HomeMy Public PortalAbout5656 HELEO AVE_Plumbing__ pe �L {���w ppp
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®E B I J(FE V;� �READY p@O)• �HY I("AY 11
APPLICATI N�FOR PLBIN PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL iN(PRIM OR TYPE) BUILDING
ADDRESS 9
NUMBER FIXTURE OR ITEM ® FEE
WATER CLOSET LOCALITY
NEAREST
BATHTUB CROSS ST.
SHOWER - OWNER
LAVATORY - MAIL
ADDRESS
SINK CITY TEL.NO.
DISHWASHER CONTRA
CL°THESWASHER ADDRESS10920 E. GRAND AVE..
SWIMMING SPRINKLPOOL ER SYSTEM
CITY TEMPLE CITY, CAIN -7a.2i
LAWN SPRINKLER SYSTEM -
STATE /J LIC.
WATER HEATER LICENSE NO.�^�5
CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
i PER SYSTEM ROUGH PLUMBING
GAS PIPING 0
GAS VENT V
HOT WATER HEATER 0
0FFu
PLUMBING FIXTURES r W
GAS TEST ,I/ 1IIIGLLLL
Plan check fee UTILITY CO.NOTIFIED i _Z
PLUMBING PERMIT ISSUING FEE$ 7e2v
TOTAL PEE D F7� VALIDA
TION
Plan check Opp)imnt --9'6 p(�Q A
Name
Address ? O ^ I a O O
CITY Tel.No. 0 0 0 is
I HEREBY ACKNOWLEUGE THAT I HAVE READ THIS APPLICATION AND STATE _
THAT THE ABOVE IS CORRECTANDAGREE TO COMPLY WITH ALL COUNTY ORDINANCES - p r/n
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION' 0a13-179
1 HEREBY CERTIFY.T ROPER LY Rft2t
AS 1
REOUIREp BY LOS ANGEL CO TT NO STATE OR
HE
LEGAL OWNER OF.AN01 TEND R SIDE I' HALPROPERTY.
SIGNATUREOFPEHIVITTEE
DISTRICTTNO. PROCESSED BY
.3 �w O
INDUSTRIAL -
WASTE APPROVAL '
11' Jz'
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0207290012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 25202 LT: 1 5656 HELEO AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802423
SS NEAREST CROSS STREET: LIVE OAK
8588-004-001 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TOTAL FEES 43.95 ISSUED 0 Y: EXPIRES .
07/29/02 JK 01/25/03
OWNER: EL. N0: FINAL DATE FIN BY: .
DECAROLIS, RICKY (626) 309-9551-
5656 HELEO AV �2
TEMP 91780 DESCRIPTION OF WORR�`l!
C/O WATER HEATER
APPLICANT: L.
ACTION CONTRACTORS (310) 515-1311-
17111 S BROADWAY SPECIAL CONDITIONS:
GARDENA 90248
t
CONTRACTOR: TEL. NO: - APPROVALS DA INSPECTOR S G ATUR
ACTION CONTRACTORS (310) 515-1311- -
17111 SOUTH BROADWAY LIC. NO I ,� \ r SLAB WORK
GARDENA CA 90248 B/L 27953 -
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT NG 0: 1�-
ROUGHPL NG
LIC. NO`.
GAS PIPING
GAS VENT
HOT WATERHEATER
PTFfU G6T�FiX1-uRES
LAWN SPRINKLERS
GAS TEST
COMPANYUTILITY
CWV
GRAY WATER SYSTEM
• ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508
76A667-CE617-$-66
' APPLICAtON FOR PLUMBING #ERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION - BUILDING
CBi}OHN A. LAMBIE. County £n neer ADDRESS �y �b
SATT D. GRIFFIN. Supt of Building LOCALITY L
_
FOR APPLICANT TO FILL IN NEAREST CROSS ST. l
'
NUMBER FIXTURE OR ITEM I /
OWNER rtU U
WATER CLOSET MAIL
BATH,TUB ADDRESS
/ SHOWER CITY TEL. NO.
LAVATORY
CONTRACTOR valley umbing Co.
SINE
ADDRESS 442 W. Fleetwood Pl.
DISHWASHER CITY wenctora TEL. NO. Ed 5-1294
cONTEACTOR•S 160847 STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRICT NO. GROUP ZONE P CESSED BY
WATER HEATER , L
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
�{ APPROVALS
v @ OR FIXTUREM $ a� DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK -1�- jS.Gf1
PERMIT $ 2* ROUGH PLUMBING
TOTAL FEE 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST Nw
LICENSED AS REQUIRED BY LOS ANGEXES COUNTY AND STATE OF
CALIFORNIA OR THAT i THE LEGAL OWNER; OF. THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL OPERTY.
SIGNATURE AL l
OF PERMITTE
ROBERTA.WOOD.
®P V ATION SUPERVISING MECHANICAL ENG'R
GK. M.O. CASH
LF:(0 6 0 9 3 5 FEB 4 5 A 1 .0