HomeMy Public PortalAbout6439 GOLDEN WEST AVE_Plumbing__ ♦ .� C-�' �C� r
�76 A 667 - CE 817 7-69`
•
' APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS (y
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.s0
MAIL
BATH TUB 1.50 ADDRE S ,1
SHOWER 1.50 CITY, TEL. NO. lyen
LAVATORY 1.50 CONTRACTO C
SINK 1.50 ADDRESS _
DISHWASHER 1.50 C TEL. NO.
CLOTHES WASHER 1.50 STATE- LIC
LICENSE NO. 03 a CLASS C Q
SWIMMING POOL RECEPTOR 1.50 DISTRICTN TP
ZONE P 5 BY
LAWN SPRINKLER SYSTEM 2.00 ---�/
WATER HEATER 1.50 INDUSTRIAL O
[, WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 J� INSPE TI AEC D u
OUTLETS OVER
5 PER SYSTEM .30 �
W
CL
N
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT I A PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY NGELE OUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM E EGAL NER OF,AND INTEND TO
RESIDE IN,THE ABOVE D I D R TIAL PROPERTY. FINAL ..
SIGNATURE JACK R. ALLEN, SUPER VISIN HANICAL EN G'R.
OF PERM-TTE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK ALIDATION CK. M.0. CAS; b U 6 7� X28 D 3.50- 11 V C%
aff
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0110150015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHOME: (626) 285-DM EXT:
LEGAL ID_ FEES PAID BUILDING
ON FILE 6439 GOLDEN HESTnAV 1 '
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801423
-NEAREST CROSS-STREET: LONGDEN
5383-016-004 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: Al ' LOCJALITY: TEMPLE'CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.7�,00
TOTAL FEES 41.95 .
10/15/01 JK 04/13/02LAMM: TEL. 15- FINAL D4TE F CODE:
.
HENSON DOUGLAS M;KAREBN -
6439 GOLDEN WEST AV
TEMP 917801423 DESCRIPTION OF lllcpjli�
MOVE HEATER
APPLICANT: TEL. 100:
TERRY YU. (626) 575-0843-
9625 ALPACA ST SPECIAL CONDITIONS:
S. EL MONTE 91733
CONTRACTOR: TEL. Pr1GELES CAPPROVALS DAIL INSPECTOR SIGNATURE
OV
TAI HEATING AND AIR CONDITIONING (626) 575-0843-
9625 ALPACA STREET LIC. NO UNDER SLAB WOR
SOUTH EL MONTE,CA 91733 506659C20
WATER SERVICE
PLASTIC YIN METAL Y/N
ARCHITECT OR ENGINEER: TEL.
ROUGH PLUMBING
LIC.
GAS PIPING
111111
GAS VENT
HOT WATER HEATER
U L C W 0),"'RKS) .
ts
GAS TEST
U
Service GRAY 6LAM SYSTEMa
• ADDITIONAL DATA ON FILE
REPORT ID; 4PR263 ROUTE TO: BS0508
COLNTY OF LOS ANGELES TEMPLE CITY ;R 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TLMAS PL 0508 0112210013 "
BUILDING AW SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
FEES PAID BUILDING ADDRE38:
ON FILE 6439 GOLDEN WEST-AV
FEE DESCRIPTION: . QUANTITY: UON_ AMOUNT: TEMP CA 917801423
ASSESSOR INFOR14ATION NUMBER: NEAREST CROSS STREET: LONGDEN
5383-016-004 01 PERMIT ISSUANCE FEE27.75 THOMAS PAGE: 597 GRID: Al LOCALITY:•TEI'PLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
• 45 WATER CLOSE7/UtINAL- 1.00 FIX 16.20
TOTAL FEES 60.15 12/21/01 JK 06/19/02
"
JIM LEI (626) 447-5952- .
6414 GOLDEN WEST AV
TEMP 917801423. 6E*(TPTION OF WORK
BATH ADDITION - INCLUDES ONLY SINK AND SHOWER
SAME AS OWNER _
SPECIAL CONDITIONS:
CONTRACTOR. TEL.
SAME AS OWNER •.
LIC. NO /.� '�
UNDER $LAS WORK
WATER SERVICE
PLASTIC YIN METAL Y/N
. . _
LIC. MO ROUGH
i1 �_T�_ � i �� f .; �1 �1�
► _ _,,�!� 1'.4, - X11; U/ ;� , ,a f.`
- GAS PIPING
GAS VENT
HOT WATER HEAT
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UT I L I TY COMPANY NOTIFIED
CWV
'�-
GRAY WATER SYSTEM
REPORT ID• DPR263 ROUTE TO:.BS050a