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HomeMy Public PortalAbout6022 IVAR AVE_Plumbing__ 76A667A(CE 817B)- 11/76 p APPL�IICAT90N .F®R'PLL_-•�dMBIIIIVV� PERMQT dmf BUILDING D SAFETY DTVI VN FOR APPLICANT TO FILL IN(PRINT OR TYPE) ILDING DRESS AD NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET "'LOCAL ITYB.G'T�y� NEAREST BATHTUB CROSS STjlT OFA lf�f G SHOWER OWNER " LAVATORY MAIL ADDRESS SINK CITY-)2:1,-,11 jl"C)7'Y TEL.NO.R je41,r4C DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO.. CLASS / GAS SYSTEM OUTLETS DICT NO. GROUP ZO E PR ESSED Y o - 1 OUTLETS OVER 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD u Ix c� Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE. Plan check applicant APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel. No. GAS PIPING _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE r GAS VENT THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES - ', AND STATE LAWS_REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF,AND INTEND TO RESIDE IN THE.ABOVE DESCRIBED RESIDENTIAL ' PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERM ITTEE FINAL ' PLAN CHECK VALIDATION CK. M.O. CASH PERM]T'VALIDAT ION cK. ` M.0. CASH p 5 -' 14 5 1 3.5C)> ©: 0:vp COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0207220012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILD NG ADDRESS: TR: 5904 LT: 124 6022 IVAR AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801521 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HERMOSA 5384-018-008 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 BY: EXPIRES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 07/22/02 JK 01/18/03 TOTAL FEES 76.35 OWNER: TEL. N0: FINAL DATE CODE: MARTINEZ RAYMOND N (626) 285-6195- 6022 IVAR AV LAMEL TEMP 917801521 DESCRIPTION OF WORK ADD BATHROOM 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. N0: ROUGH PLU BING �+-• LIC. NO -' GAS PIPING GAS ENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508