HomeMy Public PortalAbout4934 HELEO AVE_Plumbing__ 76A667:-CE#8.17 1.0-62 D�/v,�L.-� G/Ty
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. G A, O S
NUMBER FIXTURE OR ITEM EACH FEE OWNER V CL V L= n
WATER CLOSET $1.25 o MAIL
jj BATH TUB 1.25 ADDRESS
I . •
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.2S Q CONTRACT
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. Nqe
LAUNDRY TUB 1.25 CONTRACTOR'S STATE El '
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCE SED BY
(' WATER HEATER 1.50
1.50 INDUSTRIAL d
GAS SYSTEM OUTLETS WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD !A
R ,, _
.�yar-,taf�t ✓y/l. �ff tua
CL
mfr.- 4 'JJ z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 a UNDER SLAB WORK W/7`L3
ROUGH PLUMBING U`�lo� 5f U
TOTAL FEE , aO c
.GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER /
PLUMBING. -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR - PLUMBING FIXTURES
LICENSEDAS REQUIRED BYLOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO ,G
RESIDE IN,THE ABOVE DESCRIBED RESIDE TI L PROPERTY. - UTILITY CO. NOTIFIED
SIGNATURE ... ✓_/A! _ nI, ,�
OF PERMITTE FINAL
ALIDATION ROBERT A. WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
�i=x0805 IG J-126 5 G 1 5. 1 ,
76A667-CE.#817 2-62 � L , T`
��qp,yy,�� I�p)..qr� IpI//�� 'pp'``'' e i �� 11pp�����ryry e//ii� I -
APY LI'VATiO V FO O ,PLUIVLB��G 11 E09W Y
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND'SAFETY DIVISION BUILADDRDING
JOHN A. LAMBIE, COUNTY ENGINEER r
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
caoss sr.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
CITY ` T NO.
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR J2�
SINK 1.25 ADDRESS O
DISHWASHER 1.25 CITY TEL. NOJe gL yI
CONTRACTOR'S C Y STATE El-
LAUNDRY
LAUNDRY 'fUB 1.25
REGISTRATION NO. / � 7 COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. OUP ZONE PRO SSED BY
WATER HEATER 1.50 ::�: J All
LL� GL�
GAS SYSTEM-OUTLETS- 1.50 INDUSTRIAL WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30, INSPECTION RECORD d
t V
U
Lu
d
Vf .
APPROVALS DATE INSPE TOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE /.4 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER -
w PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR �; PLUMBING FIXTURES
LICENSED AS REQUIRED Y LOS AN S COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT AT E L AL 0 ER OF,AND INTEND TO
RESIDE IN,THE ABOV SC RI ED ESIDE I L PR ERTY. UTILITY CO. NOTIFIED _
L
SIGNATURE
OF PERMITT
V LIDATION ROBERT A. WOOD
cK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
LAW 6 7 2DEC 19 5 D 3.50
s
�I
COUNTY OF.LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT -
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1112140007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285=0488 EXT:
ILEGAL ID: - - FEES PAID I BUILDING ADDRESS: 1
ITR: 13329 LT: 32 BL: .001 1 4934 HELEO AV 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803822
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18590-022-022 101 PERMIT ISSUANCE FEE- 27.80 THOMAS PAGE: 596 GRID: JS LOCALITY: TEMPLE CITY, Cl
I 147 WATER HEATER(S) 1.00 WTH 16.30 I
(TENANT: 163 WATER PIPING BR/FIX 9.00 FIX 60.40 (ISSUED ON: PROCESSED BY: PLAN BY: 1
TOTAL FEES 104.50 112/14/11 �SR
(OWNER: TEL. NO: I IFINAL DATE FIN Y: CODE:
ISY, JANETTE - 1 II �
14934 HELEO AV I I �
ITEMP 917803822 1 IDESCRIPJtION OF WORK - I
I I IRE-PIPE 9 PLUMBING FIXTURES AND WATER HEATER
I
1APPLICANT: TEL. NO:
ICHAN, TERENCE (626) 379-4900- 1 _
1560 W. MAIN STREET 1 ISPECIAL CONDITIONS: 1
JALHA4BRA CA 91801 1 1
I I
I I_
ICONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE
ILANTRIK INC. (626) 379-4900- I - . 1 1
1560 W. MAIN STREET #C278 LIC. NO 1UNDER SLAB WORK
IALHAMBRA, CA 91801 668443-B
I _ (WATER SERVICE
I IPLASTIC Y/N METAL Y/N 1 I I
1ARCHITECT OR ENGINEER: TEL. NO: I _I
I TROUGH PLUMBING
1 LIC. NO:
I I IGAS PIPING
I I
I I IGAS VENT I I I
I IHOT WATER HEATER
I IPLUMBING FIXTURES I 1
- ILAWN SPRINKLERS 1
I I 1
' IGAS TEST _I
I I I
1 1UTILITY COMPANY NOTIFIED) I I
CWV
I IGRAY WATER SYSTEM
L 11
I I I I I I
I I
I I I I I I
I I x I I I I
I IREPORT ID: DPR263 ROUTE TO: BS0508 1 I I