HomeMy Public PortalAbout6261 GOLDEN WEST AVE_Plumbing__ 76AS67 1117 5-50 10 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
_PLUMBER M. C• Nottingham Co. of Temple City RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 5933 N. CLOVERLY AVE. - ,. ' ''-.:
;
ILMrLL CITY, CALIF. BUILDING A'f� f.�
CITY TEL. NO. ADDRESS Irg
COUNTY
LICENSE NO. EXPIRES:_ LOCALITY
' -
NEAREST
PERMIT FEES CROSS ST.
r
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 I S I ADDRESS _
BATH TUB @ 0.50 CITY TEL. NO.
1 SHOWER @ 0.5011 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 AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDEN.TIAI' PROPERTY DESCRIBEIT AE,QVE.
GAS SYSTEM--OUTLETS @ 0.501
SIG PF2M TTEFp°
WATER HEATER @ 0.501
SLOP SINK @ 0.501 l INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.501 lop DISHWASHER @ 0.501 p!(
DRINKING FOUNTAIN OF 0.50 I I/ T
1 URINAL @ 0.501
1 HOUSE SEWER @ 0.50 I I fI z
MISCELLANEOUS b 6
I� 0
U �
I
1
APPROVALS
I1 DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
1 I GAS VENT
d CESSPOOL @ 1.00 I CESSPOOL
SEPTIC TANK: I� SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.0011— SEWER
PERMIT . I 1.00 GAS TEST
TOTAL FEE $ UTILITY CO. NOTIFIED
I _I
0 FINAL
D.B.S.-17 25M SETS 6-46 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE _
RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION
GAS- MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
J09
It NAME ! :'A'
- •• ADDRESS
ADDRESS f ' f i LOCALITY
NEAREST
.J'1
0. CITY TEL.NO. CROSS ST.
COUNTY
CERT.No. EXPIRES tr NAME
W
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
f
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
p� ABOVE.
f W D
iOWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK c
z
BATH TUB FURNACE U
SHOWER DISHWASHER i]
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SANDTRAP
-SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
� _ WATER CLOSET DRINKING FOUNTAIN
3 DATE INSPECTOR'S NAP9ff
WATER HEATER DENTAL LAVATORY
ROUGH PLUMBING
MFTER GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT !I `
CESSPOOL I
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL QEPTIC TANK SEWER
TAT
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
D.B.S.17 25M SETS 2-47 APPLICATION FOR PERMIT
DEPARTNT OF BUILDING SAFETY
CO ��������
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLA`!`ION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE _
HEATER CESSPOOL I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
GAS- MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME JOB
� ADDRESS
W
m ADDRESS LOCALITY
NEAREST
'� CITY TEL.NO. CROSS ST.
a
COUNTY
CERT.NO. EXPIRES NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH O
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 1 OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK Q
_z
BATH TUB FURNACE U`
SHOWER DISHWASHER 13
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 PLUfABINB
METED GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL I "' Z / ' �f) I tf t• ,
TOTAL NUMBER OF FIXTURES SEPTIC TANK i
CESSPOOL SEPTIC TANK SEWER I I
$ 1
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
76A667-CE;tB17 10-67
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER fEAREST
UILDINGBUILDING AND SAFETY DIVISION DDRESSJOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING OCALITYFOR APPLICANT TO FILL IN (PR NT OR TYPE) ROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER s'
WATER CLOSET 1.50
MAIL
BATH TUB 1.50
ADDRESS
SHOWER 1.50 sa
CITY" ! TEL. NO.
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY Lv w-�-1- TEL. Ngqf 7rJ-7
CLOTHES WASHER 1.50 STATELIC
-Z qap-L /_ CLASS
LICENSE NO. L J�
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GR P ZO E P O HD BY
LAWN SPRINKLER SYSTEM 2.00 11� /
V
WATER HEATER 1.50 INDUSTRIALWASTE APPROVAL
O
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD U
OUTLETS OVER .30
5 PER SYSTEM
N
CL
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE $ 2 00
TOTAL FEE APPROVALS DATE INSP CTOR'S SI NATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
LCHATBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
G.EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIEDD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFNIA OR THAT I AM THE LEGAL NER OF,AND INTEND TO
N, THE ABOVE DESCRIBED REST N IAL PROPERTY. FINAL IzURE JACK R. ALLEN, SUPERVISING MECHANICAL EN G'R.
RMITTE
PERMIT VALIDATION CK. M.O.
PLAN CHECK VALIDATION CK. M. CASH
LjL06 �:I, 45� iL' r11 5D 6.510
76A667C ICE 817-A)- 11/76
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDRESS
6261 N, GOL'DEN WES
WATER CLOSET LOCALITY TEMPLE CITY
BATH TUB NEAREST
CROSS ST. L > 1 c vv77i i
SHOWER OWNER xx&AX XSalolxRKxXwKXXXxXxxxx
LAVATORY MAIL 6261 N. GOLDEN WEST AVENUE
ADDRESS
SINK CITY TWMPLW CITY TEL.N0285-5327
DISHWASHER CONTRACTOR AQUATIC POOLS
CLOTHES WASHER
ADDRESS 101 E. HUNTINGTON D/R/IVE
SWIMMING POOL RECEPTOR ` (+ 1V—>�661
CITY ARCADIA TEL.NO.
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER LICENSE NO. " CLASS —
GAS SYSTEM OUTLETS _ DISTRICT NO GR9UP ZONE P CE ED BY
OUTLETS OVER
S PER SYSTEM INDUSTRIAL 0.
WASTE APPROVAL 0
INSPECTION RECORD V
OC
VI
Z
Plan check fee '
PLUMBING PERMIT ISSUING FEE$ 7
TOTAL FEE
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST Z- 7 /)/z./ L
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OFPERMITTEE FINAL N • • • r'. �~�
N • 4--
PLAN CHECK VA TION CK M O CASH PERMIT VALIDATION Q CK, M.O. CASH
J CD O • N
OD 0 O UI :r-
CH
P'S
76A667-=17 3-59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS p
I
ILDING
BY
JOHN A. LAMBIE, County. Engineer
CASSATT D. GRIFFIN, Sup t of Building
LOCALITY F
FOR APPLICANT TO FILL IN NEARESROSS STT.
C
NUMBER FIXTURE OR ITEM OWNER
(�
WATER CLOSET
MAIL
ADDRESS
BATH TUB
CITY 1U:-�+-� - TE O.
SHOWER
LAVATORY CONTRACTOR
SINEADDRESS ty
DISHWASHER C 0-q, L. NO.
CONTRACTO S ,t! ST E ❑
LAUNDRY TUB REGISTRATION NO. of Q COUNTY
CLOTHES WASHER DISTRICT NO. GROUP ZONE P ESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
O INSPECTION RECORD
a $1.00 PER ITEM I
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ I 21 00 UNDER SLAB WORK
TOTAL FEE i\ ROUGH PLUMBING
/f�V GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
LDESCRIBED
UMBING.
HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
ENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 1,4,71-
I
`I. !
LIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
RESIDENT A ROPERTY. ^ /, UTILITY CO.NOTIFIED
NATURE -y-✓F PERMITTE
FINAL
VALIDATION ROBERT A. WOO ,
CC. Y.O. —H SUPERVISING MECHANICAL ENG'R
? �,6 9 5 2 t—n s`'OiJ 3 5 AI-
7,10 0 Ir