HomeMy Public PortalAbout6256 GOLDEN WEST AVE_Plumbing__ 76A667-CE#B17 2-62 1� I:V �I% ,F. `w.Y, 4 ,,
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BU'L
AULDINO
DDRESS � L
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT of BUILDING LOCALITY..��
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FOR APPLICANT TO FILL IN INEARES
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NUMBER FIXTURE OR ITEM EACH FEE CROSS
WATER CLOSET $1.25 OWNER' Sz MAIL `
/ BATH TUB 1.25 ADDRESS -:�r7 G trZ
SHOWER1.25 / �y CITY TEL.
2 LAVATORY 1.25 ��I CONTRACTOR � L
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
/ CLOTHES WASHER 1.25 DISTRICT NO. GROilE ZONE PROCESSED BY
WATER HEATER 1.50J7 ) / j
GAS SYSTEM Jw OUTLETS 1.50 J INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD
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APPROVALS DATE INSPECT 'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK -�� •.-.
r ROUGH PLUMBING _ jf+• ��-•. ,,.j ✓�:.,�_"}.^. .1
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A LIGATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER D
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST ,',;s (/j' • +•,� ..,
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE ��.
FINAL -�-
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`V LIDATION ROBERT A. WOOD
(L-K7M.O. CASH SUPERVISING MECHANICAL ENG'R
4 2 1 4 w JI ' 5 D 1 7.5 0
COUNTY OF LOS ANGELES TEMPLE CITY NR 0508
DEPARTMENT OF PUBLIC LARKS 9701 LAS TUNAS 0508 12
- BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ON FILE
ASSESSOR INFORMATION FEE DESCRIPTION: QUANTITY: IAM: AMOUNT: 1
• N STREET:
5385-022-024 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID; A2 LOCALITY: TEMPLE CITY
13 DIVWASHER(S) 1.00 FIX 16.20
TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
10/13/99 UT 04/10/00_
TUM KYUNG N;KYUNG J (626) 309-0210-
6256 GOLDEN WEST AV -
TEMP 917801701
DISH61ASHER CHANGE OUT
APPLICANT: TEL. 100:
GRACCO PLUMBING (661) 350-2509-
18846 WELLHAVEM SPECIAL CONDITIONS:
CANTON COUNThY, CA
P -GELES CCONTRACTORA,
APPROVALS DATE INSPECTOR SIGKATINE.
GRACCO PLUKBING (661) 250 -2509- �5 •Yry
19946 WELLHAVE]N LIC. NO UNDER SLAB WORK
r CANTON COUNTRY, CA 697062 C36ARCHITECT OR ENGINEER: TE .
PLASTIC T/N METAL Y/N
ROUGH PLUKBIltG
_ LIC.' GAS OPING
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GAS T
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UTILITY C(PPANY NdTI-FlEff _
C S@!•VICe matte
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508