HomeMy Public PortalAbout5333 GOLDEN WEST AVE_Plumbing__ • bi�.r..a..MY •w •�la'ts.r r.Y,�.p.n r
76 A 667•-•CE 817 7-69 CITY 'OF '0�PLE$, CITY._ B39276 '
' APPLICATION' FOR PLUMBING PERMIT �j
- COUNTY OF LOS ANGELES
U.
DEPARTMENT OF'COUNTY ENGINEER
BUILDING AND. SAFETY-DIVISION BUILDING
wns 5333 Golden West
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS. SUP T OF BUILDING LOCALITY Temple. City
FOR APPLICANT,TO FILL IN PR�NT OR TYPE) NEAREST Olive and, Golden West
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER B. Neary
WATER CLOSET �1 50 1
MAIL 5333 Golden West
'
-BATH TUB ' 1.50 ADDRESS
SHOWER 1.50 CITY Temp a Clty TEL. NO.
287-7
CONTRACTOR
LAVATORY - 1 50
SINK - 1 50 ADDRESS' -6558 West Blvd. '
DISHWASHER' 1 50 CITY Im A mgeleB - TEL. NO. PI: 8-2M-
CLOTHES;W.ASHER 1 50 LTATE LIC
ICENSE NO C-86 151889 CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO GRO P ZONE PR _ _ DE
LAWN SPRINKLER SYSTEM 2 00
WATER HEATER' 1 50 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
50 PERETS SYSTEMR .30 O
Ready for Inspection Now
1 wAnm SorhrsNIM, 1. 0
N
z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE 3. O APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name - ROUGH PLUMBING -
Address GAS PIPING ti
,. 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 GAS TEST
PLUMBING
1 HEREBY'CERTIFY THAT- 1 AM PROPERLY REGISTERED, AND/OR UTILITY CO NOTIFIED
LICENSED AS,REQUIRED BY LOS ANGELES COUNTY'AND STATE OF 1 -
'CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,,THE,ABOVE DESCRIBED7_4:9�
NjT61//j�L PROPERTY FINAL
SIGNATURE / • JACK R. ALLEN, SUPERVSIN HANICAL ENG'R
OF PERMITTEE
PERMIT VALIDATIOIcK M o CASH
• PLAN CHECK,VALIDATION CK M O, CASH
o �6 r �r --6 � a� 3.5 0 d
-
'YGA667 17 5-50 K APPLICATION FOR PERMT
DEPARTMENT OF BUILDING AND SAFETY am n
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
-D<</c
BUILDING
CITY TEL. NO ADDESS
COUNTY 33,
LOCAL
LICENSE NO. EXPIRES
NEAREST ,
PERM FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL �7
-::z— WATER CLOSET (TOILET) Q O 50 �lo-U ADDRESS �^
BATH TUB Q O 501 CITY TEL. NO. •���
I SHOWER Q O 50 l O I HEREB CKNOWLED THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q O 501 L b-O APPLICATION D STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK Q O 50 d I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
.�� LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICRT)Y !ILIED ENSOR 1 ABOVE.LEGAL OWNER
OP
GAS SYSTEM OUTLETS Q 0.501 OF THE RESIDENTIALP
SIGNATURE OF
WATER HEATER Q O SOI 1 PERMITTE
SLOPSINK Q 0 501 1 INSPECTION CO
FLOOR SINK Q 0.501
FLOOR DRAIN Q 0.581
DISHWASHER Q O 50I
/ DRINKING FOUNTAIN Q O 501 O�et•` i� �� N� L,=aa2 pzn A
URINAL Q O 501
HOUSE SEWER Q O $61 I U/rA �Q�p Z
MISCELLANEOUS I 1
I�
I�
APPROVALS
DATE/ INSPECTOR'S NAME
ROUGH PLUMBING _
GAS PIPING
GAS VENT
CESSPOOL Q 1 001 1 CESSPOOL
SEPTIC TANK 1 SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT . . I 1.00 GAS TEST * 7
�Y
,per UTILITY CO NOTIFIED Y� / r
ETOTAL FEE I $ el���
�l FINAL �`�
DEPARTMENT OF COUNTY ENGINEER B '
DIVISION OF BUILDING AND SAFETY __53_33PERMlT APPLICATION
COUNTY OF LOS ANGELES BUILDING `/
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS Q Lgam+/�'
LOCALITY
FOR APPLICANT T09,FILL IN NEAREST < �/
BUILDING CROSS ST
ADDRESS
DISTRICT_
N0. GROUP ONE PERINO.
LOCALITY _ , � _�" 14 F/ / 75333
NEAREST
CROSS ST u RECEI�Y Ready for Inspection DeE ISSUED
OWNER
MAIL 11��►►
ADDRES
NAE APPAL
- INSPECTION RECORD
^.I TY TEL.N0.
PLUMBER (/+' fV �+� ` �� y
ADDRESS On ` _ l"K 17-7-01
CITY TEL.NO. IO" us v =MAP
[]STATE
LIrENSE NO n COUNTY
PERMIT FEES G a
z
'JFISER TYPE OF FIXTURE OR ITEM FEE,
e� [9
WATER CLOSET(TOILET) @ 0.80 S <1
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY (WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0 80
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 080
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 080
GAS SYSTEM'-------------OUTLETS @ 1.00
WATER HEATER - @ 100
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB.WORK
r
PERMIT $ I '00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI-
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
I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELFS COUNTY GAS TEST !f J
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- Fr
ER OF THE ABOVE DESCRI RES ENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERM ITTE __ -s-...-.fit =-•--------...........................-.- FINAL v) N
76A667 DBS 17 1/53
76x667-CE�817 6-66
APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER /
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. /
NUMBER FIXTURE OR ITEM EACH FEE '
WATER CLOSET 11.25 OWNERMAIL
DATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR - OG►��6-
SINK 1.25 12 ADDRESS
DISHWASHER 1.25 2 CITY L. / TEL. NO.STATE r LIC
LAUNDRY TUB 1.25 / 2 LICENSE NO 22S 1?6 g CLASS
CLOTHES WASHER 1.25 DIS TRICNO GROUP 7E P OC D B
WATER HEATER 1.50
GAS SYSTEM Z OUTLETS 1.50 O INDUSTRIAL O
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
0
coa
z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK h Y
ROUGH PLUMBING
TOTAL FEE Z GAS PIPING / t
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT V
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES OUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL NER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RES[ NTIAL P PERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
ALIDATIO
CK M O CASH
. IA�o 0 1 7 61 MAR 3 5 D 7.2 5
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