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Home My Public Portal About6438 TRELAWNEY AVE_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY !! 0508 PLUMBING PERMIT ' DEPARTMENT OF PUBLIC WORKS 9071 LAS TUMAS 151-0508-9804130007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT LEGAL ID FEES PAID BUILDING-=9 ES*t\ TR 12706 LT 4 BL 001 (r6438 TR FEE DESCRIPTION QUANTITY. UDM- AMOUNT C'TENP CA 917801313 ASSESSOR INFORMATION NUMBER. NEAREST CROSS STREET LEMON 5382-022-021 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J1 LOCALITY TEMPLE CITY 13 DISHWASHER(S) 1 00 FIX 16 35 25 LAVATORIES/SINKS 1 00 FIX 16 35 ISSUED ON PROCESSED BY- PLAN BY EXPIRES ON.- 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 35 04/15/98 UT 04/15/9 OWNER: TEL NO TOTAL FEES 76 80 FINAL DAit WEAVER MATTHEW J,DENISE A Luut 1 HAL ST 6438 TRELAWNEY AV TEMP 917801313 �� PLUMBING_EOR-KITCHEN-ENLARGEMENT APPLICANT TEL. NO SAME AS OWNERCONTRACTOR - SPECIAL CONDITIONS 5 ANGELES Co APPROVALS --UTE INSPECTOR SIGNATURE SAME AS OWNER ,,r'2 LIC NO �- ? SLAB WORK WATER SERVICE ARCHITECT OR ENMEEF— TEL NO VJ� N1-1 PLASTIC Y/N METAL Y/N LIC NOGAS PIPING rGA QJN��L cc - -- - - - , 1 05T ;;R HEATER PLUMBING FIXTURES rLAWN SPRINKLERS GAS TESTUTILITY COMPANY NOTIFIED \046 /L, CWV ,-c r VIC0 1GRAY WATER SYSTEM h`%' REPORT ID DPR263 ROUTE TO RS0508 DEC WORKERS Ihave COMPENSATION cafe of corse APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have o certificate of consent to self 7yiye7A insure, or a certificate of Workers Compensation Insurance CE B17(REV 10/81) or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company emitted copy Is hereby furniahad FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ��,may Certrf ed copy a filed ora c dmg mapec ADDRESS �✓6 7 hon !e a NUMBER FIXTURE OR ITEM ® FEE LOCAL ITr Dote / AppliG t WATER CLOSET NEAREST CERTIFICATE OF EXE F BATH TUB CROSS ST COMPENSATION I SHOWER OWNER (This section need not he completed H the work Inwlwd by MAIL the permit Is for ono hundred dollars($100)or less ) LAVATORY ADDRESS \, I certify that in the performance of the work for which this - - permit is issued 1 shall notemploy any person in any manner SINK CITY TEL NO so as to become subject to the Workers Compensation Lawn DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRE55�3 �� NOTICE TO APPLICANT If after making this Certificate of SWIMMING POOL RECEPTOR a 7,4 Exemption, you should become subject to the Workers /��/�/'�� /y�./,yh Compensation provisions of the Labor Code you must forth LAWN SPRINKLER SYSTEM CLry" "•'" "P`-4 TEL '5 with comply with such provisions or this permit shot[ be deemed revokedWATER HEATER LICENSE NO 3 70 2/S LIC / LICENSED CONTRACTORS DECLARATION DISTRICTNt I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with section 7000)of Division 3 of the Business OUTLETS OVER V L Y and Professions Code and my license is in full force and effect S PER SYSTEM FINAL VALI TION d License Number Lic Class DATE U D FINA i n, Contractor Dote BY ` ❑ I am exempt under Sec d B 8P C for this reason N Plan check fee 110. 2 Dote PLUMBING PERMIT ISSUING FEE f Signature A,3 i fl 9 A TOTAL FEE Plan check applicant # is s s e s 5 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name /T(� _L q Is s 1 6 5 0 1 hereby off um that I am exempt from the Contractor s License -. Law for the following reason (Section 7031 5, Business and Addreas97T �. AOCW741^1 virecl.i Professions Code) Cry Tel No e s e 16505 ❑ I, oz owner of the property will do the work and the , I Q 1 6—8 5 structure is not intended or offered for ate (Section 7041 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 a Nome Lenders Address I certify that I have read this application and state that the ► above formation is correct I agree to comply with all County ardin n laws reguta"ng Plumbing and hereby on r ansa as of this County to emer upon the a ho for n pechon purpos / SEE REVERSE FOR EXPLANATORY LANGUAGE Sig Date wOfllat I have a certificate of ISA DPW 9/89 'APPLICATION FOR PLUMBING PERMIT lJ 7eAa81A I hereby e111rm that I have a certificate of canaenl to self Insure or a,aertificate of Worker a Compensation Insurance or a certified copy thereof(Sec 3800 Lab C) Pol"No 102092400 Perry Valley Forge COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS' DEPT OF PUBLIC WORKS DIV ❑ Certified copy is hereby furnished ' n FOR PpRX.ANT TO RLL IN(PRINT OR TYPE � 6438 Tre 1 awns Ave K—f gVfled copy ie Ned with the county building inspection depennrem NUMBERFIXTURE OR ITEM ® FEE Data 1-1-95 Applicant Owen Bros Plmb WATER LOCALITY Temple Cit NEAREST 'CERTIFICATE OF EXEMPTION FROM WORKERSBATHTUBCROSS ST COMPENSATION INSURANCE ' ASSESSOR (Thin section Mad not be completed If the work Involved by the SHOWER I S MAP BOOK( PAGE PARCEL permit is for one hundred dollars(11100)or leas) LAVATCRYI OWNER Matt Weaver I certify that in the performance of the work for which this permit is Issued I shall not employ any person In any manner so as toMAJIL I SINK _ S ADDRESS 6438 Trelawne Ave became subject to the Workers Compensation Lewy DISWASHER CITY Temple City Ca TEL ND 446-6161 Dale Applicant CLOTHES WASHER �� NOTICE TO APPLICANT If after making this Certificate of Exemption you should become subject to the Workers Compensation SWI10111040 PpOL RECEPTOR provisions of the Labor Code, you must forthwith comply mth Such ADDRESS 4265 N Baldwin Ave provisions or this permit shell be deemed revoked LAWN SPRINILER SYSTEM LICENSED CONTRACTORS DECLARATION WATER FiEAT$t CITY E1 Monte TEL No 443-0078 a I hereby affirm that I em licensed under provisions or Chapter B (commencing with Section 7000) of Division 3 of the Business andt 231-741 USS36-20-16 STATE tic 0 Professions Code and my license IS In full force and affect OAS SYSTEM 1 / OUTLETS S S LICENSE NO C OUTLETS OVER DISTRICT NO PROCESSED BY 8 PER SYSTEM 1 r d O License NumUer 231-741 tic Clava C36-20-16 ' U _ FINAL VALIDATION W Conuacb, Owen Bros Plmb Date 9-30-95 ` DATE 7-gyp a 1❑ FINAL r1ttT.AT Z I arm Under Sec I BY T�7 B 8P C forth reason 1 i TECt Dae Plan check fee , TOTAL J19' 10 Sgneue PLUMBING PERMIT ISSUING FEE$ a ❑ _ _ TOTAL FEE CHECK, 1C.III = L Plan check applicant CHANGE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name _ I hereby affirm that I am exempt from the Contractor a Licena0 Lew Address 03 CC 1]I]1 _r �,Q4 for the following reason actmn17031 5 Business and Proleselo (Sne Code) r ,-� 552° 1 ACI ❑ ro 7 Ccityy I Tel No I as owner of the pperty will do the work eM the structure Is not Intended or offered,for.ale(Section 7044 Business and Professions Code) CONSTRICTION LENDING AGENCY , I hereby affirm that there is a construction lending agency for the performance of the work for which Nie permit is issued (Sec 3087 CIV C) - Lender a Nemo y^ L.`rgi3c Lender vAddreae I certify that I have read this application and elate that the above I , 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 smpectlon purposes SEE REVERSE FOR EXPLANATORY LANGUAGE p 1� - 3-94 I i Wrillitture of Perm ttm Date