HomeMy Public PortalAbout5707 GOLDEN WEST AVE_Plumbing__ 76 A 667—CE 817 8/68
APPLICATION FOR PLUMPING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERFNEAREST
H P
BUILDING AND SAFETY. DIVISION
ADDRESS �0 7 Lae OJVJJOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS SUPT OF BUILDING j7"pjFOR APPLICANT TO FILL IN (PR NT OTYPE)NUMBER' sFIXTURE OR ITEM EACH FEE
WATER CLOSET 1.50 �JD &
MAIL
n, -/
BATH TUB 1.50 ADDRESS / 7 041)�YV
SHOWER 1.50 CITY �i ,[C TEL?-NO.
LAVATORY 1.50 CONTRACTOR
/� 4 /0 /.7;fS jL�k.4,C/p5'
SINK 1.50 ADDRESS �V�o2Q �, (9)e fD
DISHWASHER 1.50 C m pj.,� _ /f TEL.' NO. f&1.
CLOTHES
7D
CLOTHES WASHER - 1.50 STATE �j // Q� G �, CLASS r�
LIC
LICENSE NO �•- �J a
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GI�LFP ONE PR CE D B
LAWN SPRINKLER SYSTEM 2.00
f C-')
WASTE
/ WATER HEATER 1,��7.. / INDUSTRIAL Z
WASTE APPROVAL o
GAS SYSTEM _ _OUTLETS 1 50 INSPECTION RECORD F-
OUTLETS OVER
5 PER SYSTEM
C/7
Z
Plan check fee 2F)% of above See reverse.
PLUMBING PERMIT ISSUING F'EE 3 3 00
DOTAL FEE` T APPROVALS DATE INSPECTOR S 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 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 GAS TEST
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO {
RESIDE IN, THE ABOVE DEYCRIBED RESIDENTIAL PROPERTY FINAL 1/
SIGNATURE fi ' JACK R. ALLEN, SUPER ISIN CHANICAL ENG'R
OF PERMITTEE '�-"� ' �•
PERMIT VALIDATION CK M O CASH
PLAN CHECK VALIDATION CK M O CASH
4.75- a
1
CE 8171REV 6/70) � ` \•I `,_/l J
0�1
APPLICATION FOR PLUMBING -PERMIT
COUNTY OF LOS ANGELES -BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT ORJYPE) BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDRESS
LOCALITY �•�l
WATER CLOSET 7 �N
BATH TUB CROSS ST h Ir S X7 1 u"PCs I
SHOWER OWNER ' J__
LAVATORY MAIL
ADDRESS
SINK CITY T15ypIPLE CIT- TEL NOp��-�6J
DISHWASHER CONTRACTOR AC E'e S I
CLOTHES WASHER ADDRESS _ /J( ',
SWIMMING POOL RECEPTORCITYT_eM — `L� n' TEL �k
Nl�^�^_
O
LAWN SPRINKLER SYSTEM STATELIC
nQQ
WATER HEATER v LICENSE NO a I 1� CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT -
99
HOT WATER HEATER .
PLUMBING FIXTURES
GAS TEST ub
ADD
Plan Check fee UTILITYCO NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE p co
FINAL —
Plan check applicant PLAN C�?/ElC/K�VA IDA IOA l
Name
Address
Address F'�, �MR RNAL INS
City Tel No # o'o o 0 o,5
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE i0 O 1,01010
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES L
'Z
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS O O O J.Q Q O V
REQUIRED BY LOS ANGELES E OF CALIFORNIA OR THAT I AM THE ..
LEGAL OWNER OF AND I ND TO RESIDE IN TH BOVE DESCRIBED RESIDENTIAL Q 2-5-80 5 O
ATURE
OF
r�j N n/ SED B
INDUSTRIAL
WASTE APPROVAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1303130017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE'CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID BUILDING ADDRESS 1
ITR 6561 IT 160 ., 5707 GOLDEN WEST AV
IFEE DESCRIPTION QUANTITY: UOM AMOUNT I TEMP CA 917802504
(ASSESSOR INFORMATION NUMBER - I NEAREST CROSS STREET
18587-023-002 - -_ 101 PERMIT ISSUANCE FEES- 27 80 I ' THOMAS PAGE 597 GRID- A3 LOCALITY TEMPLE CITY 1
1 - 107 BATHTUBS/SHOWERS 1 00 FIX 16 20
ITENANT - 125 LAVATORIES/SINKS 1.00 FIX 16 20 (ISSUED ON. PROCESSED BY PLAN BY
145 WATER CLOSET/URINAL 1 00 FIX 16 20 103/13/13 SR 1
TOTAL FEES 76 40 1- I
(OWNER _ TEL NO - I - - I`FFIINNA�(LL DATE FINAA(L/13Y( CODE
CHAN KWOK FAI,LAU SUK CHUN (626) 287-1687-
5707 GOLDEN WEST AV
'ITEMP 917802504 y - I I SCRI�E IPTION'OF WORK
I I IREPLACE BATHTUB/SHOWER, LAVATORIE AND WATER CLOSET I
(APPLICANT TEL NO _
ILI, GUAN JIN (626) 672-8360- I
1522 W WINNIE WAY I _ ISPECIAL CONDITIONS: -
IARCADIA CA 91007
I I I •_ I
ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
IGUANG JIN LIN (626) 672-8360- _ I'
1522 W WINNIE WAY LIC NO 1 (UNDER SLAB WORK- I _
IARCADIA CA 91007 - 688406 - -
IWATER SERVICE
IPLASTIC Y/N METAL Y/N
(ARCHITECT OR ENGINEER TEL NO I I _
I - I IROUGH PLUMBING I 1
LIC NO
I IGAS PIPING
I I IGAS VENT
I I 'I
I IHOT WATER HEATER I 1
IPLUMBING FIXTURES I I
1 I [LAWN SPRINKLERS
l
I IGAS TEST 1 I-
_ I I I y
I (UTILITY COMPANY NOTIFIEDI I
I 1 11
I - , I CWV I I
I IGRAY WATER SYSTEM
I I I I I I
I t I I I I I
I !REPORT ID DPR263 ROUTE TO BS0508