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HomeMy Public PortalAbout5743 GOLDEN WEST AVE_Plumbing__ 76A667-CE817 12/59 APPLICATION FOR PLUMBING BINC PEERMII � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER nn aEss 9 f BUILDING AND SAFETY QIVISION JOHN A. LAMBIE. COUNTY NGINEER WILLIAM A. JENSEN, SUP'T OF BUILDING LOCALITY V FOR APPLICANT TO FILL IN NEAREST SS T. o` NUMBER FIXTURE OR ITEM OWNER WATER CLOSETMAIL ADDRESS BATH TUB CITY TEL. N SHOWER LAVATORY CONTRACTOR SINS ADDRESS10 DISHWASHER CITY E NO. I U44 CONTRACTOR' STATE LAUNDRY TUB REGISTRATION NO. © COUNTY ❑ CLOTHWATER S WASHEATERS GRO 7 v I �DISTRICT NQ. GI Z NE E D BY GAS SYSTEM L�-v INDUSTRIAL WASTE APPROVAL I INSPECTION RECORD w O U a O , F _ U z @ $1.00 PER ITEM OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEELZ ROUGH PLUMBING GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS Ali4ICATION 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 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF //� CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE GAS TEST /9A DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE ., p OF PERMITTEEFINAL OF VALIDATIOPPY ROBERT A. WOOD, CH. M.0. l/�Cnl/�SUPERVISING MECHANICAL ENG'R E COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0701120007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 464 UN: .002 5743 GOLDEN WEST AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802504 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8587-023-010 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 01/12/07 JK 07/11/07 OWNER: TEL. NO: _ FINAL DATE FIINNAL BY: CODE: RICCELLI ANDREW JON (626) 287-1815- `�`/ ✓J 5743 GOLDEN WEST AV 'C ��ift555 -' TEMP 917802504 DESCRIPTION OF WORK GAS LINE FOR HVAC SYSTEM APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: _ APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT HOT WATER HEATER PLU14BING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508