HomeMy Public PortalAbout5020 DALEVIEW AVE_Plumbing__ ^BaT .APPLICATION FOR PLUMBING PERMIT 1
OBB.IT(DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los'Angeles BUILDING �T �y
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �{�
CASSATT D. GRIFFIN„SUPT OF BUILDING
.. ,.. e. . ..._ - LOCALITY
FOR APPLICANT TC FILL IN I NEAREST
CROSS ST.
OWNER ���� DIST ICT NO. IS P ZONE READY FOR INSPECT ION
MAIL '1 A+�
ADDRESS --tt��
INDUSTRIAL -
CITY TEL. NO. WASTE APPROVAL
PLUMBER#55 � Ti/ `�^ /y`Q� INSPECTION RECORD
AODRESS�,3� /yf�Y/FL/(j'f%�.��f G'
C I TY 14 S/��V /j�� TEL. NO.VA;L7
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM- FEE
WATER CLOSET (TOILET) @ $1.00 $ /
BATH TUB @ S1.00
R @ $
SHOWE1.00
� LAVATORY (WASHBASIN) @ $1.00
/TKITCHEN SINK @ $1.00 / ery 9�'J///v_ Y•/
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
T CLOTHES WASHER @ $I:00 lefv )
! WATER HEATER @ $1.00
-_� GAS SYSTEM @ $1.00
v
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
j
$ t 0O - ROUGH PLUMBING
GAS PIPING
FEE -
GAS VENT
1 HEREBY ACKNOWLEDGAVE READ THIS APPLICATIONAND STATE THAT THE ABECT 'AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDID STATE LAWS REGULATING PLUMBING FI%TURES
PLUMBING.I HEREBY CERTIFY THAOP Y AND/OR GAS TEST
LICENSED AS ftE0U1RE UNTY STATE OFCALIFORNIA OR T I OW K THE ABOVE UTILITY CO..NOTIFIED
DESCRIBED REST TIASIGNATUOF PERMITFINAL
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A. WOOD. CHIEF PLBG. INSPECTOR
CA. II.0. CASH
'('LCO0.15 y?' SEP 13 .3 .8.0 0 70
W, J
16A 667 DB5.17 10-45
APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. L'AMBIE. COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
_ LOCALITY.IiG�IN�� LIT
_ FOR APPLICANT TO FILL IN I NEAREST
CROSS ST.
OWNER DISTRICT NO. GROUP ZONE xsaov ron Ixs rEcr iox
MAIL
ADDRESS
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
' PLUMBER �� �r€1Z .. ��l� jl INSPECTION RECORD
ADDRESS&'( �5/• �//R� �f �'�.C/ 9OlP-Ae
CITY /y �q/TEL. N ��
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $ CZ3 �I. / 02
I BATH TUB - @ $1_00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00 _
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ .$I.00dk
�
CLOTHES WASHER @ $1.00 v
WATER HEATER @ $1.00
i GAS SYSTEM @ $1.00 L�
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK I' /
PERMIT $ ROUGH PLUMBING 7�b
GAS PIPING
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
IC HEREBY CERTIFY THAT P PERL REGI ED AND/OR GA TEST
LICENSED AS REQUIRED LOS A C U AND ST OF '
CALIFORNIA OR TH I A T LE R OF ABOV UT LITY CO.NOTIFIED
DESCRIBED REBID IAL ERTY.
SIGNATURE
OF PE MI E FINAL
JOHN A. LAMBIE, COUNTY ENGINEER --VALIDATION ROBERT A.WOOD. CHIEF PLBG. INSPECTOR
Cs. B.o. CAsx
l.,> 0 0 7 5;R 'SE 3 8.00 m
Q�
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0405040011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: - FEES PAID BUILDING ADDRESS:
TR: 14020 LT: 17 5020 DALEVIEW AV '
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: TEMP CA 917803519
ASSESSOR INFORMATION NUMBER: 'NEAREST CROSS STREET: '
8574-007-017 01 PERMIT ISSUANCE FEE - - 27.75 THOMAS PAGE: 597 GRID: D4 ' .LOCALITY: TEMPLE CITY, C
07 DATHTUSS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 05/04/04 VG 10/31/04
63 WATER PIPING BR/FIX ` -;4:00 FIX 27.00
OWNER: TEL. N0: 'TOTAL FEES 103.35 +F/ FI NA! 8Y: CODE:
LEOVI GILDO P;ROSARIO 5 (626) 575-0900-
10605
10605 OI70 ST
ELMT 917311931 ESCR INT iON OF WORK
PLUMBING FOR NEW BATHROOM
APPLICANT: ITL. N0:
MIKAEL (310) 391-9092-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
GENESIS REMODELING (818) 787-8909-
22425 VENTURA BLVD #300 LIC. NO - UNDER SLB WORK
WOODLAND HILL CA 91364 776419 8
WATER SERVICE
ARCHIT CT 5R Et10NE ER: iEL. N0: (PLASTIC Y/N METAL Y/N
MIKAEL DESIGN (310) 391-9G92- OT1 UGH P�QMB[NG
12519 OWAY LIC. N0:
LOS ANGELES,GELES, C CA 9006612 NONE GAS PIPI!JG
44-c
_ iGAS VENT
HOT WATER HEATER
PLUMBING FIXTURES C_ _
LAWN SPRINKLERS
GAS PEST
(UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ;D: DPR263 ROUTE TO: BS0508 -
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