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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