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HomeMy Public PortalAbout6261 GOLDEN WEST AVE_Plumbing__ 76AS67 1117 5-50 10 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING ���� ' 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