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Home My Public Portal About5019 GOLDEN WEST AVE_Plumbing__ ,7.11%711)" APPLICATION FOR PLUMBING PERMIT DrimoN OF BUELDING AND BAMT 1 Dep-Immaimt of Coote mfr Cott of Loa AnGrea s VM.J. FOR, COUNTY ENGINSZR ADDRESS CASiSATT D.GRIFFIN.SuwT or■uILDINs �+� Tf77t Tr+�z� ter• 7� LOCALITY FOR rarCLaLK'Li�L TO L ! iii NEAREST OW CROSS 6T. D18TRICT NO. GROUPZ [ R�oT!OR INSPECTION �I MAIL x ADDRIT" INDUSTRIAL WAftTE APPROVAL ?PLUMBER W RMECTIOIf RECORD ADORW CITY TEL NO. LIC[NSE NO NUMRa TYF[Or rIXTURI OR P([M rim WATER CLGS TOIL s BATH TUB SHOWErt L-AVAT'ORY WAS DADIN KITCHEN SINK DISHWARHER I LAUNDRY TUB OR TRA CtDTHI ES WAJBHMM I TQTAL,NO O.aO O APPROVALS DATE INSPEfTOR'S SIGNATURE GAS SYOTE 1.00 UNDERSLAB WORK WATER HEATER 1.00 ROUGH PLUMBING CL r PERMIT 1 00 OAS PIPING TOTAL FEE 40 GAS V I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE /ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINAACEa AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. 1 HEREBY CERTIFY THAT I AN PROPERLT REGISTERED AND/OR GAS TEST LICENSEDAD REQUIRED BY LOS ANGELES COUNTY AND >lTATE OF UTILITY CO NOTIFIED CALIFORNIA OR THAT I AN THE LEGAL OWNER OF THE AROVI[ DESCRIBED RE81DR L PROPERTY. SIGNATURE OF PERMITTE[ WILLIAM J.FOX,COUNTY ENOIN[ER VALIDATION g233IS RV22 3 4.64 a �1 EPUTY �i 78A667-CE0817 9/63 APPLICATION FOR LUMBING ERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNE LDING �-• JOHN A. LAMBIE. COUNTY ENGINEER DRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN ARESTOSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS L SHOWER 1.25 CITY SEL. NO. r LAVATORY 1.25 CONTRACTOR SING 1.25 ADDRESS DISHWASHER 1.25 CITY TEL. NO LAUNDRY TUB 1.25 CONTRA .OB" STATE IC REGISTRATIONON NO. COUNTY s CLOTHES WASHER 1.25 DISTR�LCT NO. Glinlla ZONE CESSED BY WATER HEATER 1.50 Tf GAS SYSTEM OUTLETS 1'50 INDUSTRIAL WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V O F- U W 0- U) Z 75 APPROVALS DATE INSPECTOR'S SIG TURE PERMIT $ 2 00 UNDER SLAB WORK q-Z_'6 ..�= . aitr PERMIT -s P2 00 ROUGH PLUMBIN TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 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 I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF ND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESID TIAL o RTY. UTILITY CO. NOTIFIED a-- --- SIGNATURE _ - OF PERMITTEE �' FINAL i 7 � •_' OALIDATION ROBERT A. WOOD M.O. CASH SUPERVISING MECHANICAL ENG'R It �J3 0 5 21-1L AUG24 5 D 5.75 ZS' "°" DECLARATION FOR PLUMBING PERMIT I*Rfereb that I have a certificate of tb r"'nt to self 204=8 DPW 8/87 'Ir)turp, If]rate of Workers' Compernation Insurance, 7BA687A Adreqj;;i opy thereof (Sec. 3800, Lab }/' COUNTY QF LOS ANGELES QEPT. OF PUBLIC WORKS ❑ollcy Nor Company r C' [fled copy Is hereby furnished. FQFZ APPLICANT TO FILL IN(PRINT OR TYPE) BUILbItJG - J �tfled copy Is filed with the county building Inspec- ADDRESS tlgn dopa ant. A NUMBER FxrLlRE OR TTEM p FEE LOGA1lTY Dat* Appll4anl .��7 � WATER CLOSET CERTIFICATE OF EXFMPT10N FROM WORKERS" BATH TUB ClRO S"ST COMPENSATION INSURANCE SHOWER DIMER (TMs s*etfon need not be efed M the work in ollved by MAIL the permit is for one hued •doll."(;100)br less.} LAVATORY AM105 I certify that In the performance of tbk work for which this permit Is Issucd, I shall not employ any Person Ib any manner SINK CITY TEL NO. so as to bocome subject to the Workers Compensatlon Lpws DISFiWAShfR OOtU"RACTOR .i Dao Applicant CLOTif,S WASFfR ADDRESS NOTICE TO APPLICANT: If, after making this Certlfltate of Exemption, you' Yhbuld become subject to the Workers' SWIMMING POOL RAPTOR Compenselon prdvlilbns of the Labor Codd, you most forth- LAWN SPRINGER SYSTEM Cm1 TEL�' wlfh comply with such provision or this permit shall be STATE / �S deemed revoked. WATEI?hFATER LICENSE NO• pe LICENSED CONTRACTORS DECIARATION tGTRICT NO. B L hereby affirm-that I am Ilcenied under prtvlslors of Chapter 9 GAS SYSTEM OUTLETS �� C f (commencing with Section 7000) of Division 3 of the Bwlness OVER FINAL VAL1DA71�N i and Profoulora Code,and m license is in full force and effect. 15 PER SYSTEM !' DATE License Number Ic. Ckms� �- y� FI r �• Contractor Aare / g ❑ '1 am exempt under Sec. v B.&P.C. for this reason Plan.chetk fee Date. PLUMBING PERMIT ISSUING FEE_ 1 149 Signature_ TOTAL FEE SI'NIXE FAMILY Plan check applicant 5 - HOME QYVNFR-BUILDER DECLARATION Name ACCT I hereby affirm that I am exempt from the Cgntra is License Law for the following reason (Sectlorr 7031.5, Bbsinew and 's`ddresis3V 28.50 RrofsaIora Code): City TJ-No. 1 ITM ❑ I, as gwnar of the property, will do thb.work and the struclure Is out Intended or Offered for bale (Section TOTAL ' 288 51101 7044, "lness and Professions Ccde} 29.5 5 COf�}S7RUCTINON LENDING AGECY' � LO �l I herebyefHrm that there Is a-constructioh lending agency far 4r?i1f� • the performance gf the work for which this p*mlt Is Issued (Sec. 3097, CIv. Q. Lender's Names _ 00f -M I 8/29M iender's Address _ 5337 1 AM 91" 1 certify that I have read This application and state that the ► above Information Isrorrect. I agree to comply with all County ordinances and State laws tegylating Plumbing, and hereby . authorize repre;entgtly of th County to enter upon the abov ntloned pro rty siSectlon purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE nature of rmlttee to COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TLR{AS PL 0508 0408180014 BUILDING AND S.AFEfY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PFM' (626) 285-0488 EXT: LEGAL ID: FEES PAID- BUILDIWG - TR: 14832 LT: 20 a' 5019 GOLDEN VEST-AV FEE DESCRIPTION: QUANTITY: UCH: AM"T: TEMP CA 917803939 NEAREST CROSS'STREET: - 8589-018-01b 01 PERMIT• ISSLYLNCE FEE 27.75' THOMAS PAGE:-597 GRID; A4 L-OCAOT-Y:--TALE CITY, C IMAXI: 7— 63 WATER PIPING BR/FIX., 11.00 FIX 74:25 T 64 WATER PIPNG <- 1 1/2 1.00 LIN 16.20 1"-MU ON: PROCESSED BY:. PW BY: EXPIRFS ON: TOTAL FEES L 118.24 18/04 JK 02/14/05 NEIL, KOMAI - y ` 5019.GOLDEN 39 AV . - DE�TTOO•F� TEMP 91780939 COPPER REPIPE 11 FIXTURES AND WATER SERVICk APPLICANT: -TEL. 0: BARRAGAN (323) 258-5858- - 4062 VERDUGO RD -- — — - --- LOS ANGELES 90065 CONTRACTOR: TEL. NO: DATt INSPECTOR SICJLATUffr— HENDRIK PLUMBING (323)258-5858- 1 4062 VERDUGO RD LIC. NO UNDER SLAB WORK LOS ANGELES CA 91D065 741020 WATER SERUM ARCH.ITECT OR TEL. NO: P TIC Y/N METAL Y/N J-IC. N0: ROT WATER HEATMF -T—� cwV I GRAY,WATER SYbTEM , REPORT ID: DPR263 ROUTE TO. BS0508 • I I + OOUNI'Y OF LOS ANGELES TEMPLE CTTY 0 0508 PLUMBING PER►¢T DEPARTMENT OF PUBLIC WORKS 9701 LAS TUriA.9 PL 0508 1212110019 BUILDING AND SAFETY / LAND DEVELMPC=TY OpMEM TELE CA 91780 Pte: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 14832 LT: 20 5019 GOLDEN WEST AV FEE DESCRIPTION: ¢IDINTITY: UC$4: AMOUNT: TEw CA 917803939 ASSESSOR INFORMATION NUMBRR: NEAREST CROSS STREET: LA ROSA 8589-018-016 01 PERMIT ISSUANCE FEE 27.80 THOFOLS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY 13 DISHWASHER(S) 1.00 FIX 16.20 TENANT: 25 LAVATORrES/SINILS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: TOTAL FEES 60.20 12/11/12 SR OWNER: TEL. NO: FINAL DATE FI2UlL CODE: tOMAI;NEIL - 5019 GOLDRN WEST AV �I TELT 917803939 77- DESCVIPTICTN OF WORK DISBWABHER AND ]a-I'CHSH SINX APPLICANT: TEL. NO: — O'LdUkRY;—POM---- -- -+fr26) -287-0927- 5823 AGUES SPECIAL CONDITIONS: TEMPLE CITY, CA CONTRACTOR: TEL. NO: APPROVALS LUNE DgSPECTOR SIGNATURE TOM O'LEARY CONSTRUCTION (626) 287-0927- 5823 AQNES AVENUE LIC. NO SER SLAB WORK TEMPLE CTTY, CA 91780 489354-B + WATER SERVICE PLASTIC YIN METAL YIN ARCHITECT OR ENGIN] EER: TEL. NO: - ROUGE PLUMBING LIC. ]p0: GAS PIPING GAS VENT HOT WATER HEATER PLIIl33ING FIXTVRE9 LAWN SPRT1n .E S GAS TEAT PiZI.I'i'Y COMPANY NOTIFIED CNV GRAY WATER SYSTEM + ADDITIONAL DATA ON F=LY REPORT ID: DPR263 ROUTE TO: M0508 COUNTY OF LOS ANGELES' TEMPLE CITY # 0508 r4RLLM84-N DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS k--P6-0508-9609060823 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL 10: FEES PAID BUILDING ADDRESS: TR: 14832 LT: 20 ffT g47BO31039 FEE DESCRIPTION: QUANTITY: UDM: MIOIll1T: �.ElQ2�CA- 47$03939 ASSESSM INFMMATION N1 ER: NEAREST CROSS STREET: LA ROSA 8589-018-016 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 25 LAVATORIES/SINKS 1.00 FIX 16.20 . 47 WATER HEATER(S) 1.00 WTH 16.20 09/06/00 UT /06/01 OWNER: TEL. NO: TOTAL FEES 76.35 FINAL DATE F I NAL CODE: KOMAI•NEIL �..Q1 5019 GOLDEN WEST AV TEMP 917803939 DFS;RIPTION OF WORK PLUMING FOR BATHROOM REMODEL APPLICANT: TEL. NO: - TUM O'LEARY CONSTRUCTION (626) 287-0927- 5823 AGN ES SPECIAL CONDITIONS: TEMPLE CITY, CA PNGELES CO TOM O'LEARY CONSTRUCTION (818) 287-0927- 5823 AGNES AVENUE LIC. NO UNDER SLAB WORK TEMPLE CITY, CA 91780 489354 B-1 WATER SERVICE ARCHITECT OR ENGINEER: TEL. NO: PLASTIC Y/N METAL Y/N ROUGH PLUMBING LIC. NO GAS PIPING 111111 GAS VENT LoUC W®To--R K\l I�C�) HOT 6kkTER HEATER U LJ GAS TEST Q ❑ LAWN SPRINKLERS CWV O p 0 46/jc SQ��e�$t`pilot REPORT ID: DPR263 ROUTE TO: BS0508 f ' COUNTY OF LOS ANGELES TEMPLE CITY NM 0508 PLUMBING PERM IT• DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508"0208280016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAI D ILDING ADDRESS' TR: 14832 LT: 20. 5 19 GOLDEN WEST AV ASSESSOR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780.3939 NEAREST CROSS STREET: LA ROSA 8589-018-016 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 2.00 FIX 32.40 21 HOSE BIBB($) 2.D0 FIX 32.40 ISSM USED BY: PLAN BY� EXPIRES ON: 25 LAVATORIES/SINKS 2.00 FIX 32.40 08/29/02 . JK 07/25/03 45 WATER CLOSET/URINAL 1.00 FIX 16.20 47 WATER HEATER(S) 1.00 WTH 16.20 FINAL I XM BY: CODE: KOMAI•NEIL (626') 287-3217-. 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 5019 GOLDEN WEST AV TOTAL FEES 173,55- / TEMP 917803939 PLUMI)ING FOR ON APPLICANT: TEL. NO: TOM OLEARY (626) 287-D927- 5823 AGNE8 SPECIAL CONDITIONSF TE14PLE CITYCONTRACTOR: TEL. NO: T-E INSPECTOR SIGkATURF__ TOM OILEARY CONSTRUCfICk (626) 287-D927- f •�v7 ��_: 1 APPROVALS. DA 5823 AGNES AVENUE LIC. NO r:i / �• UNDER SLAB WORK TE14PLE CITY, CA 91780 489354 B-1WATER SERVICE \\\ PLASTIC Y/N METAL Y/N AM=OR DiCINEER: . ROUGH PLUlRBING LIC. GAS VENE - HOT WATER HEATER (� { - 7 _ t REPORT ID: DPR263 ROUTE TO: RS0508