HomeMy Public PortalAbout5520 GOLDEN WEST AVE_Plumbing__ 76A667C (CE-817B) -975 �.Vrn�/✓" J ` '
APPLICATION FOR PLUMBING PERMIT {]
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDRESS J rJ +ry �/✓1
LOC A LITY ^�
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ER CLOSET NEAREST
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SHOWER `�� OWNER f u �" y
f LAVATORY MAIL
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SINK CITY yyr TEL NO ��
DISHWASHER CONTRAT
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CLOTHES WASHER ,
ADDRESS
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY C NO
STATE LIC
` WATER HEATER LICENSE NO lot�� CLASS
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DISTRICT NO. GROUPI ZONE OC S ED BY CD
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INDUSTRIAL �
WASTE APPROVAL W
INSPECTION RECORD
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Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE S
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
O UNDER SLAB WORK
Address -2- q .�r
ROUGH PLUMBING 'Z-7C ,��-�►„G,
City ,eYy� C' Tel NO LD DIS GAS PIPING
I HEREBY ACK OWLEDGE THAT I IiAVE READ THIS APPLICATION GAS VENT
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 I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST '
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIALPROPERTYUTILITY CO NOTIFIED
SIGNATU RE
OF PERMITTEE FINAL ��� W
I
PLAN CHECK VALIDA ION CK M 0 CAH PERMIT VALIDATION M.O. cases
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D.B.S. 17 25M SETS 12.44 ' APPLICATION FOR PERMIT -
A . DEPARTMENT OF BUILDING AND SAFETY
'COUNTY-.OF LOS ANGELES - �L� �� 4 •>
OG
WM. J. FOX."CHIEF ENGINEER
NATURE OF ,INSTALLATION' DISTRICT NO. GR ZONE"j'x(�e'ERMI Na
ROUGH ` FIXTURES MPLETE (/
ECEIVED BY READY FOR DATE ISSUED
HEATER CE99POOI: SEPTIC TANK FIRST INSPECTION
GAS - M19CELLANEOU6 -I • '°I�!_
APPLICANT FILM,IN HEAVILY OUTLINED PORTION_ ONLY
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NAME
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RVICF 'f��' �i1 •��• 1 -
ADDRE9F S S POOL LOCALITY
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COUNTY I"ER1tCCITY. & C • -
CERT.No.' EXPIRES - NAM -
LOCATION OF SEPTIC TANK, OR CESSPOOL Z,; •MAIL �,/�,/
• , ADDRESS '(
NORTH O
CITY ' NO. -
_ I AM THE LEGAL_ POSSESSOR- OF THES ABOVE LOS
ANGELES COUNTY R 1 � UALIF(CATION.
PLUMBER 77- _
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
•Wi OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
BATH TUB WURNACE
M
SHOWER DISHWASHER a0
_LAVATORY' REFRIGERATOR
KITCHEN SINK _ WATER SOFTENER•`
BOOR SINK - SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL, APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INePccroR'e NAME
WATER HEATER DENTAL LAVATORY' ROUGH PLUMBING•
METER-GAS _SODA FOUNTAIN
OUTL 6A8 PIPING -
GAS.VENT
• f CESSPOOL '
TOTAL NUMBER OF FIXTURES SEPTIC TANK F
CESSPOOL-------SEPTIC TANK SEWER \� f
d
TOTAL FEE UTILITY CO.NOTIFIED {I\1
I.1 � '
I FINAL
76A667.,DBB 17 7-51 APPLICATION FOR PERMIT
--DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT
FOR APPLICANT TO FILL IN 3 Y3
PLUMBER 1p � READY FOR
RECEIVED BY DATE ISSUED
FIRST INSPECTION /1
ADDRESS �� � y A"') —,2-?`J-2--
BUILDING
CITY Y TEL ND. J" / d ADDREBH
COUNTY or
LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST. As .ar_eel .
NUMBER TYPE OF FIXTURE OR ITEM FEE DWNER ,
MAIL
WATER CLOSET(TOILET) @ 0.50 III ADDRESS �!
BATH TUB O.SD CITY TEL. ND./ A
R @ 0.513 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVEAS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.513 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
^ o.so OF THE RESIDENTIA PROPERTYDDESCRI ED ABOVE.
OAS SYSTEM UTLETB
WATER HEATER C� 0.50 HIGNP RMRF
ITTE
SLOP BINK 0.50 INSPECT ON RE RD
FLOOR SINK 0.513
FLOOR DRAIN @ 0.50 d� �G
DISHWASHER O:SO
DRINKING FOUWrAIN 0.60
URINAL (il 0.50
a
HOUSE SEWER 0.50 _Z
MISCELLANEOUS
O
IY
O
APPROVALS
DATE INBPEOTOR'i NAM[
ROUGH PLUMBING
GAV PIPING O
GAS VENT
CESBPOOL I. CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ) PIT ) 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE 2 4-S'-
FI NAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0402040009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: S AID BUILDING ADDRESS-.
TR: 11131 LT: 10 5520 GOLDEN WEST'AV
FEE DESCRIPTION: " QUANTITY- UOM:• AMOUNT: TEMP-CA-917802518
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BROADWAY
8588-012-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE:'597 GRID: A3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX __ . - -32.40- - - --
T 11 CLOTHESWASHER(S) 1.00 FIX -16.20 SSE1) BY: PLAN BEXPIRES
13 DISHWASHER(S) 1.00 FIX 16.20 02/05/04 VG 08/03/04
21 HOSE BIBB(S) 3.00 FIX 48.60
--
OWNER: TEL. NO: 25 LAVATORIES/SINKS 4.00 FIX 64.80 IN D TE FINAL Y: CODE:
HUNG UNG T;QUACH CHAU HUE (626) 451-9863- 45 WATER CLOSET/URINAL 3.00 FIX 48:60
5520 GOLDEN WEST AV 47 WATER HEATER(S) 1.00 WTH 16.20 3
TEMP 91780251849 WATER TREATING EQUIP• 1.00 SYS 16.20 DESJ?RIPTICN OF WORK
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 PLUMBING FOR ADDITION 'AND REMODEL
TOTAL FEES 303.15
APPLICANT: TEL.
WANG + HA ASSOCIATES (626) 991-2161-
PECIAL CONDITIONS:
CONTRACTOR; TEL. N0: APPROVALS DATE INSPECTOR SIUNA UR
T D T GENERAL CONSTRUCTION (626) 291-2851-
4923 GOLDEN WEST AVE. LIC. NO UNDER SLAB WORK
TEMPLE CITY, CA 91780 626477 B
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR GINEER: TEL. NO:
WANG AND HA ASSOCIATES (626) 991-2161- ROUGH-PLUMBING
1815 AZALEA DR. LIC. NO:
ALHAMBRA, CA 91801 NONE GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTUWET-
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIOW
WV
GRAY ER SYSTEM
i
REPORT ID: DPR263 ROUTE TO: BS0508