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APPLICATION OR PLUM ING PERMIT {�
COUNTY OF LOS ANGELES �J
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUDING O �
ADDRESS ILCP
2_HARVEY T. BRAN DT, COUNTY ENGINEER LOCALITY f
FOR APPLICANT TO FILL IN (PRINT OR TYPEI NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET
2.00
MAIL
BATH TUB 2.00 ADDRESS
SHOWER 2.00 CITY TEL NO.
LAVATORY 2.00 CONTRACTO
t
SINK 2.00 ADDRESS
DISHWASHER 2.00 CIT
CLOTHES WASHER 2.00 STA E // LIC
LICENSE CLASS 4f3
SWIMMING POOL RECEPTOR 2.00
DISTRICT NO.GROUP ZONE p/MESS ED 8Y
LAWN SPRINKLER SYSTEM 2.00 S D g Q
WAW,?E E 2.00 00 INDUSTRIAL y
WASTE APPROVAL G`
GAS S)/EM OUTLETS 2.00 INSPECTION RECORD U
OUTLETS OVER ,30 o
5 PER SYSTEM
H
U
W
1
L7
Z
Plan Check fee See Ravers.
PLUMBING PERMIT ISSUING FEE.$
TOTAL FEE
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City
TCI. 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 GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED _
LICENSEDAS
OR THAT ED BY I AM THE LEGALES COUPOWNER OFA ND STATE OF
CAL , AND INTEND TO
RESIDE IN TME ABOVE DESCRIBED RESIOENTIP OPERTY FINAL (��
SIGNATURE __ /� 14,
OF PERMITTE
PERMIT VALIDATION cK: M,o: CASH '
PLAN CHECK VALIDATION CK. M.O: CASH
1 3 5 D
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0104120003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING SS:
TR: 6561 LT: 364 6032 ENCINITA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801934
ASSESSOR INFORMATION ER: NEAREST CROSS STREET: LAS TUNAS DRIVE
5385-004-009 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 ,LOCALITY: TEMPLE CITY
11 CLOTHESWASHER(S) 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN B EXPIRES N:
TOTAL FEES 60.15 04/12/01 UT 10/09/01
OWNER: TEL. NO: L BY: CODE:
WANG, XIANG CHUN (626) 255-3016- /_ ��
6032 ENCINITA AV cY
TEMP 917801934 UESCRIVIIUN 0
J' NEW DETACH 2-CAR G RAGE
A C NT: 0:
SAME AS OWNER
SPECIAL CONDITIONS:
P�GELES Co
CONTRACTOR: TEL. NO: �OCj V�Ty APPROVALS, , ` ATL INSP�L OR I��—
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
` WATER SERVICE
e PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0: ROUGH PLUMBING
LIC. NO / I I �11
L _ GAS PIPING
GAS VENT
���J J ;��'��f ``n((`�� 0T WATERHEATER
If -�V—j-----1-----ll-- UMBIN IXTUR S
p ti 1i AWN SPRINKLERS
t�, S TEST
L9 �.n' 5 ILIT COMPANY 0 ED
LJ �o< CWV
C Service�'a GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0108230011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDINGADDRESS:
TR: 6561 LT: 364 6032 ENCINITA AV
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917801934
ASSESSOR 0 NUMBER: NEAREST CROSS STREET: LAS TUNAS DRIVE
5385-004-009 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN B P ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 08/23/01 JK 02/19/02
TOTAL FEES 92.55
OWNER: TEL. N0: FI 9L ATE CODE:
WANG, XIANC CHUN (626) 255-3016- N I/ 1 o' 8Y•
6032 ENCINITA AV ____fill 15OYiL6
TEMP 917801934 UtS�f F WHK V611
PLUMBING FOR NEW BATH
APPLICANT: .
SAME AS OWNER -
SPECIAL CONDITIONS:
GGELES�p
CONTRACTOR: TEL. NO: �5 UJA APPROVALS DATE- INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO UNDER SLAB WORK
e WATER SERVICE
_ PLASTIC Y/N METAL Y/N
ARCHITECT 0 ENGINEER: ���
ROUGH PLUMBING
LIC. NOa PIPING
-- -- - - - ---- -- GAS
VENT
HOT r ��Jil ' I� �•(f �� \�1�)�\,l/ ���7\i�✓'l �C; , WATER HEATER
PLUMBING
UNN—SFRINKLERS
GAS TEST
ro UTILITY COMPANY NOTIFM
CWV
eh Se--'rvicGRAY e
C
WATERS
REPORT ID: DPR263 ROUTE TO: BS0508