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Home My Public Portal About6361 TRELAWNEY AVE_Plumbing__ 00, TSASST cEten %0 ST , APPLICATION FOR PLUMBING PERMA7 -- U COUNTY OF LOS ANGELES DEPARTbIlENT OF COUNTY ENGINEER RP BUILDING AND SAFETY DIMION �saG JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN PR NT OR TYPE CH NUMBER FIXTURE OR ITEM EACH FEE OWRER WATER CLOSET 1 50 _ BATH TUB 1 50 DHPSB SHOWER 1 50 CrTT TEL No LAVATORY t50 CONTRACTOR SINK 1 50 ADDRESS DISHWASHER 1 50 CRT TII. XO CLOTHES WASHER 150 STATE LIC LICENSE NO 7 CLASS C SWIMLIING POOL RECEPTOR 1 50 DISTRICT NO ORO Z rR RY LAWN SPRINKLER SYSTEM 2 00 of IO C WATER HEATER 1 50 IIIDDHTHIAL U WASTE APPROVAL GAS SYSTEM OUTLETS 150CCD B®PECTION RECORD OUTLETS OVER 30 1 5 PER SYSTEM h Z Plan check fee 25,% of above See reverse PLUMBING PERMIT ISSUING FEE S 2 GO TOTAL FEE APPROVALS DATE INSKROR SEIanATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel No HOT WATER HEATER I NE NST ACKNOWLEDGE THAT 1 NAY[ MAD THIS APPLICATION AND STATE THAT TNS ABOVE IE Co RMCT AND ARMS TO COMPLY PLUM13ING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS MGBLATINO GAS TEST PLUMOINO I HEROY CORVT TMAT 1 AM NIOPERLY REGIR Mo AND/OR UTILITY CO NOTIFIED - LICCNHO AS 11EOUIMD SY IL ANGCLEI COUNTY AND STAT[ OF _ CALIFORN 1A OR THAT I AM TNS LEGAL OWNER OF AMD INTEND TO MSIOE IN THE ASOWAMSCRIECD RUaIENTUL PIIOP6IRT FINAL SIGNATURE JACK R ALLEN, SUPERVISING CHANICAL ENG R OF PERMITTEE PER5HT VALIDATION CK M o CASH PLAN CHEC ALIDATION CK M o CASH LAC06 9 8 9�8 OCT23 s o 350~ p 76A667 CEP617 10 67 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES QEPARTMENT OF COUNTY ENGINEER / BUILDING AND SAFETY DIVLSION TRF G wN2 JOHN A L.AMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPT OF BUILDING /YI ,�QI C I T FOR APPLICANT TO PILL IN PR NT OR TYPE777 01,01w NUMBER FIXTURE OR ITEM EACH FE WATER CLOSET Iso E1Z yS�'BATHTUB 150 —Q //lo / CE LAWA 4z SHOWER 150 CETT —re1-�Q C 1 TEL NO LAVATORY 150 O CONTRACTOR SINK 1 so ADDRESS ZZ . DEL U DISHWASHER 1 50 CITY CA 15/Z III E L TEL NO h r 74 ATE LIC CLOTHES WASHER 1 50 LICENSE NO 2/'1271 CLASS C36 SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROUPZON¢ P �SB¢O NY Y LAWN SPRINKLER SYSTEM 200 S _7 R� �� C WATER HEATER 1 50 INDUSTRIAL U WASTE APPROVAL GAS SYSTEM OUTLETS 150 TNRPECTION RECORD U OUTLETS OVER w 5 PER SYSTEM 30 IC,. 'Z N Plan check fee 2551 of above See re%erse PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEE 6-4,40 APPROVALS DATE INSPE<ioq SSIONATUR[ Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel NO HOT WATER HEATER I HRIHAY ACKMOWLROCK THAT I HAV[ RGD THIS APPLICATION AND STATS TM AT TIE[ AVOW It CORMICT AND AORSK TO COMPLY PLUMBING FIXTURES 1 WITH ALL COUNTY ORDINANCES AND STATE LAWS R[OULATINO GAS TEST PLUMOINO I HEI1mY CERTIFY THAT I AM PROPERLY REOISTIRID ANO/OR LITILITYCO NOTIFIED LICENSED AS REOUIRCO BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE "GAL OWNER Of AND INTEND TO P RIM IN THE AEOVE DESCRIREO RESIDENTIAL PROPERTY FINAL I SIGNATURE JACK R. ALLEN, EUPERVISI CH ANIC AL ENG R OF P¢RMITTE¢ PERI1llT VALIDATION cK M o CASH PLAN CHECK (DATION c% M o CASH (fw6 8 9 8�8 O%T17 5 D 6.50- Q WORKERS GI hove COMPENSATIONDECLARATION of corse APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A607A J� insure, or a certificate of Workers Compensation Insurance, CE 817(REV 10/81) or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Certified copy is hereby inched BUILDING ❑ FOR APFUCANT TO FILL IN(PRINT OR TYPE) �7r� Certified y Is ed a but g inspec ADDRESS /K� .S /lio m NUMBER FIXTURE OR ITEM Dat/ WATER CLOSET NEAREST�r CERTIFICATE OF E !ON KERS BATH TUB AST Oe4E 4 COnet be completed ANCE (This stolon need not complHed If the work Imohr.d by SHOWER OWNER the permit Is for one hundred dollar($100)or Ien ) LAVATORY MAIAOORE55� I comfy that in the performance of the work for which thin - � permit is issued, I shall not employ any person in any manner I SINK CITY TEL NO so OS to become subject to the Workers'Compensation Laws DISHWASHER - CONTRACT ��/ T-//-l�fA�l�/D(//Cff Date Applicant CLOTHES WASHER ADDRESS is L /f'/ NOTICE TO APPLICANT If cher making this Certificate of SWIMMING POOL RECEPTOR ^�1�./�/ Exempns you should become subject to the Worker' /A,p-n 77.S�a withComcomply prows ch of the Labor Code, you must forth LAWN SPRINKLER SYSTEM CITY Com/ TEL NO wish comply with such provisions or ilio permit shall be STATE •'7 �• deemed revoked WATER HEATER LICENSE 1403702/5- O 3 /D2/,7 La/SS A LICENSED CONTRACTORS DECLARATIONDISTRICt NQ BY I hereby affirm that I am licensed udder provisions of Chapter 9 GAS SYSTEM OUTLETS nang (�/I (commewith Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code and my license is in full force and effect 5 PER SYSTEM FINAL _ ALIDATION Q License Number Lic Class V FIN � Contractor Date FIf, O ❑ I am exempt under Sec 6 8 8P C for this reason N Plan check fee 00. = Date Signature PLUMBING PERMIT ISSUING FEE f LW , TOTAL FEE A/17 W Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name E. XW_4Z15/4` 4'75=—e 09. a3i 8 2 A I hereby affirm that I am exempt from the Contractor s License T Low for the following reason (Section 7031 5, Business and Addrea F_ 16UAo0rTA/i(/ 4/-4F4J # • • • • • 5 Professions Code) Ory i5Tel N__7;5W499 • • 1 650 ❑ 1 as owner of the property will do the work and the • • is 1 6505 structure is not intended or offered for sale (Section ► I 0 16—8 5 7040 Business and Profession&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 a Address I certify that I have read this application and state that the ► above information is correct I agree to comply with all County rdtnances and State !W regulating Plumbing, and hereby rept ntahves of thn County to ant upon the a e one operty for inspection r SEE REVERSE FOR EXPLANATORY LANGUAGE 510 o m ttee � t • �� L COUNTY OF LOS ANGELES TEMPLE CITY N 0508 PLUMBING PERMIT i DEPARTMENT OF PUBLIC WORKS 9701 LAS TURAS PL D508 0306270009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 BR LEGAL ID FEES PAID BUILDING ADORES$: TR 14263 LT. 9 6361 TRELAWNEY AV FEE DESCRIPTION QUANTITY' DOM AMOUNT TBMP CA 917801312 ASSESSOR INFORMATION NUMBER. NEAREST CROSS STREET LEMON 5382-020-058 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 ST. EXPIRES ON 45 WATER CLOSET/URIMAL 1 00 FIX 16 20 06/27/03 JK 12/24/03 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 OWNER TEL NO TOTAL FEES 92 55 FINAL BY CODE CHI-SHENG S DING (626) 287-3746- 6361 TRELAWNEY AV TEMP 917801312 DESCRIPTION OF WORK PLUMBING FOR GUEST HOUSE APPLICANT TEL NO SAME AS OWNERCONTRACTOR TEL NO APPROVALS DATE I mMTETM-9rM9TUffr-- - SPECIAL CONDITIONS SAME AS OWNER - LIC NO LINDER SLAB WORKWATER SERVICEARCHITECT OR E9GTREMF--_ TEL NO / PLASTIC Y/N METAL Y/N LIC NOGAS TEST 1 -- GAS PIPING GAS VENT NOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS CWV GRAY WATER SYSTEM REPORT 1D: OPR263 ROUTE TO BS0508