HomeMy Public PortalAbout4572 ELLIS LN_Plumbing__ 76A667 CE.#817 S-61• p p
APPLOCAT90N FOR
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
' . LOCALITY
FOR APPLICANT TO FILL IN CRos'�s TT. vt/ U /-
NUMBER -FIXTURE OR ITEM OWNER e Ej
WATER CLOSET buuL ®� <�
ADDRESS j7- IV G22, 13
BATH TUB
CITY (� TEL. NO.
SHOWER J
CONTRACTOR
LAVATORY '
ADDRESS 30'z
SINS .
DISHWASHER CITY TEL. NO. ly'&12 /
CONTRACTOR'S I
STA
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRICT XgiG Z NE P O BY
WATER HEATER o TS Ll�r /
INDUSTRIAL
SYSTEM WASTE APgROVAL
INSPECTION RECORD O
z
/ S1.00 PER ITEM' / v
OR FIXTURE' $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 100 UNDER SLAB WORK R
TOTAL, FEE 1 .ROUGH PLUMBING
-L� U GAS PIPING
" I HEREBY ACKNOWLEDGE THAT I`HAVE READ THIS APPLICATION '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENTWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
o PLUMBING. ,
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES '
LICENSED AS REQUIRED BY LOS. ANGELES COUNTY,-AND ST TE OF GAS TEST
CALIFORNIA OR THAT I AMTHE,LEG L ArAN OF TH ABOVE
DESCRIBED RESIDENTIAL PR UTILITY CO. NOTIFIED
SIGNATURE O w
OF PERMITTE FINAL �z�}' "2 1g
0
I ALIDATION ROBERT A. WOOD
CK. M.o. CASH SUPERVISING MECHANICAL ENG'R
CO7308 'Q; ?2 5 D 3 .00 '
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APPLICATION FORPLU 1NG PIF MI u
COUNTY OF LOS ANGELES ' u
DEPARTMENT OF COUNTY ZNGINEER
BUILDING .ANA SAFETY DIVISION BUILDING +>�
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS -1.7
WILLIAM A. JENSEN,-SUP'T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST j
CROSS ST.
NUMBER - FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.2S MAIL
BATH TUB 1.25 ADDRESS
r SHOWER .1.25 "CITY TEL. NO.
LAVATORY 1.25. CONTRACTO
SINK 1.25 ADDRES
DISHWASHER 1.25 CITY TEL.rS
CONTCTOR' STATE
LAUNDRY TUB 1.25 REGIS HAT ON NOC-, r a2.06 21COUNTY El
CLOTHES WASHER - 1.25 DISTRICT NO. GRCA4P ZONE ESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL I a
WASTE APPROVAL O
TLETS OVER S PER SYSTEM .30 INSPECTION RECORD V
o
� � V
W
d
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
a - PERMIT $ "2 00 - UNDER SLAB WORK -
_ ROUGH PLUMBING p _ ,y
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER'HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES /
LICENSED.AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, .D INTEND TO
Y RESIDE IN,THE ABOVE RIBED ESIDENTIAL PROP TY. UTILITY CO, NOTIFIED
�e SIGNATURE
OF PERM ITTE ,.
FINAL.
ALIDATION 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 0304300018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING ADDRESS: '
TR: 12998 LT: 80 4527 ELLIS LN
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804251
ASSESSOR INFORMATION NUMBER: NEAREST,CROSS 'tTREET: LOWER AZUSA
8592-001-009 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
63 WATER PIPING BR/FIX 7.00 FIX 47.25
TENANT. TOTAL FEES 75.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
04/30/03 JK 10/27/03
OWNER: TEL. N0: t FINAL DATE FINAL B : CODE:
JULIE CHANG - / �( 1) j
4525 ELLIS LN
TEMPLE CITY 91780 DESCRIPTION OF WORK
COPPER REPIPE
APPLICANT: TEL. NO:
KEVIN TRUETT (818) 505-8032-
5938 LAUREL CYN BL SPECIAL CONDITIONS:
N HOLLYWOOD 91607
y
CONTRACTOR: TEL. NO: it APPROVALS DATE INSPECTOR SIGNATURE
ULTIMATE PLUMBING (818) 505-8032-
5938
05-8032 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. NO:
ROUGH PLUMBING
LIC. NO
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
- GRAY WATER SYSTEM
REPORT ID: DPR263ROUTE ?0:"6S0508' `