HomeMy Public PortalAbout5935 AGNES AVE_Plumbing_5/29/1975_ 78A887 (CE 817) 1/75
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APPLICATION-' R PLUMING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO FA"DDLR'E' ,3� 4✓L�
HARVEY T BRANDT COUNTY ENGINEER 'FOR APPLICANT TO FILL IN (PRINT OR TYPE) 02 /c.Gtl�CLc/Li /�/L_
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET
2 00 OWNER
MAIL
BATH TUB 200 ADDRESS
SHOWER 2 00 CITY l—�yya EL NO
LAVATORY 200 CONTRACTOR
SINK 200 ADDRESS
DISHWASHER 200 CITYTEL NO
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CLOTHES WASHER 2 00 STATE ''!! LIC
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SWIMMING POOL RECEPTOR 200 LICENSE NO CLASS
DISTRICT NO GROUP NE P SSED BY
LAWN SPRINKLER SYSTEM 200 UGC
WATER HEATER 200 INDUSTRIAL
WASTE APPROVAL
5
GAS SYSTEM OUTLETS INSPECTION RECORD
OUTLETS OVER C:)
5 PER SYSTEM 30 c / V
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEES 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATURE t
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING j 3a 74421,2*-.I. i,
City Tel No GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LO GELE COU TY NO ST TE OF
CALIFORNIA OR THAT I AM T L GAL HE OF NO END TO
RESIDE IN THE ABOVE DESC ED ES ENTI PA RT FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALI ATION cK 0 CASH
PLAN CHECK VALIDATION K M 0 CASH
1
4 475,d ,
r.
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0807280012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS 1
ITR 6561 LT 65 BL 001 I I 5935 AGNES AV I
I IFEE DESCRIPTION QUANTITY DOM AMOUNT I TEMP CA 917802218 I
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LAS TUNAS 1
18587 026 026 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY Cl
1 125 LAVATORIES/SINKS 1 00 FIX 16 20
ITENANT 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
TOTAL FEES 60 15 107/28/08 SR 01/24/09 I
(OWNER TEL NO I IFINAL_DAT FINAL BY CODE
IBOYD ROBERT A BONNIE J (626) 975 9688 I 1
15935 AGNES AVE I I /
ITEMPLE CITY CA 91780 I IDE CRIPTION OF WORK 1
IKITCHEN SINK RELOCATED GAS LINE AND WASHER AND DRYER
I I I I
(APPLICANT TEL NO -
IYES ELECTRIC AND CONSTRUCTION (818) 674 2476 1
112245 CHANDLER BLVD I ISPECIAL CONDITIONS I
IVALLEY VILLAGE 91607 I I 1
I I I I
I I i I I
ICONTRACTOR TEL NO I `y L (APPROVALS DATE INSPECTOR SIGNATURE I
IYES ELECTRIC AND CONSTRUCTION (818) 753 7903 1 1 1
112245 CHANDLER BLVD LIC NO I (UNDER SLAB WORK
ISUITE 103 892531 C10 I 1
IVALLEY VILLAGE CA 91607 1 IWATER SERVICE I I I
I (PLASTIC YIN METAL YIN I I I
1 ARCHITECT OR ENGINEER TEL NO I LI /y'/]�/ I
ROUGH PLUMBING
LIC NO I
n I
IGAS PIPING
I I I I I I
I I IGAS VENT I I I
I I I I
IHOT WATER HEATER I I I
I I I I I
I IPLUMBING FIXTURES
I I I I I I
I ILAWN SPRINKLERS 1 I
I I I I I I
IGAS TEST I I I
I 11 1
(UTILITY COMPANY NOTIFIEDI I I
I I I I I
I I jCWV I I I
I I 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
1 IREPORT ID DPR263 ROUTE TO BS0508
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