HomeMy Public PortalAbout9862 LEMON AVE_Plumbing__ 76A667-CE617 B-57
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �' '7
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN, SUP T OF BUILDING LOCALITY yI
4 FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER,CLOSET
BATH TUB ADDRE S ✓ tJ r
SHOWER CITY ,I / TEL.NO. JLz, .J
LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITY TEL.NO. C 76
LAUNDRY TUB CONTRACTOR'S STAT
REGISTRATION NO. �� COUNTY Dj
CLOTHES WASHER
DISTRICT NO G130UP ZO E READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
s�
Aid
APPROVALS
Qa $1.00 PER ITEM ��, DATE INSPECTOR S SIGNATURE
OR FIXTURE $ UNDER SLAB WORK
PERMIT S 00
ROUGH PLUMBING
1 y,- • �-
,�/� GAS PIPING / £Ib•
TOTAL FEE U V GAS VENT 6 � ±�, `
t 1,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER Y
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OW R OF ABOVE UTILITY CO NOTIFIED ',' (— "F•f{.�i�.��r .;}
DESCRIBED RESIDENTIAL ERTY
SIGNATURE
OF PERMITTEE TT�� �'[ b•..GCf•
a VALIDATION ROBERT A WOOD,
SUPERVISING MECHANICAL ENG R
CK M 0 CASH
`, 3 6 0 5 OR AUG 6 5 A 2.0 0 m
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ,�MB,ING P IT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS P�L 0508 00'.$7210034
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGALID: FEES PAID D R S:
ON FILE 862 LEMON A
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: T MP GA 9'78 0000
ASSESSOR FO MATI NEAREST CROSS STREET: ROWLAND
5383-025-029 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED PLAN BY: EXPIRES ON:
21 HOSE BIBB(S) 1.00 FIX 16.20 08/21/00 UT 02/18/01
25 LAVATORIES/SINKS 1.00 FIX 16.20
OWNER: TEL. NO: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 FINAL DATE FINAL BY: CODE:
DEE GREGORY;CECILIA 47 WATER HEATER(S) 1.00 WTH 16.20
9862 LEMON AV 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TEMP 917800000 TOTAL FEES 141.15 DESCRIPTION OF WORK
PLUMBING FOR ADDITION AND REMODELING
PPL EL. NO:
A-1 CONSTRUCTION AND GENERAL CONT. (626) 458-8677-
511 S. FIRST AVE. SPECIAL CONDITIONS:
ARCADIA, CA
CONTRACTOR: TEL. N0: ES co APPROVALS DATE I PEC TOR�O� �
A-1 CONSTRUCTION AND GENERAL (626) 458-8677-
SI ATURE
CONTRACTING LIC. NO UNDER SLAB WORK
511 S. FIRST AVE. #289 630600 B
ARCADIA, CA 91006 ` WATER SERVICE
f PLASTIC Y/N METAL Y/N
ARCHITECT-ORENGINEER: O:
ROUGH PLUMBING
LIC. NO: / 1111111GAS PIPING
L
GAS VENT
G U S UC
\SII�\1/TO�I I/` OT WATER ATER
�J �J LJ U U �]v PL NG FIXTURES
j 0 �► LAWN SPRINKLERS
O 0
❑ *` S TEST
❑ ® ®y UTILITY COMPANY ED
SL'BV�fz���� C
WV
GRAY WATER STS-TEM
REPORT ID: DPR263 ROUTE TO: BSO5O8