HomeMy Public PortalAbout6208 GOLDEN WEST AVE_Plumbing__ t� f
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CE 817(REV 11/78)
APPLICATION F PLUM PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDING
ADDRESS
NUMBER FIXTURE OR ITEM @ FEE
p OC- I I Y
WATER CLOSET NEAREST �� T
BATH TUB CROSS ST
SHOWER OWNERzvV Q / ,.
I LAVATORY ADDRESS �Q L/� �
SINK CITY C� TEL N02tf717A9,
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY
LAWN SPRINKLER SYSTEM STATE LIC
WATER HEATER LICENSE NO CLASS
v�
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT \ at
HOT WATER HEATER V
PLUMBING FIXTURES W
GAS TEST
Plan check fee UTILITYCO NOTIFIED I Z-i •-ZC-6 ail
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE �Q-� FINAL
Plan check applicant
PLAN CHECK VALIDATION
Name
Address
City Tel No
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 2 7 9 3 3 A
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION
.# - O O O - 5
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE 2,o O 1 9. 0 0
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY
'00019, 00
SIGNATURE
OF PERM1 I 1,2'6'-7 9
�If T NOPR ESSED Y
INDUSTRIAL
WASTE APPROVAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1105190024
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS 1
I ON FILE I 1 6208 GOLDEN WEST AV I
IFEE DESCRIPTION- QUANTITY UOM AMOUNT I TEMP CA 917801704
(ASSESSOR INFORMATION NUMBER I - NEAREST CROSS STREET
15385-025-017 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY, Cl
I 107 BATHTUBS/SHOWERS 1 00 FIX 16 30 1
ITENANT - 125 LAVATORIES/SINKS 1 00 FIX 16.30 JISSUED ON PROCESSED BY PLAN BY- I
I 145 WATER CLOSET/URINAL 1.00 FIX 16 30 105/19/11 SR I
1 147 WATER HEATER(S) 1 00 WTH 16 30 1_ I
(OWNER TEL NO 1 TOTAL FEES 93 00 IFINAL DATE FIN BY CODE: 1
ICARLSON, PATRICIA (949) 370-8247- 1 11
16208 GOLDEN WEST AVE I
ITEMPLE CITY CA 91780 1 IDESCRIPTION OF WORK "1
I ITO FINALIZED EXPIRED PERMIT CONVERT GARAGE TO BEDROOM, I
IBATHROOM AND NEW GARAGE I
(APPLICANT TEL NO I I I
1SAME AS OWNER
I I ISPECIAL CONDITIONS I
I I I I
I I I I
I I I I
1CONTRACTOR- TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I
1SAME AS OWNER - I I_ I
1 LIC NO 1 (UNDER SLAB WORK 1 1 I
I I I I I I
IWATER SERVICE I I I
1 1 IPLASTIC YIN METAL YIN I I I
(ARCHITECT OR ENGINEER TEL NO 1 I I I 1
I I 1ROUGH PLUMBING I I I
LIC NO
IGAS PIPING 1
I
I I IGAS VENT 1
I I I
I I IHOT WATER HEATER I I 1
I I I I I
I 1 IPLUM13ING FIXTURES - I I I
I LAWN SPRINKLERS I
I I I
I I IGAS-TEST 1 1 I
I 1 (UTILITY COMPANY NOTIFIEDI I I
I ICwv I I
I I I I I I
I I 1GRAY WATER SYSTEM
I I I
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I I I I I I
I I I I I I
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I I I I I I
I I I I I I
1 IREPORT ID DPR263 ROUTE TO BS0508 1 1 1 1
I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1106270020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT,
LEGAL ID i FEES PAID BUILDING ADDRESS
ON FILE 1 6208 GOLDEN WEST AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801704
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LAS TUNAS
15385-025-017 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A2 LOCALITY: TEMPLE CITY, Cl
151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 30
TENANT I TOTAL FEES 44 10 (ISSUED ON PROCESSED BY PLAN BY.
106/27/11 SR
(OWNER TEL NO IFI DATE FINAL BY CODE
IJENG, WOONSHEN (626) 285-9058- I r1
16208 GOLDEN WEST AVE -1
(TEMPLE CITY CA 91780 1 ID CRIPTI N OF WORK
ICONNECT GAS LINE FOR A/C UNIT AND FAU SYSTEM
I I I I
(APPLICANT TEL NO 1
(YANG, JAMES (626) 452-8895-
I12012 LOWER AZUSA RD I ISPECIAL CONDITIONS I
IEL MONTE, CA 91732
CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE
IJ C Y CO (626) 452-8895- I
112012 LOWER AZUSA RD LIC NO JUNDER SLAB WORK
1EL MONTE, CA 91732 010582921 _
IWATER SERVICE
PLASTIC YIN METAL YIN
1ARCHITECT OR ENGINEER TEL NO
- I IROUGH PLUMBING I I _
LIC. NO I 11
I 1 IGAS PIPING
I I I
IGAS VENT I
I I
I I I I
IHOT WATER HEATER
I I I
IPLUMBING FIXTURES I I
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(LAWN SPRINKLERS
I I 1 I I I
(GAS TEST
I I I I I I
1UTILITY COMPANY NOTIFIED( I I
I I I I I I
ICWV I I I
IGRAY WATER SYSTEM
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
IREPORT ID DPR263 ROUTE TO BS0508 I I I I
I I I I I I