HomeMy Public PortalAbout9708-9710 LONGDEN AVE_Plumbing__ 76A667A`^ `
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APPLICATIO FOR PL MBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �p/ U
NUMBER FIXTURE OR ITEM ® FEE o8
ADDRESS den Aveme
-2-1 WATER CLOSET L LOCALITY e Cj
NEAREST
,a- BATH TUB - CROSS ST. s��+
1- 2- SHOWER _ • OWNER J. B. Weber e
MAIL
-2- LAVATORY L • ADDRESS 59 6
SINK 00CITY Temple City TEL.NO.44
Z DISHWASHER e C CONTRACTOR Valley Plumb' C
�- CLOTHES WASHER 00 ADDRESS
442 W. Fleetwood Pl.
SWIMMING POOL RECEPTOR
CITY Glendora TEL.NO.
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO. 209431 CLAS♦Zi •S 4
GAS SYSTEM OUTLETS APPROVALS DATE IN WOTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK -`ate'- �•- ? -�
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES .�
GAS TEST '�<+• i G'R —'
Plan check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$ 7.100
TOTAL FEE FINAL
Plan check applicant PLAN CHECK VALIDATION
Name
Address / y� l
City Tel.No.
I HEREBY ACKNOWLEDGE THAT I HAVE.READ THIS APPLICATION AND STATE -94
O•1.� n
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 1 /i
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS # O o O o o
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE q n
LEGAL OWNER OF.AND 1NTE D TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL !_ o o 73 l 0
PROPERTY.
SIGNATURE 0 0 0 �r a C C V
OF PERM ITTE
04 ?_b-70
DISTRICT NO. P CESSE Y
INDUSTRIAL
WASTE APPROVAL
76AS67A -
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APPLICATION FOR PLUMBING PERMIT.
COUNTY OF LOS ANGELES BUILDING AND SAFETY
9700 9.7.aZ 79 9704.
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING •70 /7,1 9-7
NUMBER FIXTURE OR ITEM ® FEEADDRESS 60 1.
WATER CLOSLOCALITY d"ET •
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER �MAIL
d r-
LAVATORY ADDRESS d- PLE'
SINK CITY �,n L e �/ TEL.NO.
,Z g6-
DISHWASHER CONTRACTOR
TSR o
CLOTHES WASHER
ADDRESS`
SWIMMING POOL RECEPTOR
CITY � .. TEL.NO. - O
LAWN SPRINKLER SYSTEMSTATE �7 !`
WATER HEATER
LICENSE.NO. -f ! T 17 3 CLASS
GAS SYSTEM OUTLETS APPROVAL'S DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
'GAS PIPING
GAS VENTqj
L4
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST
Plan check fee UTILITY CO.NOTIFIED g
PLUMBING PERMIT ISSUING FEE.$
TOTAL FEE FINAL ,Z
Plan check applicant, PLAN CHECK VALIDATION
Name
Address
City Tel.No. r� /� n
I HEREBY ACKNOWLEDGE-TMT I HAVE READ THIS APPLICATION'AND STATE /•O(1 5 A
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 5
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT.(AM THE 2 O O 1000
LEGAL OWNER OF.AND NO TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL _
PROPERTY. _ `O 0 0 1 0.O.O V
SIGNATURE
AOR PERMITTE v— 'I C O 2—7 9
DISTR19$6. ROCESSED BY
G
CJej I C�
INDUSTRIAL
WASTE APPROVAL
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1004070020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 35986 UN: 5 1 I 9708 LONGDEN AV 5 I
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:] TEMP CA 917801458 I
(ASSESSOR INFORMATION NUMBER: 1' I NEAREST CROSS STREET: BALDWIN
15385-021-032 101 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl
1 147 WATER HEATER(S) 1.00 WTH 16.20 I I
TENANT: TOTAL FEES 43.95 ]ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
104/07/10 SR 04/07/11 I
(OWNER: TEL. NO: I IFIW DAYE F 1
IBYS, DOUGLAS I�. CODE:
1
19708 LONGDEN AV
ITEMP 917801458 ] IDESCRIPTION OF WORK I
IREMOVE/REPLACE GAS WATER HEATER WITH TANKLESS UNIT I
1I I
(APPLICANT: TEL. N0: I
IFAST WATER HEATER COMPANY (425) 636-7084- 1 I I
112601 132ND. AVE NE ]SPECIAL CONDITIONS: 1
KIRKLAND, WA 98034
(CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE I
IFAST WATER HEATER CO. (800) 454-8955- 1 1 1
112601 132ND AVE NE LIC. NO ;] (UNDER SLAB WORK I I 1
IKIRKLAND WA 98034 877489 C36 I I ] I 1
IWATER SERVICE I 1 I
I ] ]PLASTIC YIN METAL YIN 1 ] I
(ARCHITECT OR ENGINEER: TEL. NO:
1 - ] ]ROUGH PLUMBING
1 LIC. NO: 1-1 1
] GAS PIPING
IGAS VENT 1 1 I
I ] (HOT WATER HEATER
1 ] IPLUMBING FIXTURES I 1 I
ILAWN SPRINKLERS I I 1
] I IGAS TEST I I 1
I I 1 1-1 I
(UTILITY COMPANY NOTIFIED(
I I 1Cwv I I I
1
GRAY,WATER SYSTEM
I 1 I I I I
I i I I I I
I 1 I ] 1 I
I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 I I 1
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