HomeMy Public PortalAbout5957 GOLDEN WEST AVE_Plumbing__ b.S.S.47 2SM SETS 11-46 APPLICATION FOR PERMIT'
DEPAliTMRNT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GRO
UP ZONE / PERMIT N
ROUGH FIXTURES COMPLETE �I? ►//��\ ? (J 4 O
1
HEATER CESSPOOL I—I SEPTIC TANK RECEIVR�� Y READY FOR4,0 DATE ISSUED
T FIRST INSPECTION 21 r�
AS MIBCELLANEOU �r
APPLICANT FILL IN HEAVILY OUTLINED PORT"
Z ONLY
r',
0: NAME - JOB ADDRE88 �' I(/
W n
m ADDRE198 LOCALITYNEAREST
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J
CITY 1.�/hw.�X.L �.t.Xa.. TEL.Noj J// (p Ice CROSS ST.
CERT.NO. 3 O M v EXPIRES Com 3 D--S m NAME ' G.
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3r ADDRESS
NORTH O
CITY TEL.No.
I AM THE LEGAL POSSRSSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE O EQUALIFICA ION.
(/PPL'UC HR
I AM THE LEGAL OWNER OF THE PROP RTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
46
SOUTH
J
DESCRIPTION OF WORK Z
BATH TUB FURNACE [7
IZ'
SHOWER DISHWASHER 0
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
—SLOP SINK 1 FLOOR DRAIN
WASH TRAYURINALAPPROVALS
—WATER CLOSET __ , _DRINKING FOUNTAIN DATE INBPHCTOR:B HAMS'
WATER HEATER DENTAL LAVATORY I I
ROUGH PLUMBING
METER-.?_GAS SODA FOUNTAIN GAS PIPING
OUTL
' GAS VENT I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK �^ I I A
CESSPOOL---------SEPTIC TANK SEWER
$ UTILITY CO.NOTIFIED
TOTAL FEE '
RINAL
76A667 -CE#817 4-64
APPLICATION FOR PLUM NG P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION J
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY —j—_
FOR APPLICANT TO FILL IN EARESOSS ST. O o f u
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 z
OWNER MAI /s/ G s G
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY C TEL. NO.
CONTRACTOR L puc l
LAVATORY 1.25 _
-2_ SINK 1.25 ADDRESS5 L I 4 ( S allP
DISHWASHER 1.25 CITY TEL. NO.
/ CONTRACTOR'S 6 O STATE
LAUNDRY TUB 1.25 REGISTRATION NO. o COUNTY
CLOTHES WASHER 1.25 DISTRICT NO ROUP ZONE CES D BY
WATER HEATER f 1.50 jiro V�, —4 J i
GAS SYSTEM v OUTLETS 1'� /. INDUSTRIAL }
WASTE APPROVAL - /-6 S O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD 8r I rLCt _ r ;v �.y�?— _
_i a
APPROVALS16 IDATE INSPECTOR'S SIG_A URE
PERMIT $ 2 00 UNDER SLAB WORK— ` 3 (� /J 9111
-ROUGH PLUMBING ' ,f
TOTAL FEE GAS PIPING V d
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER 9•_
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PUUMBING FIXTURES
LICENSED AS REQUIRED BY LOS AN ELES COUNTY ND STATE OF GAS TEST ( ,� „•
CALIFORNIA OR THAT I AM THE L OWNER O D INTEND TO
RESIDE IN,THE ABOVE S R D ID/N�TIAL�PRO R7Y UTILITY CO NOTIFIED _
SIGNATURE
OF PERM ITT E �—
FINAL
ALIDATION ROBERT A WOOD
CK M O CASH SUPERVISING MECHANICAL ENG R
L ,o 7 4 1 0-0 JAI 11 5 D 3 2.5 0-
DBS-17 APPLICATION FOR PLUMBING PERMIT
DBS-I�'DVISION OF BUILDING AND SAFETY
Deportment,of County Engineer
County of Los Angeles ADDRESS N Golden fest
JOHN A. LAMBIE, COUNTY ENGINEER N.
CASSATT D.GRIFFIN,SUP'_T OF BUILDING
LOCALITY Temple City
FOR APPLICANT--TO FILL IN I NEAREST
--- - CROSS ST
OWNERCOmmunity Methodist Church DISTRIC NO GROUP 'ZONE READY FOR INSPECTION
MAIL F e g w Arc ec
ADDRESS 13 v
CITY Pasadena TEL .. sYi-6O INDUSTRIAL
WASTE APPROVAL
PLUMBER Ualer Plumbing Company INSPECTION RECORD
ADDRESS310 E. Huntington
�(
CITY Arcadia TEL NO Do-7s1'�'4'6
LICENSE NO. 77810
810
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1 00 $ iH 0
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1 00 0
2 KITCHEN SINK @ $1.00 2 0
DISHWASHER @ $1.00 \ -�
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00 1 0
GAS SYSTEM @ $1 00
APPROVALS
DATE I-NSPECTOR'S SIGNATURE
o
UNDER SLAB WORK y y' (Q,.(iso6�,
p
PERMIT $ 1 00 ROUGH PLUMBING O 3 S Nj/Jf q;,',
GASP P N
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER 10
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 ,1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED -
DESCRIBED RESIDENTI 'L PROPERTY
SIGNATURE I,
OF PERMITTE FINAL !
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG INSPECTOR
CK. M.0. CASH
2 0 P JAN 16 3 1 5.0 0
o.B 9.17 25M SETS 2-47 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFE'kY' 7
COUNTY OF LOS ANGELES
.Wm. J. FOX, CHIEF ENGINEER ° n
NATURE OF INSTALLATIONISTRIC 0-' GROUP ZONEPERMIT NO.
ROUGH FIXTURES' COMPLETE _I
READY FOR
HEATER CESSPOOL, I-I SEPTIC TANK RECEIVED BY FIRST INSPECTION DATE ISBU D
AS MISCELLANEOU
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
x NAME ADDRESSJOB
C P�OPC{ZTy
/� T�Oy Scour -TrtooP SfTfMPLJ G
ADDRESS y _I , P A �[ LOCALITY
n C NEAREST n \ 1,4
d CITY ,i' ,� TEL.No. • CROSS ST. CamNs� YY00 RVF'FUU�.$
COON id /'�
CERT.NO. EXPIRES K NAME l.pOR-c-
-
C
LOCATION OF SEPTIC TANK, OR CESSPOOL] 'Z MAIL
3 ADDRESS
NORTH O
' 'CITY l^ TEL.No.
1 AM THE LEGAL PCSSBSSOR OF THE ABOVE, LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
y
PLUMBIER
I AM THE LEGAL OWN R OF T,HE PROPER DFOCRIBED
' 1 4 ABOVE. ¢�
CO`s
b OWNER
CORRECTIONS
SOUTH
• - _DESCRIPTION OF WORK � �
Z_
BATH TUB FURNACE
SHOWER DISHWASHER Q
LAVATORY REFRIGERATOR
KITCHEN SINK. WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASHlTRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE tNSPKCTOR's HANS
WATERIjEATER DENTAL LAVATORY
/ ROUGH PLUMBING
METER GAS SODA FOUNTAIN
OUTL 6A9 PIPING I GAS VENT i/{1
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I
CESSPOOL SEPTIC TANK SEWER I I
0-4e� UTILITY CO.NOTIFIfQD fI
TOTAL FEE / / /�/
o FINAL D r ! „ �� 4
76A667 17 a-ae® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GR O P ZONE PERMITNO
�T �(�T �[lj CO. � . � C� 7 dot-L-(.0
PLUMBERM9 C. 1�O��Jlld 1�3� l�slJRECEIVEqfBX READY FOR DATEASSUED
'FIRST INSPECTION / J/ ,r.CID
_ ADDRESS Ig�123,�No..1 �('''tloveTr3�y Ave.
CITY TEMPLE CIT BUILDING �+ j
ADDRESS 6�
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
fj 'oa
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER E:
MAIL
WATER CLOSET (TOILET) @ 0.501$ ADDRESS
BATH TUB Q O s0 CITY TEL. NO.
SHOWER @ O 50I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK O 50 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS @ O 50 f� ?f
.OF T,E RESIDENT AL PR R Y SCRI I ABOVE.
%
SIGN��4AA(TU
WATER HEATER @ O 5o ITTE A
SLOP SINK @ o so —� INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O 50
DISHWASHER @ O 50+
DRINKING FOUNTAIN @ O 50
URINAL Q O s0 „J
HOUSE SEWER @ O SOI Q
Z
MISCELLANEOUS I 2
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 OOI CESSPOOL
SEPTIC TANK' SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1 00I SEWER
PERMIT 1 00 GAS TEST
UTILITY CO NOTIFIED L
TOTAL FEE I $
FINAL