HomeMy Public PortalAbout4923 GOLDEN WEST AVE_Plumbing__ 76A667-CE817-8-58
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �f
JOHN A. LAMBIE, County Engineer ADDRESS •f rl t Elul:.;,, J
CASSATT D. GRIFFIN,Supt of Building LOCALITY ;
FOR APPLICANT TO FILL IN oss T ` �t/
NUMBER FIXTURE OR ITEM
OWNER 6. Al
WATER CLOSET MAIL
F1 BATH TUB ADDRESS
SHOWER CITY, 74 TEL. NO.
LAVATORY CONTRACTOR19
Li
/ SINK ADDRESS l LI1 .0
DISHWASHER CITY 13a,4,,,;.ii Wt i l� TEL. NO.
CONTRACTOR'S STATE
/ LAUNDRY TUB REGISTRATION NO. '�S 3+ COUNTY ❑
/ CLOTHES WASHER DISTRICT NO. GROUP ZONE PROCESSED BY
/ WATER HEATER !
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
Ir—n e7
APPROVALS
OR FIXTURE $
l� CG DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK - -
PERMIT $ 2100 m
ROUGH PLUMBING �2 -7l`
TOTAL FEE J' c c GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 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
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 OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE Ie"til I, 9'r' J>'t'- FINAL
OF PERMITTEE
ROBERT A.WOOD.
OF VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.0. CASH
COUNTY OF LOS ANGELES TEMPLE CITY i 0505 PLUBING PERNIT
DEPARTMENT OF PLBLIC WORKS 9701 LAS TUTAS PL 0508 0305010002
BUILDING AID SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91750
PHONE: (626) 285-0455 EXT:
LEGAL ID: FEES PAID BUILD
TR: 5342 LT: 6 BL: .00t 1 4923 GOLDEN WEST AV
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917803938
NEAREST CROSS STREET: L06ER AZUSA
8589-019-001 01 PERMIT ISSUANCE FEE 27.75 THOULS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
81 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TOTAL FEES 43.95ISSUED PROCESSED BY: -PEWBT: EXPIRES .
.
05/01/03. JK 10/28/03OWNER: TEL. NO: TINALIATE FINAL ffy: .
.
4923 GbLDENNWEST AV <626) 673-1236- S
i
TEMP 917503938
EXPAN GAS L I N E FROM t' TO 1 1/2- f 4L Po oL l-4 J:R'r9P-
APPLICANT: TEL. *0:
SAME AS OWER
SPECIAL CONDITIONS:
.••�-��+CONTRACTOR: TEL. NO:
APPRUVALS DATE INSPECTOR SIGNATURE
fz��
SAME AS OWNER
LIC. NO r'f ` , UNDE: SLAB W06LK
R,ON C- Z
/' c
WATER SERVICE
I , PLASTIC Y/N METAL Y/N
ARCHITEUT OR ENGINEER: TEL. NO:WANG, NICK (626) 300-8931'- i - S�
1815 AZALEA DR LIC. Nb _
ALHAMBRA CA 91WI NONEGAS PIPING
GA63 VENT
�'''I HOT WATER HEATERr
PLUMBING FIXTURES
Li It LAWN SPR I N K
GAS TEST
GRAY WATER 3T3TE14
REPORT ID: DPR263 ROUTE TO: B80508
COUNTY OF LOQ ANGELES TEMPLE CITY f 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TURAS PL 0508 0110230014
BUILDING ANI1 SAFETY-/ LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID allILDING
TR: 5342 LT: 6 BL: .Q01 4923 GOLDEN WEST:AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT.: TEMP CA 917303938
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8589-019-001 . r r 01 PERMIT ISSUANCE FEE 27_75 THOMAS PAGE:: 597 GRID: A5 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 PIX .32.40
11 CLOTHESYASHER(S) 1.00 FIX 16.20 1 SSUED PROCESSED BY: PLAN BY: EXPMEFW.
13 DISHWASHER(S) 1.00 FIX 16.20 10(23/01 JK 04/21/02
25 LAVATORIES/SINKS 3.00 FIX 48.60_
45 WATER CLOSET/U.RI-NAL 1.00 FIX 16.20 Fr F Y
TRUONG•ANTHONY (626) 673-1236- 47 WATER HEATER(S) 1.DO.WTH 16.21) -t�Z
4923 GOLDEN WEST AV 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TEMP 917803938 - TOTAL FEES 189.75 DESCRIPTION OF WORK
PLUMBING FOR ADDITIQN AND RELOCATE KITCHEN
PPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITION:
CONTRACTOR: TEL. NO: g PN_ELES Co
SAME AS OWNER
LIC. NO UNDER SLAB
WCTITC
PLASTIC Y/N METAL Y/N
ARCHITECT OR aff=- TEL. NO:
k WANG, NICK (626) 300-893 ROLW PLUMBING
1815 AZALEA DR LIC. 111111
ALHAMBRA CA 91801 NOME GAS PIPING.
F U L NO` W L R K
PLLWING FIXTURES
D&N SPRINKLERSGAS TESTQ
UTILITY COMPANY OTIFIED
CWV
D
�c Service TrGRAY WATER.SYSTEM
at�N
REPORT ID: DPR263 ROUTE TO: 9SO508
• '.. t ��rIT.