HomeMy Public PortalAbout5339 LOMA AVE_Plumbing__ 76966 7,(CE-81 7)- 5/73
APPLICATION FO . PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER i
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDINGADDRESS ' :7
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TOFILLIN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
OWNER
WATER CLOSET 1.75
_MAIL
BATH TUB 1,75 ADDRESS
SHOWER 1,75 CITY "TEL. NO.
LAVATORY 1,75 CONTRALTO
SINK 1.75 ADDRESS
DISHWASHER 1.75
CITY. TEL. N0.
CLOTHES WASHER 1.75 STATE LIC_
LICENSE NO: ` CCASS
SWIMMING POOL RECEPTOR 1,75
DISTRICT NO. GROUP NOCESSED BY
LAWN SPRINKLER SYSTEM 1.75 �� % , 1
F, I _T_-w—9:2
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL ny_
GAS SYSTEM _,/ OUTLETS 1.75 INSPECTION RECORD
OUTLETS-EVER
5 PER SYSTEM 30 f/—/S�,!?/ r-.4 6
Lu
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE
APPROVALS DATE INS PECTO R'9 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING `Z'�7
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 PLUMBING FIXTURES 1
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT LOAM PROPERLY REGISTERED AND/OR UTILITY CO.•,NOTIFIED vv
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDEN IAL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE '
PERMIT A (DATION 1. cases
PLAN CHECK VALIDATION CK. M.0. CASH
IJ/55 -D0 5 0
' COUNTY OF LOS ANGELES TEMPLE CITY # 0508PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 9906040003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL -0 A DR SS:
TR: 11218 LT: 6 BL: E 339-I:OMeAV"J
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: •SMP CA 917803002
ASSESSOR INFORMATION NEAREST CROSS STREET: OLIVE
5388-007-006 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
06/04/99 , UT 12/01/99
OWNER: TEL. FINAL DATE FINAL BY DE:
VYAS RAJESH S;HASUMATI R (818) 285-8541-
5339 LOMA AV
TEMP 917803002 DESCRIPTI OF WORK't
GAS LINE FOR REPLACEMENT OF HVAC YSTEM
APPLICANT: TEL. NO:
CONNOR AIR CONDITIONING (626) 286-3157-
4931 N. ENCINITA AVE SPECIAL CONDITIONS:
TEMPLE CITY, CA
CONN RCONTRACAIR CONDITIONING (626)TOR: TEL. N286-3157 APPROVALS DATE INSPECTOR SIGNATURE
4931 ENCINITA AVE LIC. NO
UNDER SLAB-WORK-
TEMPLE CITY, CA 91780 403735 C20
d WATER SERVICE
PLASTIC Y/N METAL Y/N
EARCHITECT OR ENGINEER: TEL. NO:
ROUGH
LIC. N0: 1111111
GAS PIPING
GAS VENT
� U p C W�R � HOT WATERHEATER-
MID)
ATER
O0 ` LAWN SPRINKLERS
o. lei
a . ® ®� GAS TESTUTILITYc
ServiceTTM IL��Q cwv
GRAY WATER SYSTEM
i
REPORT ID: DPR263 ROUTE TO: BS0508