HomeMy Public PortalAbout6012 GOLDEN WEST AVE_Plumbing__ COUNTY of Los ANGELES APPLICATION FOR PERMIT
''014aFYment of County Engineer
DIVISION OF BUILDING & SAFETY PLUMBING 1
WILLIAM J. FOX, County Engineer
DISTRICT GROUP .
FOR APPLICANT T❑ FILL IN �y /cv ,
PLUMBER w j {-� L� EC VED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
/ .1.` y,� f` .� 0✓1/Y/Fr � (, �,� •�S'�
BUILDING r" �
CITY �G TEL No. ADDRESS
COUNTY ° ` Jep .,�, ' LOCALITY
LICENSE NO. EXPIRE
NEAREST t
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0 0.50 m ADDRESS �fjy�y-y�-tr
BATH TUB (m O.SO CITY TEL. No.
SHOWER 0 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK (d 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OAS SYSTEM OUTLETS 0.50
OF THE RESIDENTIAL PR�OP���TTTYYY DESCRIBED ABOVE.
j''� �SIGNATURE OF
WATER HEATER 0.50 i PERMITTF r
GLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK O.SO
FLOOR DRAIN 13.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50 -
URINAL 0.50 -I
Q
HOUSE SEWER Q 0.50 _Z
MISCELLANEOUS E3
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a
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING 12- 1p (Ith,.
OAS PIPING `
GAS VENT
CESSPOOL (,1 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT 1.013 ons TEST
I UTILITY CO.NOTIFIED
TOTAL FEE $ S'^� 2--r l / fbh
� FINAL 1
76A667 DBS#17 6-52 1•
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D.B.17 SM SETS s-as APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY; .. - ��Uin
����
COUNTY OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FiXTUREB COMPLETE � D
HEATER CESSPOOL I I SEPTIC TANK E EIVED1,fBY READY FOR DATE}$SUED
�1�27 11'6 FIRST INSPECTION _g_ /
GAS MISCELLANEOUS
PPLI CANT FILL IN IYEAVIL ~TLINED PORTION ONLY
JOB {+ /f
NAME �rr ADDRESS p[ ✓ r r _„+'�,a,
m � 1.
m ADDRESS r�
g .�lYb�4a$ti�rsv LOCALITY
CITY � �„� '` � ,I�,[. NEAREST
d TEL. a CROSS ST.
COUN ' ' !!
CERT.No. EXPIRES ®I ` NAME a
LOCATION OF SEPTIC TANK OR CESSPOOL z MAIL _,�����
3 ADDRESS D- r9 RKao
NORTH O
CITY TEL.No.
I AM TH V')&GAL POSSgS80R F AHOVE LOS
ANGELES COUNTY CERTIF�G TE OFF�CpTIO�
/'�`��/ PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
s
m OWNER
i
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
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BATH TUB FURNACE Q
a
—SHOWER DISHWASHER Q
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
_WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER—GAS 'SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
_ CESSPOOL
TOTAL NUMBER OF FIXTURES 0 Q SEPTIC TANK I if
CESSPOOI- SEPTIC TANK ss SEWER
f j
UTILITY CO.NOTIFIED
TOTAL FEE I //� 014- � ow
FINAL l (.�
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�J.r��iu��t�/.c fir :'�uI�;L,tivtx ANG SE`.�Y
CO U1�TY OF LOS.
t_' DISTRICT+ NO: GROUP' I N PErTM1T4.
4 . •NATURE`OF.INS1'ALd.A'!'ION' . _
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i'i.UMB1nJ 1 PIXTURC! i' PtrAN 9
w 1�� Rl AQY FOR REC 1:Y � Y y.. DA
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MI>lCELLANlOUS �+ • :�,,. -,
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AP PTi.Je.AU&I i• r tail IFv JIFIEMM z°OU I'LINED POI TION• ONLY
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.AT►t TUB
APPROVALS ` «
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CERT. No.
LOCATION-OF. SE M. C.TANK.' OR.'CESSPOOt
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I' AM- THK LaGAL' 'A Coo.-
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-ANGMEs COUNTY CIERTI F'OLALIFICATION.
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AM THE LECIAL OWNER'OF.THIE'.PROPERTY DESCAIRlid:'
ABOVU
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`.APPROVALS
-WATZR CLOZ-.T. io'kiti+Alm,
OAT[ 'I"vP9CT*Ik'm MAN
WATIM HEATER DENTAL LAVATORY
ROUGN rLumatme
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TOTAL,MmIsam.OF FWum SWM TANK
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0406030011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT;
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 85 6012 GOLDEN WEST AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801718
ASSESSOR, INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI
5385-027-013 07 BATH-UBS/SHOWERS 1.00 FIX 16.20 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CIlY, C
11 CLOTHESWASHER(S) 1.00 FIX 16.20
TENANT: 21 HOSE BIBB(S) 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
25 LAVATORIES/SINKS 1.00 FIX 16.20 06/03/04 VG 11/30/O4 i
45 WATER CLOSET/URINAL 1.00 FIX 16.20
OWNER: TEL. N0: 47 WATER HEATER(S) 1.00 WTH 16.20 FINAL D E FINAL BY: CODE:
LI, JING HUA(LILY) (626) 353-0888- 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
6012 GOLDEN WEST AV TOTAL FEES 129.60
TEMP 917801718 DESCRrPTION OF WORK
PLUMBING FOR NEW GUEST HOUSE
APPLICA`JT: TEL. NO:
INFRA + ARCH DEVELOPMENT, INC. (626) 458-8111-
1028 WESTMINSTER AVE SPECIAL CONDITIONS:
ALHAMBRA. CA 91803
T0NTRAC-DR: TEL. NO: APPROVALS iATE INSPECTOR SIGNATURE
LI, JING HUA(LILY) (626) 353-0888-
6012 GOLDEN :JEST AVE. LIC. NO UNDER SLAB WORK
TEMPLE CITY, CA 91780 NONE
WATER SERVICE
_ PLASTIC Y/N METAL Y/N
AR -J�
CHIT=C=T 0!: ENGINEER: TEL. NO:
INFRA AND ARCH DEVELOPMENT, INC. (626) 458-8111- 17,M)UGH PLUM=BING
1028 WESTMINSTER AVE. LIC. NO: 2
ALHAMBRA, CA 91803 NONE IGS PIPING
GAS FENT
TROT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
Tn ?LST
UTILITY COMPANY NOTIFIED
CWV
I �
GRAY.4ATER SYSTEM
I
1
REPORT ID: DPR263 ROUTE TO: BS0508
' - COUNTY OF 'LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0406030012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 85 6012 GOLDEN WEST AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801718
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI
5385-027-018 01 PERMIT ISSUANCE FEE """ 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 2.00 FIX 332.40
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
121 HOSE BIBB(S) 1.00 FIX 16.20 106/09/04 VG 12/06/04
125 LAVATORIES/SINKS 3.00 FIX 48.60
OWNER: TEL. NO: 145 WATER CLOSET/URINAL 3.00 FIX 48.60 L D " :::-F I N BY: CODE:
LI, JING HUA(LILY) (626) 353-0888- 147 WATER HEATER(S) 1.00 WTH 16.20
6012 GOLDEN WEST AV 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 --
TEMP 917801718 TOTAL FEES 222.15 DES I ON OF WORK
_ `PL DEP
FOR ADDITION
APPLICANT: TEL. NO: II
INFRA + ARCH DEVELOPMENT, INC. (626) 458-8111-
1028 WESTMINSTER AVE SPECIAL CONDITIONS:
ALHAMBRA, CA 91803
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SiGYATURE
SLI, JING HUA(LILY) (626) 353-0888-
6012 GOLDEN WEST AVE. LIC. NO UNDER SLAB WORK U
TEMPLE CITY, CA 91780 NONE 1
WATER SERVICE
ARCHITECT OR ENGINEER: TEL. N0: ry PLASTIC YIN METAL YIN
INFRA AND ARCH DEVELOPMENT, INC. (626) 458-8111- FCUGi PLUMBING L
1028 WESTMINSTER AVE. LIC. NO:
ALHAMBRA, CA 91803 NONE AS PIPING
__... 1GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN"SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
Ii
_f
I�
REPORT ID: DPR263 ROUTE TO: BS0508