HomeMy Public PortalAbout5483 GOLDEN WEST AVE_Plumbing__ D.B.S.17 25M SETS 10-47 APPLICATION FOR PBRPIT
DEP%•RTMENT OF BUILDING AND SAFETY ��� � �
t COUNTY OF LOS ANGELES
Wm.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT O. GROUPo o.
3HEATROUGH a0 FIXTURES COMPLETE —/ 132-
HEATER
ER CESSPOOLI� SEPTIC TANK RECEIVED BY READY FOR DATE ISSUE
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AS MISCELLANEOUS �`C FIRST INSPECTION Cj
APPLICANT FILL IN HEAVILY, OUTLINED PORTION ONLYJOB
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d CITY TEMPLE CITY, C LSF NEAREST
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CERT.No. EXPIRES - Z 0'y E NAME
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LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL
3 ADDRESS
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CITY TEL.No.
1 AM -THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY-CERTIFICATE-QF pLI PICAWON
PLUMB/RR
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
A
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Vj OWHRR
_I CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE
ROWER DISHWASHER O
—LAVATORY —REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
{ WASH TRAY URINAL APPROVALS
_—L_WATER CLOSET DRINKING FOUNTAIN y� DATE INSPUCToR'S H MR
__WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METE gGAS _SODA FOUNTAIN GAS PIPING ISO
OUTL ,
GAS VENT
CESSPOOL I
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI__DSEPTIC TANK SEWER
UTILITY CO.NOTIFIED
TOTAL FEE '`j
FINAL
76A667-CE817 6-60
APPLICATION FOR PLUMBING PERMIT �
ATOFOTVGIDEPRTTMNLOS
ANGELES
BUILDING AND SAFETY DMSION BU
ILDING
JOHN A. LAMBIE. COUNTY ENGINEER DDRS
WILLIAM A.JENSEN,SUP'T OF BUILDING
OCALITY
FOR APPLICANT TO FILL IN
ROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET +
A RESS C+
BATH TUB
CITY TEL NO. D /v
SHOWER r ,
LAVATORY CONTRACTOR P1 b o -
1 �7 /t/N
SINS ADDRESS -
DISHWASHER CITY A TEL NO. 5 �i i
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRICT N0. GROUP NE PR SSED BY
WATER HEATER f� '
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL /
INSPECTION RECORD
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v FF
W
a
rn
51.00 PER ITEM J QO !�
8 FDMRE $ / rGAST
PROVALS DAT INSPECTOR'S SIGNATURE
PERMIT $ E 00 LAB WORK gf
TOTAL FEE 0PLUMBING
—�—1 ING I
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGER HEATER
PLUMBING. 1 e
1 HEREBY CERTIFY TH 1 AM ROPE REGISTERED AND/ORG FIXTURES 0
LICENSED AS REQUIRE Y LOS A GE COU Y D STATE OFT 1CALIFORNIA ORTHI AM TKt AL OW THE ABOVEDESCRIBED RESIDE IAL PR ERi CO.'NOTIFIED r /
SIGNATURE
OF PERMITTE FINAL.119
®p VALIDATION ROBERT WOOD,
1A.G. C"H SUPERVISING MECHANICAL ENG'R
S.S.17 25M SETS 7-47 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
d- COUNTY OF LOS ANGELES
+ WM. J. FOX.CHIEF ENGINEER PLUMBING
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE �! 5-5;7 /
f
HEATER CESSPOOL I—I SEPTIC TANn_j_ RECEIVED BY READY FOR DATE ISSUED
(1, FIRST INSPECTION
A9 MISCELLA EOU Y/ ce, Td�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY '
NAM_ C. NOTTINGHA JOB
ADDRESS
ADDRF49,3 No. Cloverly �A7v�e..j LOCALITY fY �
CITY wT MP E CITYwT�{j,�.Jli' NEAREST
6
• CROSS 6T.
COON
CERT.No. EXPIRES m NAME °
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIF ►► LIFICATION.
LUMBAR
I
HE LEGAL OWNER OF THE PROPERTY DESCRIBBD
AB E.
OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
BATH TUB FURNACE [7
SHOWER DISHWASHER p
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT I I
CESSPOOL 19-'3a ji
TOTAL NUMBER OF FIXTURES SEPTIC TANK
_CESSPOOI %REPTICTANK , Q SEWER
i 1 UTILITY CO.NOTIFIED I I
TOTAL FEE CJ
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0207250004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
L BUILDING ADDRESS:
TR: 13805 LT: 685483 •GOLDEN WEST AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803219
ASSESSOR NEAREST CROSS STREET: BROADWAY
8588-022-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
13 DISHWASHERS) 1.00 FIX 16.20 IS D B EXPIRES
21 HOSE BIBB(S) 1.00 FIX 16.20 07/25/02 JK 01/21/03
25 LAVATORIES/SINKS3.00 FIX 48.60
OWNER: TEL. NO: 26'MISCELL'ANEOUS FIXTUR , ' 1.00 FIX 16.20 FNA D FINAL BY: CODE:
BACKSTROM JERROLD (626) 286-0812- 45 WATER CLOSET/URINAL 1.00 FIX 16.20 -.
5483 GOLDEN WEST AV 47 WATER HEATER(S) _, 1.00 WTH, 16.20
TEMP 917803219 TOTAL FEES 173.55 DESeR ION
PI MBI G FOR ADDITION & REMODEL
APPLICANT: EL.
FRANK MARRONE & SONS (626) 444-2548-
9860 LOWER AZUSA SPECIAL CONDITIONS:
EL MONTE 91731
�i r &Z,
CON RAC 0 : TEL. 0: / 4�� �(L % � TFPROV LS DATE INSPECTOR G TURE
FRANK MARRONE AND SONS (626) 444-2548-
9860 LOWER AZUSA RD. LIC. NO
EL MONTE, CA 91731 397884C36 `-terms �� lib
9 3 f
WATER SERVICE
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RC R: EL. N0: /i, ' V � '�
,� ROUGH PLUMBING
LIC. NO:'� —� �- - -- -� �•� `�–s�..
GAS PIPING _.
- - - - -- - - -- VENT
HOT WATER HEATER
PM48ING FIXTURES
LAWA RIN L R
UTILITY COMPANY NOTIFIED
4,' 1���.�i1/: CWV
GRAf WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508