HomeMy Public PortalAbout5719 GOLDEN WEST AVE_Plumbing__ ����� 81710-60
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APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING A. AA�ESCFE�DNNGINEER BUILDING 1 Golden. Nest -
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY T -
tem le Cit
FOR APPLICANT TO FILL IN CROSSN EST Live Oak
NUMBER FIXTURE OR ITEM OWNER V. A. Johnson -
2 WATER CLOSET MAIL
1 BATH TUB ADDRESS
1 sxowER
CTfY . TEL NO.
'
2
LAVATORY CONTRACTOR Owen Bros. Plumbing
1 SINK ADDRESS 25 N. Baldwin Ave.
DISHWASHER cm El Morke TEL. NO. GI- 3761a4-
STTE
LAUNDRY TUR REGISTRATIOCTRACTORN NO. 19718 . • • COUNTY
1 CLOTHES WASHES DISTRICT NO. GROUP ZONE PR SSED BY
1 WATER HEATER
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL y
INSPECTION RECORD D-
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Mil6 f
0 $1.00 PER ITEM df w� d
10 OR FIXTURE $ I 10.00
APPRQVALS {/DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 �Co UNDER B WORK �91V (.K• d,I_.t, _' L
TOTAL FEE 12. ROUGH PLUMBING /(J! I�BT `"j_.�/!/£s•f �-j
GAS 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 -
PLUMBING. HOT WATER HEATER . 1 ,RA
1 HERE
LICENSED
CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES _ /1y71�1 -
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF VylGAS TEST � l I ty l (fd
CALIFORNIA, OR THAT-I AM •THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROP TY. ' 7 ' ✓{,Y' P
• UTILITY CO NOTIFI I
SIGNATURE 1 _ rho,,y"
OF PERMITTEE
FINAL �(I`
VALIDATION ROBERT A. W•OD
M.0. CASH SUPERVISING MECHANICAL ENG'R
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS P-L-0508-9809030004
• BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEG ID: FEES PAID BU T RESS:
TR: 6561 LT: 461 BL: .001 5719 GOLDEN WEST Av_�,
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP.CA 917802504
ASSESSOR INFORM IO MBER: NEAREST-CROSS-STREET: WORKMAN
8587-023-003 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
11 CLOTHESWASHER(S) 1.00 FIX 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIR ON:
09/03/98 UT 09/03/99
OWNER: TEL. N0: FINAL DATEEXPt4aIp� �Y: CODE:
GEE ANTHONY J;RHONDA E (818) 287-2738- H
5719 GOLDEN WEST AV
TEMP 917802504EESSCRIP-410 -
MOVE-WASHER_INT-0_GARAGE_FROM_KITCH EN
APPLICANT: EL. .
SAME AS OWNER -
SPECIAL CONDITIONS:
GELES Co
CONTRACTOR: TEL. NO: ��� ��/�.� APPROVALS DATE INSPECTOR SIGNATURE
SAMELIC. NO UNDER SLAB WOR
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER:- L. N
ROUGH PLUMBINr
LIC. NO: 1111111
S PIPING
GAS VENT
F ERD L C OHOT WATER HEATER
PLUMBING FIXTURES
O 0 �o, L SPRINKLERS
O ❑ /�➢l GAS TEST
El ®y UTILITY COMPANY NOTIFIED
,ic service Th����� wv
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508