HomeMy Public PortalAbout6027 OAK AVE_Plumbing__ MA667=C$9f7 12/59TEMPLE CRTY
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES .
DEPARTMENT OF COUNTY ENGINEER
B,UIrNIlVG�AND SAFETY VISION FJALDDXM
O A. MBI .COUNTY NGINEERWIAM A.JENSEN.SUPT OF BUILDING Y
�.
FOR APPLICANT TO FILL IN aossor.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET /
BATE TUB ADDRESS,W"O
CITY. --TEL N
SHOWER
LAVATORY CoirmAOR
SINS ADDRESS
DISHWASHER CITY TEL NsdAte
CON 'S STATE
LAUNDRY TUB REG ON NO. COUNTY ❑
CLOTHES WASSER DISTRICT NO. I GR' ONE P OCESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD /- a
v
O
F
w
Q $ rm
O1a.00 PFDL QAE $
APPROVALS PfLTZ, INSPECTOR'S SIGNATURE
PERMIT $ 2 QQ UNDER SLAB WORK / / r
ROUGH PLUMBING
TOTAL FEE ,
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I 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 HEATERI I
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQURm
LOS ANGELES COUNTY AND STATE OF GAS TEST 1(2"b 11.Gl/1//lGz),
CALIFORNIA OR TE LEABOVE
DESCRIBED RESIDEOP I Y. TILITY CO.NOTIFIED lilt I+ I VVI") 1I
SIGNATURE I/ Z/j AJ /f..
OF PERMITTE FINAL
DR VALMATIO ROBERT A. WOOD,
CS. B.0. (n ] SUPERVISING MECHANICAL ENG'R
L4fa2458V, AUG 2 5 0 5.75-
76A667-CE#817 2-62 �_`!! /f//�/ � ,�/✓//L��
. �/✓✓/`LLA%
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION AnD�ss d
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING 1.LOCALITY
FOR APPLICANT TO FILL IN NEAREST
ROSS ST .
NUMBER FIXTURE OR ITEM EACH FEE
OWNS
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS r
SHOWER 1.25 CITY TEL. N.
LAVATORY 1.25 CONTRA O
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TE . N ��J70
LAUNDRY TUB 1.25 AEGIN S B ION NO. COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. GR ZONE P SSED BY
WATER HEATER 1.50 li
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD y�
b
_ Lu
y
z
,l APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE - GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE I8 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE•LAWS REGULATING HOT WATER HEATER
PLUMBING. C F
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ( _z
LICENSED AS REQUIRED BY LOS ANGELES'COUNTY AND STATE OF GAS TEST �� ���
CALIFORNIA OR THAT 1 A THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE D CR RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE JI , //`(NA 1( i p
OF PERMITTE FINAL
VALIDATIO ROBERT A1v�0 .p
CK. MO. CASHV SUPERVISIN EC ANICAL ENG'R
j �41. 5 0 SEP 11 5. D
3.50- ,q
76A667-CF#817 2-62 TEMPLE CI
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER G
'
BUILDING AND SAFETY DIVISION BUDILDINILDIN
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUP'T OF BUILDING LOCALITY f
FOR APPLICANT TO FILL IN NEAREST p /
CROSS ST. .yry
NUMBER FIXTURE OR ITEM EACH. FEE
OWNER r
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS 440
CITY TEL. N $ 0
SHOWER 1.25 -
LAVATORY 1.25 CONTRA OR ;"
SINS 1.25 ADDRESS P
DISHW HER 1.25CITY TEL. NO —0-1113�
LAUNDRY TUB 1.25 R GIIST A ION NO. / jZ COUNACTOJVS all TY ❑
CLOTHES WASHER 1.25 DISTJCT NO. GROUP ZONE HI;OC SSED BY
WATER HEATER 1.50 J J
GAS SYSTEM OUTLETS 1.50 IN DUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD }
®.
ad
0
V
• W
N
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK �%I -A
�r ROUGH PLUMBING /
TOTAL FEE l v. p
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT f
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY P { I�w
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 y e
CALIFORNIA OR THAT I AM HE L L OWNER OF,AND INTEND TO GAS TEST
RESIDE IN,THE ABOVE DE IBE RESIDENTIAL PROP }Y. 'UTILITY CO.NOTIFIED
SIGNATURE y�
OF PERMITTEE
FINAL /C}//i��r.'•.1` 9��'.-ti�..-Lf�!
VALIDATION ROBERT A.WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
I,
Leo 4 8 5 6:a OCT-14 5 D 3.2 5~
• f
a
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0804300010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAIDI BUILDING ADDRESS: I
ITR: 6561 LT: 338 UN: .002 I 6029 OAK AV I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917802030 I
1 ASSESSOR INFORMATION NUMBER: [ I NEAREST CROSS STREET: I 5385-005-008 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
[ I51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 1 I
TENANT: [ TOTAL FEES 43.95 [ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
04/30/08 SR 10/27/08
(OWNER: TEL. NO: [ 1F AT F N BY: CODE: [
IWEEKS JEANNE M (626) 286-8705-
16029 OAK AV I I
ITEMP 917802030 [ DESCRI TION OF WORK [
I [ IGAS LINE 1
[APPLICANT: TEL. NO:
[AIR TRO (626) 357-5311- [ [ I
11630 S. MYRTLE AVE [ ISPECIAL CONDITIONS: [
IMONROVIA, CA [ I
I I I 1
(CONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE 1
[AIR TRO INC. (626) 357-5311- 1 I
11630 S. MYRTLE LIC. NO I (UNDER SLAB WORK I I I
[MONROVIA, CA 91016 258228 C10 *1 I I I I
IWATER SERVICE
IPLASTIC Y/N METAL Y/N I I I
(ARCHITECT OR ENGINEER: TEL. NO: I I I I I
I - I IROUGH PLUMBING I [ I
1 LIC. NO: I 1GAS PIPING I I I
IGAS VENT I I I
I IHOT WATER HEATER I I [
I I IPLUMBING FIXTURES I I I
I I I I I I
[ ILAWN SPRINKLERS 1 I
I IGAS TEST I 1 I
I
(UTILITY COMPANY t TIFIEDi 1
ICWV I I 1I
I [ GRAY WATER SYSTEM 1 I
I I I I I I
I I I I 1 I
1 I I I I I
I I I I I I
I I I I I
I 1* ADDITIONAL DATA ON FILE I I I I
I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508