HomeMy Public PortalAbout6058 GOLDEN WEST AVE_Plumbing__ - i
76A667 17 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT GRC!:. ONE .
�3/3
PLUMBERRECEIVED BY READY FOR DATE ISSUED
FIRST IN—SP_ECTION
ADDRESS/17/2.
BUILDING
CITY TEL No. ADDRESS
COUNTY sa A LOCALITY D or
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES cRoss sT
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER
MAIL O _
WATER CLOSET(TOILET) @ 0.50 $ ADDRES
BATH TUB @ 0.50 CITY , TEL. No.
SHOWER - @ 0.50 1 HEREBY Ad7NOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALLCOUNTYORDINANCES
G L
KITCHEN SINK @ 0.50 I AND STATE LAWS REGULATINPUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 I ANGELES COUNTY'LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRI ED ABOVE.
I GAS SYSTEM-4-- OUTLETS @ 0.50I
SIGNATURE OF
WATER HEATER @ 0.50lEA PERMITTE
SLOP SINK-' @ 0.501 I• INSPECTION REGARD
FLOOR SINK- @ 0.50
FLOOR DRAIN @ 0.50 I 8p
DISHWASHER @ O.SO I 6t
�Szll-
` DRINKING FOUNTAIN @ 0.50 I ry (� - _ �-• ,1J- /�
URINAL @ 0.501
HOUSE SEWER @ 0.50 I Z)o� �+/ Z
MISCELLANEOUS I �9�/'?' (, —/v/f.��J/ i
A 'r -APPRO__v""
S_
r ,
INSPECTOR'S NAME
ROUGH PLUMBING
i _ = GAS PIPING '•'
"4 ` GAS VENT
CESSPOOL @ 1.00I CESSPOOL
SEPTIC TANK: ASEPTIC TANK ,
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 +GAS TEST ��j/ { �I / �� / ✓��f'+
UTILITY CO.NOTIFIED ♦ �dl; '� ed'�� /� .
TOTAL FEE $
\ FINAL
'Y5A557 17 5-50 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
PLUMBER , - RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
BUILDING
CITY TEL. NO. ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER
� MAIL
WATER CLOSET (TOILET) @ O.50 I s ADDRESS
BATH TUB @ 0.50 1CITY TEL. NO.
SHOWER @ 0.501 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVEIS CORRECT AND
LAVATORY (WASH BASIN) @ 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50__ ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM--OUTLETS O.50
SIGNATURE OF
WATER HEATER @ 0.501PERMITTEE
SLOP SINK @ 0.501 INSPECTION RECORD
FLOOR SINK rt 0.50 1
J FLOOR DRAIN @ 0.50
1 DISHWASHER @ 0.501
DRINKING FOUNTAIN t+ 0.501
URINAL @ 0.501 I J
IHOUSE SEWER @ 0.5o I I- z
MISCELLANEOUS
f•
I 1
I 1
-I I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
1 SEPTIC TANK: I I SEPTIC TANK
I DRAIN ( ) PIT ( @ 1.001 SEWER
PERMIT . . 1.00 GAS TEST
TOTAL FEE $
` I 5 D UTILITY CO. NOTIFIED
S' Ilf
FINAL I (y
COUNTY OF LOS ANGELES TEMPLE-CITY #-0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1106200019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID FEES PAID I BUILDING ADDRESS.
ITR 6561 LT 89 UN 002 I 1 6058 GOLDEN WEST AV 1
I IFEE DESCRIPTION- QUANTITY UOM: AMOUNT I TEMP CA 917801718
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 1
15385-027-027 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY, Cl
1 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 30
1TENANT I TOTAL FEES 44 10 11SSUED ON PROCESSED BY PLAN BY 1
106/20/11 SR 1
I I I I
(OWNER TEL NO 1FINAL DATE FINAL BY CODE 1
1PANG, YANBO - I
16058 GOLDEN WEST AV I I
1TEMP 917801718 1 (DESCRIPTION OF WORK 1
I IGAS LINE FOR AIR CONDITIONING AND HEATING SYSTEM
I I I I
1APPLICANT TEL NO I
1TAM, DAVID W (626) 831-3939- I
1122 S ELECTRIC AVE I 1SPECIAL CONDITIONS I
ALHAMBRA, CA 91801 I I
I I I I
I I I I
1CONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1
ITAM, DAVID W (626) 831-393,9- 1 1 I
1122 S ELECTRIC AVE LIC NO I 1UNDER SLAB WORK 1 I 1
IALHAMBRA, CA 91801 729019 C20 I1
WATER SERVICE I 1
1 I IPLASTIC YIN METAL YIN I
(ARCHITECT OR ENGINEER TEL NO I I I
I - IROUGH PLUMBING I
1 LIC NO 1 11
IGAS PIPING I I I
I I I I I I
I IGAS VENT I I I
I I I
I 1140T WATER HEATER I 1
I I I
I IPLUMBING FIXTURES 1 1 1
I i I I I i
ILAWN SPRINKLERS 1 1
I I I I I I
I IGAS TEST I I I
I I I 1-1 I
I (UTILITY COMPANY NOTIFIED( I I
I I I I I I
ICWV I
I I I I I I
GRAY WATER SYSTEM 1 1
EXP(
I I I I I I
1REPORT ID DPR263 ROUTE TO BS0508
I