HomeMy Public PortalAbout9244 LIVE OAK AVE_Plumbing__ 7eAee7-c t817 I0-e7
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNMEAREST
(�BUILDING AND SAFETY DMSION �U vJOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS. SUPT OF BUILDING FOR APPLICANT TO FILL IN PR NT OR TYPE) .
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET 1.50
MAIL ^ t
BATH TUB 1.50 ADDRESS a L%0 (3 �
SHOWER 1.50 CITY x 6"4-•`L,-" TEL. NO.S -L-6�a
LAVATORY 1 50 CONTRACTOR - -
SINK 1 50
ADDRESS 3`
DISHWASHER 1.50 CITY TEL. NO.
CLOTHES WASHER 1.50 STATE __ LIC -
SWIMMING POOL RECEPTOR 1.50 LICENSE NO CLASSDISTRICT NO GROUP ZONEP CESSED BY
LAWN SPRINKLER SYSTEM 2.00 LG}�7: O_
_ O
WATER HEATER 1.50 fINDUSTRIAL V
WASTE APPROVAL
ZGAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVERLUI,J
5 PER SYSTEM 30 d
z
Plan check fee 25% of above. See reverse
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel NO HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 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 GAS TEST
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANyC L E 'R
OF PERMITTEE
PERMIT VALIDATION CK M - CAS;)-
PLAN
H -PLAN CHECK VALIDATION CK M o CASH
8,1 NOV 14 5 O 350-
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 rPLUMB ING-P,ERMI-T-�—
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS 'tP-L=0508-9812310003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING-ADDRESS:
TR: 7485 LT: 1 BL: .001 Z9244�LIVE-OAK)AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-Ce917802425-
SSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ALESSANDRO
8588-001-003 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 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 N:
12/31/98 UT 12/31/99
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
KOCHIYAMA THOMAS S;JULIE M (818) 286-8711- �� c
9242 LIVE OAK AV �_
TEMP 917802425 t-DE Sc IP_-IO -OF- OR Vol
5 GAS-LINE-FOR=NEW=HVAC-::�
APPLICANT: TEL. .
SAME AS OWNER
SPECIAL CONDITIONS:
EL.IE.S C®
CONTRACTOR: TEL. NO: J �/�/�,� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WOR
WATE
PLLASTICEY/NCEMETAL Y/N
ARCHITECT OR ENGINEER: TEL. 0:
ROUGH
LIC. N0: 1111111
� GAS PIPING
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NT
S I I I I Q ��C \��/\��/ O I on �\ 0 WATER A E
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FIXTURES
\ U LAWN SPRINKLERS
O D
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GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508