HomeMy Public PortalAbout5429 ENCINITA AVE_Plumbing__ 76APPLICATION FOR PLUMBING PERMITn
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DIVISION OF BUILDING AND SAFETY 1.
Department of County Engineer
County of Los Angeles BUILDING /
WM J FOX, COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN, SUP T OF BUILDING
LOCALITY
FOR APP ICANT TO FILL IN NEAREST
p_ CROSS ST
OWNER _ DISTRICT I GROUP ZO E READY FOR INSPECTION
MAIL I �&1!
ADDRESS
INDUSTRIAL
CITY TEL NO b 3 575
WASTE APPROVAL
'ILI
PLUMBER .� ,f INSPECTION RECORD
ADDRESS �(�/
CITY < TEL NO
- 44
LICENSE NO zl /
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET)
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO @ 080 APPROVALS
DATE INSPECTOR S SIGNATURE
GAS SYSTEM OUTLETS @ 100
UNDER SLAB WORK
WATER HEATER @ 1 00 ao
ROUGH PLUMBING
PERMIT $ I 00 GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 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 REGYILATING PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIREDB LOS 7,GELES COUNTY AND STATE OF UTILITY CO NOTIFIED
CALIFORNIA OR THAT 7 T E/L L OWNER OF THE ABOVE
DESCRIBED RESIDENTI P Y
SIGNATURE -OF PERMITTEE FINAL
WILLIAM J FOX, COUNTY ENGINEER ALIDATION
1 9 8 5 JAV g 3 f2.00
BY
DEPUTY
1 r � ,
o r
76A667—CE 817468
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APPLICATION FOR PLU IN PERMIT 'g
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
Broadway
OWNER Mrs. J Curley
WATER CLOSET 1.50 MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY Temple Cjty TEL. N0286-6137
LAVATORY 1.50 CONTRACTOR Yfi. E.Las
La
SINK 1.50 ADDRESS 9127 s Tunas Drive
DISHWASHER I.50 CITY Temple City TEL. N0286-929-1
CLOTHES WASHER 1.50 LIC
LICENSE NO. 104466 CLASS C-16
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. G''R�QJJP ZONE P ESSED BY
LAWN SPRINKLER SYSTEM 2.00 ��
WATER HEATE 1.50 INDUSTRIAL u
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD O
OUTLETS OVER
5 PER SYSTEM .30
fJd
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE $ 2 00
TOTAL FEE 50—
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City. Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OW ER OF,AND I NO TO
RESIDE IN,THE ABOVE DECO RIBED RESID AL PROPERTY FINAL D
SIGNATURE �r
OF PERMIT '� _ JACK R. ALLEN SU PER VISIN CH ANICAL ENG-R.
Md PERMIT VALIDATIO CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
p,; 3 2 14 DEC 31 5 D 3.5 0
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0804090024
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 7796 LT: 18 5429 ENCINITA AV 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803117 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15388-001-018 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
I 147 WATER HEATER(S) 1.00 WTH 16.20 I 1
(TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
1 1 104/09/08 SR 10/06/08 1
I I I I
(OWNER: TEL. NO: IFINAL DATE `LL..,, CODE: I
KITTO GERALD M;GLENDA A EXP"'T""mo: I
1316 PASEO CORRIDO
ISDIM 917734029 IDESCRIPTION OF WORK I
I IREMOVE/REPLACE GAS WATER HEATER I
I I I
(APPLICANT: TEL. NO: I I
IFAST WATER HEATER COMPANY (425) 814-3124- 1 1 1
112601 132 ND. AVE NE I ISPECIAL CONDITIONS: I
IKIRKLAND, WA 98034 1 1
I I I I
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I
IFAST WATER HEATER CO. (425) 814-3124- 1 1 1
112601 132ND AVE LIC. NO I (UNDER SLAB WORK I I I
IKIRKLAND, WA 98034 877489 C36 I I 1 1 1
I 1 (WATER SERVICE 1 1 1
I 1 (PLASTIC Y/N METAL Y/N I 1
(ARCHITECT OR ENGINEER: TEL. NO: I I
I - IROUGH PLUMBING I I I
I LIC. NO: 1 1-1 1
I IGAS' PIPING I I
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1 1 IGAS VENT I I I
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IHOT WATER HEATER I I
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I I (PLUMBING FIXTURES I 1
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I I ILAWN SPRINKLERS I 1
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IGAS TEST I I I
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I I 1UTILITY COMPANY NOTIFIEDI I I
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(GRAY WATER SYSTEM I I
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I IREPORT ID: DPR263 ROUTE TO: BS0508 1 1 I
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