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Home My Public Portal About5229 GOLDEN WEST AVE_Plumbing__ 76A667 8. CE BIS B- APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DMSION - - Department of County Engineer County. AM Of LOS AngvCOUNTY ADDRESS 5229 Golden West Ave- v BUILDING 'JOHN A. LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,,SUP'T of BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN NEAREST CROSS ST. OWNER George Shipp DISTRICT NO. GROUP ZONE READY FOR INSPECTION AMAIL DDRESS 5229 Golden West Ave- _ Temple Cit�T INDUSTRIAL e CITY P J TEL. NO. WASTE APPROVAL PLUMBER Anthony Bros . Inc es INSPECTION RECORD ADDRESS 5871 Firestone Blvd. s CITY South Gate TEL. NOSP 2a O LICENSE NO 117013 SO-53 (state) NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1 00 $ BATH TUB @ $1 00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1 00 KITCHEN SINK @ $1 00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1 00 — Fresh water piping swim Pool APPROVALS DATE IS SIGNATURE UNDER SLAB WORK PERMIT ROUGH PLUMBING / $ I 1 00 , OOGAS PIPING TOTAL FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT I 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 I HEREBY CERTIFY THAT I AM PROPERLY REGI R AND/OR GAS TEST LICENSED AS REQUIR BY OS ANGELES COUN A STATE OF CALIFORNIA OR TH THE LEGAL OW O THE AB UTILITY CO NOTIFIED DESCRIBED RESID T ROPERTY, yy SOF PERMS E NAL X" a'U�`S !'L �_"."-✓� ROBERT A.WOOD, JOHN A. L MBIE.COUNTY ENGI R ALIDATION SUPERVISING MECHANICAL ENG'R `K. 5 V5 'O°° SEP 2 4 5 A 2.00 0 npe�� WORKERS'COMPENSATION DECLARATION 7BA687A ) A P P L I C A T'I O N FOR PLUMBING P E R M I T I hereby affirm that I have a certificate ate of consent to self CE e (z-eo insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800 ab o�o�� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Nk4 3� Company Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ' • ADDRESS 5229 Golden West Ave EZ Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE - epartmentWATER CLOSET LOCALITY Temple i Date 10/30/8 ApphcarATOMr HEATING= CO NEAREST . BATH TUB CROSS ST ' CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER Sam Bond LAVATORY MAIL (This section need not be completed if the work involved ADDRESS 522'9 Golden West' Ave } by the permit is for one hundred dollars ($100) or less.) CL SINK CITYtemple City, CA TEL NO2 —1 973 0 1 certify that in the performance of the work for which this DISHWASHERU permit is issued, I shall not employ any person in any manner CONTRACTOR ATOM HEATING CO. so as to become subject to the Workers' Compensation.Laws CLOTHES WASHER 0 ADDRESS Date Applicant SWIMMING POOL RECEPTOR 4 W 'NOTICE TO APPLICANT If, after making this Certificate of CITYL OS Angeles , CA TEL.NO. 242-2149 a Exemption, you should become subject to the. Workers' LAWN SPRINKLER SYSTEM STATE LIC. ' Compensation provisions of the Labor Code, you must forth- LICENSE NO 195214 SC-20 C-10 Z with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. PR CESSED B`C—44 LICENSED CONTRACTORS'DECLARATIONO OUTLETS OVER lJ U I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division'3 of the Busi- _ FINAL /�� DATE VALIDATION ness and Professions Code, and my license is in full force and a effect. ' C-20 C-10 FINAL License Number 64/34 Lic Class_C—44 BY Contractor Atoln Heating byte 10/30/80 I am exempt from the licensing requirements as I am a Plan check fee 7 00 licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code) / /�6 TOTAL FEE '10 00 Lic or Reg No�" y-1 Plan check applicant , a9sa/ HOME OWNER- UILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section 7031 5, Busi- City Tel No. ness and Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the, project (Section 7044, Business and Professions Code) 2 9.9,Z A CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency, # o 0 0 o o S for, the performance of the work for which this permit is issued(Sec. 3097,Civ C). 2 0 0 1'Q 0 0 Lender's Name Lender's Address I certify that I have read this application and state that the W I 1'07-78 0 above information is correct I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned proper or inspection purposes. 4 HEAT �, iDate COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0.508 0406160009 BUILDING AND SAFETY Y LAND DEVELOPMENT TEMPLE CITY C„ 91720 PHONE: (626) 235-0485 EXT: LEGAL I • �FEES AID BUIL G ADDRESS- TR: R SS:TP.: 15683 LT: 1 1 5229 GOLDEN WEST AV FEE DESCRIPTION: k�'UANTITY: U6M: APhUYT: TEMP-CA 917803247 . - ASSESSOR INFORMATION NUMBP- I NEAREST CROSS STREET: BLACKLEY 18589-010-001 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SINKS 2.00 FIX 3?.40 IISSUEDON-- PR C SSc BY: FLAN BY: EXPIRES OV: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 06/16/04 JK 12/13/04 Ti7TAL FEES 92.5K OWNER: TEL. NO: F T FINAL SY: ODE- MOLINAR, JAMES/ANNA (626) 286-8003- 5229 GOLDEN WEST AV TEMP 917803247 IDN OF WORK LUMBINGIOFOR NEW BATHROOM i APPLICAN L. N -000LMAN (626) 285-0835- P. 0. BOX 90336 SPECIAL CONDITIONS: !PASADENA, CA ' 91109 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SULLIVAN, FRANK (818) 307-0603- 1625 N. AVON STREET LIC. NO UNDER SLAB WORK BURBANK, CA 91505 3492938 _ � WATER SERVICE I, PLASTIC Y/N METAL Y/N f.?CHiTE?T ENGINEER: TEL. 0: 1CAL CIVIC ENGINEERING (626) 798-2828— (ROUGH P JMBING �{ 2160 PARNELL WAY LIC. NO: — ALTADENA, C4 91001 NONE UA FPd'} GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPR — — GAS TEST UTILITY CO 0 IDIED CWV URAY WA1ER—SYSTEM Ii REPORT ID: DPR263 ROUTE TO: BS0508