HomeMy Public PortalAbout5025 GOLDEN WEST AVE_Plumbing__ 7SA
CC*8170MV.� CITY OF TEMPLE CITY ��� � �oh
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICW TO F1 IN.WRJNT OR TYPO sA�INNG ESS 2
NOMBO FIXTQRE OR ITEM • FEE
5 Golden -riegf-
WATER CLOSET LOCALITY Tem le It
N EAR EST
BATH TUR CROSS ST
SHOWER QWNEEk Betty Harbert
LAVATORY lApDRas MAI L
same ap above },ay
SINK CITY ' same TE3 TJO.'�O /—8072
DISNwAsaIER �+cT� feral installation
sonIESWASHEz ADDRESS •6558 West Blvd•.
SWIMMING POOL RfffPTOR
CTTY La Ao Ta.NO, 753-254
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER 3 00 L1QfilNSENO, _ CLASS
GAS SYSTEM OUTLETS APPROVALS QATE INSPi2CTDR-S SIGNATURE
VEl VE UNDfTR SLAB WORK
ROl)GHALUMBING
GAS PIPING
GAS V BJT
HOT WATER HEATR .
PLUMBING FIXTURES
GAS TEST
P l o n thetk fee UTI 41TY CO.NOT RED _
PLUM6ING PERMIT ISSUING FEE$ 7,00
TOTAL FEE 1 101.00 FINAL,
Plan chtedc applkarrt PLA � IfaN
Name /
Address
Cly Tel.Na p
I HEREBY ACKNOWLBDCE THAT I HAVE READ THIS APPLICATION8 AND STATF 6 8,'�, A
THATTHE ABOVE LS CORRECT AND AGREE TO COMPLY WrrH ALLCOUNiY ORDiKKNCES
AND STAT u"RtaULAYING PtUWPING. PERMIT VAUDATION # o o o o o 5
I HEREBY CERTIIrY THAT I AY PROPERLY REGMTEAED AND/OR LICENSED AS
REQU6tEb BY Los ANGELES LOUNTY AwO STATE Of CAUEb FINL/ QR THAT I All THE L O O 1,Q O O
LEGAL OWNER OF,AND•INTEND TO RESIDE IN THB ABOVE DESCRIEEP RLSQDENTIAL
09,24;:79
DI$[R1CT NO. Q BY
INDUSTRIAL
WASTE 6PPROVAL
' DEPAR12KENT OF oOUNTY 1nNGjNLzR PLUMBING 1
DNFBION OF BUnMING AND SAFETY PERMIT APPLICATION
OOIT= OF LOS ANGE.T.EB suILD1wa
WILLIAM J.. FOX, CouHrY ENGINEER ADDRESS O
FOR APPLICANT TO " IN LOCALITY ' G•
BUILNEAREST
ADDRESS �'D (� W �/ CROSS eT.
DISTRIOT w0. bROUP ZONE ;PERMIT N0.
NODALITY I /p—, /
NEAREST �'J 1
I/T
CROSS ST. RECEIVED BY ■ago fw lup"don DAT[ISSUED
OWNER 0,4 65AA • ,2� r
AIL INDUSTRIAL
ADDRfi88 O e WASTE
VAL
CITY TEL N0.
INSPECTION RECORD
PLUMBER G.
ADDRESS
CITY Qi TEL N0.0 44A
A
LICENSE NO._4&.::�ZkCOUNTY J
PER)NIIT FEES �. Z
4UMQR TIT[ OF ►IX-UPM OR ITEM F'[[ Q
WATER OLOSET(TOILET) Q am I
O
BATH TUB •.SO
SHOWER Q aid
LAVATORY(WASH BASIN) Q om O
fx
KITCHEN SINK Q am
LAUNDRY TUB OR TRAY ! •.SO
SLOP SINK Q 0_M"
FLOOR SINK Q 0.60 '
FLOOR DRAIN Q am
DISHWASHER Q 4110
DRINKING FOUKTAIN Q
URINAL Q am
QAS SYSTEM OUTLETS Q IAA
WATER HEATER • 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE?
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING Z2-
TOTAL FEEI
GAS PIPING
I HEREBY ACKNOWL[DBE THAT 1 HAVE READ - GAS VEMT
CATION AND STATE THAT THE ABOVE 18 CORRECTE HOT WATER EATER
TO COMPLY WITH ALL COUNTY ORDINANOES AND S
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY DAND/OR LICENSED AS REQUIRED BY LOS ANGEGAS TEST
AND STATE OF CALIFORNIA OR THAT 1 AM THE -
ER OF THE ABOVE E ED fill MTIA OUTILITY 00.NOTIFIED
SIGNATURE
OF PERMITT QzLFINAL S
TWOT DBS 1T (:db 2-53
'°Af• ' APPLICATION FOR PLUMBING PERMIT
D14MON 'OF BUMDING AND SAFETY
Dep-t—nt of Coontt faQinew
Co" of Los Anwaw
WM.J. FOX COUNTY ENa1N1313R BUILDING p� n
V�C
CAtlATT D.GRIMM. sur'T OF DUtwMADDR� _
FO.H APPLICANT TO FILL IN NEAREST
CROOS ST.
I
OWNER
IL ` DISTRICT NO. .GROUP . . ZANE
MAIm"T Polk INSFICTlo,
ADDR ` !7'
INDUUTR1AL L
WASTE APPROVA
PLUMMeIRINaPf.'GTION RECORD
ADD Co - .
CITY NO. '
LICENaE NO.
NUM�oe Tis or rlxTuRK oh rrw-m rim 1
WATER CLOSET (TO141KTZ ;
BATH TUB
bHOWL'
LAVATORY (WASH EAIRIN
KLTCHEN BINK
DIGHWASAE.R '
LAU DRY TUb OR TRAY
CL"MFA WAIIHER
TOTL NO, 0.80 AMQVMS
a •,dy/TE 1.00
O O DATE INSPECTOR'S SIGIIATURIt
UNDERDLAD-W RK
WATT#HEATER 1.00
ROUGH PLUMBING '
PENT I 00 GAS PIPING
TOTAL FEE o-8 PAS VENT
I AD 'P
HEREBY ACKNOWLEDGE THAT I HAVE READ APPLICATION HOT WATER HEATER
AND STATIC THAT THE AA$$OVi IL CQRRECT AND AGRU TO COMPLY
WITH 'ALL COUNTT ORDIXV� CES AND STATE LAWS REGULATING PIUMIBING FIXTURKS
PLUMBING. -
1 HERYBY CERTIFY THAT I AM-PROPRALY RKGISTERED AAD/OR GALS TEBT �I L
LICENSED 'AS REQUIRED BY LOB ANGELES COUNTY AND ATE OF
CALIFORNIA OR THAT i AM THE LRGd{, Ow Ft XBOYE UTILITY CO NOTIFIED-
DESCRIBED RESIDEATiAL PROPERTY.
SIGNATURE
OF PERMITTE I` FINA 4-
WILLIAM J. FOX, COUNTY ENGLNxIcR VALIDATION
„ - 3 3-3n APR6 .. 3 2.00 IP
eY
. � DEPUTT.
COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLUMBING PERMIT
DEPARTMLMT OF f BUILDINGG AND SAFETY PUBLIC
DEVELOPMENT OPMENT TEMPLE CIT CPL 0508 04
A 91780 Q3100003
PHONE: (626) 285-0488 EXT:
LEGAL ID: thh5 PAID BUILlYING ADDRESS:
TR: 14832 -LT: 19 -" 5025 GOLDEN WES1 AVASSESSOR INFORMATION NLFSER: '
FEE DESCRIPTION: ' QUANTITY: UOM: AMOUNT: TEMP CA 917803939
NEAREST CRM STREET: LA ROSA
8589-018-015 01 PERMIT ISSUANCE FEE 27.75 . THOMAS.PAGE 597 GRIfl: A4 -LOCALIT:- TWLE CIT
07 BATHTUBS/SHOWERS . __ 1,Kp0 UX' tf�1215 a: ._,.
TENANT:' 25 LAVATORIES/SINKS -_ ' i,- !�lX" 1b. 20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES UF---
45 WATER CLOSET/URINAL 1.00 FIX 16.20 /10/04 VG 09/06/04
TOTAL FEES 76.35
OWNER: TEL. W] FINAl DATIE BY; CME:
CHUM JOSEPH M AND JESSICA I (626) 292-7796-
5025 GOLDEN HEST AV
TEMPLE CIT 91780IPTIONOF WORK
PLUfBING FOR NEW.BATH
APPLICANT: TEL. NO:
SAME AS OWER -
SP9CIAL CONDITIONS:
SAME AS 06INER -
LIC. NO LINDER SLAB WORK
WATER SERVICE
ARCHITECT t- TEL. NO: PLASTIC T/N METAL Y/N
ROUGH PLLMrNG'
i
LIC. NO:
W MING
GAS VENT
HOT wk-TER HEATM__
PLUMBING FIXTURES
U9W_WlFMl ERS
GAS TEST
UTItIT"Y COMPANY NOTIFIED
CWV
GRAY WATER SYSr7_
REPORT ID: DPR2E3 ROUTE TO: BS0508