HomeMy Public PortalAbout5829 GOLDEN WEST AVE_Plumbing__ D.B. 17 25M BETS 12-43 APPLICATION FOR PERMIT
DEPARTMENT-OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT GROUP ZONE PERMINO.
ROUGH FIXTURES COMPLETE 5 ^ 76673
RECEIVED ®Y READY FOR
HEATER CESSPOOL —I SEPTIC TANK FIRST INSPECTION DATB 188UED 1
AS MISCELLANEOUS e l �M l �__ �+f� _,1-4 Lt
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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LOCATION OF SEPTIC TANK, OR CESSPOOL; Z MAIL
NORTH O ADDRESS
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE_ABOVE LOB
ANGELES COUNTY CERTIFICATE OF Q ALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
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V OWHER
CORRECTIONS
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SOUTH j J
DESCRIPTION OF WORK / A� z_
BATH TUB FURNACE I/ r
/ Q
SHOWER DISHWASHER 1 y� 0
LAVATORY REFRIGERATOR /\
—KITCHEN SINK WATER SOFTENER \
FLOOR SINK SAND TRAP \ '
SLOP SINK FLOOR DRAIN I
WASH TRAY URINAL APPROVALS
/ WATER CLOSET DRINKING FOUNTAIN /)DATE PHCTOR'B 4AMi
_WATER HEATER DENTALLAVATORY ROUGH PLUMBING
METER_-__l_GA9 SODA FOUNTAIN
OUTL GAS PIPING
• 1
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES S-0— SEPTIC TANK I I
CESSP001- SEPTIC TANK SEWER
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UTILITY CO.NOTIFIED n
TOTAL FEE 13 1 5"0
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D.B. 17 SSM SETS_11-43 ' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1
COUNTY OF LOS ANGELES
WM. J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE PERMIT .
ROUGH FIXTURES *COMPLETE 07q 2 1, I
HEATER CESSPOOL I I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
P2z'�1 Fi 1 /® -1® 44
AS MISCELLANEOUS
APPjPLIC�ANT FILL IN HEAVILY OUTLINED'' PORTION ONL/YI//���
cc NAME .Cll+. /" 'Es•,r1'iZy't�%l.d
ADDRESS
ADDRESS a f LOCALITY ���� d-�.l-G.�7!t
� NEAREST
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d CITY elf?3 J�t- �7 _„i_ TEL.No. CROSS ST. ....-��_ e,j2et
COUNTY
CERT.No. V EXPIRES X NAME ! {. -t�L' ;:b tr s�✓� �,[�!
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
NORTH O ADDRESS �,c�f 02�+a�f,FE_e131�
CITY N GL�l2c TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION!'
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
N
a
3 V/ OWNER
-1 CORRECTIONS
SOUTH J
DESCRIPTION OF WORK _z
BATH TUB FURNACE 0
SHOWER DISHWASHER C3
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR BINK SAND TRAP
SLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER_ GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI *SEPTIC TANK r �'(� SEWER
$ UTILITY CO.NOTIFIED
TOTAL FEE �� ®®
FINAL
7BA567-CES17-8-58
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION
BUILDING
CountEnBeAD95o East.
SuptCHTTD. GRIFFIN, mg
LOCALITY
Temple V
FOR APPLICANT TO FILL IN NEAREST -
CROSS ST. Enc inita fiye.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET
BATH TUB ADDRESS 9515 E. Longden Ave.
crrr Temple City TEL. No.
SHOWER
LAVATORY CONTRACTOR UniMatioFeating sys,
smis
ADDRESS 1303 W. Slauson Ave,LA44
DISHWASHER CITYLos Ang;eles44TEL• NO. PL 1-1114
LAUNDRY TUB CONTRACTOR'S STATE El
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE P CESSED BY
WATER HEATER
GAS SYSTEM 1.00 INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
f
APPROVALS
ca OR PER ITEM
FIXTURE $
1.0 DATE INSPECTOR'S SIGNATURE
_ UNDER SLAB WORK
PERMIT $ 2 00 ROUGH PLUMBING
TOTAL FEE O GAS PIPING
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY-LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED _
DESCRIBED RESIDENTIAL R TY.
SIGNATURE
OFPERMITTE FINAL
ROBERT A.WOOD.
®� VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.0. CASH
0 0.5 0 APR 9 5 A 3.0 0
76A667C•(CA-917B) -9/75
APPLICATION FOR PLUMBING PERMIT {�
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
ei� IdWest
NUMBER FIXTURE OR ITEM @ FEE ADDRESS 5829` LOCALITY Temple City 1�
�.. WATER CLOSET ,O V d
NEAREST ;A-
BATH
-
BATH TUB CROSS ST a-, f
SHOWER V OWNER
LAVATORY MAIL
ADDRESS 1330 Greenfield Ave
SINK CITY Arcadia TEL NO 682-28
DISHWASHER b CONTRACTOR Owen Bros.
Plumbing, Inc.
CLOTHES WASHER
ADDRESS 42-65 N. Baldwin Ave.
SWIMMING POOL RECEPTOR CITY E1 Monte TEL NO 4+3-0078
LAWN SPRINKLER SYSTEM STATE /.'� Q
WATER HEATER /� LICENSE NO- 231 741 IC LASS 036-20 }
V �
DISTRICT NO. GROUP ZppONJ- RO SSED BY O
GAS SYSTEM OUTLETS I/} /
OUTLETS OVER IVi.
5 PER SYSTEM O�
INDUSTRIAL
WASTE APPROVAL lV
INSPECTION RECORD v17
VA-_rL.1
Plan check fee '
PLUMBING PERMIT ISSUING FEE $
TOTAL,FEE
Plan check applicant
Name APPROVAL'S O TE, INSPECT_OR'S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING -
pity Tel No GAS PIPING x,)73-
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING ,
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LI'CEN 5 ED AS REDU I RED BY LOS ANGELES COUNTY AND STATE OF GAS TEST r - �' ��-3 7
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO -
RESIDE IN THE ABOVE C�RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE 'FINAL
PLAN CHECK VALIDATI N CK M O. CASH PERMIT VALIDATION cK M,O. CASH
COUNTY OF LOS ANGELES TEMPLE CITY - # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1208130026 '-
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT ,.
LEGAL ID - FEES PAID BUILDING ADDRESS
ITR 6561 LT 471. _ 1 5829 GOLDEN WEST AV
I IFEE DESCRIPTION QUANTITY. UOM AMOUNT TEMP CA 917802204 1
ASSESSOR INFORMATION NUMBER 'I _ - `� % NEAREST CROSS STREET
18587-024-006 r - 101 PERMIT ISSUANCE=FEE'•' 27 80 THOMAS PAGE 597 GRID• A3 ' LOCALITY TEMPLE•CITY, CI
1 - 107 BATHTUBS/SHOWERS, 3 00 FIX '48 60c`I
ITENANT Ill CLO'IHESWASHER(S)• - + 1'00 FIX - -16 20'.'11SSUED ON PROCESSED BY PLAN BY
113 DISHWASHER(S) 1 00 FIX 16 20 108/14/12 SR - -
121 HOSE BIBB(S1 2 00 FIX 32 ,40 1'-
(OWNER TEL NO 125 LAVATORIES/SINKS 3 00 FIX 48 60 IFI AL ATE FIN BY CODE - 1
WONG, RICHARD - 145 WATER CLOSET/URINAL 3 00 FIX 48 60 I
15829 GOLDEN WEST AV - 151 LOW PRS GAS'5 OUTLET - 1 00 SYS 16 20 I
TEMP 917802204I TOTAL FEES 254 60 ID C TION OF WORK
1 I IPLUMBING FOR BATHROOMS, KITCHEN, LAUNDRY AND GAS LINE 1
(APPLICANT _ TEL NO I - 1 -
ITOBIN, ROBERT (909) 921-2033- I
15823 ZAPATA PL I ISPECIAL CONDITIONS
IRANCHO CUCAMONGA I 1
I
ICONTRACTOR TEL NO sI JAPPPOVALS DATE INSPECTOR SIGNATURE
)TOBIN CONSTRUCTION INC. - (909) 989-9173- I
15823 ZAPATA PLACE - LIC NO I _ - (UNDER SLAB WORK
(RANCHO CUCAMONGA, CA 91737 593678 -
IWATER SERVICE I
` (PLASTIC Y/N METAL Y/N I I
1ARCHITECT OR ENGINEER TEL NO - - I
I I IROUGH PLUMBING
LIC NO
I I IGAS PIPING I 1 1
I I I I I I
I I IGAS VENT 1
I I IHOT WATER HEATER I -
I I I
IPLUMBING FIXTURES
ILAWN SPRINKLERS
I I GAS' TEST I I
I I I I
(UTILITY COMPANY NOTIFIEDI I I
I I I CWV I I I
• I - - " -IGRAY WATER SYSTEM I -
I
' IREPORT ID DPR263 ROUTE TO BS0508
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