HomeMy Public PortalAbout5623 ENCINITA AVE_Plumbing__ 76A667-CE61712/59 ' TEMPLE CITY
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APPLICATION FOR PLUMBING PERMIT.
COUNTY OF LOS ANGELES
DEPARTMENT A�OF COUNTY ENGINEER
BUILDING Fn- S1�FETY RIVISION BVILDrxc c �� //�
JOHN A. LA BI E. OUNTY NGINEER ADDRES$�'S'G.2-3 4 a2;/ iw Ale,
AM A. JENSEN, SUPT OF BUILDING ,
.
WILLIAM LOCALITY 'C%LK`lC, _ /4!5'4
FOR APPLICANT TO FILL IN NEARESTCROSS E-�
NUMBER FIXTURE OR ITEM OWN]
UCS Y�
WATER CLOSET MAIL '
BATH TUB DRESS
(
SHOWER CITY / L- TEL. NO.,4/, W/
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LAVATORY CONTRACTOR
ADDRESS
SINK /
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE ElLAUNDRY TUB REGISTRATION [ COUNTY ❑
CLOTHES WASHER DIS�TRICTT]NqQ. GROUP ZONE //P/$ SSEO BY
WATER HEATER 7/ (/ U � I V
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INDUST
GAS SYSTEM WASTE IAL
'� WASTE APPROVAL
INSPECTION RECORD
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® 91.00 PER ITEM
OR FD=RE $ G APPROVALS DATE INSPECOR'S SIGNATURE
PERMIT $ 2100 4 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
"' PLUMBING.
li I HEREBY CERTIFY PT i AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
SES R
LICENSE AS D BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA TH T AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDE 1 OPERTY. .' UTILITY CO.NOTIFIED
SIGNATURE
OFPERMITTE E� ui FINAL
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VALIDATION—,,ROBERT A. WOOD. (-
Cc. M.D. GASH SUPERVISING MECHANICAL ENG'R
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Z6A66T APPLICATION FOR PLUMBING PERMIT 1
CEeIT B-6BUILDING AND SAFETY DIVISION
Department of County Engineer .. .'
County of Los Angeles BUILDING
JOHN A. LAMBIE,COUNTY ENGINEER ADDRESS 6 G
CASSATTD.GRIFFIN,SUP'TOFBU]LDINa
LOCALITY [_
FOR APPLICANT TO FILL IN NEAREST G
CROSS ST.
OWNER / /� -/jam/-./ C/�.C��/r OISTR�NO. GROUPZONE4 ZONE I READY FOR INSPECTION
ADDMAIL
RESS ✓A
�^ INDUSTRIAL
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CITY — yt TEL. NO. WASTEAPPROVAL
PLUMBER c JC�sTfi c DO L. (C 1 INSPECTION RECORD
ADDRESS -77
CITY `C TTELL NO.
LICENSE NO. /
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 5
BATH TUB @ $1.00
SHOWER @ 51.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ SI.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTORL'5 SIGNATURE
UNDER SLAB WORK fflJIOV/
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
I 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 REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REOUIRED BY LOS NGELES CO Y AND-STATE OF
CALIFORNIA OR THAT 1 AM G L BP!TXE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL P
SIGNATURE
OF PERMITTEE ` �A" FINAL
ROBERTA WO D,
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R
CM.0. CASH
_; D 0 3 9 1 JUL 19 3
2.0 0 In
COUNTY OF LOS ANGELES TEMPLE CITY q 0506 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1108020014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 5623 ENCINITA AV
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917802416
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS 1
15387-019-006 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY CAI
147 WATER HEATER(S) 1.00 WIN 16.30
TENANT: TOTAL FEES 44.10 (ISSUED ON: PROCESSED BY: PLAN BY:
108/02/11 SR
OWNER: TEL, N0: IFI VSO 1 FINpY: CODE:
15623 ESON, CHRISTINE - (KV/ -LL7//`11'7
15623 ENCINITA AV � I
ITEMP 919802416 DESCRIPTION OF WORK
INSTALL WATER HEATER
(APPLICANT: TEL. NO:
ISANCHEZ, JACK -
I (SPECIAL CONDITIONS: I
I I -
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
IRESCUE ROOTER (626) 858-9284- 1
1475 E ARROW HWY LIC. NO 1UNDER SLAB WORK I
1AZUSA CA 91702 765155 C36 1 1
WATER SERVICE
(PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO: iROUCH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
IHOT WATER HEATER fin^
PLUMBING FIXTURES 1/
LAWN SPRINKLERS I I
(GAS TEST
1UTILITY COMPANY NOTIFIEDI I I
CWOW
GRAY WATER SYSTEM
1 II I I I
REPORT ID: DPR263 ROUTE TO: BS0508
I I I I I I