HomeMy Public PortalAbout9700-9702 LONGDEN AVE_Plumbing__ 16'a 67.t
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APPLICATION R PLU B ING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT ORTYPE) BUILDING _
NUMBER FIXTURE OR ITEM ® FEE ADDRESS 97001gngftn Ave.
WATER CLOSET LOCALITY
3.00 NEAREST
BATH TUB a CROSS ST.
SHOWER o OWNER Jo Bo. Weber Develoment
MAIL
LAVATORY
12- ADDRESS 5926 Temple C Blvd,
��.., SINK CITY Temple cityTEL.NO. 444-og7i
DISHWASHER e6CONTRACTOR
CLOTHES WASHER ADDRESS
'SWIMMING POOL RECEPTOR . 442 W . Fleetwood Pl
CITY' Glendora TEL.NO.335-1293
LAWN SPRINKLER SYSTEM STATELIC.
WATER HEATER LICENSE NO. 209431' CLA 6•SC42 2O
GAS SYSTEM OUTLETS r Ge Y APPROVALS DATE' INSP,E5TOR'S.SIGNATURE
OUTLETS OVER UNDER SLAB WORK . •-•,
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT'
@S
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST
Plan check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$ 7.00
TOTAL FEE FINAL
Plan check applicant PLAN�CHECK VALIDATION n-
Name
Address -� r
City Tel.No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 940 1'2A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. •PERMIT VALIDATION # O o O O O 5r
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED:AS Z o. - 73,00
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. A O O ,o 7 3,0 V 1
SIGNATURE
OFPERMI-T — ' 0&26-79
,
DISTRICT NO. ROCESSED BY
INDUSTRIAL P
WASTE APPROVAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0403010020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING ADDRESS:
TR: 35986 UN: 2 9702 LONGDEN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801451
ASSESSOR OR 0 UMBER: NEAREST CROSS STREET: KAUFFMAN
5385-021-029 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT- TOTAL FEES 43.95 ISSUED 0 PROCESSED BY: PLAN B EXPIRES ON:
03/01/04 VG 08/28/04
OWNER: TEL. N0: FINAL DATE FINAL L BY: CODE:
CHANG, HAL (626) 292-7885- -®
9702 LONGDEN AVE. T
TEMPLE CITY 91780 DESCRIPTION OF WOR
WATER HEATER CHANGE OUT
APPLICANT: TEL. N0:
ACTION CONTRACTORS (310) 515-1311-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIG ATURE
ACTION CONTRACTORS (310) 515-1311-
17111 SOUTH BROADWAY LIC. NO UNDER SLB WORK
GARDENA CA 90248 B/L 27953
WATER SERVICE
ARCH CT OR ENGINEER: EL. NO: PLASTIC Y/N METAL Y/N
- RO G PLUMBING
LIC. N0:
GAS PIPING
GAS VENT
OT WATER HEATER � r1
P BI G FIXTURES T
LA SPRINKLERS
GAS TEST
UTILITY COMPANY NOT ED
CWV
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508