HomeMy Public PortalAbout5503 GOLDEN WEST AVE_Plumbing__ D.B.B.'17 254 BETS 113-47 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES1'
Wm.J. FOX. CHIEF ENGINItER PLUMBING
NATURE OF INSTALLATION DISTRICT O. GROUP ZONE PERMIT
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL HSEPTIC TANK RECEIVED BY READY FOR DATE 1SGUED
- FIRST INSPECTION _ �[
AS MIBCE LANEOUS V/-
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APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
a. NA F'1 (` JOB DORE" -�O�' �iC e
WW P
m ADDRESS /` j (G LOCALITY Y `
s �+ NEAREST
d _CITY Q- TEL.No.d;�-� �! CROSS ST:
COUNTY
CERT.No. EXPIRES�i i -T , NAME
LOCATION OF SEPTIC TANS, OR CESSPOOL = MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
I AM THE -LEGAL POSSESSOR OF THE ABOVE LOS-
ANGELES COUN
OS•ANGELESCOUN CERTIFICATE OF.QUALIFICATION..
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY,DESCRIBED
ABOVE.
A
a
OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z_
BATH TUB FURNACE
1 y,
HOWER DISHWASHER _ 0
1 -LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN >DATaE IN9P9CT0R•8 NAMC
/ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METEGA�S. SODA FOUNTAIN
J
GAS PIPING -
GAS VENT
CESSPOOL
TOTAL NUMBELOF XTURES SEPTIC TANKCESSPOOL EPTIC TANK SEWER I /
i [�
� � UTILITY CO.NOTIFIED
TOTAL FEE
,� FINAL
0.x17 25M BETH 1-4e APPLICATION FOR PERMIT
tDEPARTMENT OF BUILDING AND SAFETY PLUMBING '
COUNTY OF LOS ANGELES
WM.J. FOX.CHIEF ENGINEER
NATURE O INSTALLATIO DISTRICTO —PERMIT o.
ROUGH FIXTURES _ COMPLETE
HEATER CESSPOOL - I SEPTIC TANK - RECEIVED BY- READY FOR- DATE ISSUED
FIRST INSPECTION e -
AS MI CELLANE US � ?'
APPLICANT FILL IN HEAVILY OUTLINED PORTION OATLY
JOB OS NAMEADDRESS
M �.
m ADDRESS LOCALITY
g -
NEAREST
J yr00
IL
CITY TEL.NO. CROSS ST. '
COUNTY
CERT.NO. EXPIRES 6S NAME
Y
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRES
NORTH O
CITY TEL.NO.
1 AM,THE- LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERT(FICAE OF;QUAL JFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ASOVC.
-
D
Vi
OWNER
i CORRECTIONS
Boum -
DESCRIPTION OF WORK i
HATH TUB FURNACE
ROWER DISHWASHER 'O
-LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
-FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
ETER GAS QODA FOUNTAIN
OUTL GAB PIPING
GAS VENT
µ CESSPOOL ( '" LL ti's
TOTAL NUMBER OF FIXTURES SEPTIC TANK
-CESSPOOL SEPTIC TANK �"P� SEWER-
TOTAL FEE S a-
/ C UTILITY CO.NOTIFIED
FINAL
76AG67 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT GRO P T .
FOR APPLICANT TO FILL IN 'g ��"v
PLUMBER VALLEY BOULEVARD RECEIVE BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 8300 EAST VALLEY BL _BUILDING
'
CITY ROSEMEAD TEL.No. AT. 2-2719 ADDRESS
COUNTY931 6.30 '�� LOCALITY jj
LI EXPIRES
NSE NO.
NEAREST
PERMIT FEES CROSS ST. �✓] q
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER .K
MAIL
WATER CLOSET(TOILET) @ 0.50 1 Jro ADDRESS `
BATH TUB @ 0.50 CITY N TEL. $: ( ��
SHOWER @ 0.60
IHEREB'J/ACKNOWL&3E THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O.SO �Q APPLICATIONAND BTA TE THAT THE'ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY-LICENSE, OR I AM THE LEGAL OWNER
OAS SYSTEM----OUTLETS @ 0.60 OF THE RESIDENTIAL PROPERTY,DESCRIBED ABOVE.
SIGNATURE OF 1
WATER HEATER @ O.SD PERMITTE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ O.SO
FLOOR DRAIN @ 0.60
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50 / , �9 +�" ��• ��
URINAL
HOUSE SEWER @ O.SO _Z
MISCELLANEOUS �� O
® �1: o o _ O
A Ct1] Fw"tAAW1 O""
APPROVALS
DATE_ INSPECTOR'S NAM[
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . . I 1.oa GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE ffi
FINAL cL•�'�
COUNTY-OF LOS ANGELES TEMPLE CITY - # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - - PL 0508 0608040001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT -
LEGAL ID: FEES PAID BUILDING ADDRESS
TR 13805 LT: 24 5503 GOLDEN WEST AV
FEE DESCRIPTION QUANTITY UOM: AMOUNT. TEMP CA 917802519
ASSESSOR INFORMATION NUMBER: - NEAREST CROSS STREET BROADWAY
8588-010-006 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE: 597 GRID A3 LOCALITY: TEMPLE CITY, C
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT. - TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY EXPIRES ON-
08/04/06 JK 01/31/07
OWNER TEL. NO: FINAL DATE FINAL Y: CODE
CHAVEZ DEANNE D (626) 292-7758-
5503 GOLDEN WEST AV /
TEMP 917802519 DES RIPTION OF woRK
\ GAS LINE FOR HVAC SYSTEM
APPLICANT TEL NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR- - - TEL NO: - APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC NO UNDER SLAB WORK -
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER. TEL NO
- - ROUGH PLUMBING
LIC NO
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN •?PRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508