HomeMy Public PortalAbout5967 ENCINITA AVE_Plumbing__ LL
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER _
BUILDING AND SAFETY DMSION HII[LDRiG O
JOHN A. LAMBIE, COUNTY ENGINEER '. ADDRESS . 7
9G
WILLIAM A. JENSEN, SUPT OF BUILDING
_ LOCALITY ?, �•
FOR APPLICANT TO FELL IN NEAARESSCROSS T.
-NUMBER FIXTURE OR ITEM OWNER
WATER CLOSETMAIL
BATH TUB ADDRESSC
CITY TEL NO.
/ SHOWER /T—y�/
CONTRACTOR
LAVATORY
SINK ADDRESS SZ O Z w- s (�• -
Il
DISHWASHER Cm L/T /(_ . TEL. NO.
CONTRACTOR'S /G Z.0 STATE ❑
LAUNDRY TUB REGISTRATION NO. $ Z COUNTY
CLOTHES WASHER DISTRICT NO. GROUP ,ONE PRO SED BY
WATER HEATER ,�g
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL y
INSPECTION RECORD 0
1 L I ,Lr ,�_ � �
/0%3 / /'� yiy / r/- ,% Yom= o
a
® $1.00 PER ITEM I �,
OR FIXTURE $ f APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE 3 — ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READTHIS 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.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED YNDIOR 'PLUMBING FIXTURES
L CENSED AS REQUIRED BY LOS ANGELES COUNTY AND ATE OF I GAS TEST
:a CALIFORNIA OR THAT 1 A TH LEG NE OF ABOVE
DESCRIBED RESIDENTIAL UTILITY CO. NOTIFIED
SIGNATURE '
OF PERMITTE FINAL
OVALIDATION ROBERT A. WOOD
D. CASH SUPERVISING MECHANICAL ENG'R
ji;,
41 0 7 •n 001 1 Fj 5 D . 3 .0 0yP
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0602130020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-04¢BEXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:,
TR: 5904 LT: 382 5967 ENCINITA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917B01933
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WOODRUFF
5384-013-026 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
02/13/06 ix 08/12/06
OWNER: TEL. NO: PINAVDAT$ FINAL BY: CODE:
5MUTO967 DOMINICA J;CLEMENTINA M (626) 287-4134-
TEMP 91780193ENCINITA AV
TEMP 917801933 DEjSCRITTIOH OF WORK
SHOWER PAN REPLACEMENT AND TILE
APPLICANT: TEL. NO:
CEDAR CONSTRUCTION S TILE, INC. (818) 9BB-9304-
7242 SEPULVEDA BLVD SPECIAL CONDITIONS:
VAN NUYS, CA 91405
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CEDAR CONSTRUCTION 6 TILE, INC. (818) 988-8304-
7242 SEPULVEDA BLVD. R1C LIC. NO UNDER ELAN WORK
VAN NUYS, CA 91405 660343
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS "IENT
HOT NATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM n
REPORT ID: DPR263 ROUTE TO: BS0508