HomeMy Public PortalAbout9128 LONGDEN AVE_Plumbing__ 7GA667 (CM-817) - 1/78
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO, BUILDING Aj D N CrOC—�
ADDRESS v�
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY f/V( .7 C._
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
I° CROSS ST
NUMBER FIXTURE OR ITEM 2r@ FEE OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS Q A-J
SHOWERCITY TEL NO. �(p
t LAVATORY ��__ CONTRACTORVoq4
SINK ADDRESS
DISHWASHER CITY c� > TEL. NO a
CLOTHES WASHER 1p
STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR pp-
DISTRICT NO GROUP ZONE P,R SSED BY
LAWN SPRINKLER SYSTEM O A K f
WATER HEATER % mpg- INDUSTRIAL
bWASTE APPROVAL
GAS SYSTEM OUTLETS) C-60— INSPECTION*RECORD a
OUTLETS OVER
5 PER SYSTEM ( (T g 44 NC V-5 7-/
CD
F-
U
W
CL
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE S
TOTAL FEE113 S
APPROVALS DATE INSPECTOR 9 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
} Address GAS PIPING T
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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA ORATHATITHE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE RIBED RESIDENTIAL PRO PERT FIN LSIGNATUEOF PERMIT
�P IT VALIDATION M,o CASH
PLAN CHECK VALIDATION CK M O CASH
6 0 O N M ;:�9 5 0 1 3.5 0 ®��
a
COUNTY OF'LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 •LAS TUNAS P_L_0508-97-10210017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
L D BUILDING-ADDRESS:
TR: 5904 LT: 241 9128 LONGDEN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA=917801603
ASSESSOR 8 : NEAREST CROSS STREET:
5384-009-015 01 PERMIT ISSUANCE FEE 27.75 THOMAS-PAGE-596 GRID: H2 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35
TENANT: TOTAL FEES 44.10 PROCESSED PLA .
10/21/97 UT 10/21/98
OWNER: TEL. N0: FINAL DATE FINAL CODE:
RAMIREZ CRUZ R;ESTELA -
9128 LONGDEN AV
TEMP 917801603 D SCRIPTION OF WORK
GAS LINE FOR FIREPLACE-
P EL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: ®� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO UNDER SLAB WORK
WATER SERVICE
AR ENGINEER: PLASTIC Y/N METAL Y/N
- � ROUGH
PLUMBINr-
LIC. N0: GAS PIPING
GAS VENT
PLUMBING FIXTUR F
6 o �� I
O 0 GAS TES
D (�\\® UTILITY C D
�v C
wV
c GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508