HomeMy Public PortalAbout5603 GOLDEN WEST AVE_Plumbing__ 76A667-CE817-11-57
APPLICATION FOR PLUMBING PERMIT 'T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS /.
CASSATT D. GRIFFIN, Sup't of Building
LOCALITY -- �
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER-
WATER CLOSET
MAIL
BATH TUB ADDRESS
SHOWER CITY TEL. NO,
LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITY TEL. NO.
LAUNDRY TUB CONTRACTOR'S STATE ❑
REGISTRATION COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP� � ZONE READY FOR INSPECTION
/ WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INPEqWN RECORD
A PRO ALS
@ $1.00 PER ITEM U DATE INSPECTOR'S SIGN URE
OR FIXTURE $
UNDER SLAB WORK
PERMIT $ OO ROUGH PLUMBING -100
TOTAL FEEj ,0 GAS PIPING
'�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE FINAL
ROBERTA.WOOD.
OF VALIDATION SUPERVISING MECHANICAL ENG'R
..0. CASH
4
76A667-CE617�-8-58 •�,��
APPLICATION FOR PLUMBING PERMIT
'COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
C JOHN A.T D.GRBI IE, °sup`i Enguia ag ADDRESS 5603 N. Golden West
LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST -
CROSS ST.
NUMBER FIXTURE OR ITEM
1
WATER CLOSET
OWNER 'Gene He=e- -
1' BATH TUB A$Ess 19536 E. Nauilla Pl.
1
SHOWER CITY C ovina T4. NO. ED-12Z07
1 "
LAVATORY CONTRACTOR 'Parker Plumbing
SINK ADDRESS 14617 E, Ramona Blvd.
DISHWASHER clBaldwin Park TEL. NO. PD-8 1127
CONTRACTOR'S STATE
LAUNDRY TUBREGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRI T NV GROUP Z¢[vE PRO SSED BY
WATER HEATER �(�ly d(J V//�\J I
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
4 mei
-APPROVALS
1+ OR FFPIS o ITEM s 2+ 00 p
o DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ - 2100 ROUGH PLUMBING 1 ^aym - +yam/-
TOTAL FEE 6" - 0 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �vw J�
PLUMBING. PLUMBING FIXTURES
1 HEREBY'CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST y"'"��^
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND ATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWOF E ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTI PROP TY. ' e �'
SIGNATURE w
OF PERM ITTE FINAL
ROBERT A.WOOD.
®p IDATION SUPERVISING MECHANICAL ENG'R
OVAI
6I.0. CASH
c�y f, "
J6 7A 1 �
CE 817(REV 6/781 a
t5
APPLICATION 'F R P.,-LUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS G' �Gi N GL9� S
NUMBER FIXTURE OR ITEM @ :FEE
WATER CLOSET LOCALITY, G _
NEAREST
BATH TUB 3 >` CROSS ST I�
SHOWER i' OWNER C �r�/tJ aJp�FL
/ LAVATORY 'ADMA IDRESS 15 �0 Vvt L G V ' `
/ SINK CITYJ f _l2" je_ TEL NO
DISHWASHER CONTRACTOR
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
UNDER SLAB WOR
OUTLETS OVERK
S PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT
BS
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST
'Plan check fee UTI LITYCO NOTIFIED
PLUMBING PERMIT ISSUING FEE$ r /�
TOTAL FEE FINAL,
Plan check,applicant PLAN CHECK VALIDATION
Name -V (i j9✓Y1 �J/!7/,1 .
Address
City M OA(-f—#F-Pe! ' IK Tel No 57 Z`0-N -A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION `
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 a 11
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL 84.9A
'
PROPERTY 1 ,
# 0 0'0 0 0 5
SIGNATURE2 0'O 2 50.0
OF PERMITTEE `mow• —�' � '
> nn r
DISTRICT' ROCESS D BY o o 'o 2 5 OO►,
v
INDUSTRIAL
WASTE APPROVAL
76 A 667—CE 817 8/68
APPLICATION FOR PLUMBING PER IT
a,
I
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUUIILDING
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING LOCAL
FOR APPLICANT.TO FILL IN(PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1 50
MAIL
BATH,TUB 1 so ADDRESS
SHOWER 1.50 CITY TEL. N
LAVATORY 1 50 CONTRACTOR
SINK 1.5o ADDRESS
DISHWASHER 1.50 C TEL. NO.
CLOTHES WASHER 1.50 STATE �
LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 150 DISTRICT NO. GR ZO E/ P OC BY
LAWN SPRINKLER SYSTEM 2 00 O / d
! O
WATER HEATER 1 SO INDUSTRIAL G7
WASTE APPROVAL 0
GAS SYSTEM OUTLETS 1 50 INSPECTION RECO C)
OUTLETS OVER //� v
(� W
5 PER SYSTEM 3G I d
N
jr
Z
Plan check fee 257, of above See reverse.
PLUMBING PERMIT ISSUING FEE, $ 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No HOT_WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CO PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGU TING GAS TEST
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTER AND UTILITY CO NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY ST F
CALIFORNIA OR THAT i AM THE LEGAL OWNER O END O
RESIDE IN, THE ABOVE DE ESIDENTIAL P P TY FINAL '
SIGNATURE JACK R. ALLEN, SUPERVISIN HANK AL EN G'R
OF PERMITTEE
" PERMIT VALIDATIO - c K M o CASH
PLAN-CHECK VALIDATION CK M O CASH
ii Y%1'2'_2,, 3"7 00115 5, D 3.5 4�-�'
" 76A667 CE817 6-60 (V
a. APPLICATION FOR PLUS [ING PERMIT
COUNTY OF
CUNENINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 5603 N. Golden West
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST,
NUMBER FIXTURE OR ITEM -
OWNER Gene Henne - -
WATER CLOSET
BATH TUIP MESS 19516 E. Navil a P
amr Covina Ta- NO- ED-12707
SHOWER
LAVATORY CONTRACTOR Parker' Plumbing
stns ADDRM14617 E. Ramona Blvd
DISHWASHER crrxBaldwin Parkn:L NO. ED-8112
CONTRATOR'S STATE [a
LAUNDRY TUB REGISTRATION 7T'764NO. 191�7r1+ COUNTY
77-FR7CLOTHES WASHER DISTRICT O. I GROUP ;ONE. P OCESSED BY
WATER HEATER -r 6r `�S A
1 GAS SYSTEM INDUSTRULL
WASTE APPROVAL
INSPECTION RECORD
- a
n M O
o
A
$I.00 PER ITEM
1 H
MER
$ APPROVALS DATE INSPECTOR'S`SIGNATURE
PERMIT $ Z 00 y UNDER SLAB WORK
TOTAL FEE 00 ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE 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 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST - '
CALIFORNIA OR THAT 1 M THE LEGAL OWNER BOVE
DESCRIBED RESIDENTI ROPER UTILITY CO NOTIFIED
SIGNATURE l i
OF PERM IT
FINAL
Or �- / .ALIDATION ROBERT AWOOD, ~
/ m C CASK SUPERVISING MECHANICAL ENG'R
LACo,2 5 7 8 1,201 SEP 13 5 D 3.0 0 M