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HomeMy Public PortalAbout5816 MYDA AVE_Plumbing__ �76A667 (CE-817)= 5/73 :APPLICATION .FOR PLUMBING PERMIT COUNTY OF LOS ANGELES I� DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: TADDRESS;I -' 581 yda.Avenue HARVEY T. EiRANDT, COUNTY ENGINEER cALITY Temple CityFOR APPLICANT TO FILL IN (PRINT OR TYPE) AREST OSS ST. NUMBER FIXTURE OR ITEM @ FEE ' ' ' WATER CLOSET 1.75 � OWNER -Ed BauerMAIL ' BATHTUB 1.75 ADDRESS 5816 Myda Avenue SHOWER 1,75 CITY Temple City TEL._*NO. 286-051 LAVATORY 1;75 CONTRACTOR Bryant Heat. &,Air Cond..: SINK 1.75 ADDRESS 1350 E. Las. Tunas Drive DISHWASHER 1.75 CITY San Gabriel TEL. No.' 286-1141 CLOTHES WASHER 1.75 STATE LIC ' LICENSE NO•. 221751• r ` CLASS C '20- SWIMMING POOL RECEPTOR 1.75 DI,SJRIGTdo. GR_QUP ZONE ' PR SS.ED".BY LAWN'SPRINKLER SYSTEM 1.75 (f U �r C WATER HEATER 1.75 INDUSTRIAL 61.01 WASTE APPROVAL GAS-SYSTEM OUTLETS 1.75 3 00INSPECTION RECORD. CD OUTLETS OVER 5 PER SYSTEM .30 C a • rn Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 4 N TOTAL FEE 7 50 APPROVALS DATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH.PLUMBING Address GAS PIPING City Tel. No. GAS VENT 1 HEREBY ACKNOWLEDGE THAT,I HAVE READ THIS APPLICATION HOT WATER HEATER. AND STATE THAT THE ABOVE IS CORRECT AND AGREE'TO COMPLY PLUMBING FIXTURES /, :ya WITH 'ALL COUNTY. ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST ,5 1, ` -JU�tj• 'k'��w-� I HEREBY CERTIFY T i AM PROPERLY-REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS RE�UIR LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THATRI • A THE LEGAL OWNER•O AND INTEND TO RESIDE IN THE ABOVE BEDRESIDENTIAL PPER TY.• FINAL .S•IGNATU RE /Y• OF PERMITT VV PERMIT VALIDATION CK. M.0. CASH PLAN CHECK VALIDATION CK. M.D. CASH G b y E:4PR '1G 5' U 7.50 Q �`�d COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1306060009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 5905 LT: 116 I 1 5816 MYDA AV 1 IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 TEMP CA 917801823 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HERMOSA 1 15387-014-01301 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI 164 WATER PIPNG <- 1 1/2 1.00 LIN 16.20 1 ITENANT: I TOTAL FEES 44.00 ISSUED ON: PROCESSED BY: PLAN BY: 106/06/13 SR (OWNER: TEL. NO: 1 1FIAV /W` L DATE FINAL BY: CODE: [ 1 EDINGTON WAYNE G;PATRICIA A15816 / `{,/ C�/��( 1 ITEMP 991177801823 I IDESG IPTI N OF WORK 14 " 1 1 1 IWATER SERVICE LINE I I I 1APPLICANT: TEL. NO: I 1 IBARBOSA, PETER J (626) 281-1499- I I 1 1436 WARREN PL I [SPECIAL CONDITIONS: 1 IPOMONA CA 91768 1 I ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE IROYAL PLUMBING AND ROOTER (626) 281-1499- 1 1 1436 WARREN PL LIC. NO I (UNDER SLAB WORK I 1 1POMONA CA 91768 562221 I 1 1 1 I I 1 IWATER SERV 1 1 PLASTIC Y/ METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: - i IROUGH PLUMBING I 1 LIC. NO: I (GAS-PIPING 1 i IGAS VENT i I I I HOT WATER HEATER 1 I 1 1 IPLUMBING FIXTURES 1 1 I ILAWN SPRINKLERS 1 I I IGAS,TEST 1 1 I 1 I I UTILITY COMPANY NOTIFIED 1CWV I I I I 1 (GRAY WATER SYSTEM i 1 i I I I I I II I I I I 1 I 1 I I IREPORT ID: DPR263 ROUTE TO: BS0508 I 1 I [ I I I I I I