HomeMy Public PortalAbout5740 ENCINITA AVE_Plumbing__ �swssT,jDE-anl - 1/75
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS r
HARVEY T. BRANOT, COUNTY ENGINEER - I
LOCALITY - q ✓`
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST . I•-- ,
NUMBER FIXTURE OR ITEM FEE CROSS ST
OWNER %� SS
WATER CLOSET 2.00 MAIL
S ADDRESS `�f7'fz-"�
BATH TUB 2.00
1
SHOWER 2.00 CITY TEL. NO.
% LAVATORY 2.00 CONTRACTOR •J,
ADDRESS SINK 2.09 L / L
DISHWASHER 2.Op CITY ty 0'e TEL. NO. �/Oa
CLOTHES WASHER 2.00 STATE ��TT 'i LIC
LICENSE NO�!-� i 3 CLASS
SWIMMING POOL RECEPTOR 2.00 -
DISTRICT N07GROUPj ZONE IRICEIIED BY
LAWN SPRINKLER SYSTEM 2,,0
WATER HEATER 2. 0 INDUSTRIAL
WASTE APPROVAL d
GAS SYSTEM OUTLETS 2. 0 INSPECTION RECORD U
>. OUTLETS OVER
5 PER SYSTEM .30 O
H
W
CL
N
Z
Plan check fee Sea RBVe,se
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE NS PECTO R'S 914NATlIRE
Plan Check applicant UNDER SLAB WORK .../Q,S ,,•//�
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
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
PLUMBING. GAS TEST
I HEREBY CERTIF^�LHAT I AM PROPERLY REGISTERED AND[g/OR UTILITY CO. NOTIFIED
( CALIFORNIA OR THU BED AS LT
to
ARMY, THE LEGALES OIVRER OF,, AND NAND TE b OF
RESIDE IN THE ABOVE DESCRIBED
RESIDE IT AL P PERTY / FINAL
SIGNA TU RE
OF PERMITTEE
PERMIT VALIDATION cK. M,o •cnsN
PLAN CHEC}C�VALI ATION / CK, M.o. CASH `
/ 3 5 6 V JUL 9 5 U 1 O:0 0 sas
COUNTY OF LOS ANGELES TEMPLE CITY # 0506 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1209240016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS:
ITR: 6561 LT: 779 BE .001 ON: .002 5740 ENCINITA AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802417
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18587-003-009 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
97 WATER HEATER(S) 1.00 WTH 16.20
(TENANT: I TOTAL FEES 44.00 (ISSUED ON: PROCESSED BY: PLAN BY:
109/24/12 SR
(OWNER: TEL. NO: IFINAY DAT$ FINAL CODE:
TREY, (VETTE (626) 607-6090- 1 1 n'/ /, ///� 1
15740 ENCINITA AV I
ITEMP 917802417 IDES'CRIP$$$TION OF WORK 1
IWATER HEATER CHANGE OUT SAME LOCATION 40 GAL
1APPLICAN T: TEL. NO: 1 1 1
IRAMIREZ, ALBERTO G (213) 454-1051- 1 1 1
1605 W. OLYMPIC BLVD. 1 (SPECIAL CONDITIONS: 1
ILOS ANGELES 90015
I I
ICONTRACTORe TEL N0: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ILOS ANGELES CONSERVATION CORPS (213) 362-9000- 1 1- 1 1 1
1605 W OLYMPIC BLVD #450 LIC. NO IUNDFR SLAB WORK
ILOS ANGELES, CA 90015 953032036 - 1 I 1
I 1 IWATER SERVICE 1 1
PLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO: - '
IROUCH PLUMBING
LIC. NO: I
IGAS PIPING
I I 1GAS VENT 1
I I '
IHOT WATER HEATER
PLUMBING FIXTURES
ILA : SPRINKLERS
1 IGAS TEST
(UTILITY COMPANY NOTIFIEDI I
IGWV
(GRAY WATER SYSTEM
I I I + I I I
1 I 11 I I
I I I I I I
I 1 I I I I
I+ ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS050B