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Home My Public Portal About4940 GOLDEN WEST AVE_Plumbing__ 76A667 17 2SM SETS 7-48 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING i COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRI; NO. ROUP ZONE P R I . FOR APPLICANT TO FILL IN �+ PLUMBER RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS - '13 CITY TEL. No. JOB ADDRESS COUNTY LICENSE N0. EXPIRES LOCALITY I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NEAREST ANGELES COUNTY LICENSE. CROSS ST. OWNER MAIL PLUMBER ADDRESS PERMIT FEE IS $1.00 FOR THE FIRST FIXTURE OR CITY ( ' TEL. No. ITEM LISTED BELOW, PLUS SOc FOR EACH ADDITIONAL I AM THE LEGAL O NER OF THE RESIDENTIAL PROP- ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE. $11.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH GAS SYSTEM IS A SEPARATE ITEM. OWNER NUMBER TYPE CF FIXTURE OR ITEM WATER CLOSET (TOILET) CORRECTIONS BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK LAUNDRY TUB OR TRAY GAS SYSTEM _OUTLETS WATER HEATER - SLOP SINK J Q FLOOR SINK Z FLOOR DRAIN DISHWASHER O DRINKING FOUNTAIN URINAL MISCELLANEOUS APPROVALS IDATE INSPECTOR'S NAME ROUGH PLUMBING I I _ GAS PIPING GAS VENT Uv CESSPOOL SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK CESSPOOL $ SEWER HOUSE SEWER $ GAS TEST UTILITY CO.NOTIFIED �- TOTAL FEE $ N FINAL Y' L DEFy1RTMENT OF COUNTY ENGINEER PLUMBING 1 ' DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER ADDRESS I Q FOR APPLICANT TO FILL IN LOCALITY t BUILDING NEAREST \/� e ADDRESS ' U � (j ' !tJ �� y CROSS ST. 'F� DISTRICT NO. GROUP ZONE PERMIT NO. LOCALITY NEAREST CROSS ST. � 4__' /J RECEIVED BY Ready for Inspection DATEISSUED OWNER �. : 1 / /sR il.JE' �iE MAIL INDUSTRIAL ADDRESS WASTE APPROVAL rITY TEL.N0. INSPECTION RECORD C RYSTi't�L� ooL ADDRESS ^ITY TEL.NO. ❑STATE LICENSE NO. ❑ COUNTY .J PERMIT FEES a z_ !UMBER TYPE OF FIXTURE OR ITEM FEE (' WATER CLOSET(TOILET) @ 0.80 $ O BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.00 FLOORSINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM--------------OUTLETS @ 1.00 WATER HEATER @ 1.00 MISCELLANEOUS G v v G APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING ':a w ' TOTAL FEE U GAS PIPING IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GASVENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT"71 A*' THE LEGAL OWN- ER OF THE ABOVE DESCRIBE -u ��gL PROPERTY. UTILITY CO.NOTIFIED S!GNATURE L�Ctt� - Zi✓ OFPERMITTEE - _...........................•----..._......... FINAL 764667 DBS 17 1/53 7GA667 oas 17 11-60 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. FOX, CHIEF ENGINEER DISTR GRI PERMIT DR APPLICANT TO FILL IN > _ j PLUM BE Jr/ RECEIVED BY READY FOR DATE I g ED FIRST INSPECTION ADDRESS BUILDING CITY a TEL No ' ADDRESS '� Ar -- 1 COUNTYb L0CALI LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. r NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL it WATER CLOSET(TOILET) @ 0.50 $ ADDRESS BATH TUB @ 0.50 CITYr/""�-! TEL. No. SHOWER @ 0.50 1 HEREB ACKNOWLE E THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STAT THAT THE ABOVEOIS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY RDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. O 1 M THE LEGAL OWNER OF THE RESIDENT PROP D� RIBED ABOVE. OAS SYSTEMOUTLETS @ 0.50 SIGNATURE OF WATER HEATER @ 0.50 PERMITTEE SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN 0.50 URINAL (6 0.50 _j HOUSE SEWER @ 0.50 _Z MISCELLANEOUS 9 wo APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT . . . . . . 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE S J'X54C� FINAL D.B.S.V 25M SET`' 7-47 APPLICATION FOR PERBUT *DEPARTMENTOF BUILDING AND SAFETY COUNTY PLUMBING , COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT(NO. ROUGH FIXTURES COMPLETE /�o� 7` HEATER CESSPOOL -I SEPTIC TANK RECEIVED BY READY FOR DATRISSU ED FIRST INSPECTION GAS MISCELLANEOUS /� APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAME: 1Ylpptadena Plb,-,. Service Inc • DDRESB 904 S. GoldenWest Ave m ADDRESBO / 6 E. Marii)osaJt • LOCALITY Temple City. NEAREST A CITY Altadena TEL. 4=-II36 CROBBBT.Lower Azusa Rd. CERT.COUNI56i--IVI EXPIRES m NAME *�7alter Collier LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS II01 Hidalgo Ave. Alham a... NORTH O CITY Alhambra TEL.No. I AM THE LEGAL POSSES�R OF THE ABOVE LOS ANGELES COUNTY CERT74CATE OF QUALIFICATION. P UMBER 1 AM THE LEGAL OWNER OF THE PROFkERTY DESCRIBED ABOVE. m a 3 1 OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z_ I BATH TUB FURNACE - M SHOWER DISHWASHER ~ _ 0 I LAVATORY REFRIGERATOR I KITCHEN SINK WATER SOFTENER FLOOR SINK SANDTRAP SLOP SINK FLOOR DRAIN I WASH TRAY URINALAPPROVALS T I I WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTALLAVATORY ROUGH PLUMBING I METER_4GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT CESSPOOL 7 TOTAL NUMBER OF FIXTURES O OSEPTIC TANK _!—CESSPOOI SEPTIC TANK [7, vi SEWER I I � UTILITY CO.NOTIFIED , TOTAL FEE A FINAL 74tA417 Dr 17 111,90 APPLICATION FOR PERK i DFPAaTMENT OF BUILDING AND SAFETY AN COUNTY OF LPLUMBING i OS GELES WILLIAM J. F'OXr OHIEF QlOINEt>! FOR APPLII;ANT TO FILL IN PLUMHKRO R IVCD BY READY FOR DATIC IMMUm rlRaT INSPEOTION ADDRCMM _ ■UILDINO OITY T1tL ND. -A17 ADDRESS O OOUNTY LOOALITY H KAR K7T pKRbcff FEES Om4 WT. NU►INOI TYPE Or r1XTUR!OR 1TO1 FEC QWN Ew MAIL WATER 0LORCT(TOILET) ! CLOD III ADD RLe BATH TU■ ! 0.W DI TC... NO. ■HOW[R ! 0.10 1 HE BY AOKN O[ THAT I HAVE READ THIS LAVATORY (WASH SARIN ! ae13 APPUCIATION AND STATE THAT THE ABOVED I■ OORRET AND AUNIX TO 13OMPLY WITH ALL DOUNTY ORDIKANDKO KIT13HKN MINK ! 0.60 AND OTATC LAWN REOULATINO PLUMBING. 1 OKRTIFH Y THAT 1 POS THE ABOVE VALID Lou LAUNDRY TUB OR TRAY ! 0.60 ANOELEW OOUNTY Ll0EN5E. OR I AM THE LKIRAL. OWNER Or THK RLSIDENTIAL PROPERTY DKOOMBED ABOVE. OAM MYSTKb nLITLCTM ! 0.60 I ■I D NATU RE I WATCR HEATCR ! 0.50 PpIMI ■LOP SINK ! 0.6D INSPECTION RE 'WRD rL ON OINK ! 0.60 rLOOR DRAIN ! 0.6O / DISHWASHER • moo DRINKING rOUN.TAIM ! 0.513 URINAL ! 0.60 HOUSE SEWER ! 0.60 _ MIROK LANKOW O rf APPROVALS ATE INir[OTOWM NAM[ ROUGH RL.UMBIND OAR PIPING OAR VENT OCrPOOL ! 1.100 091IM300L MEPTIo i'ANKI Sll-TIO TANK DRAIN ( PIT ( ! 7.00 SEWER PERMIT 1.00 DAR TAT UTILITY 00.NOTIrIKD TOTAL FEE DPW WORKER'S°°"'�'rt"-cateoSARA"°" 75AM7A °'°° APPLICATION FOR PLUMBING PERMIT 11 I hereby affirm that I have a certtfloate of consent to self Insure, 76A0�7A ora oerttf o4to of Worker's Compensation Insurance, or a certiflsd 4opy thereof(Sec.3800 Lab.C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DN. Policy No. Company ❑ Cer'dfl d copy is hereby hrmishecL ❑ FOR APPIJGVIT TO FELL N PRINT OR TYPE) e�/t Certified copy M fled with the county bufJdtip kupeotbn - dwamr—L NUMBER FIXTURE OR M34 • FEE LOCALITY Date Applloerri WATER CLOSET NEAREST r-- C CERTIFICATE 04=EXEAIPT'101N FROM WORI(F}38' BATH TUB CROSS ST. ' COMPENSATION INSURANCE _ . ASSESSOR (This eeotlon need not be oompk"d H the work InvoFvod by the SHOWER MAP BOOK PAGE PARCEL permit Le for one hundred dollars(111100)or lase.) OWNER ma I certify that In the performanoe of the work for which this permit LAVATORY Is Issued, I shall not employ any person In any manner so as to 8M CMAIL beoome sub)ect to the Workers'Compensation Laws. RESS DiSWASHE R CfrY TEL NO. Deis APP 4W494 CLOTHES WASHER CONIAACTOR NO 10E TOAPPLICANT If, atter m Ing th a oats of ExemPtlon,you should become wb}ect to yy 'Compensation SWIMIANG POOL RECEPTOR Provisions of the Labor Code, you must comply with such ADDRESS o57zaa 1 F provision or this permit shall be deemed fewked. LAWN 8PfV*Q.E R SYSTEM LKCEr1SED CONTRACTORS DECLARATION_ ES.PTY G `1 ( TNO,( a I hereby affirm that I am licensed under proER v1slons of Chapter 9 WATER HEAD (oommenclhg with Seotlon 70D0) of Dtvislon 3 of the Business and STATEGAS SYSTEM OUTLETS GAS( 8 Professions Code,and my Iloense la In full force and afloat. LYC✓�lBE OUTLETS 13VER D a;TRICT NO, PROCESSED BY License Nurtrber // Y 7 r Lk,X� 6 P�� 0� 8 FINAL VALIDATION ION W DATE a Contractor n.te rn ❑ I.m ur►dsr Seo BY 5 ? B. P.C.for this reason T ACCT.T oea« Plan deck fqe _ , �� J�.J�'O Swat— PLUMBING PERMIT ISSUING FSE$ F-1I TOTAL FEE � � 1'ITEMS oheok appaowTt TOTAL 39 .30 SI NO LE FAIMILY CHECK� HOMEOWNER- IO BUILDER DECLARATN Name I 39.30 hereby affirm that I am exempt from the Contrgotoes License Law fi_tAyys for the foliowing reason ($action 7031.8, Business and Professions Address OWE .00 Code): ❑ City Tel..No. I,as owner of the property,will do the work and the sM tura w// 9/K and Profeaskm Qode). � Is not Intended or altered for Bale (Section 7044, BW000D-DOO1 12 lneas 000. 6952 1 171 9:34 CONSTRUCTION LFINDING A004CY I hereby affirm that there to a oonrtruotion lending agency for the performance of the work for which this permit Is hsued(Seo. 3097, Civ.-C.) r Lender&Name Lenders AddrW I a&"that I have road this application and state that the above , Information Is oorreot I agree to oompfy with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentloned P for i SM FMVE>:SE FOP;p71JNAT001Y LANGUAGE 4-1 8 Date