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76A667-CE817-8-58
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS f 3
CASSATT D. GRIFFIN,Supt of Building LOCALITY
FOR APPLICANT TO FILL IN cRpRSEsss
NUMBER FIXTURE OR ITEM C(iLCf/t/
/ OWNER27
p�
(q WATER CLOSET ( /A
BATH TUB ADDRESS q 3.v
SHOWER CITY may, L TEL. NO.101 'S+Z
I LAVATORY /T CONTRACTOR gCvdC41
/ SINK 'boaA4- - ADDRESS
DISHWASHER CITY,6aa L'-,, qg,,� TEL. NO.
CONTRACTOR'S s3 STATE Cr
LAUNDRY TUB REGISTRATION NO. COUNTY I]
CLOTHES WASHER D1ST!!�;X NO. GROUP ZONE PROC SSED BY
/ WATER HEATER
/ GAS SYSTEM INDUSTRIAL
WASTE APPROVAL }� -
/ SPECTION RECORD
1I
sa
APPROVALS
/p @ OR FIXTURE
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK /Y C' p 1--' -
PERMIT
-fPERMIT $ P-100 ROUGH PLUMBING ?, 4I ^U r I, 1�
TOTAL FEE 400 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING —
PLUMBING. PLUMBING FIXTURES ,e�..� '`
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST 1 �*
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE � � � �� FINAL
OF PERMITTEE
ROBERT A.WOOD.
®F VALIDATION SUPERVISING MECHANICAL ENG'R
M.O. CASH
PLUMBING 1
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ( ADDRESS
FOR APPLICANT T TO FILL IN LOCALITY
NEAREST
BUILDING CROSS ST.
ADDRESS ��
DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY —
NEAREST
CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED
OWNER
MAIL INDUSTRIAL
ADDRESS WASTE PPROVAL
CITY TEL.NO. INSPECTION RECORD
PLUMBER A..�C
ADDREB � ! -z- 'r! s v
CITY...GZ _ ' TEL.N0.
/ []STATE
LICENSE NO. Iv OUNTY J
PERMIT FEES a
_z
NUMBER TYPE OF FIXTURE OR ITEM FEE I'
WATER CLOSET(TOILET) @ 0.80 $ I
O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM..............OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR-43 SIGNATURE
UNDER SLAB WORK X
PERMIT $ I 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI. GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST J
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDEljlF4L PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE.......... ._...._�' — —...............—.....
T
FINAL
76A667 DBS 17 1/53
r
DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS L - c•
FOR APPLI�ANT TO F L I LOCALITY
BUILDING ` " r. -
v /� NEAREST -�Jel
ADDRESS / (�;J CROSS ST.
DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY '�( •-� ^.
NEAREST ff` d-
CROSS ST. -RECEIVED BY Ready for Inspection DATE ISSUED
OWNER
MAIL INDUSTRIA
ADDRESS WASTE APPROVAL
CITY TEL NO. INSPECTION RECORD
PLUMBER
ADDRESS
CITYr'/ C TEL.NO.
❑STATE
LICENSE NO. G G =�&UNTY _J
PERMIT FEES Q
z_
4JMI3ER TYPE OF FIXTURE OR ITEM FEE Ur
WATER CLOSET(TOILET) @ 0.80 $
O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY (WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GASSYSTEM--------------OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE ' tea` GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS GORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST O �~
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DEnCIRIBED RESIDE L PROPERTY. UTILITY CO.NOTIFIED
e
SIGNATURE ��
OF PERMITTEE.------.... ....---
FINAL r
76A667 DBS 17 1/53
_ COURTS OF LOB AN=.=8 THNPILz CITY f 0508 PLUMBING PYB.I[IT
DEPARTMENT OF PUBLIC WORKS 9701 LAB TUMLS PL 0508 0507780017
BMLDING AED SAFETY / L1ND DEVELOPMENT TEMPLE CITY CA 91780
PHONIC (616) 105-0488 HXT+
LEGAL ID FEES PAID HUILDING ADDRESS.
OSI TILE 9438 GIDLXS ST
FHE DlBCRIPTIOiN: QUANTITYi UCIM. AMOUNT: TEMP CA 917804111
ASSESSOR INFORMATION NUMIUM. NZIREST CROSS STREET: TEKPLE CITY
0592-003-049 01 FERMIS ISgWXCE FEE 27.75 THOMIB PA": 596 DAID1 75 LOCILIT7i TEMPLE CITY, C
19 FLOOR SINK(S) 2.00 FIX 32.40
T13OUFT1 25 LAVATORIES/SINKS 12.00 FIX 194.40 ISSUED OT. PROCEBSSD BY. PLAM BY. EXPIRES ON,
29 ROOF DRAIIF(S) 2.00 FIX 32.40 07/28/05 J7C 01/24/06
45 RATER CLOSET/URrKMT 10.00 FIX 162.00
ORNNRI TEL. NOt 47 WATER HEITYR(B) 2.00 NTH 32.40 FINAL DATE !TIAL BY: CODE:
PHILLIPS RAM13RAU PROPERTIES LLC (626) 442-7499- TOTAL FEES 481.35
9660 FLAIR DR.
]d MONTE CA / DESCRIPTION OF WORK
PLUl®IMG FOR NNW BUILT IIP BUILD18G
APPLICINTTEL. NO:
1R1NK AOLOm i SONS, INC. (626) 444-2545-
9860 LOWHR AZUSA RD SPECIAL rn ITIOMS�
EL MONTH, CA 91731
CONTRACTORS TEL. N0. t APPROVALS DAT3 INSPECTOR SIGNATURE
FRANK M101RONN AND 8088 (626) 444-2540-
9860 LOWER AZUSA RD. LIC. NO UNDER BLAB WORK
HL MONTH, Ck 91731 397884036
WATER SERVICE
PLASTIC Y/N METAL Y/N .�- �j---
ARCHITECT OR EBOINRER: TEL. KO:
LIC. NO.
ROUGH PLUMB
GAS PIPING
GAS VENT
HOT HITER HEATER
PLUMBING I?LXTUREB
LANK SPRINKIJUA
GAB TEST
- UTILITY COMPANY NOTIFIED
CWV
GRAY TRITER SYSTEM
REPORT ID: DPR263 ROUTE TO+ BS0508