HomeMy Public PortalAbout9121 LONGDEN AVE_Plumbing__ c
76A667 (CE-817) - 5/73
' APPLICATIO -,OR PLU BING PERMIT-
COUNTY OF LOS ANGELES I �1
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY-DIVISION
MAKE CHECKS PAYABLE TO BUILDING p
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER z LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST / S
NUMBER FIXTURE OR ITEM @ FEE CROSS ST L •
WATER CLOSET 1.75 OWNER 0�� �Z- � f--- t>MAIL •
BATH TUB 1.75 ADDRESS i ` L C>
SHOWER 1.75 C ITY—C/`1 p L C [ 4E L NO 'Z lj� 5-3-
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS
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DISHWASHER 1.75 CITY TEL NO
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO 'CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO GROUP NE €SSED BY
LAWN SPRINKLER SYSTEM 1.75 `
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL per••
GAS SYSTEM OUTLETS 1.75 O
INSPECTION RECORD v
OUTLETS OVER I '
5 PER SYSTEM •30 _ 1�/ �ss i,aAO9,61`1&A1, O
AVd7' _ � 110,/P 4 ", W
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Plan check feeSee Reverse ;Z Vg1. 6 a
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APP, V LS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER - wVAK
Name '
ROUGH PLUMBING
Address j 2- Lp t p -GAS PIPING
�r GAS VENT
Clty'�'�� Tel NOIZ�?Sg3 HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I FfAVE READ THIS APPLICATION
AND STATE THAT.THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES �� r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST •-
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE IBED RESIDENTIAL PROPERTY FINAL -IXr
75 52?
SIGNATU RE
OF PERMITT ,
PERMIT VALIDATION fCK M.Q CASH
PLAN.CHECK VALIDATION CK M 0 CASH
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT ,
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0804240005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID I FEES PAID I BUILDING ADDRESS I
ITR 12115 LT 36 1 I 9121 LONGDEN AV 1
I IFEE DESCRIPTION- QUANTITY UOM AMOUNT I TEMP CA 917801604 I
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET LIVIA 1
15382-023-028 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE. 596 GRID H2 LOCALITY TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 2 00 FIX 32 40 I 1
ITENANT 113 DISHWASHER(S) 1 00 FIX 16 20 (ISSUED ON. PROCESSED BY PLAN BY EXPIRES ON 1
1 121 HOSE BIBB(S) 2 00 FIX 32 40 104/24/08 VG 10/21/08 I
125 LAVATORIES/SINKS 4.00 FIX 64 80 1
(OWNER TEL NO. 145 WATER CLOSET/URINAL 1 00 FIX 16 20 IF NAL P4TE FINAL BY CODE I
IQUIHUIS ROBERT G - 147 WATER HEATER(S) 1 00 WTH 16.201 I
19121 LONGDEN AV 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16 20 4 1
9
ITEMP 917801604 1 TOTAL FEES 222 15 (DESCRIPTION OF WORK I
I IPLUMBING FOR ADDITION AND REMODEL 1
I I I I
1APPLICANT TEL NO 1
IVAN DE WATER (626) 533-3343- I I 1
IP.O BOX 1088 1 ISPECIAL CONDITIONS I
IARCADIA, CA 91077 1
I I I I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1
IVAN DE WATER CONSTRUCTION CO (626) 533-3343- 1 1 1
1428 W HUNTINGTON DR LIC NO I 1UNDER SLAB WORK I I
1ARCADIA, CA 91007 380470B I 1
1 I 1WATER SERVICE I 1
1 1 IPLASTIC Y/N MET Y 1
1ARCHITECT OR ENGINEER TEL NO 1 I I I
1ARKTECH (626) 275-4368- 1 IROUGH PLUMBING I 1
1411 E HUNTINGTON DR #107-307 LIC NO II 1
ARCADIA CA 91006 C64216 i (GAS PIPING
GAS VENT
I I
1 1 IHOT WATER HEATER I 1
I ' IPLUM9ING FIXTURES 1 1 1
I I I I I I
1 1 ILAWN SPRINKLERS 1 I
1 I IGAS TEST 1 1 1
(UTILITY COMPANY NOTIFIEDI I 1
I I ICWV I I I
IGRAY WATER SYSTEM 1 I 1
1 (REPORT ID DPR263 ROUTE TO BS0508 i 1 1