HomeMy Public PortalAbout6037 AGNES AVE_Plumbing_12/9/1960_ 76A667 CE817 8 58
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BB ING
JOHN A LAMBIE Count? En eer ADDRESS r
CASSATT D GRIFFIN Sup t of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAlLg
BATH TUB ADDRESS 1
SHOWER CITY 9 TII. NO f,37
LAVATORY CONTRA OR
SINK ADDRESS �,j
DISHWASHER CITYA, TEL NOI� t, Zjs7775
CO OR S STATE
LAUNDRY TUB REGI TION NO l0� /`� COUNTY ❑
CLOTHES WASHER DISTRICT NO GROUP ZONE ESSE,D.BY`
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
SPECTION RECORD
iD-/? ` RmV6 r
�s -rgm a e-,�
APPROVALS
OB PER ITEM
FDCf[TR $ /
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST /J
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE LITILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE FINAL
OF PERMITT
ROBERT A WOOD
®F VALIDATIOZ:�i7/ UPERVISING MECHANICAL ENG R
CK 6f 0
.�9 b 2� CEC 5 d 3 � 0 ID
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76A667-CE817 6-60
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APPLICATION FOR PLUMBING PERMIT 9
RMOFCTYGEGDEPATUTT COUNTY
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS /j_ 7 rr'
WILLIAM A. JENSEN, SUPT OF BUILDING a
LOCALITY
FOR APPLICANT TO FILL IN NEARESST.
CROSS s
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER
CITY TEL. NO.
LAVATORY A '�+ r�
CONTRAC OR
. �
SINK ADDRESS
DISHWASHER CITY � / TEL N G.,
CO RACTO 'S ��, r�., STATE
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER FINDUS7TRIAL
ZONE PROC ED BY
WATER HEATER
GAS SYSTEM ON RECORD
N
a
O
U
P7
O
F
U
W
a
rn
/ $1.00 PER ITEM /
OR FIXTURE $ �( MG
PROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 LAB WORK
-LI TOTAL FEE �� LUMBING
G
I
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ER HEATERPLUMBING.HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR G FIXTURESLICENSED ASREQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 A THE LEGAL OWNER OF TH ABOVEDESCRIBED RESIDENTIAL OPER :- O.NOTIFIED l
SIGNATURE
OF
®r PERMITTE d VA FINAL ROBERT)' WOOD,
.CK. a.*. )SUPERVISING
MECHANICAL ENG'R
U►;,70811]D" JhN16 5 D 3.00
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0810230009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS: 1
ITR: 6561 LT: 57 UN: .002 1 6037 AGNES AV 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801708 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS 1
15385-027-006 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, CI
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 1
(TENANT: Ill CLOTHESWASHER(S) 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
I 113 DISHWASHER(S) 1.00 FIX 16.20 110/23/08 SR 04/21/09 1
1 125 LAVATORIES/SINKS 2.00 FIX 32.40 1 1
(OWNER: TEL. NO: 145 WATER CLOSET/URINAL 1.00 FIX 16.20 IFINAL DATE FINAL BY: CODE: 1
IGILMORE, STEVE (626) 288-1029- 147 WATER HEATER(S) 1.00 WTH 16.20 1 1
16037 AGNES AV 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 1 1
ITEMP 917801708 1 TOTAL FEES 157.35 IDESCRIPTION OF WORK 1
I 1 IPLUMBING FOR KITCHEN, BATHROOM AND LAUNDRY REMODEL 1
I I I I
1APPLICANT: TEL. NO: I I 1
IJAN VALENTINE - I I ,
1601 DURWOOD DRIVE. I ISPECIAL CONDITIONS: 1
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ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IJAN VALENTINE (818) 384-3190- 1 1 1
1601 DURWOOD DRIVE LIC. NO 1 1UNDER SLAB WORK I 1 1
I NONE I I
1 1 IWATER SERVICE I 1 1
1 I IPLASTIC Y/N METAL Y/N I 1 1
1ARCHITECT OR ENGINEER: TEL. NO: I I I 1 1
1 I IROUGH PLUMBING I I I
1 LIC. NO: I 1 11 1
I IGAS PIPING I
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1 I IGAS VENT I I I
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1 I IHOT WATER HEATER I 1 I
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1 I IPLUMBING FIXTURES I I I
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1 1 1LAWN SPRINKLERS 1 1 1
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1 I IGAS TEST I I I
I 1 11 1
I 1UTILITY COMPANY NOTIFIEDI I
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EXPIRE® CWV
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IGRAY WATER SYSTEM I
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I IREPORT ID: DPR263 ROUTE TO: BS0508 I 1 1 1
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