HomeMy Public PortalAbout5527 LOMA AVE_Plumbing__ 7BA667-CES175-59
APPOCAT'I N FOR PLUMBING PERMIT111A,
COUNTY OF LOS ANGELES_' 41
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION' BUILDING
JOHN A. LAMBIE, Countg Engineer ADDRESS'
CASSATT D. GRIFFIN, Supt of Building
- - LOCALITY Q �.�
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. Al
NUMBER - FIXTURE OR ITEM OWNER - -
WATER CLOSET MAIL
BATH TUB ADDRESS.
T CITY TEL. NO.
SHOWER _
LAVATORY CONTRACTOR
SINK ADDRESS 4 �(
DISHWASHER - CITY 11-f TEL. NO.
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO, l D ® COUNTY ❑
CLOTHES WASHER DIST RI T NO. GROUP
/jZONE P OCESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
@ $1.00 PER ITEM
aZ OR FIXTURE $ / APPROVALS
� r�9B- DATE pINSPECTOR'S SIGNATURE
PERMIT $ I 2100 UNDER WORK
'PLUMBINGT/ .{/y"�Xyt741 pe- ��*TOTAL FEE 0Q A�Jp
AHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER '! /,t• C11`
PLUMBING: -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING.FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPER Y. UTILITY CO. NOTIFIED
SIGNATURE `
OF PERMITTEE FINAL `
®a VALIDATION ROBERT A. WOOD,
cK, M.c, SUPERVISING MECHANICAL ENG'R
0 Cert 9 � :. 3 5
" COUNTY OF LOS ANGELES - TEMPLE CITY # 0508 •• PLUMBING PERMIT
..DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0611270016,-
BUILDING AND.SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 , EXT:
LEGAL ID: - - - FEES PAID BUILDING^ADDRESS:
TR: 9751 LT: 0 BL: .001 UN: .002 5527 LOMA AV -
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802306
ASSESSOR INFORMATION NUMBER: .. .` NEAREST CROSS STREET: BROADWAY '
5387-020-021 01 PERMIT ISSUANCE FEE - 27.:75 THOMAS-PAGE' 596- GRID.: H4 LOCALITY, TEMPLE CITY, C
07 BATHTUBS/SHOWERS - 2.00 FIX 32.40. '
TENANT:.- - 13 DISHWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: -
25 LAVATORIES/SINKS 2.00 FIX_ 32.40 11/27/06 JK 05/26/07
_
45 WATER CLOSET/URINAL 1.00 FIX: 16.20 _ ..... "
OWNER: TEL. NO:, 47 WATER HEATER(S) ' ,-,` .. 1:00-WTH''+ 16.20 F NAL DATE FINA CODE:
WELLMAN RICHARDJ;EVELYN R (626) 286-3090- TOTAL FEES - 141.15 1 ( J "
5527 LOMA AV- - - l -
TEMP 917602306 DESCRIPTION OF WORK
PLUMBING FOR KITCHEN & BATH EMODEL
APPLICANT: -TEL. NO.:
LAKE (626) 622-3459- -,
6866 ASTER CT. SPECIAL CONDITIONS:
CHINO, CA 917.10 -
CONTRACTOR: - TEL. NO: - - _ APPROVALS DATE INSPECTOR SIGNATURE
ROBERT LAKE JR. (626) 622-3459-
6866 ASTER CT. LIC. NO. - UNDER SLAB WORK -t -
CHINO, CA 91710 425436B -
WATER SERVICE
.PLASTIC YIN METAL Y/N
ARCHITECT OR ENGINEER: - TEL. NO:
ROUGH PLUMBING
LIC. N0:
GAS PIPING
GAS VENT `
HOT WATER HEATER.
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST - -- -
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508 -