HomeMy Public PortalAbout5717 GOLDEN WEST AVE_Plumbing__ 71A101-C;E11110-60
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 1,,
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 5717 Golden b-est
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
Temple City _
FOR APPLICANT TO FILL IN NEAREST Live Oak
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NUMBER FIXTURE OR ITEM CROSS
OWNER V. A. Johnson
2 WATER CLOSET MAIL
1 BATH TUB ADDRESS
1 SHOWER CITY TEL. NO.
2 LAVATORY CONTRACTOR Oren Bros. Flumbin
1 SINK ADDRESS 525 iV. Baldwin Ave.
DISHWASHER CITY El 1donte TEL" NO. GI- 37644
CON Ton's STATE El
LAUNDRY TUB REGISTRATION NO. 197184 COUNTY
1 CLOTHES WASHER DISTRICT NO. GROUP ZONEP 3BED BY
1 WATER HEATER U lop� I
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL y
INSPECTION RECORD o_
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@ $1.00 PER ITEM
1 OR FIXTURE 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT Sj 2100 UNDER-SLAB WORK
TOTAL FEE 12 00 ROUGH PLUMBING
PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER-"
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOT IED
SIGNATURE
OF PER.ITTEE-WLp� -9
FINAL
LIDATION ROBERT A. WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0907200002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS I
ITR 6561 LT 81 BL 001 5717 GOLDEN WEST AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802504 I
(ASSESSOR INFORMATION NUMBER I 1 NEAREST CROSS STREET 1
18587-023-004 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, CI
107 BATHTUBS/SHOWERS 1 00 FIX 16 20
TENANT I11 CLOTHESWASHER(S) 1 00 FIX 16 20 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON I
121 HOSE BIBB(S) 1 00 FIX 16 20 107/20/09 SR 07/20/10 1
125 LAVATORIES/SINKS 1 00 FIX 16 20 1
(OWNER TEL NO 145 WATER CLOSET/URINAL 1 00 FIX 16 20 1FINAL D FI4 BY CODE 1
IHOU, KWEIT SHUNG (626) 320-3301- 1 TOTAL FEES 108.75 I
15717 GOLDEN WEST AV
(TEMP 917802504 ( SCRIPTI N OF WORK 1
(PLUMBING FOR NEW BATHROOM 1
APPLICANT TEL. NO I I
ICAI (626) 780-7959-
1502 DE LA FUENTE ST I ISPECIAL CONDITIONS I
I
(MONTEREY PARK 91754 1
I I I
ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1
IHOU, KWEIT SHUNG (626) 320-3301- I
15717 GOLDEN WEST AVENUE LIC NO I 1UNDER SLAB WORK
(TEMPLE CITY, CA 91780 NONE 1
IWATER SERVICE I
IPLASTIC YIN METAL YIN 1
(ARCHITECT OR ENGINEER TEL NO I
1 I TROUGH PLUMBING
LIC NO 1 1
- IGAS PIPING 1
I
(GAS VENT 1 1 I
I I
IHOT WATER HEATER I I I
1 i (PLUMBING FIXTURES 1
1 ILAWN SPRINKLERS I 1 1
I I
IGAS TEST 1 I 1
1 (UTILITY COMPANY NOTIFIEDI I
1 ICWV I I
GRAY WATER SYSTEM I 1 I
I I I I I I
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I I I I
I I I I I I
1 1 I I I I
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I I I
REPORT ID DPR263 ROUTE TO BS0508