HomeMy Public PortalAbout5108, 5106 DALEVIEW AVE_Plumbing__ 9°A°°T APPLICATION FOR PLUMBING PERMIT 1
QBB.I](DIVISION OF BUILDING AND SAFETY S
Deportment of County Engineer - D
County of Los Angeles - BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS _ T ey
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY Temple City
FOR APPLICANT TO FILL IN I NEAREST
[i CROSS ST.
OWNER Hoy DISTRICT NO. I GROUP ZONE HEADY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER Lee' s Plumbing / �� I/NSPECTION RECORD
ADDRESS 7759 8+• Garvey bnlvd J "�Y LG
C,P. San Gabr/ielTEL. NyO~t 0/73691
LICENSE NO. �L•'-'3 4> / (1 -2 2 7 f_ 6� - > �
t NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00 Q
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00 l
CLOTHESWASHER @ $1.00 1.
WATER HEATER @ $1.000
GAS SYSTEM @ SI.00 VPI
APPROVALS .
DATE INSPECTOR'S SIGNATURE
a
UNDER SLAB WORK
PERMIT S 1 OO ROUGH PLUMBING I 9/6wI nx-
GAS PIPING G" 6
TOTAL FEE GAS VENT _
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
". LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED 1
DESCRIBED RESIDENTIAL PRRPE
SIGNATURE
u OF PERMITTEE FINAL
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A. WOOD. CHIEF PLSG. INSPECTOR
CK. tl.0. -CASH
�O 1 4 4N SEP 3 8.00 m
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT .
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0401230002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING A ESS:
TR: 14020 LT: 14 5108 DALEVIEW AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803521
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER
8574-007-014 - 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY.: TEMPLE.CITY
07 BATHTUBS/SHOWERS 1.00 FIX . 16.20
TENANT: 11 CLOTHESWASHER(S)' 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES .
25 LAVATORIES/SINKS 1.00 FIX 16.20 01/23/04 - VG 07/21/04
45 WATER CLOSET/URINAL 1.00 FIX 16.20
OWNER: TEL. NO: 47 WATER HEATER(S) 1.00 WTH 16.20 FINAL DATE FINAL BY: CODE:
5108DOMINGA PRIETO MORENO&ALICE C TAYl0 (626) 444-9363- TOTAL FEES 108.75 //// ,0 /
5108 .DAL EVIET AVE G/�J^4 (/�f
TEMPLE CITY 91780 SCRIPTION OF WOR
PLUMBING FOR NEW BATH AND LAUNDRY
APPLICANT: - TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
ARCHITECT OR ENGINEER: --TE-L.-VO- PLASTIC Y/N METAL Y/N: _
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER i
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY CD PANY NOTIFI D
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508