IY V GAB VENT CESSPOOL ® lO0 CESSPOOL SEPTIC TANKBEPT10 TANK DRAIN I ) PIT ( ) 1 OOI SEWER PERMIT I 1 DO GAB TEST1J1 L nf) UTILITY CO NOTIFIED TOTAL FEE ! (JL/ ZIAL aWORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affmm that I have a certificate of convent to self 76A667q insure or a certificate of Workers Compensation Insurance CE 817(REV 10/8I) or o certified copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company copy is her shed /��Q T FOR APPLICANT TO FILL IN(PRIM OR TYPE) �� J.�O wl =y S'T Certift copy is filed ith c ry building invest Wv✓v li n e NUMBER FIXTURE OR REM ® FEE OCALI 0—7—V Date Ap iSan WATER CLOSET NEAREST CERTIFICATE OF E% ORKERS' BATH TUB CRO55 Si COMPENSATION IN OWNER (This section need trot be completed If the work involved Illy SHOWER the permit Is for one hundred dollars({100)or less) LAVATORY 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 Cm' \ TEL NO so as to become subject to the Workers'Compensation Lows DISHWASHER / )/ CONTRACT ' q V/�� Date A.ppbcant CLOTHES WASHER may NOTICE TO APPLICANT If, after making this Certificate of ADDRESS63 .41- , , Exemption, you should become subject to the Workers SWIMMING POOL RECEPTOR CITY f-F�CL Qs/J� TEL Np4�7�g Compensation provisions of the Labor Code, you must forth LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEATER LICENSE NQ, Z/ CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO D BY I hereby offum that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7ODD) of Division 3 of the Business OUTLETS OVER y and Professions Code and my license is in full force and effect 5 PER SYSTEM FINAL IDATION n' DATE O License Number Lic Cla �• V FINAL cc Contractor Date BY O ❑ I am exempt under Sec d B 8P C for this reason N Plan check fes 11111, Z Dote PLUMBING PERMIT ISSUING FEE$ ;13 1 7.5 A Signature TOTAL FEE # • • • • • 5 Plan check applicant I - e 1 6 5 0 SINGLE FAMILY HOME OWNER BUILDER DECLARATION Ncirnellf. WAAetF/,Q a . . 1 6505 1 hereby affirm that I am exempt from the Contractor's License ,Address T ^,s , I 0,1 6 -8 5 Law for the following reason (Section 7031 5 Business and uT 01\ Professions Code) Gry ogsi� Tel No ❑ I as owner of the property, will do the work and the structure is not intended or offered for sale (Section ► 7047 Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there in 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 stole that the ► above information is correct I agree to comply with all County ordinances and Store laws regulating Plumbing, and hereby itis r to e entolivesd proper f this County to enter upon e honed property for inspection put L/Jl// SEE REVERSE FOR EXPLANATORY LANGUAGE at a of i e Date WORKER I have aENSATM)N DECLARATION , DP'7yBIS APPLICATION FOR PLUMBING PERMIT 1 hereby affirm that I have a certificate o/consent to self Insure or a certificate"Worker a Compensation Insurance or a certified copy thereof*k 3800 Lab C) COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT OF PUBLIC WORKS DIV Policy No Company ❑ Certified copy is hereby lumadted FOR APPLICANT TO RLL W(PRINT OR TYPE) &11LDWG ElCertifiedcopy b filed with the county building inspection ADDRESS depenmem NUMBER FURORE OR ITEM 9 FEE LOCALITY Date Applicant WATER CLOSETNEAREST I /. CERTIFICATE OF EXEMPTION FROM WORMERS BATH TUB CROSS k+l COMPENSATION INSURANCE / ail ASSESSOR v PAGE PARCEL section need not be completed It the wort Involved by the I SHOWER ,� D'(� perrnit Is for one hundred dollen($100)or Is") N I certify that In the performance of the work for which this permit LAVATORY �� AZUL Ie issued I shall not employ any person In any manner so as to & become subject to the Workers Com nsetlon Lswe ADDRESS DISWASHER CRY TEL NO Date ApphWnl r CLOTHES WASHER B'O CONTRACTOR NOTICE TO APPLICANT If after making thio Certificate of Exemption you should become subject to the Workers Compensation SPAMMING POOL RECEPTOR AGGRESS provisions of the Labor Code you must forthwith comply with such provisions m this permit shell be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY 1,orqj, TEL NO } I hereby affirm that I am licensed under provlelons of Chapter 9 WATER HEATER Qa STATE �29 LIC QQ', O (commencing with Section 7000)of Divimon 3 of the Business and DAB SYSTEM OlJ71F'f8 LICENSE NO r//vl CLASS F7- (� Professions Code and my license Is In full force and effect OY7 OUTLETS OVER DISTRICT NO PROCESSm SY lir Lt'ab PER SYSTEM !D� O License Nun -L Claes B �J F frA.7 DAA JAZ VALIDATION a Cantreclm Date FINAL ACCT.i Z Elam exempt undersec BY 33307 145.65 B 8P C for this reasona0 a-GJ Date Plan check fee , , 1 ITEMS SignaturePLUMBING PERMIT ISSUING FEE E TOTAL 1-45 . 65 ❑ TOTAL FEE v CHECK 145.65 SINGLE FAMILY Plan check applicant C .131) HOME OWNER BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Ucense Lew for the fallowing reason(Section 7031 5 Business and Professions Address Code) Q[IQ[I—QQ[J1 3/ 919; ❑ I as owner of the property will do the work and the structure city Tel No X559 1 AM 14 1J Is not Intended or offered for sale(Section 7044 Business and Professions Code) ► CONSTRUCTION LENDING AGENCY -1 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) Leader a 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 authorize representatives of this County to enter upon the above mentioned property for Inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE g.R. C13 lonature of Perrnfttee Date • - COINITY'OF LOS ANGELES TEMPLE CITY # 0508 PLUMBINGIPERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS POW050819901110031 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (626) 28510488 EXT LEGAL ID FEES PAID BUILDING.ADDRESS - TR 14263 LT 7 5635811REL'AWNEYIAVI FEE DESCRIPTION QUANTITY: UOM• AMOUNT TEMP CA`91780131P ASSESSOR INFORMATION NUKBER NEAREST CROSS STREET LEMON 5382-022-035 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY 07 BATHTUBS/SHOWERS 1 00 FIX 16.20 TENANT 25 LAVATORIES/SINKS 1 00 FIX 16 20 ISSUED ON PROCESSED BY: PLAN BY Ew"frf7m- 45 WATER CLOSET/URINAL 1 00 FIX 16.20 01/13/99 UT 01/13/00 47 WATER HEATER(S) 1 00 WTH 16 20 "m um CODE HUANG DONG Q (626) 285-5033- 51 LW PRS GAS 5 OUTLET 1 00 TOTAL FEES SYS 11068 270 6358 TRELAWNEY AV Lb ` TEMP 917801311 UFSCRIPTIUN-0 1 F-WURK-� PL�INGFOR.GUEST:HOUSE APPLICANT TEL NO SAME AS OWNERCONTRACTOR ILL NO - SPECIAL CONDITIONS 5 PNGELES CO SAME AS OWNER �NTy LIC NO LINDER SLAB WORK I TEL PLASTIC Y/N METAL YY /N ]iACRiTECT6T�EfIL7REEl� / LICGAS VENT M0� F UBLIC WORKS HOT WATER HEATER n-ORMG FIXTURES GAS TEST A Pa UTILITY COMPANY NOTIFIED CWV Service Tha��o( REPORT ID DPR263 ROUTE TO BS0508