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Home My Public Portal About6455 GOLDEN WEST AVE_Plumbing__ 76A6037-c90e17 a-ee APPLICATION FO LUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION RUMDMG JOHN A. LAMBIE, COUNTY ENGINEER ADDIIFJ<i SS �JUL—A 1J T COLEMAN W. JENKINS. SUPT. OF BUILDING Lo== FOR APPLICANT TO FELL IN )MARM Clue ET. NUMCER FI UR[OR ITZM EACH FEE OwllEl � O WATER CLOSET Sim RATH TUR 13i ADDIIFJ� SHOWER 135 CETT ' TEL NO. LAVATORY 13a COATRACTOR am 135 ALDREM l QCT DMHWABFM 13i CI? TEL. 110. LAUNDRY TUR 135 STATE LIC LICENSE NO. CLASS C1.OTtES WASHER 13a DI N [ ■Y J WATEa HEATER 150 0 --GAS eTETM OUTIETe 1.a0 INDUSTM&L } wAara Appaovu � OUTLETS OVER b pF3 sTeTEx 70 I111pRCTIox RECORD O Dc O D_ Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 pp UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE SO GAB PIPING 1 HE1RESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT WITH RC= AND STATE THAT THE A0VR E 1■ CO R=C-T AND AGREE TO COMELY H ALL COUNTY ODINANS AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HRK5Y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LIQ E NSSD AS REQUIRED BY LOS ANCMCLES COUNTY AND STATE OF GAS TEST CAU FORNIA OR THAT I AM THE LEGAL OWNER OF,AND 1 TO REFI DE IN,THE A�JVE DCECRIUKD RESIDENTIAL PROPERTY' UTILITY CO. NOTIFIED SIGNATURK OF PERMITT[[ FINAL - ATION CK. M.O. CASH , 3482�2 x- 13 5 D 3.50- . ON I hareby affirm.�t°IrIhaEvleesrlcerrtificcatte of ccoomIept�to self- C`:;7["SY APPLICATION FOR PLUMBING PERMIT Insure, or a certificate of Workers'Compensation Insurapce,or a certified copy thereof(Sec. 3600, b. u COUNTY OF LOS ANQE LES BUILDING AND SAFETY PoBcy,No.— Company ' ,,�,1 Certifl d copy Is hereby furpl;ahed. FOR APPLICANT TO FILL IN (PRINT OR TYPE) �bR�NN 'xI SS pert co b th fhb :' 1, building pectign N R FIXTURE OR n-UA • FEE 5'Y d WATER CLD85T LOCALITY Data App li NEAREST BATH TUB CROSS$T. RTILATE OF_FXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER MAI.L (� Oa Crhit Mctjorn need, dot be ctp kited if the work hMohvd LAVATORY 2. AgDAESS cO ,DO I�11 by the permit'is fbr one hondted dollen ($100) or leas.) SINK I Np.y I certify that in the performance of the Work for whkh this DISHWASHER CONTRACTOR 0 permit b issued, I shall not employ any pgraon in any mahner ,C. so as to bbcomb subjett to the Workpn' Compensation Laws. CLOTHES WA3HIE-R Data Appllbant ADDpESS Q tuj $WIMM'INp POOL, RECEPTOR tu NOTICE TO APPLICANT.`If,after making Ibis Certificate of CI TEL.NO. _ Exemption, you should Ntcome subject to the Workers' -LA WN'8PRINKLER8YSTEM STATE LIC. z CBmppnsstlon provisions of Yale Labor Code, you rata t forth- ` wRth Comply -with sUch� provisions or this permft shall be iNgTEFI N5ATEA L CENSE Nd.� 1 GLASS i deemed revoked. OAS SYSTEM OUTLETS DISTF41/nCCJT NO Eq Y LICENSEbCONTRACTORS'DECLAPA-TION OUTLETSOVELI I hereby affh-m that i am licensed underprovisions of Chapter PER SYST I 4 (commencing with SeCnon 7000) of Division 3 of the Bus(- FIN.,4L nc" and Professions Code, and my license is hip force and DATE Q r VALIPAT 6N, affegt. L1CenseNumber�. Llc.Cli , B1NAL. 9Y • Contractor Y.1� Data I am exempt from the Itcars g requtraments as I am a Plan check foe P dcensad architect or a reeirtered profes4onal engineer PLUMBING PEFIMIT ISSUING FEE$ acting In' My professional capacity (Section 7651, Bus- Incas and Profbisiohs Code). TOTAL FE9 Lie.of Reg,No. Data Plan cI»ck applicant 'I-IOME OWNER-BUILPER DECLARATION Name J r Ad d tes� I hereby afI'km that 1 ■m esetgpt troth fhe ContnctQr's ' License IA-ov for the following ree}on (Section 7031.5, Buri- Ctty TN.No. new and Professiops Code): ❑ I, as owner of the propetty, am exclustvely contracting 3 8 1. A wA with 1Lxnsed contractors to construct the prgjeZt # o o.0 0 o 5 .(Sectlon 7044,Business and ProfessiooA Code). 0 2:e 0 Q 0 0 QONSTRUCTION LENDING ArGI,NCY QQO� I hereby affirm that those is & cogrtractiop landing agency 0,91 for fhb performance of the wort: for which this permit 11. i Issued{Sec. 3097,Civ.C.). 01,20-81 Lender's Name_ Lender's Address I certify that I have read ails application and state that the above information is correci.I aped to cooply with all County SSE kEVERSE FOR EXPLANATORY LANGUAGE ordinances pnd State laws rektilating Plum , and hereby authorise represe this County q e tet u the a entto property for pegtlo - /�� Signature of PermIttee Data WORPMRS'COMPENSATION DECLARATION 7a A6a7A I hereby affirm that I have .r certificate of consent to .elf CK 917 (s-4e) A P P L-I C I IT I O N FOR PLUMBING PERMIT insure, or ■certificate of Workers'Gonipensation Insurance,or a certified copy thereof f, f)000,Lab.C.) Palicy r �Cjpompany CO/%q COUNTY bF LOS ANGELES / 01 BUILDING AND SAFETY CertiRedcopy Is hereby furnished. FOR APPLICANT TO FILL IN{PRINT OR TYPE) BUIL'DINO Certlfled copy L With wHthe county �building -l�nspection NUN13ER FIXTURE OR ITEM FEE ADCSRES$ Date /Applicant �'t l .T�""� WATER CLOSET LOCALIREARES�—� PL BATH TUB CR 9T, N P CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER LAVATORY -MAIL >_ ('This #ectkm need not be completed if the wozk invotved A150 E88 !F&eqAA CL by the. permit is fee one hundred dollars ($100) or leas.) SINK Q ; - CITY TEL. N6. C`.7 ' I certify that in the performance of the work for which this DISHWASHER pbrrhtt Is issued, I LhAll not employ any Parton in any manner CONTRACTOR. � so as to /b)c�ei-oo��mm�e subject to th14�Worrke--rs''' Compensation IAw7. Ol_OTHES WASHER� ADDRESS Dato�lL Applicant�.y . +a+t�� T' SWIMMLNG POQL RECEPTOR tltltlJJJ NOTICE TO APPLICANTS If, after making this Cer"cate of CITY. TEL,N04�1%F6�- Etempttpn, you should become subject tq the Workgrs' LAWN 8PRiNKLER SYSTEM ,mayLIC. _ Compensation provisions of the Labor Code, you must forth- LICENSE NO d CL with coftly with such.prov9rions or this.pemit rshall be WATER HEATER deemed.revoked. GAS$YST♦ M OUTLETS -DISTRICT.NpO. F ESSEq 8Y LICEf+iSFI)CONTPACTORS DECLARATONOUTL•ETBQ EFI D/ I hereby affirm that I am lice under provislons f Chapter 6 PER 9Y8T 9 .(commencing With'Section 7000) of Dtvis�ion 3 of the Bgsl- FINAL naps and Professions Code, and my llce4se Is In full-force and DATE r 1/ALIDATfON effect. FIN ��LC�f� Lic.Class BY AL License umbar'')''� Contra .—_4 `-'� Dhte I am exempt from the licensing re4utrements as I am a Plan check fee. licensed architect or ■ resistered professional engineer PLUM81NG PERMIT ISSUING FEE rK acting in my profesislodal capacity {Section 7051, Bur inesa and Profesrjons Code), WAL FEE Lic.or Imo.No. Date Plan chock applicant HOME OWNI?R-BUILDER DECLA PLATION Name I hereby at'firm that I am exempt from the Conttacfor's Address License Lav for the following reason (Sectlon.7031.5, Busl- -city Tel.Noy. nese and Professions Code): :F1 89,6A �h "or of the prpperty, am exclusively contractipg # 0 0 0 0 0'5 licensed contractors to construct the project (Sect1Qn 7044,Business and Profps4ons Code). 2 - 1 1 CONSTRUC`T`ION LENDING AGENCY o 0 0 1 Q Q I hereby affirm that there is a construction lendin# aaetrcy for the pWormance of the work for which this permit Is . Issued(Sec. 3097,Civ.C.). 1 109-81 Lender's Name Lgndar's Addrer I certify that I have read this application and state that the above information.is correct.I agree tp comply with all C94nty SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State lacus regulating Plumbing, and hereby ■uthortze ntatives ofjAh County to enter upon the o f pection purposes. Signature of PartmAttee bete COUNTY OF LOS A2'7 GEES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1305290020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE =TTY CA 91780 PHONE: (626) 285-0488 ETT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON RTT,R 6455 GOLDEN WEST AV FEE DESCRIPTION: QUANi'ITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: 'NEAREST CROSS STREET: 5383-016-001 01 PERMIT ISSUANCE FEE 27.80 THOMA.9 PAGE: 597 GRID: Al LOCALITY: TEl,IPLE CITY CA 64 WATER PIPNG <- 1 1/2 7.00 LIN 113.40 TgUkNT: TOTAL FEES 141.20 Tssuzb ON: PROCESSED BY: PLAN BY: 05/29/13 SR O►d7ER: TEL. NO: DA F BY: CODE: WILLIAM, BRUCE (626) 446-2832- 6455 GOLDEN WEST AVE TEMPLE CITY CA 91780 PTIO OF WORK REPAIR/REPLACE WATER PIPING 7 PL WING FIZTVRFS APPLICANT: TEL. NO: RUTLEDGE, T131 (626) 795-3240- 2075 E VILLA STREET SPECIAL CONDITIONS: PASADENA CA 91107 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SIN'S PASADENA PLOINMING (626) 795-3240- 2075 E VILLA STREET LIC. NO UNDER,SLAB WORK PASADENA, CA 91107 429294 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHTTRCT OR E 121ffi2: TEL. NO: - ROUGH PLUMBING LSC. NO: (SAS PIPING GAS VENT HOT WATER BRATER PLUMB FIXTURES LAWN SPRINKLE GAS TEST UTILITY COMPANY NOTIFIED C KV GRAY IOtTER SYSTEM • ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508