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Home My Public Portal About5218 GOLDEN WEST AVE_Plumbing__ 70ASW +7 •s-eo KB APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUPI ZONE PERMIT NO. PLUMBER _/� // �v R CEIVED BY READY FOR DAT 1SS3UED /�ry- FIRST INSPECTION' ADDRESS 4��2 ` I �� ,(��B �p� BUILDING CITY /./St..^�� TEL. r��(J" ,/y ADDRESS v v COUNTY r JA LOCALITY LICENSE NO �J / EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER i MAIL WATER CLOSET (TOILET) Q 0.50 $ ADDRESS BATH TUB Q O 50 I Of TY TEL. NO. SHOWER Q 0.501 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q O 50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER GAS SYSTEM OUTLETS O 501 OF THE RESIDENTIAL!PROPERTY DESCRIBED ABOVE. Q SIGNATURE OF // �,trVey✓ Y_/i+✓iL+'4+•' 'xf WATER HEATER Q 0.50 PERMITTEE-L 1 SLOP SINK Q o 501 INSPECTION RECORD FLOOR SINK Q O 50 FLOOR DRAIN Q O 50 DISHWASHER Q O 501 DRINKING FOUNTAIN Q O 501 URINAL Q O 501 I .J HOUSESEWER Q O 501 Q 'Z F--i MISCELLANEOUS C9 1 I � 1� O 1� APPROVALS IDAT�fE� INSPE$TOR'3 NAME ROUGH PLUMBING L-��•-�� 1 GAS PIPING • 1 GAS VENT CESSPOOL Q 1 00 IC CESSPOOL 1 SEPTIC TANK- I SEPTIC TANK I DRAIN ( ) PIT ( ) Q I 00I SEWER PERMIT . I I oo GAS TEST ,gam. UTILITY CO NOTIFIED i! TOTAL FEE $ FINAL U 78A667-C E#817 10-67 - APPLICATION FOR PLUMBe N�e City PERM]. 2962 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING 521$ Golden West Ave. JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W JENKINS SUPT OF BUILDING LOCALITY Temple -City FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST LaRosa and Olive• CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER Lieber, VG WATER CLOSET 1 50 MAIL BATH TUB 1 50 ADDRESS 5218 Golden West Ave. SHOWER 1 pan 1.50 1 50 CITY ..Temple CityTEL. NO. LAVATORY 1 50 CONTRACTOR Howard 0. Kebler. ' SINK 1 50 ADDRESS 8727 bepulvecLa iava. DISHWASHER 1.50 CITY SepRu^lv7eda. / TEL. NO. 892124.5 CLOTHES WASHER 1.50 SATELIC LICENSE NO 80(59 CLASS C-54 + SWIMMING POOL RECEPTOR 1.50 DISTRICT NO GROUP ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 2.00 r -I ee,ime/e- 0 WATER HEATER 1 50 INDUSTRIAL WASTE APPROVAL DC GAS SYSTEM OUTLETS 1 50INSPECTION RECORD V OUTLETS OVER 30 .. _ _ Lw 5 PER SYSTEM h Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE Pu APPROVALS DATE- INSPECTOR S SIGNATURE Plan check applicant UNDER SLAB WORK Nanle ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES - - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING 1 HEREBY CERTIFY T T 1 AM PROPERLY RE ]STEREO DOR UTILITY CO NOTIFIED LICENSED AS REQUIRE BY LOS ANGELES COUN Y AND ST TE OF- CALIFORNIA OR THAT AM THE LEGAL OWNER ,AND IN END TO RESIDE IN,THE ABOV ESCRIBED 8 TIAL P P Y FINAL SIGNATURE JACK R. ALLEN, SUPERVISING HAN AL ENG'R OF PERMITTE I ONE" PERMIT VALIDATION cK .'M O CASH PLAN CHECK ALIDATION CK M 0 CASH `- LA1-o 7 7 2 8 ' DEC 19 5 D 350 76 A 667 - C E 817 7-69 / v - 'APPLICATION FOR PLUMBING PE4MIT COUNTY UN OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FADDRESS DING JOHN A. LAMBIE,-COUNTY ENGINEER COLEMAN W JENKINS SUP T'OF BUILDING ALITYFOR APPLICANT TO FILL IN (PR NT OR TYPE) RESTSS ST. NUMBER _FIXTURE OR ITEM EACH FEE ' OWNER WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDR SHOWER 1.50 CITY TEL. NO. LAVATORY 1 50 CONTRACTOR , SINK 1.50 ADDRESS i DISHWASHER 1.50 CITY TEL. NO. CLOTHES WASHER 1.50 . STATE LIC ' LICENSE NO CLASS SWIMMING POOL RECEPTOR 1.50 Di SICT NO GROUP ZE P O BY l� O LAWN SPRINKLER SYSTEM 2.00 0 WATER HEATER 1 50 INDUSTRIAL O WASTE'APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD u TS 5 PER �l F�1" ��=del- O ' S PER SYSTEM .30 - `y-' o ` � >� rJ IV W ' d N Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT - 'City Tel,. No HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION _ AND STATE THAT THE.ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IGAS TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILIT C NOTIFIED LICENSED -AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF /ry r y/ Y CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO VV J RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY _ FINAL - SIGNATURE JACK R. ALLEN,1SU1 SING MECHANICAL ENG'R OF PERMITTEE PERMIT VALIDATION cK M o CASH ,PLAN CHECK VALIDATION CK M O CASH ��.g 1 o C—_ APR14 5 D 6.50 ._ COUNTY OF LOS ANGELES TEMPLE CITY` - # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0911120004 BUILDING AND SAFETY / LAND DEVELOPMENT; TEMPLE CITY CA 91780 ` PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ITR 12830 LT 15 5218 GOLDEN WEST AV I 1FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803246 (ASSESSOR INFORMATION NUMBER 1 NEAREST CROSS STREET MILOANN 18589-009-007 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS _ 1 00 FIX 16 20 1 1 ITENANT 121 HOSE BIBB(S) 1 00 FIX 16 20 11SSUED ON PROCESSED BY PLAN BY: EXPIRES ON 1 1 125 LAVATORIES/SINKS 1 00 FIX 16.20 111/12/09 SR 11/12/10 1 1 145 WATER CLOSET/URINAL 1 00 FIX 16 20 1 1 10WNER TEL NO 1 TOTAL FEES 92 55 1FINAL QATE FI AL BY CODE 1 1RUBINFELD CHARLES S,MARJORY J ( 1 1 /////✓ / 1 15218 GOLDEN WEST AV 1 1TEMP 917803246 1 1D CRIPTI N OF WORK 1 1 1 (PLUMBING FOR NEW BATHROOM I 1APPLICANT TEL NO: 1 I 1SU (626) 376-1863- 1216 S SUNNYSLOPLE 1 1SPECIAL CONDITIONS 1 1PASADENA, CA 91107 1 1 1 1CONTRACTOR TEL NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 1WILLIAM GRIJALVA GEN CONTRACTING (661) 299-4767- 1 1 1 119336 FOUR OAKS STREET LIC NO 1 1UNDER SLAB WORK 1 1 1 ISANTA CLARITA CA 91351 712934 B 1 1 1 1 1 1 1WATER SERVICE 1 1 1PLASTIC YIN METAL YIN 1 1 1 1ARCHIOR ENGINEER TEL NO 1 I CONS I 1KWEI CONSULTING ENGINEERS (949) 395-6954- 1 1ROUGH PLUMBING 1 113104 GLEN COURT LIC NO- 1 I 1 1 1UNIT 52 C72100 GAS PIPING _ 1CHINO HILLS CA 91709 1 1 1 1 1 1 1GAS VENT I I I 1 1 IHOT WATER HEATER 1 1 1 I I I 1 1 IPLUMBING FIXTURES I I I I I I 1LAWN SPRINKLERS I I I 1 1 1GAS TEST 1 1 1 I I I 1 1 1UTILITY COMPANY NOTIFIEDI 1 1 I 1cwV 1 1 1 1 1 1GRAY WATER SYSTEM 1 1 1 1 I I I I I 1 I I I I I 1 1REPORT ID DPR263 ROUTE TO BS0508 1 1 1 1 1 1 I