HomeMy Public PortalAbout4850 GOLDEN WEST AVE_Plumbing__KAW-=17-11.57
AUNTPPL,Ios AGI ON FOR PLUMBING PERMITCOY OF 1
LES
DEPARTMENT OF COUNTY ENGINEER
BUILDINCr AND SAFETY DMSION BUILDING
JOHN 71. LAMBIE, County Engineer ADDRESS
CASSATT D. GRIFFIN, Supt of Bgflding LOCALITY J
FOR APPLICANT TO FILL IN NEAREST ,
NUMBER FIXTURE OR ITEM CROSS ST. ;"'e,--
OWNER
WATER CLOSET
MAIL
BATH TUB ADDRESS
SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR ec
_
SINS ADDRESS
DISHWASHER CITY TEL. NO.ZZ"
LAUNDRY TUB CONT TOR'S STATE ❑
REGISTRATION NO. 'S 1 COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
r �J
�n i ch e 'r
APPROVALS
$1.00 PER ITEM DATE INS? GNATURE
OR FIXTURE $ —
UNDER SLAB WORK
PERMIT $ OO ROUGH PLUMBING
TOTAL FEE C = GAS PIPING
1 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
1 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 EGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA -PRO FRTY --
SIGNATURE �-
OFPERMITTE - - ''-r'Z.�y'- ��''�% FINAL
ROBERTA.WOOD.
®' VALIDATION SUPERVISING MECHANICAL ENG-R
M.O. CASH
ifQ`442WNW APR 2 5 A 9.0U
7SX66.1 17 0'150 (B APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
���� I
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN RIC�O. GROUP ZONE PERMIT NO.
PLUMBER BY READY FOR DATE ISSUED
�,•"� FIRST INSPECTION
ADDRESS ! (7 ✓'`' / 'wI 4G1 �'11�a I.CMe' �.;LRECEIVED
c w
BUILDING
CITY TEL. NO. ADDRESS ` V•� / • .. T~ ;..,:
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER
I IMAIL !
WATER CLOSET (TOILET) @ 0.50 „i ADDRESS
BATH TUB @ 0.50 1:*L' CITY TEL. NO. "
SHOWER @ 0.50I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
1 KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 I ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDE,(,VTIAL PROPER T DES,rC}R1 ED ABOVE.
GAS SYSTEM OUTLETS @ 0.50 I - SIGNATURE OF ,'!f
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ O.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.501 4',, 7
DRINKING FOUNTAIN @ 0.501
URINAL @ 0.50 ,1'� /✓O /nJ,! � L.r1.0�"..�"'" ..I
HOUSE SEWER @ 0.50
MISCELLANEOUS (�
O
I
I
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL L_
SEPTIC TANK: I SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . 1.00 GAS TEST
I t .;'` UTILITY CO. NOTIFIED
TOTAL FEE $
FINAL j i.'. .'iF„ .�✓ r ?'`h.
D.B.S. 17 23%1 SETS I2-44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 'I
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE Ste- y
HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOFIRST INSPECTR ION DATE ISSUED
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION NLY
I JOB
E NAME ADDRESS
W ...�
m ADDRESS LOCALITY
J NEAREST `" w
IL CITY TEL. No. CROSS BT. '-
COUNTY
CERT.NO. EXPIRES CW NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL
Z MAIL
NORTH O ADDRESS
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. � � �
In
> J2 • t y LOIN! '
CORRECTIONS
SOUTH
DESCRIPTION OF WORK �-
BATH TUB FURNACE
►ti
SHOWER DISHWASHER 0
LAVATORY REFRIGERATOR
KITCHEN lINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
— WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I `�
METER GA! SODA FOUNTAIN
OUTL GAS PIPING I I
_GAS VENT I I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER
a UTILITY CO.NOTIFIED I
I TOTAL FEE I
FINAL
D.B.S. 17 25M SETS 12.44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING•
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT J
I NO.
ROUGH FIXTURES COMPLETE RECEIVED BY READY FOR G /
HEATER CESSPOOL —I SEPTIC TANK FIRST INSPECTION DATE ISSUED
GAS MISCELLANEOUS -
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
/ JOB
E NAME J �- — ADDRESS
>D ADDRESS f- U L.. C LOCALITY
NEAREST
'1 I CITY (-�r�c,.�GL �` --� TEL.No. CROSS ST.
a
COUNTY /� ��a!
CERT.NO R1 C NAME ��'Y- --•"'�-'
LOCATION OF SEPTIC TANK, OR CESSPOOL Z I MAIL y`
NORTH 0 ADDRESS
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE,4D.0 QU LIFtC4TION.
/
FLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DE14CRIBED
ABOVE,
N
D
I� OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK - -----
z
BATH TUB FURNACE
SHO'41ER DISHWASHER ai
O
LAVATORY REFRIGERATOR
KITCHEN SINK —_.—WATER SOFTENER
FLOOR SINK SAND TRAP ---
SLOP SINK FLOOR DRAIN
1-100'
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
/ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN
OUTL GAS PIPING I
_
GAS VENT I I
CESSPOOL
[•�—TOTAL NUMBER OF FIXTURES - � _. SEPTIC TANK
L I I
CESSPOOI SEPTIC TANK SEWER
! ; UTILITY CO.NOTIFIED
TOTAL FEE 41 1 I f
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0610270004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 4850 GOLDEN WEST AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803935
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8589-020-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, C
11 CLOTHESWASHER(S) 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 60.15 10/27/06 JK 04/25/07
OWNER: TEL. NO: FIN L TE FINAL BY: CODE:
WU WEZ QIAO;YU XIANG YAN (626) 285-7937- �� /_
4850 GOLDEN WEST AV CJ
TEMP 917803935 DE CRIPTION OF WORK
PLUMBING FOR CLOTHESWASHER AND SINK
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
- ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508