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Home My Public Portal About5232 WILLMONTE AVE_Plumbing__ WP.ORKER'S COMPENSATION DECLARATION 20002aDPW 9/89 AP��9Ce4�'I®8►p9i� ®A'l PLUMBING PERMIT 76A867A A I hef3by affirm that I f)ave a certificate of consent to self Insure, or a certificaWof Worker's Compensation Insurance, or a certified copythereof(Sec.3800 Lab.C.) ' Policy No. Company COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Certified copy is hereby furnished. BUILDING c �p FOR APPLICANT TO FILL IN(PRINT OR TYPE)❑ ADDRESS S .3-� ti.r �. Yt.b At T Certified copy is filed with the county building inspectionIC department. NUMBER FIXTURE OR ITEM ® FEE LOCALITY 'rIVp PL Date Applicant � C` WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. 1-4 r L 0 n t\j M COMPENSATION INSURANCE ASSESSOR y (This section need not be completed if the work Involved by the SHOWER MAP BOOK XJ';F—;7 PAGE� PARCEL Q/ permit is for one hundred dollars($100)or less.) LAVATORY OWNER J v H M J7-� K'G7 jyt 0(X I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to SINK MAIL ADDRESS Lu L Vv%4*t T become subject to the Workers'Compensation Laws. DISWASHER CITY_rji M91-h TEL.N0.7rJ?_yV Date Applicant CLOTHES WASHER CONTRACTOR NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code,you must forthwith comply with such 7 ADDRESS provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. } I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER IL (commencing with Section 7000)of Division 3 of the Business and STATE LIC.GAS SYSTEM OUTLETS LICENSE NO. CLASS C Professions Code,and my license is in full force and effect. rJ OUTLETS OVER DISTRICT NO. PROCESSED BY a: 5 PER SYSTEM C License Number Lic.Class I" FINAL VALIDATION � DATE l 2UUv Contractor Date � ElFIN I am exempt under Sec. By B.&P.C.for this reason Date: Plan check fee Signature PLUMBING PERMIT ISSUING FEE$ ❑ TOTAL FEE `� 5 SINGLE FAMILY Plan check applicant q HOME OWNER-BUILDER DECLARATION Name AICCT■a I hereby affirm that I am exempt from the Contractor's License Law 3307 55.65 for the following reason (Section 7031.5, Business and Professions Address Code): I I i 'NEMS City Tel.No. 1,as owner of the property,will do the work and the structure TOTAL 5m 65 is not intended or offered for sale(Section 7044, Business and Professions Code). CHI E K 55;61 CONSTRUCTION LENDING AGENCY CHANGE .00 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.) Lender's Name 9715 5 1 Ate 8;29 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 ordinances ,band State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned prop tinspection purposes. _ SEE REVERSE FOR EXPLANATORY LANGUAGE V- C13 lanature of Permittee Date IBS-17,G.BB APPLICATION FOR PLUMBING-PERMIT .1 IBS-17 DMSION OF BUILDING AND SAFETY DepDstnent of County Engineer County Of LOS Angeles BUILDING JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN,SUPT of BUILDING LOCALITY FOR APPLX.CANT TO FILL IN NEAREST CROSS ST: OWNER D.ISTRICTO. GROUP I rY E I READY FOR INSPECTION MAIL ADDRESS 72Gb INDUSTRIAL CITY TEL. WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS a CITY T�E1L. '4^o LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM; FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER Q $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 INSPECTOR'S SIGNATURE UNDER SLAB WORK ROUGH PLUMBING PERMIT $ 7 OO' GAS PIPING TOTAL FEE ®® GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL 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 oWNE OF HE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE r FINAL ZV, v OHN A.LAMBIE.COUNTY ENGINEERATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR 4CS. 11.0. CASH ,��0 7 3 7 5 im 2 5 3 2.00 in )BS-17,O'-BB APPLICATION FOR�P�LU1091BIISIG .PER1011IT 1 IBS-17 DMSION OF BUILDING AND SAFETY Department of County Engineer County of Los Angelis BUILDINGe� T JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS L CASSATT D.GRIFFINy SUPT OF BUILGINc f4.M6FC,' LOCALITY C e FOR APPLICANT TO FILL IN NEAREST CROSS ST. V L� OWNER 'DISTRICT NO. GROUP ZONE READY FOR INSPECTION MAIL ��L ADDRESS INDUSTRIAL I �Q Q CITY C! TEL.NO. WASTE APPROVAL 6 V \ INSPECTION RECORD ADDRESS CITY TEL.NO: LICENSE NO. 4 O�p 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 10 jv-mc * 0 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE 0 GAS PIPING GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING.. PLUMBING FIXTURES I HEREBY CERTIFY THAT IAM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELESCOUNT AND STATE OF CALIFORNIA OR THAT I AM HE OF OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL P E SIGNATURE OF PERM.ME FINAL OHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR CH. N.O. CASH LI 6130x' MAY 17 3 2.00 D.19.13.17 2SM SETS 2-44 :•:-. 1 APPLICATION F®$ PE . DEPAkTMENT OF_'BUD ANG-AND SAFE'T'Y RIM COUNTY OF LOS ANGELES- PLUMBING WM.J. F.OX.CHIEF ENGINEER NATURE Of INSTALLATION - 13113TRICT NO. GROUP ZONE O. ROUGH F?t7ITURES COMPLETE HEATER CEHSPOOL --J RECEIVED BY READY:FOR SEPTIC TRECEIVEDDATE ISSUED --- _- ,fir q// FIRST INSPECTION ?r AS• M18CELLA EOU /K APPLICANT FILL IN HEAVILY OUTLINED PORTjION'ONLY ADDRESS 10119 1 a rf{ ^ _ 1 .BA. ADDR H rf AX 1 f N{A LOCALITY �L A d CIT NEAREST /A�II) I� .L 3CT<JL.�DI ""' 'l CROSS ST. �1 - *J �1 COU TY - 1 ° t' CERT.No. FJCPtREH NAME LOCATION OF SEPTIC TANH, OR CESSPOOL Z MAIL ' NORTH O AIIDRESB CITY TEL.No. IAM. THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE Ojr QU IFIC T N. PLumsElt I AM THE LEGAL OWNER OF 48 PROPERTY DESCRIBED ABOVE. OWNER' CORRECTIONS SOUTH J .-DESCRIPTION OF WORK z BATH TUB FURNACE _ O ROWER DISHWASHER O -LAVATORY REFRIGtIRATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SANDTRAP LOP SINK' FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE 1119PRaTOR'&NAME WATER HEATER DENTAL LAVATORY_ ROUGH PLUMBING. BTEC GAS SODA FOUNTAIN OUTL. AAS PIPING I GAS VENT -CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I kCESSPOOL-----FEPTICTANK SEWER I $ f UTILITY CO.NOTIFIED TOTAL FEE FINAL COUNTY OF LOS ANGELES APPLICATION FOR PERMIT- Department of County Engineer r DIVISION OF BUILDING & SAFETY ®� PLUMBING I' ' WILLIAM J. FOX, County Enelneer NE PERMITLF�/ FOR APPLICANT TO FILL IN DISTRICT NO. GROUP O " wj (o l l PLUMBE NF' _ RECEIVED BY READY FOR DATE IBgggLIED FIRSIN�SPECIION -311-1r � ADDRESS -311-1 -6- 8th STREET L. A. 3 � YN adBSBllt 3-nmAlBLIILD O j of sj� CITY ria- ADDRE86 oG c�7 COUNTY C+) LOCALITY LICENSE NO. / EXPIRES NEAREST PERMIT FEES CROSS BT.Al iCt NUMBER TYPE OF FIXTURE OR ITEM FEE DWNER MAIL WATER CLOSET(TOILET) a 0.50 0 ADDRESS BATH TUB @ 0.50 CITY TEL No. SHOWER a 0.50. 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASHBASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK a 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY O.SC AN13ELEB COUNTY LICENSE, OR 1 TH�E jLEGAL OWNER or GAS SYSTEM OUTLETS 0.50 SIGNATURE OF THE RESIDENTIAL PROPERTY�r` WATER HEATER O.SO PE MIITTEF GLOP SINK 0.50 INSPECTION RECORD FLOOR SINK ® 0.50 FLOOR DRAIN 0.50 DISHWASHER O.SO DRINKING FOUNTAIN @ 0.50 URINAL 0.50 A Q HOUSE BEWER 0.50 Z MISCELLANEOUS M 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK. SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PERMIT 1.013 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE FINAL 76A667 DBS#17 6-58 ,BS-17,B ,a.sB APPLICATION FOR -PLUMBING 'P!�RMIT .1 .,� DMSION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING L JOHN A. AMBIE. COUNTY ENGINEER ADDRESS 21 CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY 7 C r FOR APPLICANT TO FILL IN I NEAREST ROSS s r . d� OWNER w DISTRICT NO. GROUP ZONE READY FOR INSPECTIONyy MAIL �('®®1 ADDRESS la INDUSTRIAL Q CITY G TEL.NO. WASTE APPROVAL. mar 0 \ INSPECTION RECORD ADDRESS f CITY G , 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 $ 7• 00 ROUGH PLUMBING. GAS PIPING TOTAL FEE lipO ' GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL 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 COUNT AND STATE OF CALIFORNIA OR THAT 1 AlfixYHE L OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL P E SIGNATURE OF PERMITTEE FINAL Z Cs O 'OHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR 'CB. M.0. CASH LCo 6 1 3 0 MAY 17 3 2.0 0 '� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0307210010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID-- G TR: 12268 LT: 10 5232 WILLMONTE AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803240 A995SSOR INFORMATIONNEAREST CROSS STREET: HOWLAND 8589-006-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 84 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.20 TENANT: TOTAL FEES 43.95 ISSUEDPROCFSSF) BY: PLAN 07/21/03 JK 01/17/04Fp--alp v . OWNER: TEL. 0: FINAL DATE Y: CODE: KEMBLE CHRIS (626) 401-2171- 5232 WILLMONTE AV TEMP 917803240 CATERION OF WORK HEATER APPLICANT: TEL. NO: ACTION CONTRACTORS (310) 515-1311- 17111 S BROADWAY SPECIAL CONDITIONS: GARDENA 90248 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE ACTION CONTRACTORS (310) 515-1311- 17111 SOUTH BROADWAY LIC. NO UMR SLAB WORK- GARDENA CA 90248 B/L 27953 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT0: LIC. N0: I RO UTH PLUMBING GAS PIPING GAS;VENT 0 I R HEATER i PLUMBING U S LAWN SPRINKLERS GAS-TEST COMPANYUTILITY cWV GRAY WATER SYSTEM * 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 1110310012 BUIDDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 • PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I 1TR: 12268 LT: 10 I I 5232 WILLMONTE AV 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803240 [ (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: MILOANN 18589-006-019 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 2.00 FIX 32.50 I I ITENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.50 (ISSUED ON: PROCESSED BY: PLAN BY: 1 1 145 WATER CLOSET/URINAL 2.00 FIX 32.50 110/31/11 SR 1 I I TOTAL FEES 125.30 1 1 (OWNER: TEL. NO: I IFINAL DATE FIN Y: CODE: I IKEMBLE JOHN E;CHRISTINE F (626) 827-1677- [ 1 15232 WILLMONTE AV I 1 ITEMP 917803240 I IDIESCRIPTION OF WORK [PLUMBING FOR 2 BATHROOMS REMODEL I (APPLICANT: TEL. NO: I I 1 IKEMBLE, JOHN (626) 827-1677- I I 1 15232 WILLMONTE AVE. I ISPECIAL CONDITIONS: [ [TEMPLE CITY CA 91780 I 1 1 St (CONTRACTOR: TEL. NO: I I PROVALS DATE INSPECTOR�SIGNAUME 1 I IR A C SERVICES (626) 482-7117- I 1 1 114608 BINNEY ST. LIC. NO I (UNDER SLAB WORK I I 1 1HACIENDA HTS, CA 91745 861687 B I I I I 1 I IWATER SERVICE 1 [ 1PLASTIC YIN METAL YIN I 1 1 [ARCHITECT OR ENGINEER: TEL. NO: I I I I I - I IROUGH PLUMBING 1 LIC. NO: I I 1 1 I I IGAS PIPING I I 1 1 IGAS VENT 1 1 I I [ IHOT WATER HEATER I I I 1 [ IPLUMBING FIXTURES I I [ I I I 1 [ ILAWN SPRINKLERS I 1 [ I � I 1 [ IGAS TEST I I 1 I I I 1 [ (UTILITY COMPANY NOTIFIED( I 1 I I ICWV 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 IREPORT ID: DPR263 ROUTE TO: BS0508 1 I 1 1 I I I I I I