HomeMy Public PortalAbout9931 BOGUE ST_Plumbing__ 76A667-CEV817 5/63 / A4 f9` G G 1 (7�
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND'SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS B e
WILLIAM A. JENS&, SUPT OF BUILDING
LOCALITYlbaft" Te �-e Citi
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 W. Cascio
MAIL
BATH TUB 1,25 ADDRESS 1 BO e
SHOWER 1.25 CITY Temp1e Cit - TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS10920 E Grand
DISHWASHER 1.25 CITY T e City TEL. NO. 442-1234
LAUNDRY TUB 1.25 CONTRACTOR'S 2118 S STATE [
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DIS STRICT GROUPN PROCESS D BY
1 WATER HEATER 1.50 1 V0
O
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL 91-
WASTE
1WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSP$CTION RECORD• U
t �
O
0
CL
N
Z
_ APPROVALS DATE -,,INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK / t
•r ROUGH PLUMBING
TOTAL FEE O GAS PIPING / L�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER 0 A5 _,�+� �/
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES / -t
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ���^- �-
,} CALIFORNIA OR THAT I AM TH LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN,THE ABOVE DESCRIBE RESIDE R PERTY. UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE f�'�� FINAL
OCK. ALIDATION
ROBERT A. WOOD
M O. CASH SUPERVISING MECHANICAL ENG•R
Aus-2!•1 5 D 3'Z0
COUNTY" OF LOS ri�1GELES TEMPLE CITY # 0508 PL!Jri+;,i.+; r PER-Mil
DEPARTMENT OF PUELIC WORKS 9701 LAS TUNA'- FL 0410110002
BUILDING AND SAFETY i LAND DEVELOPMENT TEMPLE CITY CA 9�7c-0
PHONE: (626) C;Q�S EXT:
'FEES PAID BUILDING ADDRES4:��—
r'•-o57 LT: 3 9931 ROGUE ST
I FEE C+-S%RIPTION: OU-.NTITY: UOM: AI•i G": TEMP CA 91780263?
I" FE"'OR INFORMATION NUMBER: ± NEAREST CROSS STREET: LIVE OAK
D1, 0201 P '?i,ii SSUANCE FEE . .7_. THOMAS PAGE: Gi::O: A3 LOCALITY: +c°!N.E tTl' C
I03 BACKWATER VALVE(S) 1.00 VAL 46.95
I,E,;„,,,, 1 .,
,, .a\ 70RIES/SINKS 2.00 FIX 32-40 iSsJED ON: PROCESSED B' s BY': EXPIRES C; w
!45 WATER CLOSET/URINAL 1.00 FIX 16.20 10/11/04 JK 04/09/05
47 WATER HEATER(S) 1.00 WTH 16.20
TEL. N0: 151 Lv4! r GAS 5 OUTLET 1,170 SYS i8.20 FIt4A!. DATE L SY': CCDE:
SAMUD{O, ELIZABETH (626) 281-9689- TOTAL FEES 155,?t
GCi;UE ST
!T ? -17-62632 ^ESCP.I?TION OF WORK
_.
PLUMBING FOR NEW BATtiRu—,,,,,i
' �s•.N TEL. NO: I —�
JSF'ECIAL CONDITIONS: ---
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! t �
CUM--RAt. C:' 1EL. NO: kTPP.`^VALS
1S..lE AS O'N.'ir'ER - + '
LIC. NG U:°:DEQ SLAB WORK I !
I i WATER SERVICE
' j - "Slr Y/N METAL Y
"..:..-.
--'-T OR ENGINEER: i'-
I I R—O GH PLU-RING —__._i�� / I
L L C. , GI:S !r I P I G
!riCiT .;iTEr HEATER
PLUMBING FIXTURES
i LAWN SPR
INKLEP.S ---- �� '--.-
GAS TEST
IiJ7—TE 'Y COMPANY NOT:T -- -T—��I
GRAY WATER SYSTEM
+
(REPORT ID: DPR263 ^� ROUTE TO: SS0508