HomeMy Public PortalAbout4525 ELLIS LN_Plumbing__ 78A667-CE#817 9/63 -
'APPLICATION FOR PLUM BI G' PERMI
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING � ���
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS'
• WILLIAM A. JENSEN, SUP•7 OF BUILDING
LOCALITY ;
® FOR APPLIC iii,iO FILL IN NEAREST.
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER f
WATER CLOSET MAIL
'•BATH TUB 1.25 ADDRESS.
SHOWER 1.25 CITY TEL. NO.
$
LAVATORY 1.25 CONTRACTOR LEE'S PLUMBING, INQ
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SINN 1.25 ' '>i ADDRESS 2407.,N. Lee •Ave.
DISHWASHER 1.25' CITY EI MOI1te�TEL3Mo.
CONTRACTOR'S STATE
LAUNDRY TUB 1.25 REGISTRATION NO. (��/C —/(� y COUNTY Q ,
a
- CLOTHES.WASHER 1.25 DISTRICT NO. GROUP "eZONE PROLE 5ED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL •" a
WASTE APPROVAL Q
OUTLETS OVER S PER SYSTEM .30 INSPECTION RECORD 17
sfg' rk Grl � w
OF
N
Z
APPROVALS IPATE, INSPECTO�i'S SIGNATRE
PERMIT $ 2 00. UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEES Gas PIPING V.
`P
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING.
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR - PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT 1 AM THE"LEGAL OWNER OF,AND INTEND TO. . GAS TEST
RESIDE IN, THE ABOVA DESCRIB D R SIDENTIAL•PROPE Y.. UTILITY CO. NOTIFIED
Ca �
SIGNATURE '. . "1
V
OF PERMITTE �-
FINAL Uf��l% Ilea VM'^I'n°elh'/
V LIDATION ROBERT A. WOOD,
CK. M:,O. CASH SUPERVISING MECHANICAL ENG'R
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0304300022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING A DRESS:,
TR: 12998 LT: 80 4525 ELLIS LN
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804251
ASSESSOR INFORMATION NUMBER: NEAREST CROSS. STREET: LOWER AZUSA
8592-001-009 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE:-597 GRID: A5 LOCALITY: TEMPLE CITY
64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20
TENANT: TOTAL FEES 43.95 ISSUE ON: PROCESSED BY: PLAN BY: EXPIRES ON:
04/30/03 JK 10/27/03
OWNER: TEL. N0: _. FINAL DATE FINAL BY: / CODE:
JULIE CHANG -
4525 ELLIS LN
TEMPLE CITY 91780 DESCRIPTION OF WORK
MAIN WATER SERVICE
APPLICANT: TEL. NO:
KEVIN TRUETT (818) 505-8032-
5938 LAUREL CYN BL SPECIAL CONDITIONS:
N HOLLYWOOD 91607
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
ULTIMATE PLUMBING (818) 505-8032-
5938 LAUREL CANYON BLVD LIC. NO UNDER SLAB WORK
NORTH HOLLYWOOD CA 91607 734569 C36 \ WATER SERVICE
- PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0: -
- ROUGH PLUMBING
LIC. NO i' i --
- l;liii}; GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
\ LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
:)REPORT ID: DPR263 '.ROUTE TO:,BS0508 "�