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HomeMy Public PortalAbout4947 HELEO AVE_Plumbing__ 76 A 667 - CE 817L 7-69 V rr dM=11?12 r"TTV Z y'OIL a >B� J APPLICATION FOR -PL_dJRfill ING PERMIY COUNTY OF LOS ANGELES ; DEPARTMENT OF COUNTY ENGINEER . BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS )19)17 N. 14ijen Ave. COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY NEAREST i ie Cit. FOR APPLICANT TO FILL IN (PR NT OR TYPE) CROSS CROSS ST. Gak NUMBER FIXTURE OR ITEM. EACH FEE - OWNER WATER CLOSET' 1.50 MAIL BATH TUB. - 1.50 ADDRESSAveA34'SHOWER- 1.50 CITY Cit TEL. NO,28LAVATORY 1.50 CONTRACTORpAr A SINK 1.50 ADDRESS 10§20GrandAve. .I . DISHWASHER 1.50- CITY TEL. NO.' .STAT]k LIC .} CLOTHES WASHER 1.50 LICENSE NO. GYlU 8 CLASS C-20. - 'SWIMMING POOL RECEPTOR 1.50 DISTRICT NO A GROUP .ZONE I P O ES D BY - LAWN SPRINKLER SYSTEM 2.00-1.- •`S ®� „� 16 0— WATER HEATER 1.50 'Ls O INDUSTRIAL - WASTE APPROVAL GAS SYSTEM OUTLETS 1,.50 INSPECTION RE OUTLETS OVER 5 PER SYSTEM .30 •O N Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 .00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE - Plan check applicant UNDER SLAB WORK Name— ROUGH PLUMBING Address GAS PIP-ING GAS VENT City. Tel. No. HOT WATER HEATER 'I HEREBY ACKNOWLEDGE:THAT 1 NAVE.READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES - - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGIS/ST /OR UTILITYCO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY OFCALIFORNIA.OR THAT I AM THE LEGAL.OWNER OF,ATO RESIDE IN,THE ABOVE DEBCR FjD RE NTI RO PEFINAL SIGNATURE JACK R. ALLEN, SUPERVISING H'ANICAL EN'G'R. OF PERMITTEE - ' :.. PERMIT VALIDA'T'ION CK. M.O. CASH PLAN CHECK VALIDA'T'ION CUK M.O. CASH d =:o . JUS. -D 3:5 0 76A667 (CE-817) - 176 ` �. APPLICATION FOR PL GI U ISI G 4 R M IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION "n 41AKE CHECKS PAYABLE TO: BUILDING ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST q ,� CROSS ST. Lr(1 NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 2.00 OWNER �w MAIL BATH TUB 2.00 ADDRESS ' I SHOWER 2.00 CITY` TEL. NO. LAVATORY 2.00 CONTRACT 1 do SINK 2.00 ADDRESS, DISHWASHER 2.00 CITY TEL. NO. j CLOTH ES.INASHER 2.00 STATE I LICENSE NO. �IB? CLASS ' SWIMMING POOL RECEPTOR 2.00 DISTRICT NO.GROUP ZONE D BY LAWN SPRINKLER SYSTEM 2.00 WATER HEATER 2.00 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2.00INSPECTION RECORD U OUTLETS OVER 5 PER SYSTEM 30 �y C2 O U ^ N Z Plan Check fee See Reverse Ur PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant. �7 UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBINGFIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I-HEREBY CERTIFY THAT I,AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REHUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO /J ` RESIDE IN THE ABOVE DESC BED RESIDEN A PROPERTY. FINAL SI'GNA.TU RE OF PERMITTEE PERMIT VALIDATION CK. M.O: CASH PLAN CHECK VALIDATION CK. M.O. CASH 3 1.'0111nFc :L,5,, �` � ;�' f 76A6j7A 6>E 817 1REV.6/Y3) o ©s AFFUC Afl SON FOR PLUMB9NG PER Q11 COUNTY OF LOS ANGELES BUILDING ARID SAFETY r NUMBER FOR APPLICANT URE OR FILL TEM IN(PRINT OR',,..@ FEE `, TYPE) BUILDING (� / ADDRESS % 7 A(�f`� O 14 V'/ .e WATER CLOSET LOCALITY. C, 7' NEAREST �_ ) BATH TUB CROSS ST. SHOWER TOWNER LC LAVATORY MAIL ADDRESS / lf L,C`i• �V L:s' ; SINK CITY"� LC r L.NO.g S- DISHWASHER CONTRACTOR LAG/+ L� •^'� C`, CLOTHES WASHER ADDRESS S /--. _ 'Al SWIMMING POOL RECEPTOR laz _ CITY 7 TEL.NO.:*6--3 I � LAWN SPRINKLER SYSTEM STATE 14 LIC. 1. WATER HEATER - LICENSE NO. (fig CLASS GAS SYSTEM OUTLETS /y APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER V VV UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING C GAS VENT I� HOT WATER HEATER I� PLUMBING FIXTURES GAS TEST Plan Check fee UTILITY CO.NOTIFIED. PLUMBING PERMIT ISSUING FEE TOTAL FEE f v ao FINAL Plan cheek applicant V PLAN CHECK VALIDATION Nome Address City Tel.No. I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE -2 TO COMPLY WITH ALL COUNTY ORDINANCES •6 5 !^/ .9 A AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ICENSED AS 9'o O•O O O 5 REQUIRED BY LOS ANGELES CO TY AND STATE OF CALI NIA OR T I AM THE ' LEGAL OWNER OF.AND I TO RESIDE IN THE AB E DESCRIBED, ESIDENTI 2 Q O -0.00 . PROPERTY. SIGNATURE / ��2 z O O O 1 O O 0 V OF PERMITTEE !! / r' DISTR T NO. PRO SED BY 09 1 I f 7 INDUSTRIAL WASTE APPROVAL COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1107070028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: 1 FEES PAID- BUILDING ADDRESS: 1 ITR: 13329 LT: 6 BL: .001 1 1 4947 HELEO AV 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803823 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LA ROSA 1 18590-023-027 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl 1 164 WATER PIPNG <='1 1/2 1.00 LIN 16.30 I 1 (TENANT: I TOTAL FEES 44.10 (ISSUED ON: PROCESSED BY: PLAN BY: 1 1 107/07/11 SR 1 I I I I (OWNER: TEL. NO: I (FINAL DATE FINAL BY: CODE: 1 (VERA, FRANCES J (626) 287-2585- 1 1, 1 14947 HELEO AV 1TEMP 917803823 1 - ID CRI�TI-09 OF WORK 1 (REPAIR WATER MAIN ' I I I I 1APPLICANT: TEL. NO: 1 I ISAME AS OWNER ISPECIAL CONDI`T/IONS: 1CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1 1SAME AS OWNER - I I 1 I LIC. NO I 1UNDER SLAB WORK i I I I I I I I 1 IWATER SERVI I I 1 '(PLASTIC Y/IC MET 1ARCHITECT OR ENGINEER: TEL. NO: I I- I) I IROUGH PLUMBING ' 1 LIC. NO: I I I I IGAS PIPING I I 1 I I I I I I I IGAS VENT I I I I I__ 11 I I IHOT WATER HEATER I I I I I 11 I IPLUMBING FIXTURES LAWN SPRINKLERS IGAS TEST I 1 11 I 1 (UTILITY COMPANY NOTIFIEDI I 1 11 I Icwl I I I I I I I I I (GRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1REPORT ID: DPR263 ROUTE TO: BS0508 I 1 I I I I I I