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Home My Public Portal About5532 GOLDEN WEST AVE_Plumbing__ c 76A667-CEnI317 10-67 �y 40 J� APPLICATION FOR PLUMBING PERM COUNTY OF LOS ANGELES - DEPARTMENT OF COUNTY ENGINEER _ BUILDING AND SAFETY DIVISIONBUILDING ADDRESS . -*t JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS SUP T OF BUILDING LOCALITY caOSS ST.*�^�/ �Z-E7 C FOR APPLICANT TO FILL IN (PR NT OR TYPE NEAREST 3 NUMBER FIXTURE OR ITEM EACH FEE I _ WATER CLOSET1 50 OWNER U �� G t./ MAIL BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY TEL. NO.7F7b 3 a 7 LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1.50 CITY Ce v//vf4 O.,3_= CLOTHES WASHER 1.50 STATE LIC LICENSE NO p CLASS (� y 36 SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GBY LAWN SPRINKLER SYSTEM 2.00 O_ O WATER HEATER 1 50 INDUSTRIAL U WASTE APPROVAL oc / GAS SYSTEM OUTLETS 1.50 O INSPECTION RECORD U OUTLETS OVER .30 d 5 PER SYSTEM Cn Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE 4,6 APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK - -- Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No HOT WATER HEATER ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES - - WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE�TABOVE DECCRIBED RESI ENTIA PROPS •YFINALSIGN � -� OF JACK R. ALLEN, SU PERVISIN HANICAL EN G'R PERMIT VALIDATION cK M o CASH PLAN CH C VALIDATION cK M o CASH l0 6 8 SEP 5 5 05.u:0tr 78A887-:E#817 10-87 •' y 0.9 • APPI,-ICATION FOR PLUM I.NG PE IT - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 5532Golden West COLEMAN W JENKINS SUPT OF BUILDING LOCALITY Temple L+• ty FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE Broadway & WedgAwnad WATER CLOSET 1 50 OWNER John Ronhi non MAIL BATH TUB 1.50 ADDRESS 5539 Golden West SHOWER 1.50 CITYTAM�j TEL. NO. LAVATORY 1 50 co"Ac'ORAnthony Pools, Inc SINK 1 50 ADDRESS 5871 E.- Firestone Blyri- DISHWASHER 1.50 CITY TEL. NO. _ 9910 CLOTHES WASHER 1 50 STATE LIC LICENSE NO CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO UP ZONE P OZEWD BY LAWN SPRINKLER SYSTEM 2 00 O WATER HEATER 1 50 INDUSTRLAL U WASTE APPROVAL O GAS SYSTEM OUTLETS 1 50ly4tEC74ON RECORD W OUTLETS OVER 5 PER SYSTEM .30 - N L (/ Water pipi ng Plan check fee 25% of above. See reverse. A� PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE 0 APPROVALS DATE INSPECTOR S SIGNATURE Plan check applicant UNDER SLAB WORK I Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No HOT WATER HEATER LA BY ACKNOWLEDGE~THAT I HAVE READ THIS APPLICATION , TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST (� G EBY CERTIFY THAT I AM PROPERLY REGISTERE AND/OR UTILITY CO NOTIFIED D AS REQUIRED BY LOS ANGELES COU TY AN TATE OF NIA OR THAT 1 M E LEGAL OWNE OF, TEND TO N, THE ABOV BED RESIDE 1 PRO RT FINAL URE JACK R. ALLEN, SUPERVISIN HANICAL ENG'R RMITT RMIT VALIDATION CK MO CASH PLAN CHE VALIDATION CK M o CAS ;G 6 0 1 5 -20 5 0 3.5 0- �' COUNTY OF LOS ANGELES APPLICATION FOR PERMIT �1�11 Department of County Engineer PLUMBING � � ' DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Englneer F R APPLIC T FILL IN DISTRICT GROUP I ZONE . A6 0019,v PLUMBER + RECEIYED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS �� ,� �.J-�Z� l CITY L No `9 7 d ADDRESS TE COUNTY LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT'FEES cRDss ST. Jy NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) 0.50 $ ADORE BATH TUB Q 0.50 CITY ._.. TEL. N 9p-?K 740 SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS T ABOVE VALID LOS LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE. OR A THE LEGAL OWNER GAS SYSTEM OUTLETS 0 0.50 OF THE RESIDENT L PROPER DE RIBED ABOVE. SIGNATURE OF WATER HEATER @ 0.50 PERMITTEE SLOP SINK 0.50 CZNSPECTION RECORD FLOOR SINK 0.50 FLOOR DRAIN @ 0.50 / DISHWASHER Q 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 Q HOUSE SEWER Q 0.50 Z MISCELLANEOUS ❑_ APPROVALS DAT INSPECTOR'S/NA E ROUGH PLUMBING \ GAS PIPING GAS VENT CESSPOOL 1-Do CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PERMIT . . 1.013 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE � z r 66"1 FINAL 6 S 7GA667 DBS$ 17 10/52 D B S-17 25M SETS 12-45 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OFLOS ANGELES `� �' 1WM. J. FOX. CHIEF ENGINEER M�508 NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO. 4�6ROUGH FIXTURES (� COMPLETE 15 rIll HEATER CESSPOOL SEPTIC TANK RE IVED BY READY FOR DATE 18SUED ��µ,� FIRST INSPECTION / GAS MISCELLANEOUS (� U APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY NAME Harry E. Deem , DD E RESS 244 S. 'Golden West W , ADDRESS 401 S. AOyt LOCALITY Temple t lifornia e NEAREST J CITY El Monte TEL.No BU-59821 CROSS ST. COUN CERT.No. 36o mr.,F EXPIRES 3-31-47 I NAME J. J." Sherr LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL NORTH O ADDRESS 2" S. Golden \Meat CITYTEL No. � LEGALI AM THE pp g LOS ANGELES COUNTYCERTIFICATE' / PldJMa2R I AM THE LEGAL OWNER,OF THE PROkRTY DESCRIBED ABOVE. 3 1-14 OWNER CORRECTIONS SOUTH DESCRIPTION OF WORK MATH TUB FURNACE 1.0 HOWER DISHWASHER 94 yy 0 LAVATORY —.�L_REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN - WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CE88POOI- SEPTIC TANK N11SEWER I l TOTAL FEE $ \ I o 1 00 1 UTILITY CO.NOTIFIED FINAL t' D:B.B.17 25M SETS 12.44 - - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY' •` PLUMBING COUNTY OF LOS ANGELES- , WM. J. FOX. CHIEF ENGINEER NATURE OF:INSTALLATION , DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES 'COMPLETE HEATER CESSPOOL I-I SEPTIC TANK RECEIVED BY - READY FOR DATE ISSUED, FIRST INSPECTION /;�4 4-;-- � GAS MISCELLANEOUS - APPLICANT FILL IN HEAVILY"OUTLINED PORTION ONLY /� ® �/� -Al ,, , 4 C NAME _ A. VOL\H A IYl DDRESS .st Y .�¢'A .#`t �'f..7�.ii�f V j b„S�•. M ADDRG6GSSPOOL. SERVICE LOCALITY A CITY 2022 EMPEROJRL/�VE. CROSSST.� `} COUNTY TEMPLE C t'= CERT.No. 1 9 { II: NAME $ `'� ; r •4�fiti =�. LOCATION OF SEPTIC TANK,�OR CESSPOOL, 3 MAIL ADDRESS NORTH O £} CITY _,10TEL.No. {y 1 AM THE LEGAL -POSSESSOR OF THE ABOVLOS- d ANGELES COUNTY_ CERTIFICATE OFbjgUALIFICATION. B • _ PLUMBER.. ' I AM THE LEGAL•OWNER OF,THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH DESCRIPTION OF WORK +ATH TUB FURNACE - O SHOWER _ DISHWASHER AVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP - - - - LOP SINK BOOR DRAIN - WASH TRAY URINAL APPROVALS0, WATER CLOSET DRINKING FOUNTAIN DATE INePECToa's NAM[ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER-GAS SODA FOUNTAIN OUTL GAS PIPING I I GAS VENT ,I _ CESSPOOL • i TOTAL NUMBER OF FIXTURES SEPTIC TANK I - CESSPOOL SEPTIC TANK SEWER I UTILITY CO.NOTIFIED TOTAL FEE / I / r � . FINAL 76 A 667—CE 817 8/68 APPLICATION FOR , PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING UI DR IN JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W JENKINS SUPT OF BUILDING I NEAREST LOCALITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER , L /3SO A/ WATER CLOSET 1 50 IL r �,(� ► BATH TUB 1 50 ADDaE$SC�•�,�J "L'�� "" o`S/y SHOWER 1.50 CITY TEL. N0. 7.-,5�..2 LAVATORY 1 50 CONTRACTOR E� / SINK 11 / 7� ADDRESS /Q 9 O C '�_b DISHWASHER 1 � VS Cmr--7Z-9wRLV- TEL. NO. , Q 7O CLOTHES WASHER 150STATE L I C SS 1'S"7 LICENSE NO CLA SWIMMING POOL RECEPTOR 1 50 DISTRICT O. GROUP ZONE PROC SSED BY a LAWN SPRINKLER SYSTEM 2.00 4?) U WATER HEATER 150 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1 50U INSPECTION RECORD w OUTLETS OVER - 30 h 5 PER SYSTEM Z_ I Plan check fee 2')% of above See reverse. PLUMBING PERMIT ISSUING FEF, 8 00'1 TOTAL FEE V V APPROVALS_ _ DATE IN -TOR S SIGNATURE Plan check applicant UNDER SLAB WORK —111(4 Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel No HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN, THE ABOVE D�IBED RflI,IDENTI PROPERT�Y / FINAL D / SIGNATURE (/(`y_' &aA;L1 JACK R. ALLEN, SUPERVISING CHANICAL ENG'R OF PERMITTEE No PERMIT VALIDATION cK M o CASH PLAN CHECK VALIDATION CK M o CASH r ..�,.. 2�O 5 1C AUG 23 5 ' D 6.50cm - D.R. 17 ISM RETS 11-43 APPLICATION FOR PERMIT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WM.J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE HEATER CESSPOOL -I SEPTIC TANK RECEIVED BY READY FOR /eDATE ISSUED FIRST INSPECTION `3/ - (.t AS MISCELLANEOUS CN-ol,•, � APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB 0: NAME WeSt Coast Pltmbers ADDRESS 24-i-S.Goldenwest III ADDRESS 1341 E.Walnttt St. LOCALITY Ternplp Cit D cc� NEAREST j CITY C 1 TEL.NOy -30 CROSS ST. Lire Oak COUNTYCERT.No. EXPIRES - >.. 19 III NAME Dan, G.S al livan , LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL 222 S.Goldenw®st NORTH O F CITY Temple City* TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS A 6 E9 COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. PI 3 'Xi OWNER in, rear CORRECTIONS SOUTH DESCRIPTION OF WORK z BATH TUB 1 FURNACE �1 n l �L` '. 2 SHOWER DISHWASHER ^ � ^ 4 it O LAVATORY REFRIGERATOR KITCHEN SINK il� WATER SOFTENER FLOOR SINK BAND TRAP SLOP SINK FLOOR DRAIN 1 WASH TRAY URINAL APPROVALS 1 WATER CLOSET ��/ DRINKING FOUNTAIN DATE .{. INBP¢CTOR'B NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER_�GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT 8vCESSPOOL TOTAL NUMBELOFFIXTURES SEPTIC TANK TICTCESSPOOPA!NK SEWER I MIIIIIEI S TOTAL FEE 4 5O UTILITY CO.NOTIFIED 7 777 , FINAL / , 1+ ' APPLICATION1 WORKER'S COMPENSATION DECLARATION 20-0026 DPW 9/89 - t ,rebs, aff 76A687A FOR PLUMBING -PERMIT I hereby•affirm that I have a'certificate of consent to self insure, 5 or a certificate of Worker's Compensation Insurance, or a certified _ copy thereof(Sec 3800 Lab C) f ��r,-6�3 ems � COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy No` pany lZ� Certified copy is hereby-furnished ❑ _ FOR-APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 3 �/�// !�/'_v�/ Certified copy is Bled with the county building inspection T ADDRESS departure t NUMBER FIXTURE OR ITEM @ FEE _ LOCALITY � 6,/ Date Applicant ^ u 'LGA 1> WATER CLOSET NEAREST ^t BATH TUB ROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS'' � C� , COMPENSATION'INSURANCE ASSESSOR (This section need'not be completed if the work involved by the SHOWER MAP BOOK PAGE PARCEL, permit Is for one hundred dollars l($100),or less.) LAVATORY OWNER Yd/((� S A/ D certify that in the performance of the work for which this permit is issued,I shall not; ADDRESS employ any person in any manner so as to SINK MAIL become subject to the Workers' Compensation Laws DISWASHER CITY TEL NO&�. ' Date Applicant CLOTHES WASHER NOTICE TO APPLICANT If, after making this Certificate of CONTRACTOR Exemption,you should become-ubject to the Workers'Compensation SWIMMING POOL RECEPTOR rovisions of the Labor Code, you must forthwith comply witti such ADDRESS'T� provisions or this permit shall be deemed revoked LAWN-SPRINKLER SYSTEM A r G LICENSED CONTRACTORS DECLARATION CITY TEL NO J13-Z83-e0 a I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER STATE LIC ((commencing SYSTEM OUTLETS mencing with Section 7000) of\Division 3 of the Business and LICENSE NO CLASS (/— j O Professions Code,and my license is in full force and effect GAS OUTLETS OVER DISTRICT NO PROCESSED BY IY Q �t 5 PER SYSTEM C D�/ Q License Number. O d O Lic Class IL 0✓ A�� FINAL V'AL`IDATION _ w DATE �'��`,� i d ,Contracts ��ate J-1.� 'r L a Q-..,U) ❑ G/ 0�9 _ FINAL ' Z I am exempt under Sec BY j = B&P C'for this reason I� ? ® � Plan check fee -, I - Ht_' 4 Date PLUMBING PERMIT ISSUING FEE$ 3 f ~ 4 `-c Signature `TOTALFEE - CHANGE 'tEl SINGLE FAMILY Plan check applicant 1 f ' HOMEOWNER-BUILDER DECLARATION Name 0011-rl—=11-i I hereby affirm that I am exempt from the Contractor's License Law i4 r r ( yi 11�°art i for the following reason (Section 7031 5, Business and Professions Address Efl i 1 Code) City C Tel No ; I, as owner of the property,will do the work and the 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 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 ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter:uponve-me boned prop ty for ms$eat on purpoos/ SEE REVERSE FOR EXPLANATORY LANGUAGE7Signatur ofP mittee ate - -"