HomeMy Public PortalAbout4855 FIESTA AVE_Plumbing__ 17 25M SETS iz 43 APPLICATION FOR PERMIT
DEPORTMENT OF BUILDING AND SAFETY
r- COUNTY OF LOS ANGELES PLUMBING
Wm J FOX CHIEF ENGINEER
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APPLICATION FOR,PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN' DISTRICT NO I GROUP ZONE PERMIT NO
PLUMBER (S Yl RECEIVED BY READY FOR DATE ISSUED
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ADDRES
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STATE LAWS REGULATING PLUMBING
KITCHEN SINK @ O 50 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR l RAY Q O 50 I ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPTY DESCRIBED ABOVE
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UTILITY CO NOTIFIED
TOTAL FEE $�
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76A667 n s 49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
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PLUMBER ° O /� RECEIVED BY READY FI,O��`R I DATE ISSUED
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MAIL
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BATH TUB @ O 50 CITY TEL NO
SHOWER @ O 50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 50 STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTIA PROP TY DESC BED ABOVE.
GAS SYSTEM OUTLETS @ O SO '✓ . SIGNATURE OR
WATER HEATER @ O 50 a V PERMITTER
SLOP SINK @ O 50 INSPECTION RECOlff
FLOOR SINK @ O SO
FLOOR DRAIN Q O 50
DISHWASHER @ O 50
DRINKING FOUNTAIN @ O 50
URINAL @ O 50 ,J
HOUSESEWER @ O SOI Q
Z
MISCELLANEOUS
O
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT 1 00 GAS TEST "Z
t/
UTILITY CO NOTIFIED
I TOTAL FEE I $ Z� f!p— FINAL
COUNTY OF LOS ANGELES TEMPLE CIT1 # 0508 PIUMbING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0405120012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
GAL S PA I D BUILDING ADDRESS
TR 11454 LT 35 4855 FIESTA AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803815
ASSESSOR NUMBER NEAREST CROSS STREET LOWER AZUSA
8590-020 021 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A5 LOCALITY TEMPLE CITY C
47 WATER HEATER(S) 1 00 WTH 16 20 `
TENANT 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 ISSUED ON PROCESSEDPIR
TOTAL FEES 60 15 05/12/04 VG 11/08/04
OWNER TEL NO FINAL TE FILIAL BY CODE
TAN KIM (626) 786 1272
320 ELECTRIC AVE c—
MONTEREY PARK 91754 ~ TESCRIPT109 0 WOR
WATER HEATER CHANGE OUT AND EXTEND GAS LINE
APPLICANT TEL
SAME AS OWNER
SPECIAL CONDITIONS
CONTRACTOR TEL NO a APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENG NEER TEL NO
ROUGH PLUMBING
C NO
G S PIPING
GAS VENT �I
HOT WATER-7HEMR
PL U M 8 ING F TRUTTIRR PS
WN SPR S
GAS T5ST
UTILITY COMPANY NOTIFD
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GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BS0508 ~
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