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APPLICATION FOR PLUMBING PERMIT
i COUNTY OF LOS ANGELES v
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
,,J!OHN A. LAMBIE, COUNTY ENGINEER ADDRESS
$ L;EMAN W. JENKINS. SUPT OF BUILDING LOCALITY -
FOR APPLICANT TO FELL IN CROSS
EST
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $ll5 MAIL -
BATH T[iD 1.45 ADDRESS - -
SHOWER 1.45 CITY — TEL. NO. -
CONTAIICTOA
k LAVATORY 1.75 �
SINE 1,45 ADDRESS
I DISHWASHER 1.75 CITY - - TEL. NO.,/,/
LAUNDRY TUB 1.75 STATE LIC
LICENSE NO. / �! CLASS
ElE
! LOTM WASHER 1'75 DfeTg1CT NO. P.- Zj7t/F, PROCESSED BY -
-. ATER HEATER 1.50 JL—
GAS SYSTEM OUTLETSI.50 INDUSTRIAL -
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .70 MSPECTION RECORD --- w
G,
} Q
u
APPROVALS DATE INSPECTORS SIGNATURE
PERMIT j 2 OO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I NEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORGAS AND AGREE TO COMPLY 'ATS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I R
HEREBY CEFIFY THAT. 1 AM PROPERLY REGISTERED ANWOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 1
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO _
RESIDE IN. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
VALIDATION
ICN. M O. CASH
S 9 f. 3
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0204250006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 132 8863 HERMOSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801817 _
ASSESSOR N 0 A N NEAREST CROSS STREET: RENO
5384-018-025 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 PROCESSED .
25 LAVATORIES/SINKS 2.00 FIX 32.40 04/25/02 VG 10/22/02
45 WATER CLOSET/URINAL 2.00 FIX 32.40
OWNER: T-97. N0: 51 LOW PRS GAS 5 OUTLET 1.00'SYS 16.20 FINAL DATE FINAL BY: CODE:
LITCHFIELD;JOSEPH & ZHU HONG - TOTAL FEES 157.35
8863 HERMOSA OR
TEMP 917801817 DESCRIPTION
PLUMBING FOR 2 BATHROOMS & LAUNDRY
APPLICANT: TEL. O:
KWOK (323) 868-3653-
109 E FLORAL OR SPECIAL CONDITIONS:
MONTEREY PARK 91755
CONTRACTOR: TEL. NO: . APPROVALS DATE INSPECTOR SIGNATURE
MAXIMA BUILDER (626) 454-4688-
3018 DURFEE AV. #B LIC. NO - R ORK
EL MONTE CA. 91732 677550 C36
WA R SERVIC
PLASTIC Y/N METAL Y/N
ARCHITECT OR GI L. 0:
KWOK, TERRENCE (323) 728-4833- ROUGH PLUMBING
109 E. FLORAL DR. LIC. NO:
MONTEREY PARK, CA C-24796 C G
GAS VENT
HOT WATER HEATER
PLUMBING RES
LAWN SPRINKLERS
GAS TEST
UTILITYCOMPANY NOTIF
C
wV
GRAY WATER SYSTEM
ADDITIONAL DATA ON FILE
REPORT -ID: DPR263 ROUTE TO: BS0508