HomeMy Public PortalAbout9621 LOWER AZUSA RD_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 05Q8 PLUMBING PERMIT
.- DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9707070030
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
* LEGAL ID: FEES PAID BUILDING
TR: 14467 LT: 51 9621 LOWER AZUSA:RD
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804226
ASSESSOR I WFORMATION NUMBER: NEAREST CROSS STREET: CAMELLIA
8589-015-028 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.35
25 LAVATORIES/SINKS 1.00 FIX 16.35 ISSUED ON: PROCESSED BY: PLAN BY: EX IRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.35 07/07/97 TC 07/07/98
-TOTAL FEES 76.80
OWNER: TEL. NO: FINAL DATE
CASTRO JAVIER;ADELA
4803 CAMELLIA AV
TEMP 917804241
PLUMBING FOR ARD BA HROOM NO ADDI I L SO. FT.
APPLICANT: TEL. NO:
G. FELIX CONSTRUCTION (626) 401-1391-
SPECIAL CONDITIONS:
CONTRACTOR: - TEL. NO: Gl�,LES C APPROVALS DATE INSPECTOR S TURE
G. FELIX CONSTRUCION, 8184011391 (818) 401-1391-
4924 N. HALIFAX RD LIC. NO / v/�� UNDER SLAB
TEMPLE CITY, CA 91780 449477 B
WATER SERVICE
ARCHITECT OR ENGINEER: TEL. NO: O PLASTIC Y/N METAL Y/N J p
LIC. N0: ROUGH PLUMBING
GAS PIPINff_
GAS VENT
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PUBLICWORKS HOT WATER HEATW_
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LAWN SPRINKLERS
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REPORT ID: DPR263 ROUTE TO: BS0508
7"W7A(GE Q170) 11/76
APPLICATION FOR PLUMBING PERMIT
BUILDI AND SAFETY DIV N
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS (�
WATER CLOSET LOCALITY
BATH TUB NEAREST
CROSS ST
SHOWER 0 OWNERMAIL
�f
LAVATORY ADDRESS O� ,
SINK CITY TEL NO
DISHWASHER CONTRACTO
CLOTHES WASHER ADDRESSJJ 'A
SWIMMING POOL RECEPTOR
CITY TEL NO
LAWN SPRINKLER SYSTEMATE qq 34F.?pJ
LIC
WATER HEATER LICENSE NO p[07 a o? CLASS
GAUSSYSTOEM OUTLETS DIS�Uq GROUP ZONE
55 PER SYSTTEMR INDUSTRIAL
WASTE APPROVAL v
INSPECTION RECORD a ,
O
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applicant
APPROVALS DATE INSPECTOR 5 SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel No GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
PLAN CHECK VALID ' -✓���t ' T PERMIT VALIDATI Af:c-�OM
O CASH
i-u.JCY HOLDER: 40 2 4 1 -wK 44 5 .J I,;
Al
POLICY TIMBER:
76A667-CE817 6-60
APPLICATION FOR PLUMBING ERMIT
DEPARTOME�NT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
S ST, Z l!
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
RATH TUB ADDRESS
CITY TEL NO.
SHOWER
LAVATORY
CONTRACTOR MONTEREY Pr413,I1 l-Jlivlb! N!G Gutlk,
SING ADDRESS 410 SO, GARfItL% AT 2-280A
DISHWAER
CITY 1 ° ;;r: p;�, CALIFOR""''
SH
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. 4 COUNTY
CLOTHES WASHER DISTRICT NO. GR UP ZONE ESSED BY
WATER HEATER <f Q —
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
.� a
O
U
4 p
O $1.00 PER ITEM I ��
OR FIXTURE S APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER R ✓!'�
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES '/1
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED ^—^—----- W
SIGNATURE
OF PERMITTE
FINAL
O. VALIDATION ROBERT A. WOOD.
E.p, c"B SUPERVISING MECHANICAL ENGI•R
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