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Home My Public Portal About6277 GOLDEN WEST AVE_Plumbing__ 76AG67-CE817-8-57 COUNTY OF LOS APPLICATION FOR PLUMBING PERMITANGELES 1 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST7-2,7v NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS Vl �e�a SHOWER CITY �� TEL.NO. �j� LAVATORY CONTRACTOR SINK ADDRESS �— DISHWASHER CITY TEL.NO. Pt's -.Caca LAUNDRY TUB CONTRACTOR'S --1 l STATE REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTRICT NO. OUP =RE�DY FOR INSPECTION WATER HEATER40 ��' GAS SYSTEM INDUSTRIAL WASTE APPROVAL p INSPECTION RECORD APPROVALS DATE INSPECTOR'S SIGNATURE @ $1.00 PER ITEM �. Q— OR FIXTURE $ "^ UNDER WORK PERMIT S 1100 ROUGH PLUMBING ,,/) GAS PIPING TOTAL FEE (� GAS VENT I 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 FIXTURES PLUMBING. IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE y ' OF PERM ITTEE FINAL A f. ROBERT A. WOOD, u,. VALIDATION SUPERVISING MECHANICAL ENG'R CK. M.O. CASH 3 4 O°° " 27 5 A 3.00 �° WORKERS'COMPENSATION DECLARATION 7sAssrA I hereby al7lrm that 1 have r certificate of consent to self cica,r 1&-8oi APPLICATION PO.R PLUMBING PERM1T inure, or ■ cgrrif"te of Wotkers'Compegsatlon'Insurance,or a certified copy thereof(Sec.3800,Lab.C.) ' COUNTY OF LOS ANGELES Dl-NQ AND ETY Policy No. Compan CertiRed Copy is hetebp furnish . FOR APP�.ICANTTO FILL IN (PRINT OR TYPE), TLOCALITY ILD G I-C rtiflad copy Is filed with the County building tnapectiop NUMBER FIXTURE QR MEW � FEFrdepartment. WgTER CLOSET Dater_ Applicant RBATH TUB 088 ST. CIrRTIFICA'T$OF•EXEMPTION FROM WORKERS' COMPENSATION TNSURANCE SHOWER OWNER MAIL (Thfa lection Beed not be feted,if the work tftr ed LAVATORY ADDR by the permit Is for one hundred doilars ($100) or leas.) s 1 N-K8 CITY TEL.-NW I certify that in the performance of the work for which this DISHWASHL-RM: permit-is Issued, I shall not employ any person in any manner 0 so as to become subject to the Workers! Compensation LwL CLOTHES WA'BH-FA AQQRES8 Date Applicant AWIMMING POQL RECEPTOR NOTICE TO APPLICANT: If, after making this Certificate of CrTY Te L. Gfil Exemption- you should become subject to the Workbrs� LAWKSPRINKLEFISY$TEM STATE LIC z Compegaat on provision,$ of the Labor Code, you piUst forth- LICENSE NO. CLASS with comply with such provisions or this petmft &hell be WATER WATER DI CT NO. Eq B deeMed revoked- GAS SYSTEMA OUTLCTB LICENSED CONTP ACTORS-DECLARATION OUTLLE T8 OVER I hereby ■fffrm that I am licensed under provisions of Chapter 15 PER SYST M 4 (oommencfng with Sectlon 7000) of Dtv#cton 3.of the Busl- FINAL neas and Professions Code, and my licensg is in full force and DATE VALIDA� effegt. a License Nu er LIC.Claes G 34� FBINAL ,r S�;ZContract Data I am exempt from fhb licensing requf-ampnts as I am a Plan Check fop !�( licensed architect -or a registered professional- engineer PLUMBING PERMIT ISSUING FEE ZR ' acting In' my profeulonal dapacity (Section 7051, Bus- iness tnd-Profgadons Code). TOTAL FEE Llc.or Rag.No. Date Plan chock appllcart HOMEOWNER-BUILDER DECLARATION Noma :9.3'3'6 1'A I hereby aft`trm that I am exempt from the CContractor'sAddraaa # o? o`a 0 0 5, Licensb I,aw for-the-following.feason (Segtlon_70$1.3, Suai- Cfty Tal.No. '2 0;0 1 2 Q now and Professions Code): F1I, u owner of the property, am exclusively coutractfng o,o'o } 2 5 0Z with licensed contractors to construct the project (Section 7044,13usineas and Professions Coda). 0323-82 COMTRVCTION LENDING AGENCY I hereby af&rn that -there is ■ construction lending agency fdr the performance of the work fot w hJrh this permit is Issued (sad. 3097,Cfv.C.). Lender's Name_ Lender's Address I certify that I beve road this application and state that the above information L correct.I epee to comply with all County ordinances and State laws re"ting Plumbing, and hereby SEE REVERSE FOR EXPLANATORY"LANGUAGE authorise representatives Of Phis Co4nty to enter upon the abbvp-menti pro for Inspection purposes. Signa of Perms ee Date T T J `"°RKEKe V`tP048A"°"ffi ' 20-0025�'"°'�° APPLICATION FOR PLUMBING PERMIT ll I hereby arm that I he1Fe a oertiffoate o1 consent P aeH Insure, or a ogrtffloate of Worker's Compenaaifon Iriaurnraa, or i oerttfled oopy thereof(Sec.3806 Lab. 0.) COUNTY OF LOS ANGELES DEPT.OF PU¢LIC WORKS DEPT.OF PUBLIC WOM(S DIV. Poky No.�—wry _ ❑" Certified copy Is hereby hanbhed. FOR APPLICANT To ri (�' TYPE)L tit lr OR TYPE) BURDIING El CerWed copy Is filed with the comity but(dtng Irrpeotfon department. NUMBER FD(TUBEOR ITEM FEF LOCALITY G Deis Applicant' WATER CLOSET NEMCEqT C FITIRCATE OF EXEMPT)ON mom WORKER& BATI-I TUB CROBB ST, ZO i COMPEN8AI"1NSURA4CE ASSESSOR (Thtp section r»ed not be compisted H the work trrvotvod by the 8HOM143 IUP BOOK PAGE PARCEL permit Is fot one hubdred dotiare(;}Oo)or Isis.) LAVATORY (Y vNER � oe �r I aertlty that Ih the performsnoe of tha.work for which this permit At�JL It Issued, I shall not erhploy any person In any manner to as to BINK beoomo sub)ect to a Works"'Compensation Lyes_ ADOFtFeB DISWABHE3 CITY TEL NO. Applicant qLOTl E8 W/18i-IEFI NQTICE TO APPLICANT: R, after making this Certificate of � ✓3 Exemptiorl,,you ahold become s LNw to the Work"'Cofnperxation 8WIMWING POOL RECEPTOR provisions of the-Lgbor Cods, you mutt forthwith oomply with such ADIXIESB provlalons or this Pernik shall to deemed revoked. LAWN 8PRIN)Q1�1 SYSTE34 L10EN$m CONTRACTOR8 DEGLAAATION / W TEa PTY ' TEL a I herebomme cing that I am I700Q) o u iv si n 3 floM of Chapter B STATE a�d8 a� ^ (oommenoing with 8sotfon 700Q) of Division 3 of the Buslneee and d LXJ Proloatkn s Code,and my no"Is In full force and enact OUTLETSOYB3 DW NO. PROCESBE]BY ([. Uoenae Nurnbef jrgg7 Lb.Claae - 1aNAL VALIDATION W Contractor Data/ DATE ((L Y F1I am exempt under Seo. B ? BY B.'BP.C.for this rsepn ' - Plan check fee , n � PLUMBING PERMIT{$SUING FEF i pool. G D P ❑ TOTAL FEE SINGLE PAA(ILY Plan Check appilicaffl 1DECLARATION �+ I hereby` affinnthat IF�tI am Ome�ptfrom��the Contractor's License Law ACGT.T foc the following reason (B•oUort7031.5, Business and Profeasi6na /Address Cods): 1 4 1■ 85- er ❑ I,ee ownof the pco¢erty,will do the Work and the struoWrr � 1 Tel.No. ITETE, Is not Intended Dr offered Tor sate (Ssotlon 7044, Business TOTAL 1- v and Pfoteeens Code). GEM 41.S5 T 1. CONSTRUCTION LENDING AGkNC'Y I hereby aMrm that there Is-a oonatructlon lending agency for the r .00 performance of the work for which this permit to Issued (8e0. 30°7, CIV.C.) Landers Name 000&-"1 12�1`I93 Lenders Addrsas 3017 1 ' I oerttty that I have rend this appllcatfon and stat*that the above , Information Is.cgrrect. I agree to oomply with all Courrty,ordlnanges and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-me oned props rposb- 84EE REV FOR EXPLANATORY LANGUAGE SvTeffre of Permittee /Date✓ ION DECLARATI WORKER'S I have a certificate of consent to 76A666DPW9189 APPLICATION FOR PLUMBING PERMIT 76A667A I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec. 3800 Lab. C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ElADDRESS Certified copy is filed with the county building inspection department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. 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($100)or less.) OWNER LAVATORY I certify that in the performance of the work for which this permit MAIL is issued, I shall not employ any person in any manner so as to SINK become subject to the Workers'Compensation Laws. ADDRESS DISWASHER CITY TEL.NO. Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM - } LICENSED CONTRACTORS DECLARATION CITY TEL.NO. O I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER (commencing with Section 7000) of Division 3 of the Business and STATE LIC. (� Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS LICENSE NO. CLASS W OUTLETS OVER DISTRICT NO. PROCESSED BY J 5 PER SYSTEM License Number Lic.Class DATE VALIDATION Q Contractor Date a: ❑ FINAL 0 I am exempt under Sec. BY a. g B.&P.C.for this reason UJI Plan check fee , F— Signature Date: PLUMBING PERMIT ISSUING FEE$ TOTALFEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name affirm that I am exempt from the Contractor's License Law (lowing reason (Section 7031.5, Business and Professions Address City Tel. No. owner of the property,will do the work and the structure intended or offered for sale (Section 7044, Business fessions Code). ► ;ONSTRUCTION LENDING AGENCY t there is a construction lending agency for the work for which this permit is issued (Sec. 3097, I this application and state that the above gree to comply with all County ordinances , ing Plumbing, and hereby authorize inty to enter upon the above-mentioned Vises. SEE REVERSE FOR EXPLANATORY LANGUAGE ' •a 'r WORKER 'COMPENSATION DECLARATIONnt APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self In- 76A667�PW'�/87 sure,orctertiflcateof Workers'Compensatlon Insurance,ora ��(�. 8%86) 'sure, copy thereof (Sec. 3800, Lab.'C . fl COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORK$ Policy No. Company �` Cerllfled copy Is hereby furnished. L FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy Is filed with the county building Inspection ADDRESS Za 7 NUMBER FIXTURE OR ITEM LOCALITY department. � . � Ddtte _ NEAREST L?JApplicant WATER C)_OSET(TOILET) Cf,n IC,ATE'OF 5X MPTI FROM WORKER$' BATH TUB CROSS ST. dAA-1' COMPENSATION INSURANCE R OWNER (This sogftn need not be-Completed kf the wont Involved by MAIL If the,permit,Is,'{or one hundred dollars T$700)or less,} LAVATORY ADDS AA I certify that In theperformance of the work for which this per- SINK CRY SEL 40,mIt Is Issued,1 shall not employ any person In any mo6ner so al.Ao become sublect to the Workers Cont pensctlon Laws. �ISNNASHER CONTRACTOR Date'_ Applltant C10THES WASHER - NOTICE TO APPLICANT; If, after.making thls.CertIfIcate of.Ex. ADDRESSQ emptlon,yob should become subject to the Workers'Compen- SWIAMIING POOL RECEPTOR satlon provlslons of the Labor Code,you must forthwith coryap LAWN SARIN CITY SYSTEM TEL Illy with such provlslons'or this permit shall be deemed revok- STATE LIC xx ed• WATER HEATER u NO> CLASS. - C/ LlCtNSED CONTRACTORS DECLARATION DISTRI4?NO. PROCESSED BY I hereby affirm that I am kcensed ynder provisions of Cbopter GAS SYSTW OIALET5 0 I.� p 9(commencing.with Section 7000)of Division 3 of the Business OVER 0 f nndd Professions Code, pnd//pay license Is In full force and ef- 5 PER SYSTEM FINAL �/ VALIDATION a License Numb., �4 Z. Llc. Class " 7--Z> DATE !� `q/ O U F I NAL Contrado Date — { BY, O F I am exempt under Sec. _ W 9.RP.C. for this reason Plan check fee' , z t PfUMSING Pl PMIT ISSUING FEE$ _�SIgnatureILdir TOTAL FEE ' SINGLE FAMILY J-IOME OWNER-BUILDER DECLARATION Plan check applicant _ c I hereby affirm that I am exempt from the Contractor's Llcer se Name _ , Law fpr the following reason (Section 7031:5, Business and ACCT.III, Professions Code): Address7 .5 1, as owner of the property, will coo the work and the City T6 1. No. 1 1 W structure.Is not Intended of offered forsale(Section 7044, Business and Professions Code). Poo. TOTAL _ 50 CONSTRUCTION UNDING.AGENCY 1 I hereby affirm that there Is a construction lending agency for Cha performahce of the work for which this per is issued � (� .QL . (Sec. 3097, Civ. C.). Lender's NameD--L01 7/1L/91 Lender's Address Tom_ w 1 g.v I certify that 4.have read this appl�gation,.ond state that the 13c above Mformatlon is correct. I agree to comply wMh all'Coynty , ordinance* and State laws regulating Plumbing, and hereby aufhorrze representatives of this County to enter upon the abo v entioned prppe for Inspectlon-pyrposes. SEE REVERSE FOR EXPLANATORY LANGUAGE pnature of Frermtttee Date - COUNTY OF LOS ANGELES TEPLE CITY ## 0508 PLUMBING PERM= DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1007290001 B=J)ING AND SAFETY / LAND DEVELOPMENT TMOLE CITY CA 91780 PHONE: (626) 285-0488 ETT: LEGAL ID: FEES PAID BU LDING ADDRESS: ON F-= 6277 GOLDEN WRST AV . FEE DESCRIPTION: Qc[X?F R: DOT(: AMOUNT: TEMP CA 917801705 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5385-021-005 01 PER?4= ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A2 L>CALI7.7: T 34PLE CITY, C 07 BATHTuB9/SHOMERS 1.00 FII 16.30 TENANT: 25 LAVATo=s/822aS 2.00 FII 32.50 ISSUED ON: PROCESSED BY. PLAN BY: 45 MATER CLOSET/URINAL 1.00 FII 16.30 07/29/10 SR 63 MATER PIPING BR/FII 3.00 FIX 20.20 HYU INC. TEL. N0: TOTAL FEES 113.10 w Y: CODE: HYU I (626) 278-9320- � 1108 M. VALLEY BLVD. ArHAMBRA, CA 91803 CRIPTION OF WORK REPLACING MNM-MN SINX, SHOWER, LAVATO= AND WATER CLOSET APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVAL DATE ' INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAB MORS MATER SERVICE PLABTIC Y/N METAL Y/N ARCASTECT OR ENGINEER: TEL. NO: - ROOGH PLNDING LIC. NO: GAS PIPING GAS VENT HOT MATER HEATER PLUMB ING FIXTURF69 LAMA SPRINKLERS GAS TEST PPII STY COMPANY NOTIFIED CMV GRAY WATER SYSTEM REPORT TD: DPR263 ROUTE TO: 1330508 COUNTY OF L09 ANGELES TEMPLE CITY 0508 PLLMftIMG PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508.0210160004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 917BO PHONE: (626) 285-OI x8 EXT: LEGAL ID: fttti FA lU BUILDING ON FILE 6277 GOLDEN WEST!AV- FEE DESCRIPTION: OUANTITY: IJOM: AMOUNT: TE]P CA 917801705 ASSESSOR INFORMATION -NLmtx: NEAREST CROSS STREET: LONGDEN 5385-021-DO5 01 'OMIT ISSUANCE FEE 27.75 THUS PAGE: 597 GRID: A2 LOCALITY: TE14PLE CITY 07 BATHTUBS/SHOWERS 1.DO FIX 16.20 25 LAVATORIES/SINKS 1.01D F X 16.20 ISSUED- 45 WATER CLOSET/LJRINAL 1.00 FIX 16.20 10/16/ JK 04/14/03 }47 WATER HEATER(S) 1.00 WTH 16.20 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 CHOI;DAVID AND MIT CHUNG (626) 614-9393- TOTAL FEES 108.75 6277 GOLDEN WEST AV 1S L TEMP 917801705 PL ING FOR ADDITION SAME AS OWNER - SPECIAL CO QONTRACTOR: TEL. NO: DATE INSPECTOR SIGI(ATURE SAME AS OWNER LIC. NO /;.' rr \ \� RK WATER SERVICE PLASTIC T/M METAL Y/M CEN MICHAEL ICOR ENGINEER: _ HAEEL TT (6Z6) 2B8-55 F I \�/�\ \. ROUGH PLUMBING 642 � DEWEY AVE LIC. NO! SAM GABRIEL, CA 91776 * '� - l`11I;1 UTILITY COMPANY NOTIFIO GAS (c� HUT -WATER HEATER PUMING FIXTURES 1:7 EJ GAS TEST 0,6 Zc viceGRAY WATER SYSTSF__ ' ADDITIONAL DATA ON FILE REPORT ID: DP9263 ROUTE TO: BS0508