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Home My Public Portal About6362 GOLDEN WEST AVE_Plumbing__ r 7EA667-C1KRe17 10-E7 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BU�LDING AND SAFETY DIVLSION ADnL 6 JO N A. LAMBIE, COUNTY ENGINEER 7L D eW COLEMAN W. JENKINS. SUPT. of BUILDING LOCAII7T FOR APPLICANT TO FILL IN R NT O TYPE )[FJIf NOMBER FIXTURE OR ITEM EACH FEE owl=WATER CLOSET 1.50 VIII. BATH TUB 1.50 ADD SHOWER 1.50 LAVATORY 1.50 C0INTlACT01 SINK 1.50 ADDPZU �j� J Al tr— DISHWA.SHER 1.50 CiT= TEL NO. 6 CLOTHES WASHER 1.50 STAT[ LIC LICENSE NO. a Y CLASS BS9B6IZO POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE I.ROCK"KD ■Y LAWN SPRYNKLER SYSTEM 2.00 6 ge� IR WATER HEATER 1.50, ELL wAaa IrPl"kL fGAB SYSTEM OUTLETS 1.50 ox PECO OUTLETS OVER 30 5 PER SYSTEM f r Plan check fee 2.5% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 b0 TOTAL FEE !✓ APPROVALS DATE IN SPICTOII'S SIGN ATU RI Plan check applicant UNDER SLAB WORK - Name ROUGH PLUMBING Address GAS PIPING GAS VENT City. Tel. No. HOT WATER HEATER I H[AIOY A(K"DWLX1)= THAT I HAV[ RtAD THIS APPLICATION AND STATI THAT TH[ AROVI IS CORISCT AND AGPIKE TO COMPLY PLUMBING FIXTURES - WPTH ALL, COUNTY OIIDINANCII AND STATI LAWS RIGULATINa GAS T PLUM IMG. 1 HLImY CIRT7FY THAT 1 Ala PROrswLY RIOISTIRSD AND/opt UTILI CO. NOTIFIED _ LICINSSD Al RigU fY LOS A►1RILSS COUN'CY AND S*ATI OF CAU FORNU OR AM TH[ L[ R OF,AND INTSND TO RS71DI 1►1•THS AL PROR[Wry. FINAL SIGNATURE JACK R. ALI-EN, SUPERVISIN CHANICAL EN9'p• OF P[RMITT[[ PERMtI' VALIDA'T'ION CK. M.O. CARS - PLAN CHECK VALIDATION C K• VA.0. CASH ?-P- JM29 5 o- 6-50N g 765APPLICATION FOR PLUMBING PERMIT 1 DBS.17 IO-55 DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDINGZ — JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS (S ✓ (p CASSATT D. GRIFFIN SUP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEARESF CROSS ST. OWNER DISTRICT NO. ROUP NE I READY FOR INSPECTION MAIL / �^� / � ADDRESS ` INDUSTRIAL CITY TEL. NO. L/ WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS CITY TEL. NO. LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ I 1 00 ROUGH PLUMBING -7 GAS PIPING TOTAL FEE / GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY 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 P PERTY. SIGNATURE , OF PERMITTE ,FINAL L: JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR CK. N.i. ASH [: 1 3 0 6S B 17 3 A 2.00 M —r D.E.S.17 25M SETS 2-47 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ��'�� 1 COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE PERMIT NO. ROUGH FIXTURES COMPLETE 5 / li READY FOR DATE ISSUED RE EIY D BY HEATER CESSPOOL 1-1 SEPTIC TANK FIRST INSPECTION GAS MISCELLANEOUS "I, APPLICANT FILL IN HEAVILY TLINED PORTION ONLY JOB Ix NAME San Marino Plbg. Service ADDRESS 750 Golden West ADDRESS 1424 Kenilworth (Avve • LOCALITY Temple City CITY san Ma14- no TEL No. � 31'742 CR069 S.. � IL (� CERT.TNo.4798 M EXPIRES 1949 W NAME R* So LOvelo.nd LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 ADDRESS NORTH O CITY TEL.No. 1 AM THE LEGAL POS9 BOR 9F THE'ABOV %LO ANGELES COUNTY CERTIFI �CSF,_,Q /L'IFiCCA O PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCR V. ABOVE. a 3 V) OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK a z_ 1 BATH TUB FURNACE 1 SHOWER DISHWASHER Q LAVATORY REFRIGERATOR 1 KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN 1 WASH TRAY URINAL APPROVALS 2 WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING 3 METER GAS SODA FOUNTAIN 6A8 PIPING OUTL GAS VENT Q CESSPOOL 8 TOTAL NUMBER OF FIXTURES �`� ggpTlC TANK I CESSPOOI SEPTIC TANK SEWER �_� UTILITY CO.NOTIFIED TOTAL FEE / FINAL D.B.S.17 25M SETS I-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES .WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRIC NO. GF OUP ZONE PERMITNO. ROUGH FIXTURES COMPLETE AY 1 o{ READY FOR DATE ISSUEDECEIVED OY HEATER CESSPOOL I SEPTIC TANK RFIRST INSPECTIONGAB MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB K NAME ADDRESO W D ADDRESS LOCALITY - v f NEAREST CITY TEL.No. CROSS EST. CL COUNTY CERT.NO. EXPIRES NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 ADDRESS NORTH 0 CITY TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. D 3 i OWNER CORRECTIONS SOUTH DESCRIPTION OF WORK Q z_ BATH TUB FURNACE (Y SHOWER DISHWASHER Q LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER-GAS SODA FOUNTAIN OUTL (3AS PIPING GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL SEPTIC TANK SEWER UTILITY CO.NOTIFIED TOTAL FEE FINAL WORKERS'COMPENSATION DECLARATION20-0026 4187 APPLICATION FOR PLUMBING PERMIT I hsreby,offlrm,that 1 hcvp a cer(jflcste olscortsent�o self In- 7DPW A sure,dr a cartIfIc6tqof.WorkIjj Comppnsatlon Insurance,ora- CE Bl7(REV. a/86) cerflfled copy thereof (Sec. 38W, Lab. C. Policy No.7 .Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy Is heroby furnished. ❑ fliFOR APPLICANT TO Flu IN(PRINT o TYPE) BUILDING Certified copy is ed with the courity building Inspection ADDRESS department. s NUMBER FIXTURE OR FTEM B f$ LOCALITY WATER CLOSET(TOILET) O Date App l l co n t _ NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER M (This section nKd not be completed ff.thq,work Imrohred by SHOWER MAIL the perrr�Ft Is fpr one hundred dollars 5100) or less.) 'L LAVATORY ADDRESS 1 certify that In the performance of the work for which this pet- SINK mit Is Issued, I shall not employ any person in any manner so -RW TFL: NO as to bbcortme subject to the Workers.'Compensation Laws. DISHWASF" • CONTRA(_'TOR Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Cortlficate of Ex- ADDRESS NOTICE you should become sub(ect to the Workers'Compen- S'�IN(3 POOL RECEPTOR � CITY TEL rro satlon provisions of the Labor C e,you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revIC _ok- STATE L ed. WATER HEATER LICENSE tV0• CLASS LICENSED CONTRACTORS DECLARATION I Cr Y I hereby affirm that I am licensed under provfsiorns.of Chapter GAS SYSTEM OUTLETS 9(commencing wlfh Section 7000)of Division 3.of the Business OUTLETS OVER and Professions Code, andmy lice " s In full force and ef- 5 PER SYSTEM FINAL VALID ION >_ fact. _ DATE a License Number. Llc. Class i/"•—+'�cr—��/— 0 FINAL U Cgntractor' Date BY I am exempt under Sec UJI B.BP.C, for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE S Signature _. TOTAL FTE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant43.04 1 hereby Affirm that I am exempt from the Contractor's License Name 1 ITM Low for the following reason (Section 7031.5, Business and Professions Code): Address TOTAL 43 _ 00 I; as owner of the prop will do the work and the City Tel. No. Iti 43.00 structure Is not Intended of offered for sale(flection 7044, Business and Professions Code). C,' X00 CONSTRUCTION LENDING AGENCY I hgreby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued 004 -x041 1/26/90 (Sec. 3097, Civ. C.). 1 AM10:12 Lender's Name LendwIs Address I certify that I have read this application and state that the , above Information Is cgrrect_I agree to comply with all County ordinances and State Idws regulating Plumbing, and hereby authorize representatives of this County to enter upon the ntlon o rty for Inspection purposes. SEE REVERSE-FOR EXPLANATORY LANGUAGE PIgno f Permittee Date.