HomeMy Public PortalAbout5317 GOLDEN WEST AVE_Plumbing__ w:DEPARTIVIENT OF COUNTY ENGINEER PLUMBING-
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICAN FIL IN LOCALITY
FOR APPLIC�BUILDING w NEAREST V
CROSS ST.
ADDRESS
DISTRICT N0. GROUP ZONE PERMIT'N0.
LOCALITY „�
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CROSS ST. RECEIV Q BY Ready for 111-11 tion DATE ISSUED
OWNER ,
MAIL ;INDUSTRIAL
ADDRESS WASTE APPROVAL
clry TEL.No: INSPECTION RECORD
PLUMBER '
ADDRESS II�
CITY TEL.NO.
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LICENSE NO. OUNT1' J
PERMIT FEES a
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NUMBER TYPE OF FIXTURE OR ITEM FEE ('
WATER CLOSET(TOILET) @ 0.80 $ D
BATH TUB' @ 080 O`D O
SHOWER @ 0.80 g d
LAVATORY(WASH BASIN) @ 0 80 I]
KITCHEN SINK Qa 0 80
LAUNDRY TUB OR TRAY @ 0.80 V
SLOP SINK @-0.80
FLOORSINK @ 080
FLOOR DRAIN @-0 80
DISHWASHER @ 0 80
DRINKING FOUNTAIN Cpl 080
URINAL @ '080
GAS SYSTEM_ ___:OUTLETS @ 1.00 '06
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATES I NSPECTOR'S SIGNATURE
UNDERSLABWORK
• t: r /
PERMIT s I. :00 ROUGH-BLUMBING C� �/ .�� 1/ 'd c'
TOTAL FEE b GAS.PWING /
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPU GAS VENT 3
CATION 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 /
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED-' 4 r µ
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA,OR THAT, I AM THE LEGAL OWN-
ER OF THE ABOVE," C EDWESIDENTIJAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE / JJ! /R
OF PERMITTEE_ .... I._. �•- _.._ _.ma._. ...._ FINAL he./ w
76A667 DBS 17 1/58 f
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0712050001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT.
LEGAL ID FEES PAID BUILDING ADDRESS
5317 GOLDEN WEST AV
ON FILE IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803248
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET:
18589-003-036 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 1 00 FIX 16.20
TENANT 125 LAVATORIES/SINKS 1 00 FIX 16.20 JISSUED ON: PROCESSED BY PLAN BY EXPIRES ON:
TOTAL FEES 60 15 112/05/07 SR 06/02/08
OWNER. TEL. NO 1FINAL DATE FIN BY. CODE:
1STIVER, RONALD -
15317 GOLDEN WEST AVE
TEMPLE CITY CA 91780 IDESCRIPTION OF WORK
1 - I IREPLACE TUB AND LAVORATORIE FOR EXISTING BATHROOM
APPLICANT TEL NO
1XA (626) 625-8793-
19423 GUST ST ISPECIAL CONDITIONS
ROSEMEAD, CA 91770 _
CONTRACTOR TEL NO , APPROVALS DATE INSPECTOR SIGNATURE
ISO CAL CONSTRUCTION (626) 712-4823-
1425 BONITA STE 211 LIC NO (UNDER SLAB WORK
1SAN DIMAS, CA 91773 832488 B 1
1WATER SERVICE 1
1 1 1PLASTIC Y/N METAL Y/N I I
(ARCHITECT OR ENGINEER- TEL NO 1 I
IMENG HSIEN WANG (626) 255-8595- IROUGH PLUMBING 1 1
18748 VALLEY BLVD , F LIC NO I1
IROSEMEAD, CA 91770 C 043146 IGAS PIPING 1 1
1 _ IGAS VENT 1
1 1 1HOT WATER HEATER 1 1 1
1 1PLUMBING FIXTURES 1 1
1 ILAWN SPRINKLERS 1
1 IGAS TEST 1
1 1 1UTILITY COMPANY NOTIFIEDI
I jCWV I 1 I
1 1GRAY WATER SYSTEM 1
I I I I I I
I 1 I I 11 11
1 1REPORT ID DPR263 ROUTE TO- BSO508
1 1 I I I I
COUNTY OF LOS ANGELES Y TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0712030001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT:
ILEGAL ID. FEES PAID BUILDING ADDRESS 1
1 ON FILE 1 5317 GOLDEN WEST AV 1
IFEE DESCRIPTION QUANTITY. UOM AMOUNT I TEMP CA 917803248
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET. I
18589-003-036 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl
147 WATER HEATER(S) 1 00 WTH 16.20 I 1
(TENANT. I TOTAL FEES 43.95 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON.
112/03/07 SR 05/31/08
I I I I
(OWNER TEL NO. 1 (FINAL DATE FINk BY CODE 1
ISTIVER, RONALD
15317 GOLDEN WEST AVE
(TEMPLE CITY CA 91780 1 (DESCRIPTION OF WORK I
ITANK LESS WATER HEATER- I
I I
(APPLICANT- TEL NO: I
IXA (626) 625-8793- I
19423 GUST ST (SPECIAL CONDITIONS. -
I
IROSEMEAD, CA 91770 1 1 I
I I I I
I - I I
ICONTRACTOR TEL NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ISO CAL CONSTRUCTION (626) 712-4823- 1 1 I
1425 BONITA STE 211 LIC NO 1 (UNDER SLAB WORK I I
ISAN DIMAS, CA 91773 832488 B 1 1 I _
I (WATER SERVICE
IPLASTIC Y/N METAL Y/N I 1
(ARCHITECT OR ENGINEER TEL NO - I I I I
IMENG HSIEN WANG (626) 255-8595- 1 IROUGH PLUMBING II
18748 VALLEY BLVD., F LIC. NO I - I I
_ I
IROSEMEAD, CA 91770 C 043146 I IGAS PIPING I I
I I I I I I
IGAS VENT I II
I I I I
IHOT WATER HEATER 1 I
I I I I
IPLUMBING FIXTURES I I
I I I I I I
I I ILAWN SPRINKLERS I I
I I IGAS TEST I I
I 1 11 I
1 1 (UTILITY COMPANY NOTIFIEDI I I
I I ICWv I _ I I
I I
IGRAY WATER SYSTEM I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I IREPORT ID. DPR263 ROUTE TO- BS0508 1 1 1
I I I I I I
• COUNTY C?_, LOS ANGELES' TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0711060009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT:
ILEGAL ID I FEES PAID I BUILDING ADDRESS I
I ON FILE I I 5317 GOLDEN WEST AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803248 1
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET.
18589-003-036 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A4 LOCALITY. TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16 20 1 I
ITENANT 125 LAVATORIES/SINKS 2.00 FIX 32 40 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON: 1
145 WATER CLOSET/URINAL 1.00 FIX 16 20 111/06/07 SR 05/04/08 1
1 TOTAL FEES 92 55 I
(OWNER TEL NO I IFINAL DATE FIN Y CODE 1
ISTIVER, RONALD
15317 GOLDEN WEST AVE
ITEMPLE CITY CA 91780 - ID R' RIPTIOF WORK
i IPLUMBING FOR NEW BATHROOM
I
(APPLICANT TEL NO
IXA (626) 625-8793- I I
19423 GUST ST. I - ISPECIAL CONDITIONS
I
IROSEMEAD, CA 91770
CONTRACTOR. TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE
ISO CAL CONSTRUCTION (626) 712-4823- 1 - 1
1425 BONITA STE 211 LIC NO (UNDER SLAB WORK //
I SAN DIMAS, CA 91773 832488 B
1 IWATER SERVICE
PLASTIC Y/N METAL Y/N
1ARCHITECT OR ENGINEER TEL NO I _
IMENG HSIEN WANG (626) 255-8595- 1 IROUGH PLUMBING _ 1
18748 VALLEY BLVD , F LIC NO
IROSEMEAD, CA 91770 C 043146 I IGAS PIPING
I
i IGAS VENT I 1
IHOT WATER HEATER
I I I
IPLUMBING FIXTURES I I
I I I
(LAWN SPRINKLERS I
IGAS TEST \
_ I I I
(UTILITY COMPANY NOTIFIEDI
1 �CWV I I
I I I
IGRAY WATER SYSTEM
Iziffm � I
I I I I I I
I I I I I I
REPORT ID DPR263 ROUTE TO BS0508 I I