HomeMy Public PortalAbout6349 GOLDEN WEST AVE_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLUMBING P$RMIT
DEPARTt4ENP OF PUBLIC 1010RIS 9701 LAS TUNAS PL 0508 0811190008
BU=ING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: FEES PAID BUILDING ADDR&SS:
ON FILE 6349 GOLDEN W= AV
FEE DESCRIPTION: QDANI'TT'Y: DOM: AMOQNT: TEMP CA 917801418
ASSESSOR INFORMATION NTINSER: KE REST CROSS Sf=: LONGDEN
5383-018-022 01 PERMIT ISSUANCE FEE 27.75 TSOMOgS PAGE: 597 OR : Al LDC3L=: TEMPLE CITY, C
25 LAVATORSES/SINKS 1.00 FII 16.20
TENANT: 51 LOW PRS GAS 5 OU= 1.00 SYS 16.20 ISSUED ON: PRO<MSSUD BY: PLAN BY: EXPIRES ON:
TOTAL FEES 60.15 11/19/08 SR 05/18/09
OWNER: TEL. NO: Fruai• DATE Y: CODE:
FLING, BAD Q (323) 684-6173-
6349 GOLDEN f&ST AV
TEMP 917801418 DESCRIPTION OF WORK
PLUMBING FOR KITCHEN R WDEL
APPLICANT: TEL. NO:
SAME AS OWNER - 9 1
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
SAM]i AS OWNER -
LIC. NO UNDER SLAB WORK
MINTER SERVICE
PLASTIC YIN METAL YIN
AR== OR ENGINEER: TEL. NO:
- ROUGH PLUMBING / M
LIC. 190: "y
GAS PIPING
GAS VENT
HOT WATER BEATER
PLUMBING FIXTURES
LAIN SPR47LL.S
GAS TEST
UTILITY CO1{PANY NOTIFIED
cwV
GRAY WATER SYSTEM
REPORT ID: DPP-263 ROUTS TO: RS0508
•78A$iT7-CE817 12/59
APPLICATION FOR PLUMB NG PERM - 1
DI OF s ANGI�ION
i'Du.Dn�a
Uwry NBINpxft ADDHF�
LLJAM A. JENSEN, OVI T or ISUILDINa
Loci=
FOR APPLICANT TO FILL IN "Allm
CmOm Sr.
NUMBER FIX'R71li OR ITEM OWI
WATER CLOSET
&DDHE�
AR TDD
C= � DO.
SHOWER ..
�aVAToRY 6
DmalMASIM crr7 TEL NO. r
o C70a e / UrATE
UUMDR7 TVD RMESTR.ATIOR M COURTS
CL07EM WARHEI 777
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ar
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APPROVALS DATE INSPECTOB'd SIGNATIIRH
FIMX T ; St 00 UNDER suB WORK
TOTAL,FEEILI% O ROUGH PLUMBING
o"PIPING
I HIRM ACXIIOWIIDGI THAT I HA IIAD THIS APPUCAT16M aK.s VENT
AAD STATS THA r '�FiI ADM Il CORMCT AND A TO OOKPLT
I•ITH ALL COIIITT ORDIROCSS /lip STATL LAVPYI<®LAnK4 HOT WATER HEATER
PLUMBI24L
I HRRXST CIRTIFT.THAT I Ai PIOfIILT 4IgIS7`Q= AND/OR PLUMBING FIXTURES
UCS311ID AS Rumim AT LDS AIGSO.IS COU1<TT AAD STAT, OF GAB TEST
OIL THAT I Al THI I.;oAL. MM P■ � ABM
DISCRIM REMXWTIAL F70 UTILITY C0.NOTI PI)!)
SIGNATURE
OT'PERSiI FINAL
m. YAMATION ROBERT A. WOOD.
S,p. USK 6UFENVISINg MECHANICAL MN(l'R
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6 0 a 2 5 0 12 .00
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APPLICATION FOR PLUMBING PERMIT �
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UNnrtaGG 6349 Golden WeSt Ayn.
WILLIAM A.JXNSNN. Surr qp, �
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APPROVALS 1 p•a 2RalUl,T[IRE
PER' M4T i 2100 UNDER SLAB WORK
TOTA,L.FEE 12 00 ROUGH PLUMBING
I H[SIBY ACIIOWL14DQt THJ1T l RlR QlAQ 'rH] A!<FLIC�97OI d'�`B TIPINd
AND STAT} THAT T� ADOYL IS COIIIICt Aip ML TO =0T GAS VEW
WITH ALL COURN ORDINAICIS AND JTATZ LAWS NISULATINO HOT WATER
IC�Dp�I113LIDY CJ3MrY THAT I A* F'SIILT kIi1/TQ= AID/01t PL.UHBiNG RISA
CALIFOIIIIA m
T'S.LOTTS��I�AI� CD AND RATR_OF GAB TSSr
DISCYISSD SDF'SI<TT. AIWt LmLI7'Yca NdnmlKD
ZI GNATURII
Qr RiRMI
F I NAL
m■ �VALMAIION ROBERT A. WOOD,
at
E.0. GAJZ SUPSRVISLNG MQCHAMCAL EN(rft
1
7&6b67A
CE 817(REV.11/78) v
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPUCANT TO FILL IN(PRINT OR TYPO BULD"ADDRES �` /
NUMBER FIXTURE OR ITEM O a L
LouurY L _
WATER CLOSET
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER —
MAIL
LAVATORY ADDRESS ADD L
SINK CITY L C TEL NO.
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL NO.
LAWN SPRINKLER SYSTEM STATE LIC
WATER HEATER LICENSE NO. CLASS-
GAS
LASS
pGAST�SE7YSTpF�V1 OUTLETS APPROVALS DATE NNSPECTOR'S SIGNATURE
5 PER SYST6N� UNDER SLAB WORK y
ROUC4-1 PLUMBING
GAS PIPING
U
GAS VENT QS
HOT WATER HEATER 0
PLUMBING FIXTURES
GAS TEST - yQ
Plan check fee UTIUTYCO.NOTIFIED X
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
Plan check applicant PLAN CHECK VALIDATION
Name 1
Addrau
City Tel.No.
I HEREBY ACICROMR_ E TKkI14HAVE READ THLS APPLICATION AND STATE9 7 2 7 A
THAT THE ABOYC la CORRECT RE RTo COMrLywrrH ALL COUNTY ORDIN.yNCES
AND STATE urn REGULATING PLUMPING. PERMIT VALIDATION
# eoo ° o5
I HERCPY CEATNFY THAT I AM PROPERLY REGISTERED AND/OR LICENRED AS i
REQUIRED PY Los ANGELES COUNTY AND STATE OF CALIEORNN OR THAT I AL THE
LEGAL OWNER Or.AND IMl'EM6 ItL1HDE IM THE ABOVE !SCRIBEr�D RESVENTIAL L D Q 1 3, 00
PROPERTY.
0 0 0 I d 0 0 6
SIGNATURE
OF PERMfTTLC
AAA
0404.-80
Y
I N D UST RIAL
WASTE APPROVAL