HomeMy Public PortalAbout5715 GOLDEN WEST AVE_Plumbing__ 76A667 (CE-817) - 5/73
.APPLICATION FOR PLU BING PE MIT S
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO ADDRESS G � ,S%
, ST
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY �I"�Q yin
FOR APPLICANT TO FILL IN (PRINT OR TYPE) CROSS ST. L.r�S -onf C /�
NUMBER FIXTURE OR ITEM @ FEE OWNER 13 -
r ry
WATER CLOSET 1.75 U2 -Qn
BATH TUB 1.75
ADDRESS S GOI.
SHOWER 1.75 CITY e TEL NO
LAVATORY 1,75 ) CONTRACTOR
SINK 1,75 ADDRESS 1C) f UZ
DISHWASHER 1.75 CITY'T,iz L� C TEL NO
CLOTHES WASHER 1.75 STATEj 1 LIC
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LICENSE-NO lQ��
_ 1<O`'g�.�3�__CLASS _..
SWIMMING POOL RECEPTOR 1.75 a -
DISTRICT NO GROUP NE FR CESSED BY
LAWN SPRINKLER SYSTEM 1.75 -o r♦.
WATER HEATER 1.75 INDUSTRIAL y
WASTE APPROVAL d
GAS SYSTEM OUTLETS 1.75
CD
INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30 c`�3`�"1 r�' " �- O
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE
[RG
PROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant SLAB WORK
Name PLUMBING
Address PING
City Tel NO ENT
ATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYNG FIXTURES
WI7H, ALL COUNTY ORDINANC ES,AND STATE LAWS REGULATINGPLUMBING STI HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR CO NOTIFIEDLICENSED AS REOUIREDBYLOSANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THEABOVE^DESCRIBED RESIDDENTIAL,PROPERTY _SIGNATURE ` }, /�OF PERMITTEE`.J +• ERMIT VALIDATION cK .0 CASH
PLAN CHECK VALIDATION CK M 0 CASH
4.75 e
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0912070014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID I BUILDING ADDRESS I
ITR 6561 LT. 461 I 1 5715 GOLDEN WEST AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT- 1 TEMP CA 917802504 I
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET I
18587-023-005 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A3 LOCALITY. TEMPLE CITY, CI
1 107 BATHTUBS/SHOWERS 1.00 FIX 16 20 I 1
ITENANT Ill CLOTHESWASHER(S) 1 00 FIX 16.20 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I
1 125 LAVATORIES/SINKS 2 00 FIX 32.40 112/07/09 SR 12/07/10 1
1 145 WATER CLOSET/URINAL 1 00 FIX 16 20 1 1
(OWNER TEL NO I TOTAL FEES 108 75 IFINAL DATEFINALFINAL BY CODE
ILANIGAN, MARY (626) 286-0145— 1 11
3 �
15715 GOLDEN WEST AV I 13 et'
ITEMP 917802504 1 IDESCRIPTION OF WORK I
I (PLUMBING FOR KITCHEN, BATHROOM #2 AND LAUNDRY ROOM FOR FIRE I
(DAMAGE I
(APPLICANT TEL NO I I I
IALVARADO (714) 529-1133— 1 I I
1552 LOFT S BREA BL I ISPECIAL CONDITIONS: 1
IBREA, CA 92821 I I I
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ICONTRACTOR: TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE I
ICALIBER CONSTRUCTION AND RESTORATIO (714) 529-1133— 1 1 1
1552 LOFT S. BREA BLVD LIC NO I (UNDER SLAB WORK I I I
IBREA, CA 92821 915437 B 1 1 11 1
I I IWATER SERVICE I I I
I - I IPLASTIC Y/N METAL Y/N I I
(ARCHITECT OR ENGINEER TEL NO- I I I
1 I 1ROUGH PLUMBINGL�h 1
LIC NO I r
IGAS PIPING I
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I IGAS VENT I I 1
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IREPORT ID DPR263 ROUTE TO. BS0508 I I I I
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