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HomeMy Public PortalAbout6434 TRELAWNEY AVE_Plumbing__ Dt W u�* TY/ APPLICATION FOR PERBUT DEP,�IRTDi ui OF BUILDING AND SAFETY .,CO TYFOF�a GELES ' PLUMBING � GINEER OF INSTALLATION ROUGH FIXTURES COMP R6 + �• HEATER CESSPOOL oo TICTAMKR Y R Y FIR N ISSUEDA. t APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY Joe NAME G// ADDRESS f W Y ADDRESS &-o SU LOCALITY f/ N MARKET CITY O '1T TEL N k orao fl CROSS R lo)c! A O ++ d0 1 COUNTY CERT No EIPIR R6 C NAME Pf LOCATION OF SEPTIC TANK, OR CXS§POOL MAIL ADDRESS NORTH O - CITY TEL NO 1 AM THE L6 POBS88009 Or THE AYOVS Los ANGELES COUNTi ¢ERTIFICATg, OUALIPI ATION VPI.I,YIW I AM THE LEGAL oWN OF TU PROPERTY DESCRIBED ABOVE , ONMO` CORRECTIONS U'IH J D ON OF WORK i ATH TUB FURNACE ROWER DISHWASHER O AVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER R SINK SAND TRAP LOP SINK F DDR DRAIN WASH TRAY URINAL APPItO`TALS WATER CLOSR DRINKING FOUNTAIN DATE 1 Y MAYS WATER NEATER DENTAL LAVATORY ROUGH PLUMBING -44 RED GAB SODA FOUNTAIN r OUTL OAS PIPING OAS VENT CEDSPOOL TOTAL NUMBER OF FIXTURES Q SEPTIC TANK CESSPOOI SRPTIC TANK SEWER S UTILITY CO NOTIPI® TOTAL FEE D.B.S. 17 25M SETS 12'4" APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUPLUMBING 1 " 'COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER FA TURE OF INSTALLATION DISTRICT NO. GROUP ZONE E n I_ �' ROUGH FIXTURES I—I SEPTIO TANK +_ J READY FOR HEATER CESSPOOL RECEIYSD BY FIRST INSPECTION DATt/ISSUED( MISCELLANEOUS //"" v 44 �7 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB ADDRESS �.- LOCALITY ., NEAR EBT TEL.No. CT.ez. EXPIRE6 0 NAME "1'� LOCATION OF SEPTIC TANK, OR CESSPOOL r 2 MAIL 3 ADDRESS NORTH O CITY TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE l09 ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS s, SOUTH DESCRIPTION OF WORK BATH TUB FURNACE C5 I.r SHOWER DISHWASHER N" O _LAVATORY REFRIGERATOR fy KITCHEN SINK WATER SOFTENER FLOOR SINK SANDTRAP SLOP BINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAM[ _WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I METER SAO SODA FOUNTAIN OUTL GAS PIPING GAS VENT `00)n CESSPOOL •TOTAL NUMBER OF FIXTURESr v v SEPTIC TANK CESSPOOL SEPTIC TANK SEWER I S VUTILITY CO.NOTIFIED I TOTAL FEE I v FINAL 7e A 887—CE 817 468 APPLICATION FOR PLUM NG PER IJ COUNTY OF LOS ANGELES DEPABTbB:NT OF COUNTY ENGUMM FURBUII DING AND SAFETY DMSION6OSS ST JOHN A LAMBIE COUNTY ENGINEER434 Trel COLEMAN W JENKINS SUPT OF BUILDING Tenple Ciiy, CalifOmiaFOR APPLICANT TO FILL IN PR NT OR TYPE ST NUMBER FIXTURE OR ITEM EACH FEEHarold P. See ar WATER CLOSET 1 50 BATH TUH 1 50 KAM SHOWER 1 50 QTY Same TEL RO 447-0363 LAVATORY 150 COWTRAC7oR Pacific InstallerspInc. SINK 1 50 ADDRESS 10920 E. Grand Avenue DISHWASHER 1 so QTT Temple Cit Calm e0 ji1.t2-7070 CLOTHES WASHER 1 50 STATE fi NO 2118 8 CUSS C 20 SWIMMING POOL RECEPTOR 1 50 DISTRICT NO OR P ! Pq SY LAWN SPRINKLER SYSTEM 2 00 `-57�O WATER HEATER 1 50 1 5O DUSTAMAP OVAL �j GASSYSTEM OUTLETS 150 WASmmncTIOK RECORD o^ OUTLETS OVER 30 I{OW�J- 5 PER SYSTEM N Z Plan check tee 25 a of above See reverse PLUMBING PERMIT ISSUING FEE 3 2 00 TOTAL FEE 3 50 APPROVALS DATE INSPECTOR Y•IONATUR[ Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAB PIPING GAS VENT City Tel No HOT WATER HEATER I X[RCpY ACHING "COR THAT 1 HAVE READ "I• APPLICATION All STAT[ THAT THE AWY[ I• CORRECT AND AO TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE • O=UTING GAS TEST PLUMBING 1 H[REST CERTIFY THAT I AN PROPERLY oI D ANDIOR UTILITY CO NOTIFIED LICSN•[O A• SEQUINED BY LX ANGELES UN A STAT[ 01 CALIFORNIA OR THAT 1 A CAL [ A INTEHO TO R[•ID[ IN THE ABO • PROPS FINAL SIGNATURE JACK R ALLEN, SUPERVIIIN CHANICAL ENG R OF PERMITTEE PERMIT VALIDATION(':K/ M o CASH PLAN CHECK VALIDATION CK M o CASH 7 9 3 2% .NH 8 5 0 350- ^ I ONE RITTIO33 APPLICATION FOR PLUMBING PERMIT 1 DIVISION OF BUILDING AND SAFETY Dopo>rbnent of County EnglaBirr County of f.oB Angeles BUILDING 6434 Trelawn JOHN A L.AMBIE COUNTY ENGINEER ACIDNESS CASSATT D GRIFFIN,SUPY OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IIi NEAREST 1x= XNM Lemon OWNER DISTRICT GROUP NE RUDY FDR INSPRCTIOR MAIL T / ADDRESS INDV8'TRIf[C'� CITY TEL. NO PLUMBERBelvedere Plumbing Co. INSPECTION RECORD ADDRFS811900 E. Garvey Ave. CITY E1 Monte TEL ND GI 89836 LICENSE NO 54,932 Y / h' NUMBERTYPE OF FIXTURE OR[YEA FEE L f jr 1 WATER CLOSET (TOILET) $100 1. 00 BATH TUB 100 1 SHOWER Q •100 11 U0 1 LAVATORY (WASH BASIN) Sim 1. 00 - P HE ® $100 l� �J DISHWASHER a S1 00 1 LAUNDRY TUB OR TRAY 0 $100 1 00 0 Lf/ Y CLOTHES WASHER ® $1 00 WATER HEATER ® $1 DO i 1 GAS SYSTEM 1 00 RO 11/s/ A FGA. ( APPROVALS 1Nvh✓FRIAA/OK DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT S t 00 ROUGH PLUMBING T OAS PIPING TOTAL FEE 7 00 GAB VENT I 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 VIZ S 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GASTEST rlAly7L LICENSED AS REQUIRED BY LOS ANGELES C NTY ANO STATE OF CALIFORNIA OR THAT 1 AN THE LEGAL ER OF H8 ABOVE UTILITYCO NOTIFIED DESCRIBED RESIDENTIA-4 ZROPERTY SIGNATURE OF PERMITTEE FINAL L3 _ -r JOHN A L.AMBIE. COUNTY ENGINEER �1{ALTATION ROBERT A WOOD CHIEF PLBG INSPECTOR ��/( 5 5 4 81; FEB 2 6 3 700 KI 75 WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affum that I have a certificate of consent to self 7ande7A 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 Ce ed copy is herviav furnished BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) enrhed c is fd i Is ry building mspec hon sport a NUMBER FIXTURE OR ITEM ® FEE LOCAL ,5 Dote Ap WATER CLOSET Com! CERT KATE OF EXEM F RKERS' BATH NB CROSS ST �� COMPENSATION INSURANCE Oy NITR (This section need not be completed H the work Inrolwd by SHOWER the perrrtlf 1s for one hundred dollop(SI00)or loss ) LAVATORY MAIL ADDRESS, ♦ l \1 �\ ` ` 1 O 1, I certify that in the performance of the work for which this permit 1s issued, I shall not employ any person in any manner SINK CITY I TEL NO so as to become subject to the Workers Compensation Laws DISHWASHER CONTRACT �,C✓ Date Applicant CLOTHES WASHER ADDRESS S� NOTICE TO APPLICANT If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers Compensation provisions of the Labor Code you must forth LAWN SPRINKLER SYSTEM CRY //j TEL NQAf77W with comply with such provisions or this permit shall be STATE T7 UC deemed revoked WATER HEATER LICENSE NO3S CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO By 1 here affirm that I am licensed under GAS SYSTEM OUTLETS by provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Profestuom Cade and my license is in full force and effect 5 PER SYSTEM tB V DATION G License Number L¢ Class U K Contractor Date C W I am exempt under Sec 1 B 8P C for this reason13 Dote Plan check fee Signature PLUMBING PERMIT ISSUING FEE S 50 TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name f-F W �317.8 A I hereby affirm that I am exempt from the Contractor s License Address �,/sF ��1.. Law for the following reason (Section 7031 5, Business and E- Hnip itt Professions Code) G Tel Nc�i # s e s s 0 `5 F1ty I, as owner of the property will do the work and the - 1650 structure 1s not intended or offered for sole (Section 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY = I herebyoffirm that there 1s a construction lending agency for • • • 1650 U the performance of the work for which this permit 1s issued (Sea 3097, Civ C ) 1 0 16-85 Lender's Nome Lenders Address I certify that I have rood this application and state that the ► above information a correct j agree to comply with all County ances and State laws regulating Pfumbing, and hereby e representatives of this County to enter upon the ve enboned property for inspaciwn purp see SEE REVERSE FOR EXPLANATORY LANGUAGE S1 Permittee Da e COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0204250022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 ENT LEGAL w: FEES PAID BUILDING ADDRESS TR 12706 LT 5 BL .001 6434 TRELAWNEY AV _ FEE DESCRIPTION: QUANTITY LON: AMOUNT: TENP CA 917801_313 ASSESSOR INFORMATION NUMBER. NEAREST CROSS STREET LEMON 5382-022-022 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE 596 GRID J1 LOCALITY TEMPLE CITY, C 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT 25 LAVATORIES/SINKS 1 00 FIX 16 20 ISSUED ON PROCESSED BY PLAN BY tFYLKt:5 UN 45 WATER CLOSET/URINAL 1.00 FIX 16 20 04/25/02 VG 10/22/02 TOTAL FEES 76 35 OWONG WNSR NO FINAL BY KENT K;LAU-WOMG BETTY MAMGEE (626) 447-7529- ��, l 6443 9RELAWNE3 AV 1780131 � c _ - PLl/OIING FOR BATH AND LAUNDRY APPLICANT TEL NO SAME AS OWNERSPECIAL CONDITIONS- /�---1 E'-ES �© \ �ip5 wT�AAPPROVALS INSPECTOR 16 LIRE SAME AS OWNER LIC NO LINDER SLAB WORK WATER SERVICE ARCHITECT OR ENGrgEEF-- TEL. PLASTIC Y/N METAL Y/N _ \ ROUGH PLUMBING LIC MO- ,_- r, GAS VENT P /7 PLUMBING FIXTURESGAS TEST UTILITY COMPANY NOT CWV � 1 _ REPORT ID: DPR263 ROUTE TO BS0508