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APPLICA'T'ION FOR PLUMBING PkRMI ,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
OHN A.LAMBIE. County weer ADDRESS
CASSATT D. GRIFFIN.Sup't of wilding LOCALITY
' FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER,CLOSET MAIL
BATH TUB ADDRESS
oTraw f TEL NO.
SHOWER
LAVATORY CONTRACTOR �J C-
SINK ADDRESS y
DISHWASHER TEL NO.
CONTRACTOR'S �j STATE
LAUNDRY TUB REGISTRATION NO. aCOUNTY ❑
.CLOTHES WASHER i, DISTR CT NO GROUP ZONE CESSED Y
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL /
INSPECTION RECORD
49-7f .77
- b
I ,
1
Q r $1.00 PER ITEM '
O8 FIXTURE $ 'I' APPROVALS DATE• INSPECTOR'S SIGNATURE `
PERMIT' $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
eJC� GAS PIPING r
I HEREBY ACKNOWLEDGE THAT 1 HAVE. READ THIS APPLICATION
AND STATE THAT THE,ABOVE-IS'CORRECT'AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/Olt PLUMBING FIXTURES �� v
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �p TEST
I
CALIFORNIA OR-THAT- I AN THE LEGAL OWNER OF THE ABOVE -
DESCRIBED RESIDENTIAL 'PROPERTY. UTILITY CO:NOTIFIED I j ! Ilti
SIGNATURE I I �//��• .rl��.
OF P.ERMITTE� (, • t. (_ _
FLNAL � � �� .. v ����•�✓
�F VALIDATION ROBERT k.VVOD.
CASE SUPERVISING MECHANICAL:ENG'R
6 s s:o1.0 NOV 13 s o
3.50-
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76A667-GE#617. 4-64
APPLICATION FOR PLUMBI G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER / G v
BUILDING AND SAFETY DIVISION BUILDING I
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FELL IN NEAREST.
CROSS ST.
NU' )t FUTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUR 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO. ° 6-
LAVATORY L25 CONTRACTOR I
SINK 1.25 ADDRESS /
J DISHWASHER i 1.25 CITY TEL.NO. ❑
ATE
LAUNDRY TUB 1.25 REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DIST CT NO. GROUP ZONE P C S . Y
WATER HEATER 1.50 V
GAS SYSTEM OUTLETS 1'50 INDUSTRIAL per,
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD U
1 & Cal`f.L .
i /1 t�1e��1�-t*rirn. Z
APPROVALS DATE INSPECTMT 16 SIGNATURE
PERMIT 5 2 Ou UNDER SLAB WORK
ol
ROUGH PLUMBING
TOTAL FEE D GAS PIPING
1 NEREBY ACKNOWLEDGE THAT I HAVE READ TA PLICATION GAS VENT J V
AND HIS STATE THAT THE ABOVE IB CORRECT. AND AGREE TO COMPLY.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER.HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TGAS TEST
RESIDE
� �r
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO'.NOTIFIED
SIGNATURE 1� Gtr
OF PERMITTEE '
FINAL
VALIDATIO ROBERT A. -ObD
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
y3 1.9 9G X 29 5 C .: 4.50N •
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0904160011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE. (626) 285-0488 EXT:
LEGAL ID: IFEES PAID I BUILDING ADDRESS: [
] ON FILE [ 6448 OAK AV 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917801337 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN I
15382-014-029 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 1
ITENANT: 111 CLOTHESWASHER(S) 1.00 FIX 16.20 [ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
113 DISHWASHER(S) 1.00 FIX 16.20 04/16/09 SR 10/13/09
[ 121 HOSE BIBB(S) 2.00 FIX 32.40 [ [
[OWNER: TEL. NO: 125 LAVATORIES/SINKS 3.00 FIX 48.60 [FINAL DATE FINAL BY: CODE:
IWEN HUA CHID (626) 574-6861- 145 WATER CLOSET/URINAL 2.00 FIX 32.40A ',�/'^V A
16448 OAK AV 147 WATER HEATER(S) 1.00 WTH 16.20 I, 3 1
ITEMP 917801337 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 (DESCRIPTION OF WORK
TOTAL FEES 222.15 PLUMBING FOR 2ND: UNIT
IAPPLICANT: TEL. NO: [ I 1
IWALLACE FU (626) 279-7971- I 1
4424 SANTA ANITA 205 ISPECIAL CONDITIONS: I
LEL MONTE, CA 91731
� I I
(CONTRACTOR: TEL. NO: ] (APPROVALS DATE INSPECTOR SIGNATURE [
ICHIU, WENHUA (626) 574-6861- I 1 I
16448 OAK AVENUE LIC. NO [ (UNDER SLAB WORK
ITEMPLE CITY, CA 91780 799540 [ &XILt I Y' 1
IWATER SERVICE
] 1 PLASTIC Y/N METAL Y/N 1 [
(ARCHITECT OR ENGINEER: TEL. NO: I I I I
JWYF ARCHITECTURE (626) 279-7971- I IROUGH PLUMBING I [
14424 SANTA ANITA AVE STE 205 LIC. NO. I I I 1
[EL MONTE CA 91731 C26061 1 GAS PIPING [
I _[ (GAS VENT 1
I I IHOT WATER HEATER 1
I I I
I I ]PLUMBING FIXTURES [ I
ILAWN SPRINKLERS 1 I 1
1 1 IGAS TEST I u 1
I ]UTILITY COMPANY NOTIFIED I
I I ] I I ]
I ] 1cWV I I I
I I IGRAY WATER SYSTEM I I
I d I
I ] I I I I
I IREPORT ID: DPR263 ROUTE TO: BS0508 1 [ 1 1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0806060013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ON FILE I I 6448 OAK AV
(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801337
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15382-014-029 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY, Cl
I 147 WATER HEATER(S) 1.00 WTH 16.20 I
(TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
I I 106/06/08 SR 12/03/08 I
(OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: I
ICHIU, WENHUA (626) 926-4016- I 1
16448 OAK AV I I I
ITEMP 917801337 1 IDESCRIPTION OF WORK
I I IMOVE WATER HEATER FROM INDOOR TO OUTDOOR I
(APPLICANT: TEL. NO: I I I
SAME AS OWNER ISPECIAL CONDITIONS: I
I � I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
SAME AS OWNER - I
LIC. NO I (UNDER SLAB WORK I I I
IWATER SERVICE I I I
I I IPLASTIC YIN METAL YIN I I I
(ARCHITECT OR ENGINEER: TEL. NO: I I I I I
I - I IROUGH PLUMBING I I I
1 LIC. NO: I I I !
IGAS PIPING
IGAS VENT I I I
I I IHOT WATER HEATER I I I
I I 1PLUMBING FIXTURES I I I
I I I I I
ILAWN SPRINKLERS I I I
GAS TEST
I I I I I I
UTILITY COMPANY NOTIFIED(
CWV
I I IGRAY WATER SYSTEM I I I
EXPMED -
[REPORT ID: DPR263 ROUTE TO: BS0508 I I I I
I I I I I I