HomeMy Public PortalAbout4934 GOLDEN WEST AVE_Plumbing__ 79A647 CCK-8171 - 1/75 T ,—
APPLICATIQN >= R PLUMBING PERMIT
COUNTY OF LOS ANGELES .
DEPART OF COUNTY ENGINEER
BUILDING SAND SAFET? DIVISION rr
MAKE' GRECKS PAYABLE TO: '4
HARVEY
Ate'
HARVEY T. IRRANDT, COUNTY ZNGINEER LOCALITY
FOR APPLICANT TO FILL IN SPRINT 09 TY PEI NEAREST
CROSS STIJV
NUMBEFI FaXTURE OB ITEM 0 FEE
OWNER
WATER CLOSET 2.00
MAIL
BATH TUB 2.00 ADDRESS LlJ
SHOWER 2.00 CITYa 6-4 lr i,. NQ.
LAVATORY 2.00 COWMACT
r SINK 2.00 ADDBESSb
DISHWASHER waJ 2.00 QD CITY ► TEL NO. L7
CLOTHES WASHEB 2.100 STATEo 6/ LIC
p CC GLA38
SWIMMING POOL RECEPTOR 2,00 LICENSE NO.
DIST ICT Pl0 O UP /') ZONE P CL D Y
LAWN SPRINKLER SYS11 M2.00
f WATER HEATER 2.00 IN
WZYVAOVAL op
1� GAS SYST6,1 OUTLETS 2.00 d INSPECTION RECORD t?
UTLfTS OVER ,�0
PER YS M p
Plan ch9ck tea S«Psivr,.
PLUMBING PERMIT PSSUING SEE $
TOTAL REE
APPROVA DATE INSPIC CT-0R'S SIGNATURE
Plan C k appIlGaAt UNSER SLAB WORK
Name ROUGH PLUMBING 0
AddreaS GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNO Epl[ THAT I HAV! 'READ AIJIS APPLICATrON'
AND STATE TWAT THE APOVE U CORRECT AND A4R[E TO COMPLY PLUMBING FIXTURES
VITH ALL COUNTY ORDINjkACES AND /TATE LAWS RESULAYINS' GAS TEST
PLUMdINI.
I HERBY-CRRTIFY THAT I AM PROPI#LY RESIST[R[D ALD/OR IMLITY CO. NOTIEIEO
LICENSSD AS REdUtmEd BY LOS ANS[LE/ COUNTY .AND STAT[ OF
CALIFORNIA ON THjAT I W TH l< L11SAL OWNER OF, AND FNYZND TO
RESIDE 1N THE ApOVR Dif PRISED RUID[RTIAL VROP[RTY; .
p �f FWAL
9I ONA TU
OF PER#IIT�� -
PERMIT VALIDATION-
PLAN
ALIDATIONPLAN CHEQK VALIDATION CR. M.0. CASH
67D 1 '9.,5pe�8 .
--3'7&A&07'bo 17 11-5a APPLICATION FOR PST
DBPAS N OF BUILDING AND
SAFETY
C*UTY OFL.OS ANGELES
WILLIAM J. FOX. OHI[F [NDINELI PLUMBING i
ONE
FOR APPLICANT TO FILL IN
PLUMBERR [rym fy READY FDR E TISiUID
F1 RST INfO
P[ TION
ADD R[6S
r ■UILDINO
OITY TEL No. d Quid ADDRIOW 13
t
COUNTY 1-101 pqp. A41 EXPIRICE
L.D DAL I TY
NEAR[BT .0001-
PERMIT F`EES ORDiB BT.
NUmumm TYPE OF rix rllnz an ITCH DWNER
MAIL
WATKR OLO.WT(TOILET) 0 0.60 * ADDRCS1111
MATH TUB 0 0.w CITY TEL Na-
■HOWER 0 d60 I HERESY A13KNOWLI DMK THAT 1 HAV[ RLAD THIS
LAVATORY (WASH BASIN) 0 0.60 APPLICATION AND STAT[ THAT THE ASOV[ IS OORRIOT
AND AORQ TO OOMPLY WITH ALL OOUNTY OADIMANOv
KITCHEN MINK 0 0.60 AND STAT[ LAWS RMULATIND PLUMBIND.
1 CERTIFY THAT 1 PO.SSZs T14[ ASOVK VALID LO■
LAUNDRY TUB OR TRAY • D.MO ANO[LiS DOU O[NSt. OR I AM THE LCMAL DWNLR
OF TH[ RNID[ PROPERTY D[I.ORIELD AS
OAS srywmb OUTLET? • D.SO
■ISNATUR[ Of
WATER HEATICR 0 0.60 FKRM ITTZ ME
■LOP ■INK a6O SON RECORD
FLOOR ■INK moo / 3
FLOOR DRAIN 0.60
DISHWASH0! CLEO
DRINKINS FOUKTAIN a6O
URINAL • aw
HOUSE Il W[R ELMO _
MIODEL1JUiE0US _
O
m r
APPROVALS
DATZ INSPCUM" KAME
ROUSH PLUMBINe
DAN PIPIND
DAR VENT
CCNUP013L 40 1,1013 OCSSPOOL
SIPTIO TANKI BtPTIO TANK
DRAIN ( PIT ( 1.00 SEWER
PERMIT 1.DO MAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE
78A887.CE#817 10_82 CITY OF TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEARE
4934 N o. Golden West Ave
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
Temple City(city)
FOR APPLICANT TO FILL IN Ha 1 1 wood
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25Oqino
1 2 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 1 25 CITY TEL. NO.
LAVATORY 1.25 1 2 5 CONTRACTOR Joseph C a d i l l i P l b Co
SINK 1.25 J ADDRESS 7821 E . Garvey Ave.
DISHWASHER 1.25 CITY S,San Gabriel TEL. NCA 0 5 3 9
CONTRACTOR'S STATE -E
LAUNDRY TUB 1.25 REGISTRATION NO. 134935C36 COUNTY El
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZO04_NE P CE ED BY
WATER HEATER 1.50 j o
d
GAS SYSTEM OUTLETS 1.50 INDUSTRIALWASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD u
CC
Lu
Z
PRRI VALS VAT)E INSPECTOR'S SIGNATURE:
PERMIT $ 2 00 UNDER,tLB'WORK - .'.
ROUGH PLUMBING
TOTAL FEE 5- 5 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER '~
PLUMBING. It o/
I 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 I THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE D RIBED RESID TIAL P/ TY. UTILITY CO.NOTIFIED
SIGNATURE G
OF PERMITTEE
FINAL ELL
/--VALIDATION ROBERT A' WOOD
L:n; G
M.O. CASH SUPERVISING MECHANICAL ENG'R
V ik,o 9 5 2 6 GO Aid 2 8 5 D 5..75- 4