HomeMy Public PortalAbout5447 GOLDEN WEST AVE_Plumbing__ 764667; �•
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APPLIC OR PLU PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS
NUMBER FIXTURE OR ITEM @ FEE .�.
LOCALITY
WATER CLOSET
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER /�l� Q/✓
LAVATORY MAIL �e /a��/ ✓ // —
ADDRESS
SINK CITY G, TEL.NC1�
DISHWASHER CONTRACTOR
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CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
-5_PER SYSTEM ROUGH PLUMBING 6
GAS PIPING
/ GAS VENT 999
A
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST
Plan check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$ /
TOTAL FEE FINAL
Plan check applicant PLAN CHECK VALIDATION
Name
Address
City Tel. No.
I HERE NOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE ;5 Lq 91� 7 A.
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
U O O U O
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE Z O 1 6. 0 0LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY.
S IGNATUR
OF PER T 0 2 0 8-• 0
DIS ICT NO:., �PCESSED
INDUSTRIAL '
WASTE APPROVAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0603100005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0486 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 35012 LT: 9 5447 GOLDEN WEST AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803219
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8588-020-030 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 13 DISHWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
25 LAVATORIES/SINKS 3.00 FIX 48.60 03/10/06 JK 09/06/06
45 WATER CLOSET/URINAL 2.00 FIX 32.40
OWNER: TEL. NO: TOTAL FEES 157.35 F L FIN�Y: CODE:
CHANG, ERIC (626) 643-8175- �"
5447 GOLDEN WEST AV aaa���lll
TEMP 917803219 DESCRIPTION OF WORK
PLUMBING FOR KITCHEN AND 2 BATHROOMS REMODEL
APPLICANT: TEL. NO:
SOU CHI MA (909) 630-8066-
3240 E. HILLTONIA DR SPECIAL CONDITIONS:
WEST COVINA CA 91792
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SOU CHI MA (909) 630-8066- -
3240 E. HILLTONIA DR LIC. NO UNDER SLAB WORK
WEST COVINA, CA 91792 482500 B
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES J
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508