HomeMy Public PortalAbout5028 / 5024 GOLDEN WEST AVE_Plumbing__ DEPARTWOENT OF COUNTY EN(EINEER PLUMBING 1
DNISION OF BU .DING AND SAFETY PERMIT APPLICATION
COUNTY OF IAS ANQELES BUILDING
WILLIAM J.FOX., COUNTY ENGINEER -ADDRESS
FOR APPU T T FILL IN LOCALITY
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PLUMBER J !
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ADDRESS � -r'•J
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LICENSE NO. j 3.Sb O N _
PERMM FEES
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WATER CLOSET(TOILM •
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LAVATORY ABH BANK sm
KITCHEN SINK em
LAUNDRY TUB OR TRAY •.SO
SLOP SINK • sm
FLOOR SINK • sm
FLOOR DRAIN •
DISHWASHER -em
DRINKINQ FOUNTAIN • E�
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GAS SYSTE■ OUTLETS 49 IAO
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MISCELLANEOUS
APPROVALS
DAT[ INSPECTOR'S NGNATURE
UNDER SLAB WORK
PERM T ; 1 00 ROUGH PLUM SING 3 S r
TOTAL FEE SAS PIPING �' M>•
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ ISA PLI- GAS VENT
DATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
ARD/OR LIOENSED AS REQUIRED BY LOS ANGELES COUNTY BAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE RIBED RESJOENTIAL PROPERLI
TY. UTITY 00.NOTIFIED K
SIGNAT
OF PERM ` FIN —ter
L ,O
TOAaCT DB8 IT Cd b —14 3
• COUNTY OF LOS ANfIELaS TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0912030004
BUILDING AND SAFE'T'Y / LAND DEVELAPMENP TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FID39 PAID BUILDING ADDRESS:
TR: 9481 LT: 1 UN: .002 5024 GOT, WEST AV
FEE DESCRIPTION: QUANT=: DOM: AMOUNT: TEMP CA 917803934
ASSE9SOR INFORMATION NUMBER: NEJUREST CROSS 3T'=:
8589-022-002 01 PERMIT ISSUANCE FEE 27.75 TIJOM .9 PAGE: 597 GRID: A4 LOCALITY: T24PLE CITY, C
25 LAVATORIES/SERK.9 1.00 FIX 16.20
TENANT: 45 WATER CLOS3T/DRSPAL 1.00 FII 16.20 ISSUED ON: PROCE9SRD BY: PLAN BY: EXPIRES ON:
'I`OTAL FEMS 60.15 12/03/09 SR 12/03/10
OWNER: TEL. NO: FINAL DATA T' L BY: CODE:
DO, T
IxJTONY (626)FS643-2218- � �
5024 GOLDEN WT AVE
TEMPLE CITY CA 91780 D CRSPI'ION OF FORK
REPLACE LAVATORIE AND WATER CLOSET
APPLICANT: TEL. NO:
SAME AS ONNER -
• SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SANE A9 OWNER -
LIC. NO UNDER SLAB WORK -
PLATER SERVICE
PLASTIC Y/N ME-EAL Y/N
ARCHITECT OR ENGINEER: TIS,. NO:
- ROUGH PLUMING
LIC. NO:
GAS PIPING
GAS VENT
HOT NATER HRATF&R
PLU BI1 G FIXTURES
LAHN 9 PR7 J3 lT2P 1�9
GAS TEST
UT-I= COMPANY NOTIFIED
CNV
GRAY PLATER SYSTEM
REPORT ID: DPR263 ROVTE TO: BS0508