HomeMy Public PortalAbout6012 OAK AVE_Plumbing__ 1
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APPLICATION FOR PLU BING PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUII qG AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 6012 NORTH OAK
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
TEMPLEgChTY
FOR APPLICANT TO FELL IN CR R!
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $125 2 O
RATH TUB 125 Z sEss SO, B A L DW I N
SHOWER 125 1 5 CITT S I ERRA MADRE TEL No
LAVATORY 1 Ss 2 0 coNrRAcroR AD I LL I P LBG SUB
sm 1 Ss 1 2 5 ADDRESSAVENUE
DISHWASHER 1 ss Cizx So SAN GAB R I E L TEL xo CU 32842
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LAUNDRY TUB 125 REGISRTAC IT ON NO COUNTY
CLOTHES WASHER 125 1 .25 ESIBSISTRIqr NO GR ZONE P SED BY
WATER HEATER ISO 10
_GAS SYSTEM OUTLETS 150 1 .50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 n1SPECTi N RECORD AC
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APIPRO.OALS DATE INS CTOR GNATU E
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE OD GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST i
CALIFORNIA OR THAT 1 THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE RIBED RESIDENTIAL P Y UTILITY CO NOTIFIED
SIGNATURE
OF PERMIT
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FINAL
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9708050018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 6561 LT 330 6012 OAK AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802029
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET WOODRUFF
5385 006 018 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY
07 BATHTUBS/SHOWERS 1 00 FIX 16 35
TENANT 21 HOSE BIBB(S) 1 00 FIX 16 35 ISSUED ON
25 LAVATORIES/SINKS 1 00 FIX 16 35 08/05/97 TC 08/05/98
45 WATER CLOSET/URINAL 1 00 FIX 16 35
OWNER TEL NO DATE F7TZ CODE
SYARIF DADANG H,SOFIATI KOSPITA TOTAL FEES 93 15
6012 OAK AV
TEMP 917802029 DESCRIPTIONOUF WORK
PLUMBING FOR NEW ADDITION
APPLICANT TEL NO
JAY AR CONSTRUCTION (818) 286 6471
SPECIAL CONDITIONS
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNXTUEr--
JAY AR CONSTRUCTION (818) 286 6471
6022 PRIMROSE AVE LIC NO UNDER SLAB WORK
TEMPLE CITY CA 91780 276131/6WATER SERVICE
* '
PLASTIC Y/N METAL Y/N
ARCHITECT TEL NO
ROUGH PLUMBING
LIC NO
GAS PIPING
GAS VENT
LAWN SPRINKLERS
GAS TEST
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CWV
GRAY URTER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT 1D DPR263 ROUTE TO BS05DB