HomeMy Public PortalAbout4820 FIESTA AVE_Plumbing__ 761667 )C E+817) - 1/75 1
V TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: ADDLDIRESS 4820 N• FIESTA
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY TEMPLE CITY
I FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM 0 FEE OWNER THURSTON EVERETt
WATER CLOSET 2.00 �
MAIL ABOVE
BATH TUB 2.00 ADDRESS
SHOWER 2.00 CITY TEMP E VITY TEL. NO. 286-2864
LAVATORY 2.00 CONTRACTOFTRANE HCC
SINK 2.00 ADDRESS 2034 NORTH PECK ROAD p
DISHWASHER 2.00 CITY SO EL MONTE TEL. NO. 579-7982
CLOTHES WASHER 2.00 STATE LIC
LICENSE NO.265094 CLASS C-20
I SWIMMING POOL RECEPTOR 2.00
� DISTRICT NO.GROUP ONE RO)t SSED BY
LAWN SPRINKLER SYSTEM 2,00
F
WATER HEATER 2.00INDUSTRIAL i
WASTE APPROVAL Y
a.
1 GAS SYSTEM OUTLETS INSPECTION RECORD U
OUTLETS OVER
5 PER SYSTEM .30 CD
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 4B .56)
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ .THIS APPLICATION HOT WATER HEATER
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING z.
PLUMBING. GAS TEST 1u -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL,, -, PROPERTY.
SIATU RE FINAL
OFPERMITTEE w`g :nv 4-26-7
PERMIT VALIDATIONCK. M,O: CASH
PLAN CHECK VALIDATION CK. M.O. CASH
5 7 9 it APP ;�7 5 D 7.5 0 AJU
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0107100027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 14647 LT: 1 4820 FIESTA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803814
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8590-017-007 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
21 HOSE BIBS(S) 1.00 FIX 16.20 07/10/01 UT 01/06/02
25 LAVATORIES/SINKS 1.00 FIX 16.20
OWNER: TEL. NO: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 FINAL DATE LTY: CODE:
JORDAN, PHILLIP; PAMEL (626) 285-6401- 47 WATER HEATERS) 1.00 WTH 16.20 ��
4820 FIESTA AV 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TEMP 917803814 TOTAL FEES 157.35 DESCRIPTION OF WORK
PLACE WASTE WATER SYSTEM AND PLUMB EXTENSION OF COLD AND
HOT WATER TO NEW 298SQ.FT. ADDITION (BATH & LAUNDRY ROOM)
APPLICANT: TEL. N5-
SAME
:SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSP TOR SIGNATURE
SAME AS OWNER
LIC. NO - UNDER WORK
tf 2 0
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO: -
i ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
�l GAS TEST
�- UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508