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Home My Public Portal About5609 HELEO AVE_Building__ )k ROAD DEPT. PER":AIT IS REQUIRED AjjjpR ANY MATERIAL STCRA:�;E OR WORK . WNE IN THE R&D R;.�f OF WAY. �. �aA�OA�EQee,a APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS"ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER -ADDRESS , - L A BUILDING AND SAFETY DIVISIONLOCALITY _ 'JOHN A. LAMBIE. COUNTY ENGINEER NEAREST ✓ L CA65ATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP .TYPE SED BY / FOR APPLICANT TO FILL IN - cor sr. - P ' BUILDINGSTATISTICAL CLASSIFICATION, SE ER MAP ADDRESS BK PG CLASS.NO-0—DWELL. UNITS,/_1 _ LOT NO. BLOCK MAP STATE } ``J� NUMBER HWY. YES O. TRACT � y t,2 USE ZONE SPECIAL NO.OF BLl � ♦ CONDITIONS SIZE OF LOT -I� I NOW ON LOT OT /^/SL ,/ USE OF EXISTING�B�L+DE f"^ '7 �j /� BUILDING YARD HWY STREET NAME EXIST. y1-Cl )rte r.� / ! �R Al-P )NT WIDTH OWNER r cam■ - MAIL ADDRESS A- L �Y•` �I ..JFK /C/J loA R.0 SIDE- P.L. CITY +� t /K N�C`.'D.Z7 J-S' -INSPECTION RECORD _ ARCHITECTO TE ENGINEER L IP �_4 N L ADDRESS 1 �•-WF-N W�S I�:a-^ V 14 :.IAS. ✓�O�I.V /1 ' CONTR ADDRESS'�—I RSI '�"O�U�`��l- • �T'' -\ /�� _ DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH . T. NO, OF NO, OF S T STORIES FAMILIES USE OF Q.t.! �-�� -- STRUCTURE (t,�A - 4 SIGNATUREF_ APPLICANT APPROVALS DATE INSP,ECCTOR'S SIGNATURE ADDRESS l �"I� '��-� '� !• t FOUNDATION: LOCATION ,D �.F^- .0 - - FORMS. MATERIALS /altn VALUATION $ pp y-�OD-O I p- o FBRACI NF IRE G, STOOPLTSS -'f /A A , P. GAS VENDUCTS C. PMT. O FURNACE:T,LOCATION, N q / FEE AG FEE $ ) '� 1 HEREBY ACKNOWLEDGETHAT 1 HAVE READ THIS AP. LATH, INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY-OR INANCES AND STATE LAWS EG ATING UIING O TRUCTIO LATH,EXT. SIGNATURE O HOUSE NUMBER COR- PERMITRECT AND POSTED ADDRES ! Y•/ 12o�GL''�"r-C � FINAL CLYDE N. DIRLAM, PRINCIPAL STR Cr RAL ENGINEER PLAN CHECK VALIDATION CASH PERMIT VALIDATION CK. M.O. CASH FEB ...2.2 3 A 2 2.5 01 ®: 6-0 6,2 a FES Q_ i A 4 $.;0.0 A ROAD DEPT. S FE%',4'i t �.. �R ANY A.,.,-1'; RC; _J ;::•, NE IN .THEF:OAJ kr,-��( U�= Y >�•�••=5�.�..,. APPLICATION FOR BUILDIKG PERMIT 1. COUNTY OF LOS ANGELES BUILDING f� DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALIT 1'it, JOHN A. LAMBIE, COUNTY ENGINEER NEAREST - CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROLII TYPE PRO ESSED BY FOR APPLICANT TO FILL IN S L CONsr. / Q BUILDING +" - STATISTICAL CLASSIFICATION - SEWER MAPPG ADDREBK SS Q CLASS.NO. v' DWELL. UNITS LOT NO. - .BLOCK MAP ��JJ STATE YES NO 1 ` NUMBEROC O HWY. TRACT O Z. 1�4 ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT d - USE OF EXISTING BLDG. BUILDING EXIST. �A1 SETBACK YARD HWY STREET NAME WIDTH OWNER iZ. b L !/ FRONT ryry cAe> �`YZ/ MAIL ADDRESS:2)1 /j- SIDE T P.L. clTv �7 2 INSPECTION RECORD - ARCHITECT OR L. ENGINEER L NO ADDRESS - TE CONTRACTOR - NO. ADDRESS ` - DESCRIPTION OF WORK NEW ADD" I/ALTER REPAIR DEMOLISH - SO. FT. - D NO. OF NO. OF - SIZE STORIES FAMILIES USE O STRUCTURE SIGNATURE OIS APPLICANT - - APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS, MATERIALS VALUATION $3 FRAME:FIRE STOPS, BRACING,BOLTS P.C. PMT. COQ FURNACE: LOCATION, FEE $ I FEE $ IY GAS VENT, DUCTS /\ 1I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP.ND LATH, INT TATE THAT . / II PLICATION AND ST THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND _ STATE Lp\ REGU TING BUILDING CONSTRUCTION. LATH,EXT. _ SIGNATUREO HOUSE NUMBER COR- ' PERMITTE RECT AND POSTED aoDREss FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E WE ' PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK.. M.O. CASH LAfo62853 FB 10 1 A 15.00 , ]6A6]6A CE„50] 0-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESs� Q BUILDING AND SAFETY DIVISION LOGAUTY / JOHN A. LAMSIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPEP Y SSED BY FOR APPLICANT TO FILL IN �!p CONST. BUILDING �'i Q STATISTICAL CLASSIFICATION SE FER MAP ADDRESS �(PP CLASS. No.-IT—DWELL. UNITS LOT NO. BLOCK WATER ❑ CERTIFICATE: NOT REQUIRED RECEIVED TRACTMAP HIGH-AY STATE MAJOR SECOND, OCA NO. OF BLOGS. NO. ICIac LE) SIZE OF LOT -0-0- ) NOW ON LOT USE ZONE SPECIAL USE OF �) CONDITIONS EXISTING BLV �DG. I. TEL. ek OWNER�� NO. BUILDING YARD HWV TR ET NAME EXIST. SETBACK WIDTH ADDRESS FRONT ARCHITECT OR TEL, P. L. ENGINEER NO. SIDE a P. L. ADDRESS / O TEL.' CONTRACTOR- NO. (A � ! AL•Rnf p` fL Y3.+TMY -i O ADDRESS 3 6 DESCRIPTION OF WORK a I N NEW A ALTER REPAIR DEMOLISH SO. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF / STRUCTURE / SIGNATURE OF APPLICANT VALUATION $ OQ APPROVALS D)AT/E�f INSPECTOR'S SIGNPTU E FEE S FEE $ ?i--Z FOUNDATION MATER ALS LOCATION FRAME: FIRE STOPS, EBRACT 1 HEREBY ACKNOWLEDGE THAT I HAVREAD THIS APPLICATION BRACINGBOLTS {(�' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- IINS TO WORKMEN'S COMPENSATION INSURANCE. ^'�/� LATH. EXT. SIGNATURE OF � =�6� HOUSE NUMBER PERMITTEE -R ECT O ANPOSTEDED ADDRESS FINAL / 9Ajrt' JOHN F. LEWIS, PRINCIPAL STR RPL ENGINEER PLAN CHECK VALIDATION K. M.D. CASH _ PERMIT VALIDATION cK.. M.D, DASH M L �061 7 8 KAR 3 1 D 2 2.00 ' r WORKERS' COMPENSATION DECLARATION .'.Ihrtei� affirm that have o certificate of consent to self - APPLICATION FO BUILDING PERMIT insure, or a certificate of Workers'Com pen of c Insurance, if T a certified copy thereof (Sec. 3800, Lab. C.) ��/ COUNTY OF LOS ANGE S BUILDING.AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILO IN ADDRESS DCertified copy is filed with the county building inspec- BUILDING L r, ran department. ADDRESS 5�0 ELEO - V6_ 06 LOCALITY E/ 6/7/ ' NEAREST Date Applicant CITY- pp_ (r/ /� ZIP 6'' NEAREST . CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 129 ' X 51 z NOW ON LOTS -- ' MAP BOOK PAGE PARCEL COMPENSATION INSURANCE (This section need not be completed if the permit is for one - USE 20NE MAP hundred dollors.($100) or less.) ,Aq TRACT BLOCK LOT NO. NO. } G �C TEL. Y7-171 i SPECIAL d I certify that in the performance of the work for which this OWNER JCr�il�Qr✓7XJ C-• ��Ev�- NOOU CONDITIONS 0 permit is issued, I shall not employ any person in any mannerADDRESS sG/// CONST DISTRICT GROUP TYPE FIRE D BY U - / . .. / so as to become subject to the Workers'Compensation Laws. (� � ZONE Date Applicant CITY. G///SGC. ZIP STATISTICAL CLASSIFICATION APTGL. CONDO. V ARCHITECT OR TEL. NOTICE TO APPLICANT:should If, after making this the Wore of ENGINEER NO. m Exemption, you should become subject to the Workers' .CLASS NO. DWELL UNITS N Compensation provisions of the Labor Code, you must forth- 'ADDRESS SEWER MAP Z with comply with such provisions or this permit shall be - VALIDATION cc� deemed revoked. CONTRACTOR p. BK{ G, LICENSED CONTRACTORS DECLARATION r _ I hereby affirm that I am licensed under provisions of Chapter ADDRESS NO. VALUATION �{'7 (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS SQ. FT. NO.OF / IFA OF / CHECK License Number Lic.Class SIZE STORIES AA FAMILIES ONE , DESCRIPTION OF WORK 4 NEW ❑ S - Contractor Date ' I am exempt from the licensing requirements as I am o ADD licensed architect or a registered professional engineern�H o LPAI TER ❑ FINAL acting in my professional capacity (Section 7051, Fwa P ❑ DATE )REPAIR Business and Professions Code). USE OF DEMOL FINAL EXISTING BLDG. '-' ❑ B ._�"_CJ Ior Reg. No.' Date APPLICANT TEL. , Y' - - OWNER-BUILDER DECLARATION PRINT) - - •NO. I hereby affirm that I am exempt from the Contractor's License Lawfar a following reason (Section 7031.5,.Business and ADDRESS Prof mns Code): PRESENT _. 3 ]-GOA BUILDING NN I, as owner of the property, or my employees with ADDRESS # ego e e e wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LADDR Y 2 e e 4 3 00 7044, Business and Professions Code). G TEL. I, as owner of the property, am exclusively contracting ACTOR NO. - e .1- 4 3.0 0� with licensed contractors to construct the project (Sec- S 3 0 .—8 2 tion 7044, Business and Professions Code), CONSTRUCTION LENDING AGENCY IRED YARD HWY TOTAL SETBACK FROM EXIST. ' CK PROP. LINE WIDTH _ - I hereby affirm that there is a construction lending agency far Tthe performance of the work for which this permit is issued(Sec. 3097, Civ. C.).Lender's Nome S Permit Fe _Lendeis Address1 certify that I have read this application and state that the Issuance Feeabove information is correct. agree to comply wlth all.Countyation Fee ordinances and State lows relating to building construction, Total Fee and hereby authorize representatives of this County to enter - a upo e above;m ned pr perry for inspection put ses. c SEE REVERSE FOR EXPLANATORY LANGUAGE ' Signature f Appllcont or Agent Date T° COUNTY OF LOS ANGELES TEMPLE CITY # 0508 - BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9806090080 PHONE: (818) 285-0488 EXT: LEGAL ID: N0. OF CONST BU LDING ADDRESS:1 J TR: 25202 LT: 13 SQ. FT STORIES TYPE 5609 HELEO AV STRUCTURE: 0 VN TEMP CA 917802424 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 8588-003-024 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE; RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 06/09/98 UT 06/09/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE rp CODE: PINEDA FERNANDO E;ANA Y (818) 287-1710- 1 10,000 CAPIRM 5609 HELEO AV TEMP 917802424 FEES PAID DESCRIPTION OF WORK KITCHEN AND BATHROOM REMODELING FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: APPLICANT: TEL. NO: G. FELIX CONSTRUCTION (626) 401-1391- AA BLDG PERMIT ISSUANCE 27.75 4924 N. HALIFAX AC STRONG MOTION RESID 10000.00 VAL 1.00 SPECIAL CONDITIONS: TEMPLE CITY, CA D2 PERMIT W/0'.EN-HC 10000.00 VAL 217.80 -TOTAL-FEES 246.55 CONTRACTOR: TEL. NO: � APPROVALS DATE INSPECTOR SIGNATURE G. FELIX CONSTRUCION, 8184011391 (818) 401-1391- - ' -- 4924 N. HALIFAX RD LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 449477 B \ SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEF N0: / ! --i \ FOUNDATION/TRENCH FORMS r- - _1__ _ _ -. - LIC. N0: I i � j � SLAB/UNDER FLOOR RAISED LOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: - UNDERFLOOR INSULATION 147X265 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS:,.NO 21 - �� ROOF SHEATHING /.. SCHOOL WITHIN HAZARDOUS \� i •� / SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS - NO NO NO >; -�� FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: - - - FRONT PL- '��= INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSF-M RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 76A667-CE817-$-68 v � PPLICARON FOR PLUMBING RMIT co1 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BIIILI ING JOHN A. LAMBIE, County Engineer ADDRESS Q �,� �✓ CASSATT D. GRIFFIN, Sup't of Building LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM 0 V WNER > w00 oj WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY TEL. NO. LAVATORY CONTRACTOR Valley Plumbin SINE ADDRESS 442 V1. Fleetwoo DISHWASHER CrTY Glendora TEL• NG. 9 LAUNDRY TUB CONTRACTOR'S r�REGISTRATION NO. 16OS4/ CLOTHES WASHER DISTRICT NO. GRRO�UUP' �.ONj PR CESSED BY WATER HEATER �J✓ -1, GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD /n APPROVALS @ $1.0OR 0 PER ITEM $ DATE INSPE OR'S SIGNATURE UNDER SLAB WORK PERMIT SLL U ROUGH PLUMBING TOTAL FEE .y' GAS PIPING r 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 c ,� I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST 5�� `T(fo LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I 1A THE EGAL OWNER OF THE ABOVE UTILITY CO.NOT]FIED DESCRIBED RESIDENTIA ROPERTY T / SIGNATURE FINAL OF PERMITTEE_ ROBERT A.WOOD. ®P LIDATION SUPERVISING MECHANICAL ENG'R CK. N.0. CASH p L,LO6082S Fu 4 5 A 12.00 �, ]6A66] •C EkBIT 9/83 lJ � APPLICATION FOR PLUMBI G PCE/RMIT � � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING G JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS � �V JCOUN WILLIAM A. JENSEN. SUPT OF BUILDIHG LOCALITYFOR APPLICANT TO FILL IN NEAREST1 �, J1.CROSS ST. LNUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 31.25 MAIL BATH TUB 135 ADDRESS SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTORADDRESSSINN 1.25 DISHWASHER 1.25 CITYLAUNDRY TUB 135 CONTRACTOR'S C' ..`REGISTRATION NO. I o LYCLOTHES WASHER 13DrISTRICT NO / op WATER HEATER 1.50 ,...� I o - 1 GAS SYSTEM OUTLETS "50 INDUSTRIAL a WASTE APPROVAL - O OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V D: O 1— u V w D_ N Z APPROVALS DATE INSPECTORS SIGNATURE PERMIT S 200 UNDER SLAB WORK TOTAL FEE ! � ROUGH PLUMBING / q GAS PIPING I HEREBY ACKHOWLCOGE THAT 1 HAVE READ THIS AP LIGATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES / LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ` CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL (, V ��ALIM.. C I ROBERT WOOD /` cK."/ M.o. nsH SUPERVISING MECHANICAL ENG'R !t, � 61) 91� 14AR13 5 D 4:75~ a WORKERS'COMPENSATION DECLARATION 76AG67A I hereby affirm that 1 have a certificate of consent to self esatrl2-eel APPLICATION FOR -UMBING PERMIT insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab, C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company .f Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING /OC �Q Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE ADDRESS /� department. I WATER CLOSET LOCALITY r� C Date Applicant NEAREST /+ BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER 1 MAIL LAVATORY cL (This section need not be completed if the work involved � ADDRESS � a by the permit is for one hundred dollars (SI00) or less.) SINK _ CITY TEL. NO.' 118 1 certify that in the performance of the work for which this DISHWASHER CONTRALTO permit is issued. I shall not employ any person in any manner 0 so as to become subject to Ih Workers' Co a tion Laws. CLOTHES WASHER ADDRESSLLI U Date ' Applicant .�iyxa.../,., � SWIMMING POOL RECEPTOR 2 NOTICE TO APPLICANT: If, after making this Certificate ofCITY TEL. NO. U) Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Z Compensation provisions of the Labor Code, you must forth- LICENSE NO. CLASS with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. PRO ESSED BV LICENSED CONTRACTORS DECLARATION OUTLETS OVER (J O I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL7-- 'Z VALIDATION ness and Professions Code, and my license is in full force and DATE G' effect. FINAL License Number Lic.Class BY �--- Contractor Date I am exempt from the licensing requirements as 1 am a Plan Check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE S S acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE r9L0 Q Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name E lZ)z> E. AJ,517A I hereby affirm that I am exempt from the Contractor's Address 660 W6-4&j 3 1 6 7 A License Law for the following reason (Section 7031.5, Busi- City (j6- &_r47rg Tel. No. :297- /7/0 ness and Professions Code): # 0 0 0 0 - 5 ElI, as owner of the property, am exclusively contracting with licensed contractors to construct the project 2 - - 20,5 0 (Section 7044, Business and Professions Code). 00.020505 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 0 305-82 for the performance of the work for which this permit is issued(Sec. 3097,Civ.C.). ' Lender's Name Lender's Address 1 certify that I have read this application and state that the above information is correct. 1 agree to comply with all County SEE REVERSE POR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above- entioned proper[ fo spection purposes. Signature of Permittee Date a• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 CPLUMBING-PERMIT--1 DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL-0508-9806090017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 25202 LT: 13 5609 HEEED AVS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA-917802424 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 8588-003-024 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.35 TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRE ON: 13 DISHWASHER(S) 1.00 FIX 16.35 06/09/98 UT 06/09/99 25 LAVATORIES/SINKS 2.00 FIX 32.70 OWNER: TEL. N0: 45 WATER CLOSET/URINAL 1.00 FIX 16.35 FINAL DAT Y: CODE: PINEDA FERNANDO E;ANA Y (818) 287-1710- 47 WATER HEATER(S) 1.00 WIN 16.35 5609 HELEO AV TOTAL FEES 142.20 TEMP 917802424 DESCRIPTION OF WORK PLUMBING-FOR-KI-TCHEN-AND-BATHROOM-REMODEL-� APPLICANT: TEL. N0: G. FELIX CONSTRUCTION (626) 401-1391- 4924 N. HALIFAX SPECIAL CONDITIONS: TEMPLE CITY, CA CONTRACTOR: 7EL. NO: �� APPROVALS DATE INSPECTOR SIGNATURE G. FELIX CONSTRUCION, 8184011391 (818) 401-1391- _ - - 4924 N. HALIFAX RD LIC. NO - UNDER SLAB WORK TEMPLE CITY, CA 91780 449477 B WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: r - ROUGH PLUMBING LIC. N0: GAS PIPING GAS VENT HOT WATER HEATER \ / PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST `- UTILITY COMPANY NO IFIED cuv GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508