HomeMy Public PortalAbout8718 BURGHARDT RD_Plumbing__ 7SA667 CE#917 1b6<
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT BF BUILDING LOCALITY
ary
FOR APPLICANT TO FILL IN NEAREST
CROSS
NUMBER FIXTURE OR ITEM EACH FEE
OWNER p
WATER CLOSET $1.25 MAIL
BATH TUB 1,25 y5' ADDRESS /
SHOWER 1,25 CITY TEL. NO. u
71
LAVATORY 1.25 CONTRACTOR eel
SINK 1.25 ADDRESS G-
DISHWASHER 1.25 CITY y/. TEL. NO.&:�,_CONCTOR'S STATE
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LAUNDRY TUB 1.25 EGISTRAS ON NO. a COUNTY
CLOTHES WASHER 1.25 DIBTRIC NO. GROUP ONE PR EBBED BY/
/ WATER HEATER LSBire
GAS SYSTEM_�._OUTLETS 1.50 �Y� INDUSTRIAL >
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .$0 INSPECTION RECORD V
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APPROVALS DATE INSPE. R'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORKL--
�J ROUGH PLUMBING
TOTAL FEE pQ GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GASVENT
AN STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY C
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
Io
CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GA$TEST
GALIFORN IA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERT UTILITY CO. NOTIFIED `
SIGNATURE 1
OF PERMIT
FINAL G� y' A
VALIDATION ROBERT A. WOOD
cK. M.o. CASH SUPERVISING MECHANICAL ENG'R
�; � 5 1 4 3U AUG31 5 .4 2 0.30- '
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0504190001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDINGDRESS:
TR: 29922 LT: 12 8718 BURGHARDT RD
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: SGAB CA 917752614
ASSESSOR 0 MA IO NUMBER: NEAREST CROSS STREET: MUSCATEL
5386-008-070 01 PERMIT ISSUANCE-FEE 27.75 THOMAS PAGE: 596 GRID: G3 LOCALITY- TEMPLE CITY, C
07 BATHTUBS/SHOWERS 7.00 FIX 113.40
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISS ED ON: PROCESSED BY: PLAN BY: EXPIRES .
13 DISHWASHER(S) 1.00 FIX 16.20 04/19/05 JK 10/16/05
25 LAVATORIES/SINKS 7.00 FIX 113.40
OWNER: TEL. NO: 45 WATER CLOSET/URINAL 5.00 FIX 81.00 CODE:
STEWART LAWRENCE W;HELLON D (818) 286-8616- 47 WATER HEATER(S) 2.00 WIN
8718 BURGHARDT RD 51 LOW PRS GAS 5 OUTLET 1.00 SYS
SGAB 917752614 TOTAL FEES 416.55 DERV 0 O�I�
P GING FOR ADDITION
TEL. .
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
DIAMOND ENG. (818) 222-3453- ROUGH PLUMBING
2680 AGOURA ROAD LIC. NO:
CALABAS, CA 62744 C GAS PIPING
GAS VENT
OT WATER HEATER
PLUMBING FIXTURES
REEFS-
GAS
5
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: SS0508