HomeMy Public PortalAbout5449 ENCINITA AVE_Plumbing__ L COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0108210012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE. (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING
TR: 7796 LT: 12 5449 ENCINITA AV
FEE DESCRIPTION: QUANTITY. UOM: AMOUNT: TEMP CA 917803117
ASSESSOR OR 0 NEAREST CROSS STREET: BROADWAY
5388-001-012 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE- 596 GRID J4 LOCALITY: TEMPLE CITY
11 CLOTHESWASHER(S) 1 00 FIX 16.20
TENANT: 47 WATER HEATER(S) 1 00 WTH 16.20 ISSUED ON: PROCESSED'BY: N BY. EXPIRES V
51 LOW PRS GAS 5 OUTLET 1 00 SYS 16.20 08/21/01 UT 02/17/02
TOTAL FEES 76.35
OWNER: TEL. N FINAL DATE ) FINAL BY: CODE:
LIM MARK (626) 451-0607- /�/
5444 ENCINITA AV JV V 1
TEMP 917803117 P OF WORK
RELOCATE WATER HEATER AND WASHER 8 DRYER
APPLICANT: TEL. NO:
CLARK'S 8 GOERGE PLUMBING (626) 573-2107-
9233 RIO DELL ST SPECIAL CONDITIONS:
ROSEMEAD CA 91770
CONTRACTOR- TEL. NO: APPROVALS�661��p APPROVALS E INSPECTOR SIGNATURE
CLARK'S AND GEORGE'S PLUMBING (626) 573-2107-
9233 RIO DELL LIC NO UNDER SLAB WORK
ROSEMEAD CA 91770 748881 C36
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT
LIC. PLUMBINGROUGH N0: f
GAS PIPING
((�----- -- GAS VENT
- ------- - ---- - PLUMBING FIXTURES Lv
61
GAS TESTWATERUTILITY
GRAY
SYST
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REPORT ID: DPR263 ROUTE TO: SS0508
76A667 (C6-817) - 1/7901T-V
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APPLI ATION FOR PLUMBING' PE MIT
COUNTY OF LOS ANGELES �
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
LDING
MAKE CHECKS PAYABLE TO A
DDRESS
HARVEY T. BRANDT, COUNTY ENGINEER
FOR APPLICANT TO FILL IN (PRINT OR TYPE) / �1 i1 t M
NUMBER FIXTURE OR ITEM @ FEE OWNERAl /�L� '
WATER CLOSET 2 00
MAIL
BATH TUB 200 ADDRESS =�
SHOWER 2 00 CITY TEL N
LAVATORY 200 CONTRACTOR ir-JOY-11C
SINK 200- ADDRESS C
DISHWASHER 2 00 CITY /� 6 11 TEL NO4V-27,070
CLOTHES WAS HER 200 STATE . ' / LIC
LICENSE NO ! CLASS
SWIMMING POOL RECEPTOR 2 00
DISTRICT NO GROUP ZONE ESSE BY
LAWN SPRINKLER SYSTEM 2 00 r
�O Z ( — ZC:J
WATER HEATER INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 2 00 INSPECTION RECORD 0
OUTLETS OVER 30 s- U
5 PER SYSTEM
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V
W
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N
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Plan check,fee See Reverse
PLUMBING PERMIT ISSUING FEE'S ,
TOTAL FEE
APPROVALS DATE IN9 PEC TOR 9 SIGNATURE
Plan check applicant' UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
Tel NO GAS VENT
City � ,
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I 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 1,1
AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED r
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF a _
CALIFORNIA OR THAT I AM T LEGAL OW R OF, AND INTEND TO
RESIDE IN THE ABOVE DESCR E RE IDEN I L PROPER TY _ FINAL
SIGNATU RE
OF PERMITTEE
PERMIT VALIDATION CK M_ O CASH
PLAN CHECK VALIDATION CK M 0 CASH s