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Home My Public Portal About6220 GOLDEN WEST AVE_Plumbing__ '76A667-CII-7�:1?/59 TEMPLE CITY r. APPLICATION FOR PLUMBING PERMIT � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDJOHN A. LING AND SP FETY RIVISION BUILDING AMBIE. ouNTY NGINEER ADDRESS X220 /V Go/�ip AlEs'� WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEARESTCROSS ST. B?J NUMBER FIXTURE OR ITEM OWNER � Z. WATER CLOSET MAIL BATH TUB ADDRESS / SHOWER CITY TEL. NO. A T 6 S7 Z 0 L� LAVATORY CONTRACTOR Ge SINS ADDRESS DISHWASHER CITY TEL NO. CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER `D STS CT NO. GROUP I �QN% � PR CESSED BYE 2 WATER HEATER ✓(�-� GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD P.U z�'w y R i adji ayp`f, ,eP� i��y 17 /45 r > 1 n E 4p SIM PER ITEM � �/�2(/ �� •� �r,l�I OR FIXTURE $ I � AP VA S-- DATE INSPEG OR'S SIGNATURE PERMIT .31 2100 UNDER WORK TOTAL FEE ROUGH PLUMBING GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY p9-/ y� _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER !9 F�9.9 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 I AM THE LEGAL OWNER OF THE ABOVE' DESCRIBED RESIDENTIAL PROPERTY. /}AUTILITY CO.NOTIFIED SIGNATURE � y1' (L�� OF PERMIiTEF' /-1 — 7 S FINAL (� AnQ ®� ALWATION ROBERT A. WOOD. cic. U.O.' CASH SUPERVISING MECHANICAL ENG'R 76A667-(CE-917) - 5/73 ^ APPLICATION' 1roa,, PL�UMB/I`NNG° PERM•-IT' ' - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND-SAFE TY.DIVISION. mlares cHEcres ParaarE To BUILDING7RE6220 "GOIden West HARVEY T. BRANDT, COUNTY ENGINEER , Temple City FOR APPLICANT TO FILL IN (PRINT OR TYPE) : NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1.75 OWNER Ra BU 1C}C e - v t ;%_+ 4l MAIL, i td BATH TUB 1,75 'ADDRESS''• Same SHOWER 1.75 CITY TEL NO i LAVATORY 1,75 CONTRACTOR Owner SINK 1,75 • ADDRESS DISHWASHER 1.75 % 1 ° CITY TEL NO -_ CLOTHES WASHER 1.75 STATE LIC ' % '` ' SWIMMING POOL RECEPTOR 1.75 LICENSE NO' CLASS DISTRICT NO - OUP 'Z NE OCESSED BY LAWN SPRINKLER SYSTEM 1.7.5 WATER HEATER 1,75 INDUSTRIAL WASTE APPROVAL }_ o.. GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD U OUTLETS OVER _ ,30 - ' •+ - . - -� '., • �•�s:,.• _ M. � 5 PER SYSTEM N ti - =� C•. w. Cn a. Plan check fee See Reverse" PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR S SIGNATURE ' Plan check NIP,pllcant UNDER SLAB WORK. Name ROUGH PLUMBING, Address GAS PIPING - �"Q•� �j U�1—��+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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING - GAS TEST '! '? `I HER CERTIFY THAT :'AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOANGELES COUNTY AND STATE OF CAL:FO RNIA OR THAT I AM T E EGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCR BED RESIDENTIAL P ER TY FINAL SIGNATU RE, OF PERMITTEE I PERMIT VALIDATION CK ' r1,0 CASH PLAN CHECK VALIDATION CK 'M.O. CASH ' Y `!WORKERS' COMPTiOt�+DECLARATION;9!'• APPLIGAT,ION FOR PLUM�IN r i• 20-oo26•DPwa/87 G PERMIT . I,hereby,•affirm=tray:I�have'd'certificate;'of"consenf.t,fo,self,in� 76A667A sure,or a cerhf ate•of Workers'Compensation Insurance,oras, CE 817(REV 8/86)' certifie co y the eof Sec 3800, Lab w ) �5'a, -� ; 3, . � " LOS ANGEL ,DEPT. OF'PUBLIC.WORKS ' Policy o o pang Na ' _ Certified copy_is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE); ' ?BUILDING � _i ertified copy is filed with the county buil ing i ` echon-. ADDRESS ` �-- depot\meet - NUMBER FIXTURE OR ITEM to FEE LOCALITY_ Date Applicant WATER CLOSET,(TOILET)' d NEAREST .1 ,C RTIFICATE OF EXEMPT FRO KERS' BATHTUB CROSS ST COMPENSATION INSURANCE, .'•.h, SHOWER s OWNER` _ (Thiel-sectiori,need not`be•completed if the workJ"olved by- r MAIL ~ the perinit•is for one hundred-dol lors"($100)'or less:)' y LAVATORY - ADDRESS I certify that•in the'performance of the.work'for which'this per_ . SINK. r' mit is issued, I shall not•employ any peison'•in,any manner so CITY TEL NO as 16 become subject'to the Workers'Compensation'Lows' DISHWASHER E CONTRACTOR Date ' " w L !dApphcbnt �~ ' �' :_ CLOTHES.WASHER_1' -_ NOTICE TO'APPLICANT If, after making this•Certifica(e'of Ex=. ADDRESS emption,'you should become subject to the,Workers'Compen- SWIMMING POOL RECEPTOR cation provision of the•Labor Code,_ ou must forthwith com r CITY TEL NO t• p y p. + LAWN•SPRINKLER•SYSTEM jy,with_such provisions or,this'permit shall,be deemed,-ievoC- STATE LIC' ed r WATER HEATER LICENSE NO CLASS ? LICENSED CONTRACTORS DECLARATION• ' DISTRICT NO CESSED BY I-hereby%affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS, �9 t 9(commencing with Section 7000)of Dtvision-3 of the Business OUTLETS OVER J �t and'Professions Code, and my,license 4is in fulj'force and ef- 5 PER,SYSTEM „FINAL v feet - VALIDATION DATE d License Number Lie Class O FINAL Y �- Confr&cto� to BY O' r H ❑ I am exempt under Sec U B &P C for this reason Plan check fee } I• N g Date ','PLUMBING PERMIT ISSUING"'FEE$= /q 9�5 S 8 A Signature TOTAL FEE ,# o O's 0 0 5` -SINGLE FAMILY,: Y �. it- HOME r , OWNER'-BUILDER DECLARATION Plan check•apphcant rj Q I hereby affirm that I am exempt from the Contractor's License Name `_ Law for the following reason (Section-7,031 5, Business'and 5 d,c�• P ofessions Code) Address t K ,I, os-owner of the.propeity will do the work and the C'ty Tel No 5, 9 8 8 ' r•','structure isnot intended or_offered for sale(Section 7044, - Business and-,Professions Code) > w4 CONSTRUCTION LENDING„AGENCY I hereby dffirm that thele is a construction lending agency'foi-. { t the performance of the-work for'which this permit is issued (Sec 3097.,•CGv C r Lender's Name• � - 7. .� _ .. f•, ., ,� , � � .rev , , _ :.� - {� ,. It .. 1', _.t r ” 1: 'i .- ... - � 'K, •''C. . , " Lender's Address - I certify that I have read this applicaiion.and state-that the 1 ', a above,information"is correct I agree to comply with all County ' ordinance`s and State law s'regulating Plumbing,-and hereby authorize;rep ent es of this County to enter upon the above-men ned erty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE a re" ee _D to r , COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0206040020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 11386 LT: 2 BL: B 6220 GOLDEN WEST AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801704 ASSESSOR INFORMATION NEAREST CROSS STREET: LONGDEN 5385-025-002 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TENANT:T:--- TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN EXPIRES ON: 06/04/02 JK 12/01/02 OWNER: ^LL TEL. NO: FiN L DATE FINAL BY: CODE: IGE•RON (626) 451-6531- d/"v 6226 GOLDEN WEST AV _ TEMP 917801704IP(�TION OF WORK REPLACE FURNACE & A/C APPLICANT: TEL. NO: MARK GLOVER (909) 279-0604- 5030 VICEROY AVE SPECIAL CONDITIONS: NORCO 92860 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE AIR-TRO INC. (626) 357-5311- 1630 S. MYRTLE AVE. LIC. NO �� r" , UNDER SLAB WORK MONROVIA, CA 91016 258228 C20 ` � _ WATER SERVICE I ' PLASTIC Y/N METAL Y/N RCHIT ENGINEER: L. N0: f �� _ ~' ROUGH PLUMBING LIC. N0: ��-- 1 GAS PIPING GAS—VENT HOT WATER HEATER - - PLUMBING FIXTURES ' LAWN SPRINKLERS AS TEST � - �'vUTILITY COMPANY NOTIFIED CWV GRAY WATER S REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1004060009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID. 1 FEES PAID I BUILDING ADDRESS I ITR- 11386 LT 2 BL B 1 I 6220 GOLDEN WEST AV I I IFEE DESCRIPTION- QUANTITY UOM AMOUNT 1 TEMP CA 917801704 1 (ASSESSOR INFORMATION NUMBER I 1 NEAREST CROSS STREET. LONGDEN 1 15385-025-002 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID A2 LOCALITY- TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 2 00 FIX 32 40 I I (TENANT 125 LAVATORIES/SINKS 1 00 FIX 16 20 (ISSUED ON PROCESSED BY PLAN BY- EXPIRES ON I 145 WATER CLOSET/URINAL 1 00 FIX 16.20 104/06/10 SR 04/06/11 I I 147 WATER HEATER(S) 1 00 WTH 16 20 1 I 1OWNER TEL NO I TOTAL FEES 108 75 (FINAL DATE FINAL BY- CODE I 11GE, RONALD (626) 451-6531- 1 1f 16220 GOLDEN WEST AV 1 ITEMP 917801704 1 IDESCIZIPTION OF WORK 1 I I (REMODELING BATHROOM REPLACE SHOWER, BATHTUB, SINK, WATER I I I (CLOSET AND WATER HEATER (APPLICANT TEL NO. 1 (SAME AS OWNER (SPECIAL CONDITIONS: I I 1 I I (CONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - LIC NO i (UNDER SLAB WORK I I I I 1 (WATER SERVICE I I I (PLASTIC Y/N METAL Y/N 1 1 I 1ARCHITECT OR ENGINEER: TEL NO 1 I - i TROUGH PLUMBING LIC. NO: IGAS PIPING - i IGAS VENT I I I IHOT WATER HEATER I I I (PLUMBING FIXTURES I I I (LAWN SPRINKLERS I I I I I IGAS TEST I I I I I 1UTILITY COMPANY NOTIFIED( I I I ICWV I I (GRAY WATER SYSTEM I I I I I I I 1 I I I I I I I I I I I I 1 REPORT ID DPR263 ROUTE TO. BS0508 I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1003290001 BUILDING AND SAFETY-/-LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT , ILEGAL ID I FEES PAID I BUILDING ADDRESS. 1 .ITR- 11386 LT 2 BL B 1 1 6220 GOLDEN WEST AV I IFEE DESCRIPTION QUANTITY DOM AMOUNT 1 TEMP CA 917801704 1 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LONGDEN 15385-025-002 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID A2 LOCALITY: TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 2 00 FIX 32 40 I (TENANT- 125 LAVATORIES/SINKS 1 00 FIX 16 20 11SSUED ON PROCESSED BY PLAN BY EXPIRES ON I 145 WATER CLOSET/URINAL 1 00 FIX 16 20 103/29/10 SR 03/29/11 1 I 147 WATER HEATER(S) 1 00 WTH 16.20 1 I (OWNER- TEL NO I TOTAL FEES 108.75 IF�NAL DATE - FINAL BY CODE 1 11GE, RONALD (626) 451-6531- 1 1 16220 GOLDEN WEST AV 1 - 1 (TEMP 917801704 1 (DESCRIPTION OF WORK 1 I I (PLUMBING FOR MASTER BATHROOM REMODEL & REPLACE WATER HEATER 1 I I (TANK LESS) 1 (APPLICANT TEL. NO. ISAME AS OWNER - I I I (SPECIAL CONDITIONS 1 I I I I CONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I I LIC NO I 1UNDER SLAB WORK I I I I I I I I (WATER SERVICE I I (PLASTIC Y/N METAL Y/N I (ARCHITECT OR ENGINEER TEL NO 1 I I - I IROUGH PLUMBING 1 I LIC NO I I I I IGAS PIPING I I I I I I I I I IGAS VENT I I I I I I I I I IHOT WATER HEATER I I I I IPLUMBING FIXTURES I I I I I I I I I (LAWN SPRINKLERS I I -I I I I I I I I IGAS TEST I I I I 11 I (UTILITY COMPANY NOTIFIED( 1 I I ICWV I f I I 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 1 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 BSO508 I I I I I I I