HomeMy Public PortalAbout5708 GOLDEN WEST AVE_Plumbing__ 76A687 (CE-817) - 1/74
APPLICATIOI`�I/FOR PLUMBING. PERMIT -
COUNTY OF LOS ANGELES
DEPARTMENT OFCOUNTYENGINEER ILI
BUILDING AND SAFETY DIVISION n
MAKE CHECKS PAYABLE TO, BUILDING
ADDRESS ! lsY
HARVEY,T. BRANDT, COUNTY ENGINEER LOCA LJ TN
FOR.APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 200
MAIL
BATH TUB 2 00 ADDRESS
SHOWER' 200 CITY TEL. NO� —�
LAVATORY 2 00 CONTRACTOR
SINK,M 200 ADDRESS/D`�� q__",DISHWASHER. 200 'CITY TEL. NO —CLOTHES WASHER 200 STATE' LIC
LICENSE NO844�4��, CLASS
SWIMMING POOL RECEPTOR. 200 1
DISTRICT NO GROUP ZONE PR CESS D BY '1
LAWN SPRINKLER SYSTEM ' 2'00 r '
WATER HEATER 2,00 INDUSTRIAL
WASTE-APPROVAL
GAS.SYSTEM VTLE 200 0-0 INSPECTION RECORDCD
°
OUTLETS OVER/ 30- U'
5 PER SYSTEM `
• ^ - - o - ° Off.
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Plan check fee See Reverse
PLUMBING PERMIT ISSOING,FEE S 3 00 ,
TOTAL FEE �Q
APPROVALS DATE NSPeCTOR'S SIGNATURE
Plan Check app,llCant UNDER,SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
C
ity Tel NO GAS VENT '
HOT:WATER HEATER
REBY ACKNOWLEDGE THAT I HAVE READ -THIS APPLICATION
ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
ALL COUNTY ORDINANCES AND STATE.LAWS REGULATING GAS TEST /1617-
PLUMB
NG. - ,
REBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF „
RN OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IN THE ABO DES IBED RESIDENTIAL[�P!®ROPERSY��j FINAL � "`�"l
TU REI� iPERMITTF "' •
PERMIT VALIDATION CK •0: CASH
PLAN CHECK VALIDATION CK M.0 CASH ��f D �•� O O N
x J 76A667 DBB 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY.
' COUNTY OF LOS ANGELES
i WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
O. P .
FOR APPLICANT TO FILL IN Q 3 G d'o
PLUMBER Taman F. Marry RECEIVED BY READY FOR DATE ISSUED
yP FIRST INSPECTION
ADDRESS 825 East Broadway /�'�� ^�, T� H
San _` e _ BUILDING 57 Nortt, Golden West
CITY TEL No.
� ADDRESS / /�Jbil t1
COUNTY 4680'
LICENSE NO. EXPIRE86-30-51 LOCALITY Temple City
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Brook Brothers
MAIL
2 WATER CLOSET(TOILET) 0 0.50 # ADDRESS 5823 N. Kauffman
1 BATH TUB @ 0.50 C,n Temple City TEL N0.AT 63396
1 SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
2 LAVATORY (WASH BASIN) (t� 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
1 KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1
CERTIFY THAT I POSSESS THE ABOVE VALID LOS
1 LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTI PROPERTY DESCRIBED ABOVE.
1 GAB SYSTEM�OUTLET9 Q 0.50
OF
1 WATER HEATER @ 0.50 SIGNP RMRTTEE' �(�!,✓�Ct c Q�/
SLOP SINK @ O.SD INS#ECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER 0 0.50 i1.4o7--
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
HOUSE SEWER @ 0.50 -52 Z_
MISCELLANEOUS L7
R
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING / /
OAS PIPING !/ '1
GAS VENT
CESSPOOL @ 1.00 CESBPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
TOTAL FEE
UTILITY CO. NOTIFIED A �"
� M / v
FINAL
P
j COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0402040011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: F55S PAID BUILDING ADDRESS:
TR: 6561 LT: 459 BL: .001 UN: .002 5708 GOLDEN WEST AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802503
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE AOK
8587-028-022 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: _597 GRID: A3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED D BY: PLAN S ON:
TOTAL FEES 60.15 02/04/04 VG 08/02/04
OWNER: TEL. NO: FI L AT FINA� CODE:
MONTEJANO PAUL;MARY (626) 285-8412-
5708 GOLDEN WEST AV
TEMP 917802503 DESCRIIPTION OF OR
CHANGE TUB AND ADD SHOWER AND NEW LAVATORY
APPLICANT-- TEL. NO:
SAME AS OWNER -
SPECIAL CONDITI S:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT ENGINEER: 0:
ROUGH PLUMBING
LIC. N0:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBINGU S
LAWN SPRINKLERS
GAS TEST
UTILITYCOMPANY NOTIFIEU
CW
GRAY SYSTEM
REPORT ID: DPR263 ROUTE TO: SS0508
COUNTY OF LOS ANGELES IEhPLEC: r 4 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC uORKS 9701 LAS TUNAS PL 0508 040901002fi
BUILDING PD GAFETY / LAND DEVEL0PMEN1 TEMPLE CITY CA 91780
ce C: (626) 285-0488 EXT:
LEGAL ID: FEE tiiD BUILDING ADDRESS:
TR: 6561 LT: 459 BL: .001 UN: .002 5708 GOLDENWEST'AV
FEE DESCRIPTION: QUANTITY: ll1M, AMOUNT:,Z;, - TFrV CA 91,7802`503' _ r' "-k :
AS SOR INFO°:,cTIO�I rJU, BER: - NE,^.REST. CROSS�STREET:_LIVE AO
8587-028-022 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES„ �y J J�43.95 SS D On: �RUCESSED^BY: IRES
09/01/04 .K 32/28/05
OWNER: TEL. NO: g;•• _ i~ c% i:' n^' r¢ FI DAT' FINAL BY: � ODE:
MONTEJANO PAUL;,,,ARY (626) 285-8412-
5708 GOLDEN W-_T Al
TEMP 917802503 D CR PTION CT WORK
GAS LINE FQP NEW HEATING
APPLICANT: TEI-= NO:
CONNOR AIR CONDITIO'IING 286-3157
4931 ENCINITA AVE" SPECIAL C7oiriONS: T
TEMPLE,CITY 91780
CONTRACTOR: TIL. NC: ii' r J 's •,� ,,aiw r`APPROVALS DATE INSPEC1OR SIGNATURE �I
CONNOR AIR CCNDITIO?TING (626) 286-3'57-
4931 ENCINIIA AVE LIC. NO UNDER SLAB WOR,
TEMPLE CITY, CA 91780 403735 1,20
WATER SERVICE
PLASTIC YIN METP.L Y/..N
ARCHITECT OT2Eti sit:SER: TEL. N0: _
ROUGH Pl-UMBING
IGAS VENN
_ I
H T WATEF HEATER
R
PLUMBIOG FFIXT�!� E's
LAWN SPRINK ERS
GAS TESL '
UTI LILY GOMfAN;' NOTIFIED
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GRAY WATER SYSTEM I
_ I
REPORT ID: DPR263 ROUTE TO: BS0508 I��--