HomeMy Public PortalAbout6306 GOLDEN WEST AVE_Plumbing__ 78A867-CE#817 9/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST l
CROSS ST. J
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 ?
MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CI i TEL. NO. D
LAVATORY 1.25 CONTRACTOR
J
SINE 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR' STATE ❑
_� REGISTRATIOV NO. COUNTY ❑
' CLOTHES WASHER 1.25 - DISTJR,CT NO GROUP ZONE PROCESO D,BY
}� WATER HEATER 1.50 e;to 4� 0
}
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL CL
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
O
d u
W
0-
z z
APPROVALS
TE INSPECTOR'S SIGNATURE
PERMIT 3 2 00 UNDER SLAB WORK -
ROUGH PLUMBING
TOTAL FEE a, • ,
GAS PIPING (,.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION "
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER 4..- p
PLUMBING. ,a.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES sN
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST n �;!'. '
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO41
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED �°'� I''
SIGNATURE - �� a
OF PERMITTED 'C,i�-Cd/ .1
FINAL 7'
r
li-
LIDATION ROBERT A. WOOD
CK.
M.0, CASH SUPERVISING MECHANICAL ENG'R
7 t� 3:i r;i ! G r
L+ivG •-J -
76A667-CE817-8-58
APPLICATION FOR PLUMBING PERMIT, ..
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, CouatF Engineer ADDRESS
CASSATT D. GRIFFIN,Supt of Building
LOCALITY
FOR APPLICANT TO FILL IN gNREST
SS ST.
NUMBER FIXTURE OR ITEM
NERWATER CLOSET LBATH TUB RESSSHOWER
Y ,,. N e
LAVATORY CONTRACTOR g
SINS ADDRESS
DISHWASHER CITY TEL. 40. f 74
CON CTO S / STATE iff
LAUNDRY TUB REGISTRATION O. C ? 7 COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP Z12NE PR ESSED BY
WATER HEATER Loy—i
L
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
J APPROVALS
OR FIXTURE M $
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT 312100 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LDESCRIBED
NSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
FORNIA OR THAT I AM THE LEGAL OWN OF. THE ABOVE UTILITY CO.NOTIFIED
RESIDENTIAL PROPERTY
NATURE D _�
PERMITTEE - _ ` `� FINAL ..
ROBERT A.WOOD.
OF ALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.O. CASH
�. U 1 3 0 3 D 5 5A ��
WORiCER�Z_COMPENSATION DECLARATION APPLCATION FOR PLUMBING PERMIT
I hereby affirm thbt I bave a certlflcate of consent to self 7y4.667q
Insure, or a certificate of Workers''Compensation Insurance, CFe17(REV. 10/81)
or a certified then (Sec. 3800, Lab. C.) COUNTY OF LOS ANIrELES IRUILDING AND SAFETY
Policy No.. ComponA
Certified copy is hereby fumished-
FOR APPUG4M TO FILL IN(PR INT`QR TYpf) BUILNNG � !►�
Certifled 'copy Is filed vvlth the county building InspetADVRESS
-
tlen pa r>f. NUMBER FIXfURf OR ITEAk FEE LcCALFrY TkAn ins �`
Do Z Applicant • NEAREST
FI TE CtF EXEAAP1lO-N FROM WO RS' BATHYUB CROSS.ST-
INSURANCE SHOWER OWNet
(This section Med not be Completed If the-Work lrnbh-*d by MAIL
thy.permit Is for one hundred dollars ($109)or less.) LAVATORY ADDRESS
I certify that In the performance of the Ckork for which this
permit Is issued, t sballrlot etnplay any Person In any manner SINK CTTY �-NO.
to as to become subject to the Worken Compensation Laws. DLqMR
toNTRAcroR •
Date- A�l_[cant CLOTHES WASHER ADDRESS •
NOTICE TO APPLICANT: If, after making this Cbrtlflcatb of PM +�
Exemption, you.should bpcoMe subleet to the Workeri' SWhVAJNGci�s
RECEPI
Compensation provisions of the Labor Code, yov must forth- LA
WN SPRINKLW SYSTEM rT
with comply with such provisions or this'permit shall be STATE / 1
deemed revoked. . WATER HEATER LK1114SE N0. ✓ 73
LICENSED CONTRACTORS DECLARATION Ci BY
I hereby affirm that I am litersed Under provisions of Chapter 9 GAS SYSTEM �CJ
�4=_
{commendrV w)th Section 7000) of Ulvtslon 3 of,the Buslnbu OVER
and Professions Code, D
e,and my Incense Is in fuU force and effect. S PER SYSTEM FINAL /� }
License Number z&.3 O O Ltc. Class DATE yl V ' V
U �
FINAL O
Contract Date .' BY
I am sxempi under Sec. yt
B.BP.C. for this reason Plan CfieCk fee
Date: 0
PLkJNffiING PERMIT ISSUING FEE
Signature,
TOTAL FEE 642>
SINGLE FAMILY Plan check applicant
HOME OWNER-BUILDER DECLARATION Name
1 hereby affirm that I am exempt from the Contractors License
Low for the foll'ow.Ing reason (Sectlon 7031•.5, Bolness and Address
Professfon,Code):• city fel:No. ji 8 9 1.4 A
Ld I, as owner of the Property, will do the work and the
structure Is not Intended or offered for sale (S&dlorL '#-o o e ojo 5
7OL", Duslneu-and Professions Code).
CONSTRUCTION LENDING AGENCY T.o 4 1 &50
1 hereby affirm that thbre Is a conitructioa lending agency for
the performance of the work for which this pbrmit Is Issued e'u ► 1 bJ Q is
(Sec. 3097, Civ, C k•
p 2 p4 -.88
Lendgr's Name
{ender sAdddress
I certify that I hove reed this appllratibn and state that the ,
above Informatlon Is SorTect. I agtee to comply with all County
ordinances and State laws regulaNrtg Plumbing, and hereby
authorizd representatives of thb County to enter upon the
abovment red property for Inapectl n purposes.
SEE REVERSE FOR EXPLANATORY LANGUA¢E
Ignature of Permittee Drate
COLfN'TY OF LOS ANGEIE.S TEMPLE CITY 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1406260024
BUILDING AND SAFETY / LAND DEVELAPMENT TEI4PLE CITY CA 91780
PIAONE: (626) 285-0488 ETT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 6306 GOLDEN WEST AV
FEE DESCRIPTION: QUART=: UOM: AMOUNT: TEP CA 917801420
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5383-020-038 01 PERMIT ISSUANCE FEE 27.80 TOMOS PAGE: 597 GRID: A2 L CALITY: TEMPLE CITY CA
07 BATHTUBS/SHOWERS 3.00 FII 48.6Q
TENANT: 13 DLSHWA<SHER(S) 1.00 FIX 16.20 ISSUED ON: PROCFi9SED BY: PLAN BY:
25 LAVATORIES/SIN[.9 4.00 FII 64.80 06/26/14 SR
45 WATER CLOSET/URZML 2.00 FII 32.40
OWNER: TEL. NO: 60 DWV REPAIR OR ALTER 1.00 SYS 16.20 F FY: CODE:
SHMMADN GROUP (310) 916-3452- 63 WATER PIPING BR/FII 4.00 FII 27.20
217 PAIRS VERD&S BL TOTAL FEES 233.20 CW4 1W
D OF WORX
2 SHOWERS, BATHTUB, DISHOMAER, 3 LAVATORIE, SINb, 2 WATER
CLOSETS, DRAINAGE/VENT AND REPIPE 4 PLUMING FII7.VRES
APPLICANT: TEL. NO: '
PALACIOS, CARLOS (310) 242-0546-
15727 PRAIRIE AVE 1 SPECIAL CONDITIONS:
LAWN A E CA 90260
CONTRACTOR: TEL. NO: APPROVALS DINE INSPECTOR SIGNATURE
THE ROCb CONSTRUCTION (310) 242-0546-
15927 PRA7RrF: AVE., tl LIC. NO UNDER SLAB WORL
LAWNDALE, CA 90260 851485
EATER SERVICE
PLASTIC YIN METAL YIN
ARCE=CT OR ENGINEER: TEL. NO:
- ROUGE PLUMBING
LSC. N0:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIZTURS.S
LAWN 9PRINK FSR9
GAS TEST
COMPANY NOTIFIED
CNV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROOTS TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0101030014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID- FEES PAID BUILDING
ON FILE 6306 GOLDEN WEST ADDRESS:AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801420
ASSEOM INFORMATION NEAREST CROSS STREET: .L(ii68E1F;,y
5383-020-038 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRIP: A2 ',FOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TOTAL FEES 43.95 IWO ON: PROCESSED BY: PLAN BY: B(PIRES ON:
01/03/01 UI 07/02/01
OWNER: TEL. NO: F I NAL DATE CME:
GASPARA MICHAEL L•MARIA M -
6306 GOLDEN WEST AV
TEMP 917801420
WATER HEATER CHANGE OUT
APPLI WT: TEL. NO:
ALAP ASSOCIATES (800) 444-8865-
7229 VARNA AVE. SPECIAL COkDITIONS:
N. HOLLYWOOD, CA
CONTRACTOR: T E LAPPROVALS DATE INSPECTOR SIGNATURE
ALAP ASSOCIATES (818) 407-1247-
7229 VARNA ST LIC. NO /� UNDP SLA13 WOR
NORTH HOLLYWOOD CA 91605 771905/C36 WAT6 SERVICE
PLASfiIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. : ROUGH PLLMING
,.
LIC. NO• 111111
GAS �EWT
LAWN SPRINKLEff9___
co Lrr I Ci TY
❑
. 4d��c Service That�oCwVt
GRAY, WATER
I
r
REPORT ID: DM263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 05081 PLUMBING PERMIT
r DEPARTMENT OF PUBLIC WORY.S 9701 LAS TUMAS PL 0508 040909FJ;w
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGA,L ID: BUILDING ADDRESS:
ON FILE 6306 GOLDEN WEST AV
FEE DESCRIPTION: QUANTITY: UON: AMOUNT: TEFF CA 917801420
ASSESSOR rWMMTION NUMBER: NEAREST CROSS STREET:
5383-020-038 01 PERMIT ISSUANCE F-EE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C
47 WATER HEATER(S) 1.00 WTH. 16.20
TOTAL FEES 43.95 .
09/09/04 JK 03/08/05
PARA MICHAEL L•MARIA N (626) 833-0371-
6306
GOLDEN WEST AV t�;F/
TEMP 917801420 DESCWIPTIONfOF WORK
REPLACE WATER HEATER
APPLICANT: TEL. NO:
PRUDENTIAL RE}4DELING (818) 4-02-5298-
SPECIAL CON D 1
L. WO: APPROVALS
PRUDENTIAL R1300ELING (818) 402-5298-
14044 VENTURA BLVD. #304 LIC. NO UNDER SLAB WORK
SHERMAN OAKS, CA 91423 822033 B
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
LIC. NO: GAS PIPING
GAS VENT
HOT WATER HEATERI
GAS TEST
UTILITY COMPANY NOT I F I ED
CwV
GRAY WATnZ SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
r COUNTY OF LOS ANGELES TEMPLE CITY 0 05&8 PLUMING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0406230015
BUI[DING A14D SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-04.88 EXT:
LEGAL ID:
ON FILE 6306 GOLDEN WEST AV
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA.917801420
ASSESSOR INFORMATION NU?M NEAREST CROSS.STREET:
5383-020-038 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
25 LAVATORIES/SINKS 2.00 FIX 32.4-0 .
45 WATER CLOSET/IIRINAL 2.00 FIX 32.40 06/23/04 JK 12/20/04
TOTAL FEES 124.95
GASPARA MICHAEL L-MARIA N (626) 833-0371-
6306 GOLDEN WEST iV
TEMP 917801420DE?SCRkPTION OF WORK
REPIPE 2 BATHROOMS
APPLICANT: -TEL. 90:
PRUDENTIAL REMODELING (818) 402-5298-
SPECIAL EWITINS:
_
PRUDENTIAL-REMODELING (818) 402-5298APPROVALS DAIL INSPECTOR SIGNATURr
-
14044 VENTURA BLVD. x'304 LIC. NO LINDER 31 A WORK
SHOWN OAKS, CA 9Q3 822033 B
ARCHITECT OR ENGINEER., TEL. NO: PLASTIC Y/N METAL Y/N
ROUGH PLWR
LIC. NO:
GAS PIPING
GAS VENT
GAS TEST
UTILITY COMIPANY NOTIFIED
CwV
GRAY WATER SYSTEM
REPORT ID: DPIR263 ROUTE TO: BS0508