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DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING / / ri ti f
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
N
�( EAREST
ARPM—5-d ��7 �9 4�%�'(1/1;' CROSS ST.
DISTRICT N0. GROUP ZONE PERMIT N0.
LOCALITY I r 3 O
NEAREST /9
CROSS ST. RE741
EO By p Ready for Inspection DATE ISSUED
OWNER 9. 27 A ct�
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL.NO. INSPEC'T'ION E RD
PLUMBER4'
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ADDRESS�Y3 tiS
CITY ? TEL.NO.�J �-7/
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1
�y [gBTIU N C 2
LICENSE N0. ��7.'���•� [�COUNTY C��
PERMIT FEES 5y B
z
JIl1M3ER TYPE OF FIXTURE OR ITEM FEE
"? WATER CLOSET(TOILET) @ 0.80 S jJ R
O
BATH TUB @ 0.60 t7
SHOWER @ 0.80
- LAVATORY (WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80 �' W
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ '0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM.. ...-OUTLETS @ 1.00 �r
WATER HEATER @ 1.00
MISCEL NEOUS -
a � APPROVALS ,
DATE I SP TOR'S SIGNATURE
UNDER SLAB WORK �Z
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE Q GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER 4,Pv rs-t OoK
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GASTEST
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN.
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED i u;"",
SIGNATURE
OF PERMITTEE--- lF= .%
FINAL
76A667 DB"' Cdb )2.53
DF.PART3CENT OF COUNTY ENGINEERPLUMBING 1
DMSION OF BUMEIING AND SAFETY PERMIT APPLICATION
BOUNTY OF 1008 ANQFJ. BUILDING L1�
WILLIAM 0. FOX, CouHrr ENOINE[R ADDR ✓
FOR APPLJC`ex�`T TO ILL IN NEAREST LocA rTY
ADBUILD ESS DING !f(r CROSS{T.
I DI5TRICTT0. GROUP E P MIT NO.
LOCALITY r '3 e a
NEAREST
CROSS ST. REGI ED B7 Ready fa Immpo4t sa DATE$ 17
_�
OWN
MAIL INDUSTRIAL
ADDREM WASTE APPROVAL
CITY TEL N0.
IN5P x CORD
PLUMBER D -`
ADDR
CITY TEL NO. j/ Tk x O
LICENSE NO. F3 COUNTY J J
PERMIT =sN:wj 6�AQ
z
4UMMKR TYrK OF FIXTLRI OR IT" FKK Q
WATER PLOSET CrOILM • sm s o
B TH TUB • 8-m
{HOWER • 0."
LAVATORY(WASH BASIN) •.RS
KITCHEN SINK • 0.84
LAUNDRY TUB OR TRAY 0. 1 y p
SLOP SINK ! 0.90
FLOOR6INK ! 0,11111
IL
FLOOR DRAIN ! 0 lf0
DISHWABHER • '0•SO f
D INkINA FOUNTAIN • O.EO
URINAL • 9-m
GAS TEM OUTL Ido co
WATER HEATERI.00 1& D
MISCELLANEOUS
APPROVALS
D TE IIfSPqGTORVlRNATURE
UNDER 8 WORK
PERMIT $ 1 00 ROUGH FL BIND /
GAS PIPMG
TOTAL FEE
1HERE8Y AOKNOWLEDQE THAT L HAVE READ THIS APPLI- GABVENT
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY GROIN ANOES AND STATE LAWS
REGULATING PLUMBING. PI.UMBINQ FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWR-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTL
FINAL
T&A6QT DBS 11 Ob 12-33
78AOe7-Ce19e17 4-e7 ~
AP.PLIEATION F R PLUM ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER . •
BUILDING AND SAFETY DIVISION iDIInDRr G
JOHN A. LAMBIE. COUNTY ENGIN[!R
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN ��EST
CROSS ST.
NUMBER FIXTURE OR ITLM UCH F[[
OVI1m
WATER CLOSET 51.26 MAM
BATH TUB 1.25 ADDRESS
CITY No.
axowEs 135
LAVATORY 1.8 COIRBACTO
am 1.26
ADDRESS f
DMHWASHEI l n CTTT TEL no.STATIE LIC
QQ
LAUNDRY TUB 1.23 LLIICENBE NO. O CLASS U
CLOTHES WASHER 136 DI['TRiCT NO. GROUP ZO Q r 11 D ■Y
WATER 1.50 . p
GAS MTEm Z/ OUTLETS 1 WASTE OVAL U
OUTLETS OVER 3 PER SYSTEN .30 INSPECTION IECOID oc
a"2
APPROVALS DATE IN*PECTOR'S SIGNATURE
PERMIT s 2 pp UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE1. GAS PIPING
I IIR[1Y.ACKNOWL[ @tE THAT I HAV[ READ THIS APPLICATION GAS VENT
AND.*TATTHAT TH[ A10VE 1* CORRECT AHD AQREE TO COMPLY
WITH ALL COUNTY OPLDINAHCNA AND *TATE LAW* REGULATING HOT WATER HEATER
PLUXI EINo.I
1 HERIY CET7
RFW THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED NY LOS ANGELES COUNTY AND *TATE OF GAS TEST
CALIFORNIA OR THAT [
1 AM TH[ LQAL OF,AND INTEND TO
WIDE 0 E
IN,THE A1VE DSC 1R D RLSIDE ROP[RTY UTILITY CO. NOTIFIED
•IGNATURE
OF PERMI FINAL
ATION JA6K R. ALLEN
cK. M.o. CASH SUPERVISING MECHANICAL ENG'R.
C�
[�4 0 9 � EOR 4 - 5 350"
COUNTY OF LOS A7Nf317TM TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1204160013
BUIL ING AND SA.FSI'Y / LAND DEVELOPMERT TENTLE CITY CA 91780
PHONE: (626) 285-0488 ETI':
LEGAL ID: FEES PAID 13U=ING ADDRESS:
TR: 6561 LT: 150 5956 CXMKLLTA AV
FEE DESCRIPTION: QUANTITY: 0014: MOUNT: TEMP CA 917802016
AS.S&9SOR INFORMATION NUI4BER: - NWJ RrgT CROSS STR=: WOODRUFF
8587-926-035 01.PERMIT ISSUANCE F= 27.80 THC*(AS PAGE: 597 (TQ : A2 LCO%-=: TEMPLE QITY, C
51 LOW PRS GAS-5 OLT= 1.00 SYS 16.20.
TENANT: TOTAL FIMS 44.00 ISSUED ON: PROCESSED BY: PLAN BY:
CRBALLOB HENRY 04/16/12 SR -
OWNER:: . NO
BROWN, JANET (949) 636-0777- CODE:
458 SHARON RD -f
D CRI OH OF WORK YY
CIMNQE OUT LOO LIGHTER VALVE PRESSURE TEST
APPLICANT: TEL. NO:
ROBERT (626) 969-0403-
627 E SIERRA MADRE SPECIAL CONDITIONS:
AZUSA, CA 91702
CONTRACTOR: TEL. NO: APPF.DVAIS DATE IMPE=R SIGNATURE
ROBERT'S PLUMBING (310) 880-2011-
627 E. SIERRA MADRE LIC. NO UNDtR STAB WORK
AZUSA, CA 91702 407696036
WATER SERVICE
PLASTIC YIN METAL, YIN
ARCHITECT OR ENOINEEZ: TEL. NO: .
ROUGH PLOMBIN3
LIC. NO: _
OAS PIPING
OAS VENT
HJT,WATER HEATER -
PLUMBIM FTXTURRg
LANK SPR-TNIrdna
OAS TEST
UTIlJ= COMPANY NOTIFIED
C►dV
{SRAY WATER ,4YSTffi
• ADDITIONAL DATA ON FILE -
REPORT ID: DPR263 ROUTE TO: BS0508