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Home My Public Portal About5437 WELLAND AVE_Plumbing__ v FGA667•CE#817 5-61•' ' APPLICATION FOR . UM iNG PERMIT COUNTY OF LOS ANGELES ,� °'�' DEPARTMENT OF COUNTY.ENGINEER BUII.DII�iG AND SAFETY DIVISION tOm JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING Y FOR APPLICANT TO I= IN T 2 cRoss sr. NUMBEA FIXTURE OR ITEM OWNER WATER CLOSE! MAIL RATH TUB ADDRESS CITY TEL.NO. SHOWER commAcroR General Installation Co. LAVATORY smis ADDRESS 6558 West Blvd. DISHWASHER crry Los Angeles TEL.No. PL 5-2541 LAUNDRY TUB RCONTUCTOEGISTRATION NO. C� I COUM CLOTHES WASHER DIBT�GT GROUP ZONE CESSED 8Y WATER HEATER I O INDUS GAS SYSTEM WASTE APPROVAL V nG=CnON RECORD r o, W 91. y f Z S 51.00 PER ITEM' OR FIRTURE .1 13 v APPROVALS DATE INSPECXCR-s SIONATURB PERMIT $ 2100 UNDER SLAB WORK. TOTAL FEE R6GH PLUMBING G.WPIPING I P I HEREBY ACKNOWLEDGE THAT 1 HAVE READ,-THIS APPLICATION AND STATE THAT THE ABOVE IS. CORRECT AND AdREE'TO. COMPLY GAS VENT WITH ALL BOUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT.WATER HEATER .•y .++�sol>//.� y sr. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS,ANGELES COUNTY AND STATE OF GAS TEST �. CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED L4Vp - SIGNATURE OF PERMITTER FINAL ,!9`lJ i} �f �/ �ir)A7j - <�t�/�+�1s7 VALIDATION ROBERT A.WOOD dK. r M.o. , CASH SUPERVISING MECHANICAL ENG'R LrILo ' 8 6 9 G f VAR 11 5 0 3.50i-? a 7 SA687-CE.#817 2-82 APPLICATION OR PLU6IN G PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEAREST j JOHN A. LAMBIE. COUNTY ENGINEER "f- / WILLIAM A.JENSEN, SUPT OF BUILDING , FOR APPLICANT TO FILL IN . NUMBER FIXTURE OR ITEM EACH FEE OWNER _ WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACT R *— SINS 1.25 ADDRESS +- DISHWASHER 1.25 CITY TEL.NO. LAUNDRY TUB 1.25 CONTRACTOR'S STATE [I REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P BY WATER HEATER 1.50 '6-' o m �'/ - GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD ,j o til--:Gk' v:�`;f -" _ ..e•✓>"'-_��'I - , ., uj ` tn m ' r APPROVALS DATE INSPECTOR'A'.I GN"ATURE PERMIT $ 2 00 UNDER SLAB WORK 1 ROUGH PLUMBING TOTAL FEE Sd GAS PIPING y j 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 1 f CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED REST .TIAL PROPERTY. UTILITY CO.NOTIFIED / �'�-•- SIGNATURE OF PERMITTEE • FINAL _ ..' VALIDATI ROBERT A.W OD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R LACO4 '9 4 8!�; SEP 28 5 D - 3.5ON c 4 76A667-CE#817 6-65 - APPLICATION FOR PLUMBIN PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING �37 JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CR SS ST. aA NUMBER F17(TURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS 7 G Cl' SHOWER 1.25 CITY d2kTEL. NO. q2 7 LAVATORY 1.25 CONTRACTOR SINS 1.25 ADDRESS S DISHWASHER 1.25 CITY TEL. NO. STATE LIC LAUNDRY TUB 1.25 LICENSE NO. CLASS CLOTHES WASHER 1.25 DISTRICT NO. G52_U ZONE P OCESS, BY WATER HEATER 1.50 QRSI �- RULL GAS SYSTEM OUTLETS "M WASE P ® ( OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORDU /W./. ? -r.y sZ' 04 or W a ee �/ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO 'COMPLY LOF H ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER MBING. HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR .PLUMBING FIXTURES ENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF- LASTEST IFORNIA OR THAT 1 AM 'THE LEGAL OWNER•OF.AND INTEND TOIDE IN.THE ABOVE DES RIBED RESIDENTIAL PROPERT UT1LI•TY CO.NOTIFIED •NATURE PERMITTEE FINAL ALIDATION CASH .LACo 3 0 4 6% JUN 2 4 5 D 325- a WORKE4R.c:ior rOMPENSATION DECLARATION APPL0( -9®N FOR PLUMBING PERMIT I hereby, affirm Thatt I have a certificate of consent to self in- 20-0026 DPW 4/90 iW y;` ffL 76A667A sure,or a certificate of Workers'Compensation Insurance,or a certified copy th reef Sec. 38!00, Lab. C.) !!^^ Policy No. (pony Gk__ Com? COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS R Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Ewk Certified copy is filed with the counAf building inspection ADDRESS . �V � de artment. NUMBER FIXTURE OR ITEM FEE � LOCALITY Dote d Applicant WATER CLOSET(TOILET) rp NEAREST CERTIFICATE OF EXEMPTIO ROM WO RS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER (This section nood not he completed If the work involved by MAIL r g tho permit is for ona hundred dollars($1100)or loss.) LAVATORY ADDRESS 'ql)^A IvT.C.Ar[*-Jl7 I certify that in the performance of the work for which this per- F.— p6 mit is issued, I shall not employ any person in any manner so SINK CITY . TEL.NO.,J4 _93 0 as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTORCL t 2;DiQ1 W �I DI� Date. Applicant � CLOTHES WASHER '� � ��d�� NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR ADDRESS emption,you should become subject to the Workers'Compen- CITY �� TEL.NO.` 7J 1-03T3sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- LSTATE ICENSE NO. � LIC. �� ed. WATER HEATER CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY Ihereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS I- 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER J' dly and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL I� VALIDATION fect. , HOSE BIB DATE _j �9U License Numb �� Lic. Class IL O l+� i FINAL V Contractor m` Date h 5 Pi:� BY 86070 ic I am Umpt unde ec. 1 I TEN33 V s. B.&P.C. for this reason Plan check fee ® TOTAL 86 o 7C Date: cli PLUMBING PERMIT ISSUING FEE$ in CHECK 86°70 � Signature / s,D C �t.r TOTAL FEE (� , ,,� o SINGLE FAMILY - "FOS HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name 02M-001 11/ 6/45 Law for the following reason (Section 7031.5, Business and Professions Code): Address 3168 1 Pi:10-48 ❑ I, as owner of the property, will do the work and the City Tel. No. structure is not intended or offered for sale(Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for I 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 state that the above information is correct. I agree to comply with all County ordinan and State laws regulating Plumbing, and hereby aurt representati sof this County to enter upon the 'tho ovntiierminerb W4ro rty for inspection rp ses. SEE REVERSE FOR EXPLANATORY LANGUAGE Si ature of Date � I R • o • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 LU G-PERMTI� DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 8 9910070001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: GAL ID: FEES PAIDUI RESS TR: 10260 LT: 21 r-5-3W 7 EAN LLD_A.V FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ``-TEMP CA 917803510 ASSESSORINFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 8573-016-029 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY 25 LAVATORIES/SINKS 1.00 FIX 16.20 TENANT: 45 WATER CLOSET/URINAL 1.0.0 FIX 16.20 ISSUED ON: MUSSED D B S ON; 51 LOW PRS GAS-5 OUTLET 1;00 SYS 16.20 10/21199 UT 04/18/0 TOTAL FEES 76.35 OWNER: TEL. NO: FINAL DATE FINAL BY: DE: TSANG;WILLIAM (626) 233-6816- U o® 5437 WELLAND AV 4 te�� TEMP 917803510 DUSCRUTION OF WORK PLUMBING FOR NEW BATHROOM APPLICANT: 0: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: �j ®C/� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: E O: CREATIVE DESIGN (714) 288-030 ROUGH PLUMBING P 0 BOIX 4535 LIC. NO / ORANGE CA 92867 NONE L 1111111 S—PrMG r-- GAS VENT G'D MoLOC W TO" 'U\I,\7,s HOT HEATEV— LUMBING FIXTURES 0 O wi 21� A S N S El � .t. GAS S UTILITY COMPANY NOTIFIED 46''C C �@�V�Q;�� vV � R WATER S 5 E REPORT ID: DPR263 ROUTE TO: BS0508