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Home My Public Portal About6274 GOLDEN WEST AVE_Plumbing__ yOfnt� �9�TI�DECLARATION :AI here Ihhcateof � toself c (:-as) APPLICATION FOR PLUMBING PERMIT Insure, or a certificate of Workers'Compensation Insurance,or -"fl a certified copy theregf(Sec.3800,Lab.C.) COUNTY OF LOS ANGELES � BUILDING AND SAFETY Policy No. Company CerttfSedrop7 Is hereby ftilnlahed. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Certified copy is filed with the county building Inspection NUMBER FIXTURE OR ITEM FEE ADDRESS s✓/` {. department. WATER CLOSET LOCALITY Date Applicant NEAREST . � CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSB 8T. COMPENSATION.INSURANCE SHOWER OWNER LAVATORY MAI 1, (This section need not be completed If the work tavohed AQDRESS by the permit Is for one hundred dollm ($100) of ler.) SINK Cl 77 51e4a-aTEL.N O I certify that in the performance of the work for which this D18HWABHER' permit is issued, I&hall not stn p n any manner CONTRACTOR to as to become subject to the tion Laws. CLOTHES WASHER ADDRESS `� �f 0 Date -11 Applicant SL_ U WIMMING POORECEPTOR NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL.NO. Exemption, you should become subject to the Workers' LAWN8PRIN KLE R BY13TE M Compensation Provisions of the Labor Code, you must forth- STATE LIC. f!� with comply with such provisions or this permit WATER be WATER HEATER LICENSE NO. C deemed revoked. 43 AS SYSTEM OUTLETS DISTRICT NO. R ED B LICENSED CONTRACTORS DECLARATION OUTLETS OVER cd,; I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM /� 9 (commencing with Section 7000) of Division lon 3 of the BDATE 12_/O �� VALIDATION nese and Professions Code, and my license is in full force and effect. _ FINAL' License N Lic.Claes �-` BY Cpritrwct Date DI ■m exempt from the licensing requirements as I am a plan check fee licensed architect or a registered proferignal engineer PLUMBING PERMIT ISSUING FEE; acting In my professional opacity (Section 7051, But 71 Incas and Profesdoas Code). TOTAL FEE e Lle.or Rek.No. Date Plan chook appllcartix il HOME OWNER-BUILDER DECLARATION "•"'• 2 0 i,4 A I hereby affirm that I am exempt from the Contractor's Addre•� License Law for the following reason (Sec1ion.7031.5, Busf- Ictty a Tal.No. nese and Professions Code). 2,0 -1 Q 0 0 I, as owner of the property, am exclusively contragting with )coned contractors to construct the project o 0 0 1 a 0 0 Tu (Section 7044, Business and Professions Code). 1 1,20:-81 CONSTRUCTION LENDING AGENCY I hereby affirm that there is ■ construction lending agency for the performance of the work for which this permit is issued (Sec. 3097,C1v.C.). Lender's Name Lender's Address I certify that I have read this application and state that the abovp Information Is correct.I agzee to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ord c end State laws regulating Plumbing, and heroes _ est re eseptnt of this County to enter upon the abo {o for lnapectiolIn11 pulr1posecs.1 - I Signature of Permittee Data f I WORKERS'C°MP,"S�TIO.NDEq_ARATI°" 204)026 APPLICATION FOR PLUMBING-PERMIT I hereby, affirm that I.have a certfftdote of consent to self lad 7DPW 1%87 A y,dr ci certificate of Workers'Compensatlon Insuranc4,ora CE B17(REV, 8186) r ertlfldd copy thereof (Sec. 38W, Lab. C.) COUNTY OF LOS ANGELES DEPT, OF PPBGIC WC►Rk.S, Policy No. Company 1 Certtfled copy Is hereby furnished. ` 1 FOR APPUC4NT TO FILL IN(PRINT OR TYPE) BUILDING / / ® Certlfldd.copy Is#lied with the coup bul ding I n ADDRESS ��/ departure t. / NUMBER FIXTURE OQ rTEM 8 FEE LOCALITY Date Appllca NATER CLOSET(TOILET) NQS CERTIFICATE OF D(EMPTI N FRO RKERS BATH TUB CROSS ST. COMPENSATION INSU SHOWER OWNER .(This section nod not be completed If a work Involved by MAIL tht permit Is for one hundred dollars ($T00)or less.) - LAVATORY I certify that In the performance.of the work for which this per- mit Is Issued, I shall not employ any person In any manner so SINKCITY L" Gl TEL. NO. or-to become subject to the Workers'Cpmpdnsatlan Laws. DISHWASHER CONTRACTOR 4/ Date Applicant CLOTHES WASHH2 ADDRESS NOTICE TO APPLICANT: ff, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emptlon,you should become subrad to the Worker'Compen- � TEL sotlon provislons of the Labor C e, you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provlslont or this permit shall be deemed revok- STATE UC. ed. WATER HEATER LICENSE NO._ CLASS LICENSED CONTRACTORS DECLARATION DISTRICT BY Thereby affirm that I am Itcensed under-provlslons of ChapteIFTS r GAS SYSTEM O(fi 9(commencing with Sectlon 7006)of Division 3 of the Business OUTLETS OVER ns" and Professions Code, and my license Is In'full force and ef- 5 PER SYSTEM FINALLID ON >_ fed. DATE O License NurAber Llc. Class U F I NAL Contractor Date BY O F-1. I am exempt under Sec. V W a B.BP.C. for this reasonCO)Plan check#ee' , z Date: PLUMBING PERMIT ISSUING FEE$ b Signature TOTAL F� SINGLE FAMILY p ROME OWNER-BUILDER DECLARATION Pion check applicant I hereby afflrm that I am exempt from the Contractor's License Nome Law for the following reason (Section 7031.5, Business andTvi Professions Code): Addre s.. 50 I; as owner of the property, will do the work and the cityTel. No. 7 1L. struct-&8 Is not Intended or offered for sale(Sectlon 704", 1 ITEMS Business and Professions Code). , TOTAL 16 -50 CONSTRUCTION LENDING AGENCY 16.50I hereby affirm that there Is a construction lending agency for the performance'of the work for which this permit Is Issued _. - �013 (Sec. 3097,Civ. C.). Lender's Name. 0"-4=1 11/20/39 Lender's Address 6893 1 AM11:44 I certify that I have read this application and state that the above Information Is correct. I agreq to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentloned property for Inspectlon purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permlttee Date � I COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0106070001 BUILDING AND SAFETY / LAUD DEVELOPMENT i TEMPLE CITY CA 91780 PRONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ON FILE 6274 GOLDEN WEST:AV FEE DESCRIPTION: QUANTITY: L04: AMOUNT: TEMP CA 917801701 ASSESSOR INFORMATION WMER: NEAREST CROSS STREET:- 5385-022-027 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY 05 BACKFLOW DE_VICE(S) 1.00 DEV 16.20 TOTAL FEES 43.95 ISSUED ON: PROCESSED BY! PLAN BY: murflFEVE 06/07/01 UT 12/04/01OWNER: FINAL' TE OWE: . HUI FAI JOHNNY . : t6l r7- - ¢274 GOLDEN WEST AV TEMP 917801701 =TION - REPAIR SPRINKLER-AD PiOVE 2' tLOSE TO HOUSE . : SAME AS OWNER - �,ELES TEL. NO: CONTRACTOR: s coy APPROVALS DATE 119PECTOR SIGNATURE SAME AS OWNER \ LIC. NO WATER SERVICE PLASTIC Y/N METAL Y/N . NO: ROMA PLUMBIWff,- LIC. NO CAS vou ULER' L C VV K3" kTER HEATER of a " ' % O 0 urrcrrT b� o< CWV IGRAY 4JA.TER service rna E � I 4 � t 1 1, REPORT ID: DPR263 ROUTE TO: BS05M I - COLWY OF LOS ANGELES TEMPLE CITY 0 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9806020012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 6274 GOLDEN WEST AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801701 ASSESSOR INFORMATION NUMBER: 11EARE$T CROSS STREET: LONGDEN 5385-022-027 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LQCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.OQ STS 16.35 TOTAL FEES 44.10 ISSUED PROEE99EFO: PLAN BY./ EXPIRES 06/02/98 . UT 06/02/99OWNER: TEL. NO: FINAL DATE FI CODE: . HUI FAI JOHNNY 6274 GOLDEN WEST AV gyp" TEMP 917801701 DESURIPTION OF WORK GAS LINE FOR HEATING AND AIR CON SYSTEM APPLICANT: TEL. NO: DAVID WEI DA TAI (626) 308-1938- 122 S. ELECTRIC AVE. SPECIAL CONDITIONS: ALHAMBRA MffWTOR: TEL. NO: OS P�GELES Cp�� APPROVALS DATE INSPECTOR SIGNATURE \\ DAVID WEI DA TAM (626) 308-1938- V �\ 122 S. ELECTRIC AVENUE LIC. NO /� UNDER SLAB WORK ALHAMBRA, CA 91801 729019WATER SERVICE j PLASTIC Y/N METAL YIN ARCHITECT OR ENGINEER: MUCH PLOWMC 1� LIC. *0: GAS Pi PING I "1111111 �1 HOT WATER HEATER PLLWING FIXTURES GAS TEST UTILITY COMPANY NOTIFIED MN GRAY WATER SYSTEM t REPORT ID: DPR263 ROUTE TO: BS0508 r COUNTY`OF LOS ANGELES TEMPLE CITY iR 0508 DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL-0308 4. BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL Ip: FEES PAID ON FILE W4 OLDEN WEST�AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: T P--CA-9tM T70 jl FORMATION NUMBER: NEAREST CROSS STREET: 5385-022-027 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 25 LAVATORIES/SINKS 1.00 FIX 16.20ISSUFD ON: PROCESSED BY: PLAN BY: . 45 WATER CLOSET/URINAL 1.00 FIX 16.20 08/31/98 UT 08131/99:. . TOTAL FEES 76.35 NO: FINAL DATE FINAL E: HUI FAI JOHNNY � 6274 GOLDEN WEST AV TEMP 917801701 PLUMBING FOR ADDITI - LUMINA DESIGN & CONSTRUCTION, INC. (626) 574-9969- 56.34 HAL I FAX PD. SPECIAL CONDITIONS: ARCADIA, CA CONTRACTOR-- TEL. NO: APPR0VALS DATE INSPEffWMGNATURE- P�GELES C � LUMINA DESIGN & CONSTRUCTION (626) 574-9969* 5634 HALIAX RD. LIC. NO NDE� SLAB WORK ARCJIDIA, CA 7518948 `t' TATE�S VICE ARCHITECT OR ENGINEER: TEL. NO: PLASTIC Y/W METAL Y/K LIC. NO: 111111 U D ��C V V G�K 0 HUT ITER HEA O 0 O ❑ GAS TEST lb A46''c Ser ❑ Th�t�otCwv vlCe GRAY-61ATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508