HomeMy Public PortalAbout5817 HART AVE_Plumbing__ 76A667-CE817-11-57
APPLICATI!ON FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
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DEPARTMENT OF COUNTY ENGINEER ' '77r 7-7.
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS rJ
CASSATT D. GRIFFIN, Supt of Building LOCALITY
9.
FOR APPLICANT TO FILL IN NEAREST d
CROSS ST. /7
NUMBER FIXTURE OR ITEM
17 WATER CLOSET OWNER C
I4AIL
BATH TUB ADDRESS
` SHOWER CITY NO.
LAVATORY CONTRACTOR 74
SINK ADDRESS73 I
DISHWASHER CITY S TEL. NO.�I ..Q—3 y
a ` LAUNDRY TUB CONTRALTO STA
'S
REGISTRATION NO. S COUNTY ❑
CLOTHES WASHER rr r DISTRICT NO.f a GROUP� ZONE eeaor FOR INSFecrloN
/u
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
q
APPROVALS
O @ $1.00 PER ITEM n DATE INSPECTOR'S SIGNATURE
OR FIXTUBE $ f CO „
? UNDER SLAB WORK /,�/{F"r,
PERMIT $ 00 r ROUGH PLUMBING f vr✓ //C I.
TOTAL FEE _ GAS PIPING nom'&, Z
`y I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT a{'2D-t,eq (els L.2LL�i�Dt��
AND STATE THAT THE ABOVE IS CORRECT AND AGREE T0, COMPLY HOT WATER HEATER
' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING f
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST / �'�
LICr—��nENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �[.
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA PROPERTY.
` SIGNATURE
OF FERMITTEr FINAL
ROBERTA.WOOD.
OF SUPERVISING MECHANICAL ENG'R
OVALIDATION
M.O. CASH
r? 3-5 1 0 En MAR 16 5 A 1 2.0 0 M
r. r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0305060005
• BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
•
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5905 LT: 91 5817 HART AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801911
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
5387-015-007 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 05/06/03 JK 11/02/03
TOTAL FEES 76.35
OWNER: TEL. NO: FINAL DATE ! FINAL BY: CODE:
SHOKIR; ALBER J (626) 975-5574-
5817 HART AV 0
TEMPLE CITY 91780 DESCRIPTION OF WORK
PLUMBING FOR ADDITION
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 Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO: !
GAS PIPING
I
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508