HomeMy Public PortalAbout8814 LONGDEN AVE_Plumbing__ 76A887A IA? 8178) -4/77
r. " A °,PPL OCA ° TOOO [N FOR FLUM o ONG PER veli 9T
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS 8814 Longden Ave.
WATER CLOSET LOCALITY Temple City
V" NEAREST 1
BATH TUB CROSS ST. �t`w
SHOWER OWNER riessmeyer
LAVATORY MAIL 58814 Longden Ave.
SINK CITY Temple City TEL,NO. 286-0567
DISHWASHER CONTRACTOR Universal Plumbing
CLOTHES WASHER y
- ADDRESS 2631 Lee Ave.
SWIMMING POOL RECEPTOR-
LAWN SPRINKLER SYSTEM CITY SO El Monte TEL.NO _ 46o
STATE
3l 018 LIC. C36&20
WATER HEATER LICENSE NO. C7.
LASS
GAS SYSTEM OUTLETS DISTRICT NO. GROUP ZONE PU ESSED BY .
OUTLETS OVER vv �j r �I O
5 PER SYSTEMINDUSTRIAL V
T'
WASTE APPROVAL
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INSPECTION RECORD ,^
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Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTALFEE
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
o UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
('HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY ND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST /
LEGAL OWNER OF.AND INTEND T SIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE �
OF PERM ITT FINAL // s'
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATI / M.O. CASH
4 8 8�FE9 .e 5 1 6.5 0 ,&
wP 7�5 � s� 3 - -
1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 - PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1408130022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0486 EXT:
(LEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 5904 LT: 2 1 I 8814 LONGDEN AV I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801501 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15386-010-004 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID:. H2 LOCALITY: TEMPLE CITY CAI
1 147 WATER HEATER(S) 1.00 WTH 16.20 1 I
(TENANT: - I TOTAL FEES 44.00 11SSUED ON: PROCESSED BY: PLAN BY: 1
108/13/14 SR 1
(OWNER: TEL. NO: I (FINAL DATE FINAL BY: CODE: I
1GRIESSMEYER, HARRY (626) 285-3736- 1 1
18814 LONGDEN AV 1 I
ITEMP 917801501 I IDE'CRIPTION OF WORK I
(CHANGE OUT GAS WATER HEATER, SAME LOCATION INSIDE CLOSET I
I 148 GALLONS
(APPLICANT: TEL. NO: 1
1EMILY BATIOFF (425) 636-7054-
111715 N CREEK PKWY (SPECIAL CONDITIONS:
IBOTHELL WA 98011 I 1 I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IFAST WATER HEATER (425) 636-7054-
I
111715 CREEK PKWY SO. #C106 LIC. NO I _ (UNDER SLAB WORK 1
-IBOTHELL, WA. 98011 987398 I 1 I I
1 I IWATER SERVICE 1 I
1 1 1PLASTIC YIN METAL YIN 1 , 1
(ARCHITECT OR ENGINEER: TEL. NO: I I I I
1 - 1 IROUGH PLUMBING I I
1 LIC. NO: 1 I I I I
1 IGAS PIPING I I
IGAS VENT
I IHOT WATER HEATER. 1 I
1 1 IPLUMBING FIXTURES I� T
. 1 LAWN SPRINKLERS I I
IGAS TEST 1
(UTILITY COMPANY NOTIFIEDI I I
I I ICWV I
- IGRAY WATER SYSTEM
i
I I I I I I
I I I I I I
1 I I I I I
I I I-• I I I
I I I I I i
I (REPORT ID: DPR263 ROUTE TO: BS0508 1 I
I I I I I
APPLICATION FOR PLUMBING PERMOT
DMSION OF BUILDING AND .U= .
Dapmtmont of County EngUoor r'
County of Loo An7-oloo
WM.J. FOX, CoumTv E..wNarmi
CASOATT CjRIFFIN,EUP'T or BUILorrn
_ LocALrTr A�c.'4 1�0SE ,
FOR APPLICANT TO FILL IN `NEAREST
_ . ��CROSflar: U S C�T -
OWNER � An P40GROUP van"asa Inspection
MAIL
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ApDRCa3 / / / ? w
INDUSTRIAL
C:iIY !r?M r TEL.NO -7��s3 WABTL'AFPaOVA eh
INSPECTION RECORD
ADDRESS
CITY TEL.NO.
LICENSR::J. ..
NUMOan Type OF FIXTURC OR ITCH Fat .
_ J CLOSET
WATER SE tTOI ET) _g
A _ l {{
BATHTUB
LAVATORY ITCH (WASH BASIN)
EN SINK
_ DISHW ASHES '
LAUNDRY TUB OR TRAY
CLOTHES WASHER _ T�
VIC
TGTAI_r-JO. APPROVALS
— DATE INSPECTOR'S 314MATURE
ny BY57EAt--� epUTLET$
WATER HEATER _ ; DOt '%Vn£R SLAB WORK
• � ( P.^.UGH PLUMHtNC � �^ � { J��,.,,,� "'�
` PERMIT S t t CO
—� SAS PIPING
f TOTAL FEE ~sa VENT _
I ii EREBY ACK.nOWLEcoE THAT I HAVE READ THIS APPLICATION WOT WATER HEATEM a, _
AND STATE THAT THE A90 f IS CO
RRECY AND AGREE TO COMPLY
76
WITH ALL COUNTY OR^1NA10ES AND STATE LAWS RE;ULATIHG PLUMBING FIXTURES _ I
FLUtl BINn, 9
i HERk BY CERTIFY THAT 1 AU PROPERLY P.EGISTERED AND:OR .AS TLST C ��
LICENSED AS REOUIRED BY LOS ANGELES COUNTY-AND STATE OF
CALIFORNIA OR THAT A-A.%,,,-,Ar LEGAL CWNQ OA YHE ABOVE UTILIT'YCO.NOTIFIED
DESCRIceD RCSIDE S�lt' j,.vLPPEATY,
r
SIGNATURE
OF PERMITTEE---`C _[ ''-9 1 t'4At_
NlIL.L;AM J. FOX.r:OUNTY ENGINEZR VALIDAION R.A.WOOD.CIIIEP PLSeA.1N6F.;:TZQ
11%
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`5 3 O.b 5 620 �
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