HomeMy Public PortalAbout6263 ENCINITA AVE_Plumbing__ 76AB67A'
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN IPRINTOR TYP "
EI BUILDING Awe/h�Y"
ADDRE$ ♦ /�F
NUMBER FIXTURE OR ITEM ® FEE A
WATER CLOSET LOCALITY-
G
NEAREST zolla �.
BATH TUB CROSS ST. /�/
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY TEL.NO
DISHWASHER CONTRACTO ♦•�'
CLOTHES WASHER ADDRESS S7#&
SWIMMING POOL RECEPTOR
CITY TEL.NO,
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR 551GNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
O
GAS VENT V
HOT WATER HEATER FQF
PLUMBING FIXTURES
GAS TEST •��j��l �✓�,��+ N
Plan check fee UTILITY Co.NOTIFIED
PLUMBING PERMIT ISSUING FEE S
TOTAL FEE , FINAL 7 Zg V .•-�
Plan check applicant PLA/,N'CHECK VALIDATION \,
Name f � f Ol 17 Q.��' �/�� 7��/(�k/ /'°�'1 A'�•
Address A,1 .�/N / �(��+ !%N PI♦d "Rflltl✓�� �7%'Pt`'`Q /!(,•�
City Tel.No �!
IHEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING: PERMIT VALIDATION pq
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS A rl ;
REONRED BY LOS A.YG E5 COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF,AN REND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
.PROPERTY.
r p
SIGNATURE /� L O 0 1000
OFFERMI V
COO'O O O 1
D157 NO. PROCE S BY
7. 1 71-7 9
INDUSTRIAL
WASTE APPROVAL
'.A.6T CE#BIT 2.B2
TEMPLE CITY**
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 6263 NORTH ENC I N I TA
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
TEMPLE CITY
FOR APPLICANT TO FILL IN NEARESSCROSS T. LONGDEN
NUMBER FIXTURE OR ITEM EACH FEE
2 WATER CLOSET $1.25 2 " 0 O°'NER R W COOK CON TR,
AIL
ADDRESS 2 SOUTH BALDWIN
HATH TUB 1.25 2
SHOWER 1.25 1 .2
CITY TEL. N
LAVATORY ' 1.25 2.50 CONTRACTo Sub JOSEPH CAD I LL I PLBG.
RINK 135 1 2 ADDRESS 8 EAVENUE
DISHWASHER 1.25 1 2 CI'CI$0 SAN GABR I EL TEL. NO.CU 32842
' LAUNDRY TUB 1.25 CREEGISTRanON NO. 134935C-36 COUNTY o
1 CLOTHES WASHER 1.25 1 . 25 DISTRICT NO. Gr ZONE PKKESSED BY
WATER HEATER 1.50 1 .50
GAS SYSTEM OUTLETS 1.50 1 0 INDUSTRIAL
- WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD Y
a
5�/oc�c'ic �e_O/c $
9 7a _G ii T-t> o
d 0
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W
an
APPROVALS DATE I NSPECTo •S SIG
�N/'
PERMIT $ 2 00 UNDER SLAB WORK 3'Wet,
n y�
ROUGH PLUMBING I I
TOTAL FEE 16 , 5 GAS PIPING
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT /� ��
AN STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR - PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF GAS TEST
CALIFOflN IA OR THAT 1 A THE LEGAL OWNER ANO INTEND TO
RESIDE IN.TH"JtovLD IHE➢_RE510 NTIA R -RTV�� UTILITY CO. NOTIFIED
SIGNATURE [ )
OF PERMITTEE FINAL
VALIDATION ROBERT A. WOOD
CASH SUPERVISING MECHANICAL ENG'R
�]iCo
s0a7:, AJ;G27 5 G 16: 5
COUNTY OF LOS ANGELES TEMPLE CITY k 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0606060011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EAT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 278 BL: .001 6263 ENCINITA AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917801640
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5384-011-015 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C
11 CLOTHESWASHER(S) 1.00 FIX 16.20
TENANT: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 60.15 06/06/06 JK 12/03/06
OWNER: TEL. NO: PEAL _D 1jNAL BY: CODE:
MORALES JOSEPH G;GLORIA B (626) 285-3961- l�/,�(J fL.f��J
6263 ENCINITA AV
TEMP 917801640 DESCRIPTION OF WORK
ADD CLOTHESWASHER, WATER CLOSET AT WORKROOM
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
' PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508