HomeMy Public PortalAbout5632 GOLDEN WEST AVE_Plumbing__ 76A667 ICE-817) - 5/73
.APPLICATION FOR,,P'L-UMBI:NG PERMIT
COUNTY OF LOS ANGELES r {
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO BUILDING /c�
''ADDRESS (J tJ
HARVEY T. BRANDT„COUNTY ENGINEER, LOCALITY,'
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
(tel/
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
OWNER _
WATER CLOSET 1.75
MAIL [t i
BATH TUB 1.75 'ADDRESS
SHOWER 1,75 CITY TEL NO
LAVATORY, 1,75 CONTRACTO
SINK 1,75 ADDRESS
DISHWASHER 1,75 ” I�
C TE C/P�
CLOTHES WASHER 1,75 'STA E /, IL SS..' u Cs�
c� cp
C
SWIMMING POOL RECEPTOR 1.75 LICENSE NO
DISTRICT NO 1, G Z NE ' C-ESSED.SY
LAWN SPRINKLER SYSTEM 1,75
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL p�
GAS SYSTEM OUTLETS 1.75 I INSPECTION RECORD CC.)
OUTLETS OVER ^
5 PER SYSTEM .30 O
I-
LW
LW
d
f�
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING � -- j
City Tel NO. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
.AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF ,
CAL FORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED
RESIDENTIAL P PERT FINAL L _� ��
SIGNATU RE `�i� ,
OF PERMITT C_� -
PERMIT VALIDATION ' cK M.0 CASH
'PLAN CHECK'VALIDATION CK. M 0. CASH
5 9 9NJAN 28 5 U 4.7 5 ®�,—, .
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76A667 (CE-817) - 5/73 a
APPLICATION�FR�.PlUM ANG P'E'RMIT
COUNTY OF LOS,ANGELES'
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO :d ', ADDRESS 'r
HARVEY T. BRANDT, COUNTY ENGINEER4•_ '
LOCALITY= If
FOR APPLICANT TO FILL IN (PRINT OR`TYPE) NEAREST
n
NUMBER FIXTURE OR ITEM 1,75 @ FEE
CROSS ST..7 ,
WATER CLOSET / MAIL
BATH TUB 1.75 -ADDRES"S"-
SHOWER'
DDRESS"SHOWER• - 1.75 CITY r " .�TE� NOI
LAVATORY 1,75 7C CONTRACTOR'
SINK 1,75 ADDRESS
DISHWASHER1.75, e rs
CITY EL N01
CLOTHES WASHER 1.75 STATE y LIC
LtCENSE•NO C c CLASS 'r•c i ' ''I
SWIMMING POOL RECEPTOR 1:75
DISTRICT NO GROUP E CESSED BY
LAWN SPRINKLER SYSTEM 1'.75
WATER HEATER 1,75 INDUSTRIAL }
WASTE APPROVAL ;.
GAS,SYSTEM OUTLETS 1.75 -!, rtl NSPECTION RECORD Ov
-OUTLETS OVER 7 11 -� �o �J =
PER SYSTEM .30-1 < /Q-2 - Ii4� �gr,V.A)Dal O
F—
c-')
-
63 //t/Si cSJoAl ,�r9 iia �.
Plan,Check"fee`- See Reverse
-PLUMBING PERMIT ISSUING FEE $ 3 00 `r
,TOTAL.FEE `,
i APPROVALS DATE 'INSPECTOR s SIGNATURE
Plan Check,appllc UNDER,SLAB WORK
Name ROUGH PLUMBING
Address , GAS,PIPING
City e'I• NO GAS VENT,
HOT WATER HEATER, -
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
W,I TH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING -GAS TEST '
- 1
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED '
LICENSED AS REQUIRED BY LOS ANGELES COUNT D STATE OF
CALIFORNIA OR THAT THE LEGAL OWNE F.
AND INTEN TO - -
RESIDE IN THE ABOV DESC IBED RESID N PER TY 14
FINAL
SIGNATU,RE,
'OF PE-RMITT -
PERMIT VALIDATION CK ,•M,OCASH
,'PLA'N CHECK VA ATION M O CASH
O JUL 5' o 18
.2,5 ®38 "
,S COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1108180022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 11131 LT 18 5632 GOLDEN WEST AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802520 I
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET- LIVE OAK
I
18588-012-028 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID- A3 LOCALITY TEMPLE CITY, Cl
63 WATER PIPING BR/FIX 2 00 FIX 13 40
ITENANT I TOTAL FEES 41 20 (ISSUED ON PROCESSED BY PLAN BY 1
108/18/11 SR
I I
TOWNER TEL NO (FINAL DATE FINAL BY CODE
IVIZCARRA FERNANDO L,JOAN B (626) 848-6065- 1
15632 GOLDEN WEST AV I I
ITEMP 917802520 IDESCRIPTION OF WORK 1
1 (INTERIOR RE-PIPE BETWEEN WASHROOM AND BATHROOM
I
I i I I
(APPLICANT TEL NO 1
1SAME AS OWNER
ISPECIAL CONDITIONS
1
I I I I
ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I I
I LIC NO I (UNDER SLAB WORK
I I I
1 (WATER SERVICE
1 IPLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER- TEL NO I I
I IROUGH PLUMBING
LIC NO I
1
I IGAS PIPING 1
I 1 1
1 IGAS VENT I I I
I
IHOT WATER HEATER
I I I
IPLUMBING FIXTURES I
I I I
1 ILAWN SPRINKLERS
I I I
I 1 IGAS TFST 1 1
I I I
(UTILITY COMPANY NOTIFIEDI I I
I I ICWV I I
1GRAY WATER SYSTEM
I I I
I I I I I II
E XPIRED
I I I I I II
IREPORT ID DPR263 ROUTE TO BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1311180003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT-
ILEGAL ID FEES PAID
I BUILDING ADDRESS 1
ITR 11131 IT 18 1 5632 GOLDEN WEST AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802520 1
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LIVE OAK
18588-012-028 ,101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID: A3 LOCALITY TEMPLE CITY, Cl
1 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 1 1
ITENANT I TOTAL FEES 44 00 11SSUED ON PROCESSED BY- PLAN BY. 1
11/18/13 SR
1OWNER TEL NO 1FI L DATE FIN BY CODE 1
1VIZCARRA FERNANDO L,JOAN B (626) 848-6065- 1 1 1
15632 GOLDEN WEST AV 1 1
ITEMP 917802520 �1 D S RIPTION F WORK
I IINSTALL NEW GAS LINE FROM M TER TO INSIDE DOUBLE OVEN I
(APPLICANT TEL. NO �I
IST PIERRE, MARK (626) 287-7544- I
15454 TEMPLE CITY BL. ISPECIAL CONDITIONS.
TEMPLE CITY CA 91780
ICONTRACTOR TEL NO 1APPRDVALS DATE INSPECTOR SIGNATURE 1
1STP ENTERPRISES, INC (626) 287-7544- 1 1
15454 TEMPLE CITY BLVD LIC. NO (UNDER SLAB WORK I I I
ITEMPLE CITY CA 91780 598157 1
-� IWATER SERVICE I
1 1PLASPIC Y/N METAL Y/N
(ARCHITECT OR ENGINEER TEL NO
iROUGF: PLUMBING
LIC NO - I
IGAS tIPING
I
1 IGAS /ENT 1 I 1
I
IHOT WATER HEATER -
IPLUM3ING FIXTURES
ILAWN SPRINKLERS 1 1
I IGAS TEST
I I I
1UTILITY COMPANY NOTIFIEDI I I
I I
ICWV I
GRAY WATER. SYSTEM
I I I i I I
I I I I
1 I* ADDITIONAL DATA ON FILE
1 1 I I I I
IREPORT ID DPR263 ROUTE TO BS0508
1