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Home My Public Portal About5245-5247-5249-5251-5236-5255 VILLAGE CIRCLE DR_Plumbing__ F' ,17GA567 (CE-817)- 5/73 ` l ' APPLICATION OR PLUMBWG PERMIT COUNTY OF LOS ANGELES �i/ DEPARTMENT OF COUNTY ENGINEER �G�`f� %� l9 G�1?iGZ BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDI HARVEY T. BRANDT, COUNTY ENGINEER ADORE �f_ LOCALITY Tem•le Cit +FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE. �.�r Sy WATER CLOSET 1,75 f / -� OWNER NOel Baldwin (1 MAIL 5 02 Baldwin Ave* BATH TUB 1,75 � �� ADDRESS �� SHOWER 1.75 CITY Temple City. TEL. NO.,�..3907 ADORE LAVATORY 1,75 �� CONTRACTOR 0Mn BMS,' Plnmbin lnC® SINK 1,75 ADDRESS a DISHWASHER 1.75 V i J) CITY El Monte TEL. "3-4078 CLOTHES WASHER 1,75 STATE LIC SWIMMING POOL RECEPTOR 1,75 LICENSE NO. 231 741 CLASS C36-20 DIUBICT NO. GROUP I ZONE /PR CESSED BY LAWN SPRINKLER SYSTEM 1.75 \ f� ?P / 4WATER HEATER 1.75 u �'� INDUSTRIAL /`I ��JJJ LLL — WASTE APPROVAL GAS SYSTEM ` OUTLETS r► 1.75 v r INSPECTION RECORD CD OUTLETS OVER U 5 PER SYSTEM .30 C7 I-- U W Cn CL Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEES .S� APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK G' Name ROUGH PLUMBING _.7 • n 7 Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE=IDENTIAL OPERTY. FINAL SIGNATU RE OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH WORKERS'COMPENSATION DECLARATION 17GA667A hereby affirm that I have a' certificate of consent to self CE 617 (z-eo) APPLICATION FO R I''L U M B I N G PERMIT sure,or a certificate of Workers'Compensation Insurance,or ; certified copy thereof(Sec.3800,Lab.C. J COUNTY OF LOS ANGELES BUILDING AND SAFETY olicy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS �a(Ll Q Certified copy is filed with VhA county buildin •nspection NUMBER FIXTURE OR.ITEM • FEE at�dg a me Gi' WATER CLOSET LOCALITY Applicant NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER p LAVATORY MAIL ( n q This section need not be completed if the work'involved ADDRESSEd CL by the permit is for one hundred dollars ($100) or less.) SINK O CITY TE NO. !S U I certify that in the performance of the work for which this DISHWASHER CONTRACTOR permit is issued, I shall not employ any person in any manner O so as to Decoyne subject to the rker ' mp nsation Laws. CLOTHES WASHER Dat Applicant SWIMMING POOL RECEPTOR ADDRESS i a1� L!v Lou NOTICE TO APPLICANT: If, afterWaking*this Certificate of CITY n• TEL.Ni' q Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE J 9(� /� Z Compensation provisions of the Labor Code,you must forth WATER HEATER LICENSE NO. L s /b i 000� with comply with such provisions or this permit shall be deemed revoked. -GAS SYSTEM OUTLETS DISTRICT-NO. SSED BYLICENSED CONTRACTORS DECLARATION OUTLETS OVER �CSC? v I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with.Section 7000)of Division 3 of the Busi- FINAL / VALID TION ness and Professions Code,, and my license is in full force and DATE r effect. �(6 n FINAL License r License NumbLie.Class v Contractor Vrt"Date El I am exempt fm the licensing requirements as I am a I Plan check fee . licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional .capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE 1 2 J Lie,or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name -,„ .:. Address I hereby affirm that I am exempt from the Contractor's ` 0 0 0 D a r License Law for the following reason (Section.703 1.5, Busi- City Tel.No. ness and Professions Code): C o 0 1 G G 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the. project 0 , 0 (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097,Civ.C.). i Lender's Name ti Lender's Address I certify that I have read this application and state that the above information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of thjs County to enter upon the above- ione operty for inspection purposes. 64 / 1 1 Signatu&Vof Permittee Date i � f COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0203110023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: S P G ADDRESS: TR: 29602 LT: 1 UN: 18 5245 VILLAGE CIRCLE DR FEE DESCRIPTION: QUANTITY: I=: AMOUNT: TEMP CA 917803309 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HOWLAND 8585-001-085 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.20 TOTAL FEES 43.95 ISSUVO ON: PROCESSED BY: PLAN S ON: 03/11/02 JK 09/07/02 OWNER: TEL. NO: FINAL DATE FINAL B CODE: LAKSANA;HARIANI (626) 454-3292- �_v Z 5245 VILLAGE CIRCLE TEMPLE CITY 91780 DESCRIPTION 0 OR C/O WATER HEATER AP L TEL. O: ACTION CONTRACTORS (310) 515-1311- 17111 S. BROADWAY SPECIAL CONDITIONS: GARDENA 90248 �OGEES Co CONTRACTONTRACTORS EL. N315-1311- �0�3 ��VA� APPROVALS DATE INSPECTOR SIGNATURE ACTION C17111 S. BROADWAY LIC. NO UNIM SLAB WORK GARDENA CA 90248 B/L 27953 NATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT0 G 0: rWORDS PLUMBING LIC. NO: rll !111111 I GAS P G r, F U So`L�C MY(0 'HQ S NOWATER HEATER �. UMBING FIXTURES c 0 U>i�� rMWS—PR KLERS *•• _ 1-L� �i� 'I US—TEST i0 U "� r7UTILITY CO PA 0 D O 4 i' `cervi- Th�t� CWV GRAY 'WATER S S E * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508 • COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1412010013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BIIILDING ADDRESS: 1 ITR: 29602 LT: 1 UN: 17 I 1 5247 VILLAGE CIRCLE DR 1 I _IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803309 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18585-001-084 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI 1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 ] I ITENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 [ISSUED ON: PROCESSED BY: PLAN BY: ] I 145 WATER CLOSET/URINAL 1.00 FIX 16.20 112/01/14 SR 1 I TOTAL FEES 76.40 1 (OWNER: TEL. NO: I IFIr DATE FI BY: CODE: ] IWILSON JAYNE T (818) 349-4921- 15247 VILLAGE CIRCLE 1 l 1 ITEMP 917803309 I IDE CRIPTION OF WORK 1 I I IREPLACE BATHTUB/SHOWER, LAVA RIE AND WATER CLOSET 1APPLICANT: TEL. NO: I I I IRAZ GRINBAUM (818) 448-1355- 1 1 1 15632 VAN NUYS BLVD. 1 ISPECIAL CONDITIONS: IVAN NUYS CA 91316 ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IWISE BUILDERS 2011 INC. (818) 226-4494- 1 1 117434 BULLOCK STREET LIC. NO I (UNDER SLAB WORK I I I IENCINO CA 91316 984419 I I I (WATER SERVICE I 1 PLASTIC YIN METAL YIN I 1 ]ARCHITECT OR ENGINEER: TEL. NO: I I I - I IROUGH PLUMBING I1 1 LIC. NO: I I A 1 GAS PIPING I 1 I [GAS VENT I 1 [HOT WATER HEATER I I 1 1 1 IPLUMBING FIXTURES I I 1 I I I I I I I 1 ILAWN SPRINKLERS I I 1 1 ]GAS TEST I I 1 I I I 1 ]UTILITY COMPANY NOTIFIED] I 1 I I I I ICWV I ] I I I GRAY ATER SYSTEM I I I Ie� I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 IREPORT ID: DPR263 RpUTE TO: BS0508 I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1412030001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: 1 FEES PAID 1 BUILDING ADDRESS: 1 TR: 29602 IT: 1 UN: 17 I I 5247 VILLAGE CIRCLE DR I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( TEMP CA 917803309 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18585-001-084 101 PERMIT ISSUANCE FEE 27.80THOMAS PAGE: 597 GRID: H4 LOCALITY: TEMPLE CITY CA 1 113 DISHwASHER(S) 1.00 FIX 16.20 TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: I TOTAL FEES 60.20 112/03/14 SR (OWNER: TEL. NO: 1 IFINAL DATE FINATP BY• CODE: 1 IWILSON JAYNE T (818) 349-4921- I 1 I 15247 VILLAGE CIRCLE I I I ITEMP 917803309 1 ID2SCRIPTION OF WORK 141 I 1 IDISHWASHER AND SINK FOR KITCHEN REMODEL I (APPLICANT: TEL. NO: I I I IRAZ GRINBAUM (818) 448-1355- 1 1 15632 VAN NUYS BLVD. (SPECIAL CONDITIONS: (VAN NUYS CA 91316 I I I 1CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1 IWISE BUILDERS 2011 INC. (818) 226-4494- 1 I 117434 BULLOCK STREET LIC. NO 1UNDER SLAB WORK I I I IENCINO CA 91316 984419 1 I I I I I IWATER SERVICE I I I I I IPLASTIC Y/N METAL Y/N I I I 1ARCHITECT OR ENGINEER: TEL. NO: I I I I I I - I IROUGH PLUMBING I 1 I LIC. NO: I I I I (GAS PIPING I 1 IGAS VENT I I I- I I I I I IHOT WATER HEATER I I I I I I (PLUMBING FIXTURES I I ILAWN SPRINKLERS I I I I I IGAS TEST I I I I I I I I I I (UTILITY COMPANY NOTIFIEDI I I I CWV I I I I IGRAY WATER SYSTEM I I I � I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I I I I I