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Home My Public Portal About5732 GOLDEN WEST AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING LL., WILLIAM J. FOX, COUNTY ENGINEER .ADDRESS �J FOR APPLICANT TO FILL IN LOCALITY BUILDING �' NEAREST ADDRESS CROSS ST- DISTRICT GROUP NE PERMIT NO. LOCALITY i/ I / 6 NEAREST 7 /7 CROSS ST. nn A /A� RECEIVED PY Ready for Inspection DATE I SUED OWNER MAIL INDUSTRIAL ADDRESS 1"7 v Jr{l��lf�t l WASTE APPROVAL CITY p'pitntra.t� TEL.NO. (-1.� (��J�Oq INSPECTION RECORD PLUMBER V / ADDRESS .E0 CITY TEL.NO. a j `�f' / � F4Pspa TEE LICENSE NO. []COUNTY PERMIT FEES J Q z_ 4UMBER TYPE OF FIXTURE OR ITEM FEE 6 WATER CLOSET(TOILET) @ 0 80 $ D'. O BATH TUB @ 080 SHOWER @ 0.80 LAVATORY (WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0 80 FLOORSINK. @ 080 FLOOR DRAIN @ 0.80 DISHWASHER @ 0 80 DRINKING FOUNTAIN @ 080 URINAL @ 080 GAS SYSTEM...............OUTLETS @ I.00 WATER HEATER @ 100 MISCELLANEOUS APPROVALS DATE INSPECTOR'S 816NATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE a DD . GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER /�1 �ir TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OFCAL THAT I AM THE LEGAL OWN- ER OF THE ABOV 1 SIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE �� - ri... ....... - FINAL 76A667 DBS 17 WORKERS' COMPENSATION DECLARATION, APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers' Compensation Insurance, CE 817(REV 10/81) or a certified copy thereof (Sec 3800, Lob C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Certified copy is hereby furnished BUILDING ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is filed with the county building inspec- tion department NUMBER FIXTURE OR ITEM @ FEE LOCALITY �� C r~ Date Applicant WATER CLOSET r NEAREST �A � CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE OWNER (This section need not be completed if the work Involved by SHOWER r /��G G MAIL �[/�?Q 5 the permit is for one hundred dollars ($100)or less.) � LAVATORY r ADDRESS 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY Tf <21'& TEL NO Q3 so as to become subject to the Workers'Compensation-L s ` C/ DISHWASHER CONTRACTOR Date I cant CLOTHES WASHER , ADDRESS NOTICE TO APPLICANT If, after aking this Certi icate of U 005 Exemption, you should become subject to the .Workers' SWIMMING POOL RECEPTORzv 1 Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY ��» �i TEL NO with comply with such provisions or this permit shall be STATE LIC �7 deemed revoked WATER HEATER LICENSE NO ` 3 CLASS ) LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS V (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINAL VALIDATION n' 7 3 (� , DATE `p'��v O License Number +� Lic Class t3 / V FINAL 09Contractor Date BY 0 I am exempt under Sec � d N B 8P C for this reason � Plan check fee Date 0 ,PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE Plan check applicant / SINGLE FAMILY /�/� �' HOME OWNER-BUILDER DECLARATION Name/ l I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031 5, Business and Address �,� I v oas ^ o:c '3 6- � O Professions Code) City Tel No y ❑ 1, as owner of the'property, will do the work and the '0 o'Q 3aI structure is not intended or offered for sale (Section, ' ` p 7044, Business and Professions Code) 02 1 7—V 4 , 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 f agree to comply with all County ordinances and State jaws regulating Plumbing, and hereby authorize representatives of this County to enter upon the abov - entioned roperty form pechon purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date/ • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1402060010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT. ILEGAL ID FEES PAID I BUILDING ADDRESS I ITR. 6561 LT 456 I 1 5732 GOLDEN WEST AV 1 I —1FEE DESCRIPTION- QUANTITY UOM AMOUNT I TEMP CA 917802503 1 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: 18587-028-018 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl 1 121 HOSE BIBB(S) 1 00 FIX 16 20 I I ITENANT 164 WATER PIPNG <= 1 1/2 1 00 LIN 16 20 (ISSUED ON PROCESSED BY. PLAN BY TOTAL FEES 60 20 102/06/14 SR (OWNER. TEL NO I IFINAli ATE F NAL BY CODE- ICAMPOS, RICARDO (626) 286-3915— I I 15732 GOLDEN WEST AV I I ITEMP 917802503 I JITESCRIPTION OF WORK I I IWATER MAIN LINE REPLACEMENT AND HOSE BIBB (APPLICANT TEL NO I ITELLEZ, GERMAN (626) 232-1413— I 1 1 16494 PEDLEY ROAD I (SPECIAL CONDITIONS. 1 IRIVERSIDE CA 92509 I I (CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I IG T CONSTRUCTION (626) 232-1413— j I 16491 PEDLEY ROAD LIC NO I IUNDFR SLAB WORK I I IRIVERSIDE CA 92509 977844 I 1 IWATER SERVI I I 1 IPLA£TIC Y/ METAL /N 1 (ARCHITECT OR ENGINEER TEL NO I I — I (ROUGH PLUMBING I I LIC NO IGAS PIPING I I I I I I- 11 I I I IGAS VENT I I I I_ I I I I IHOT WATER HEATER I I I I I 1_ I I 1 (PLUMBING FIXTURES I I I I-_- 1 I (LAWN SPRINKLERS I I I I I I I I IGAS`TEST (UTILITY COMPANY NOTIFIEDI I ICWV IGRA'LWATER SYSTEM 1 I I I I I I I I I I I I I I I I I I i I IREPORT ID DPR263 ROUTE TO. BS0508 I I s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1402070016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID- FEES PAID BUILDING ADDRESS- ITR 6561 LT. 456 I 5732 GOLDEN WEST AV I I IFEE DESCRIPTION QUANTITY: UOM AMOUNT- 1 TEMP CA 917802503 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: 18587-028-018 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE 597 GRID: A3 LOCALITY TEMPLE CITY, Cl 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16.20 TENANT I TOTAL FEES 44.00 11SSUED ON PROCESSED BY PLAN BY 102/07/14 SR (OWNER TEL NO IFINAL DATE FI AL A CODE- ICAMPOS, RICARDO (626) 286-3915- 15732 GOLDEN WEST AV ITEMP 917802503 1 III5ESCRIPTION OF WORK I (REPLACE MAIN GAS LINE APPLICANT- TEL NO I ITELLEZ, GERMAN (626) 232-1413- 16494 PEDLEY ROAD ISPECIAL CONDITIONS (RIVERSIDE CA 92509 1 ICONTRACTOR TEL NO I 1APPFOVALS DATE INSPECTOR SIGNATURE I IG T CONSTRUCTION (626) 232-1413- I 1 _ 16491 PEDLEY ROAD LIC NO I 1UNDER SLAB WORK I I (RIVERSIDE CA 92509 977844 - 1 I I I I (WATER SERVICE I I I , I I )PLASTIC Y/N METAL Y/N I I 1ARCHITECT OR ENGINEER- TEL NO I1 11 I I IROUGH PLUMBING I I I - LIC NO I I I I I I 1 GAS PIPING I I IGAS VENT I I I I IHOT WATER HEATER I I I I I IPLUMBING FIXTURES I I I I (LAWN SPRINKLERS I I I I I IGAS TEST I I I I 1 I I I I (UTILITY COMPANY NOTIFIED( 1 11 ICWV I I I IGRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID DPR263 ROUTE TO BS0508 I I I I ., COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1102020007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ITR 6561 LT 456 5732 GOLDEN WEST AV I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802503 ASSESSOR INFORMATION NUMBER- II NEAREST CROSS STREET 18587-028-018 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl 1 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 30 ITENANT I _ TOTAL FEES 44 10 11SSUED ON PROCESSED BY PLAN BY 1 1 1 102/02/11 SR 1 1OWNER TEL NO 1 1FINAL DATE FINAL BY CODE- 1 ICAMPOS, RICARDO (626) 286-3915- h 15732 GOLDEN WEST AV 1 y ITEMP 917802503 152SCRIPTION OF WORK 1 IGAS LINE NEW HVAC SYSTEM 1 I I I I 1APPLICANT TEL NO 1 1 I ICORZO, ANDREW (951) 538-1595- 1 1 I 15027 WYCHE CT. I ISPECIAL CONDITIONS I ISAN BERNARDINO 92407 I 1 1 I I I I I I I I ICONTRACTOR TEL NO. I (APPROVALS DATE INSPECTOR SIGNATURE 1 INORTON AIR HEATING AND A, C (951) 538-1595- 1 I 1- 15027 WYCHE ST LIC NO 1 1UNDER SLAB WORK I 1 I ISAN BERNARDINO, CA 92407 819746 C20 1 I I I 1 WATER SERVICE I I PLASTIC YIN METAL YIN I (ARCHITECT OR ENGINEER TEL NO I 1 1 1 I 1 - I IROUGH PLUMBING II 1 1 LIC NO I I I II I 1 1 IGAS,PIPING I 1 1 I I I I I I IGAS VENT I I I I 1 I 1 IHOT WATER HEATER 1 1 1 I I I IPLUMBING FIXTURES I I I I I I 1 I ILAWN SPRINKLERS I I I I I I I I I 1 1 IGAS TESTI 1 1 I (UTILITY COMPANY NOTIFIEDr II1 1 I I I I I I I IcWV I I 1 1 IGRAY WATER SYSTEM 1 1 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 IREPORT ID DPR263 ROUTE TO BS0508 I I I 1 I 1 I I I I