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HomeMy Public PortalAbout5752 GOLDEN WEST AVE_Plumbing__ f ' 76A667A ICE 81,78)- 11/76 APPLICATION P R PLUMBING PER IT BUILDING AND SAFETY DIVISION -!� FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADILDMS � NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET. LOCALITY LC— NEA CNEA REST BATH TUBCROSS ST SHOWER OWNER LAVATORY MAIL ADDRESS J� SINK CITY TEL ripxs- DISHWASHER CONTRACTOR CLOTHES WASHER mikeNIFIC INSTALLERS ADDES SWIMMING POOL RECEPTOR `��� CIT- T L v7 O 'J LAWN SPRINKLER SYSTEM TAT11C WATER HEATER �7 LICENS O CLASS GAS SYSTEM OUTLETS DISTRICT NO GROUP I ZONE PROCESSED BY OUTLETS OVER 5 PER SYSTEM INDUSTRIAL 916 WASTE APPROVAL O INSPECTION RECORD t4 z Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE 5 Plan check applicant Name - APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel No GAS PIPING i IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT _- THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES - AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES • REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST - LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITYCO NOTIFIED . , SIGNATURE FINAL -',���� OF PE RMITTEE PrAN-CHECK-VALIDATION J cK yo CASH PERMIT VALIDATION cK M o CASH 6 7.5 0 ,6 POLICY HOLDER:- `4A d� POLICY NUMBER' 0 ,3 16--A �: ' r 76A667-CE817 12/59 1✓��?� i LSC APPLICATION FOR PLUM PERMIT COUNTY OF LOS ANGELES - DEPARTMENT OF COUNTY ENGINEER BUILDING AND .SAFETY ?MSION BUILDING JOHN A. LAMBI COUNTY NGINEER ADDRESS 7 2 No. Golden West WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY Temple City, FOR APPLICANT TO FILL IN' NEAREST / CROSS ST. NUMBER FIXTURE OR ITEM OWNER Palmer Matthews WATER CLOSET ADD BATH TUB RESS 7 2 No . Golden West sxowER CITY Temple C TEL. NO. CU 3-1515 LAVATORY CONTRACTOR ARCO PLUMBING C 0. SINK ADDRESS 527 West Garvey Ave . DISHWASHER CITY Monterey Parr NO.CU3-9055 CONTRACTOR'S STATE X1 LAUNDRY TUB REGISTRATION NO. 113206-C36 COUNTY ❑ CLOTHES WASHER DISTT CT NO. GROUP NE P ESSED BY 1 WATER HEATER ,= , 9— GL. GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD y w O U a 0 F U w w rn z @ $1.00 PER ITEM 1 OR FIXTURE $ 1 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE 3 00 ROUGH PLUMBING GAS PIPING I � I HAVE READ THIS ANDHSTATE THAT THEEDGE ABOVEHAT IS CORRECT AND-AGREEAICATION TOLCOMPLY GAS VENT �{�{�i`,/' _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES CE LINSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST I CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIA PROPER Y. UTILITY CO.NOTIFIED pD /y1'6I SIGNATURE r N G �o'M.P r���Ll OF PERMITTE FINAL I'lfj' ®� OVALIDATION ROBERT A!ll�/00Dv cK. M.O. CASH SUPERVISING MECHA,NICAL ENG'R LAC,09 3 8 9 14HR 9 5 0 3 .0 0 t COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0211070005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: -LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 454 UN: .002 5752 GOLDEN WEST AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802503 ASSESSORR BER: NEAREST CROSS STREET: LAS TUNAS 8587-028-014 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED AN . 45 WATER CLOSET/URINAL 1.00 FIX 16.20 11/07/02 JK 05/06/03 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 OWNER: TEL. NO: TOTAL FEES 92.55 FINAL D TV F I NALe COD PIGULSAWAS;POTE (626) 289-8586- 5752 GOLDEN WEST AV TEMP 917802503 ON OF WORK PLUMBING FOR ADDITION A L. MOTTA (562) 941-2744- 10443 MILLS AVENUE SPECIAL CONDITIONS: WH I T T I ER 90604 �i..�� NCONTRA ONE CTOR: TEL. N0: j// '��'6\ APPROVALS DATE INSPECTOR SIGNATURE LNO I v � D _ NONE �j �� / A WATER SERVICE ARCHITECT �� PLASTIC Y/N METAL Y/N �' ROUGH PLUMBING LIC. NO. _i__ "111111 T. — GAS PING � G �'- - - -- — GAS VENT 163 — - - -- — - -- - - -// PLUMBING LAWN SPRINKLEW§ GAS TEST UTILITY COMPANY NoTT M D CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 f COUNTY OF LOS ANGELES TEMPLE CITY # 0508 POZ-65-6, L,,U�MB)IING PERMP DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS or PL 050 r 004260011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 4 ., PHONE: (626) 285-0488 EXT: GAL ID: FEES PAID 8 UI�LD tN G-7ADDRESS: TR: 6561 LT: 454 UN: .002 57f'2 GOLDEN GESIJf AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: r-fEMP--CA 917802503 ASSESSOR INFORMA NUMBER: NEAREST CROSS STREET: LONGDEN 8587-028-014 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.20 TENANT: TOTAL FEES 43.95 ISSUED 0 PROCESSED BY: PLAN BY: EXPIRES . 04/26/00 UT 10/23/00 OWNER: TEL. NO: FINAL DATE FINAL BY STEVENS ROBERT A;ETHEL M TRS (818) 287-4834- .� 5752 GOLDEN WEST AV TEMP 917802503 -DeS-C-R-IFTION OF WOR WATER-HEATER-CHANGE 0� APPLICANT: TEL. NO: ACTION CONTRACTORS (310) 515-1311- 17111 S. BROADWAY SPECIAL CONDITIONS: GARDENA, CA S co CONTRACTOR: TEL. NO: �O� APPROVALS DATE INSPECTOR SIGNATURE ACTION CONTACTORS (310) 515-1311-, 17111 BROADWAY LIC. NO UNDER SLAB WOR GARDENA, CA 90248 652535 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT' OR ENGINE . NO- - ROUGH UMBING LIC. N0:• lllllll It� NG GAS V G'UoL C W©f K 3 HO WATER HEATER PLUMBING FIXTURES C O 0 LA 'SP INKLERS Q ❑ 461 LU GAS UTILITY COMPANY NOTIFIED c 0 C ` ervice'(M' GRAY WATER SYSTEM i i REPORT ID: DPR263 ROUTE TO: SS0508 .f i