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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0601230004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE. (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 6523 OAK AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801307
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LEMON
5382-015-023 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 21 ROSE BIBB(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
25 LAVATORIES/SINKS 1.00 FIX 16.20 01/23/06 JK 07/22/06
45 WATER CLOSET/URINAL 1.00 FIX 16.20
OWNER: TEL. NO: TOTAL FEES 92.55 FINAL DATE FINAL BY: CODE:
NO, KO-CHOU
6523 OAK AV
TEMP 917801307 DESCRIPTION OF WORK
PLUMBING FOR NEW BATHROOM
APPLICANT: TEL. NO:
NATIONAL BUILDER, INC. (626) 821-0672-
735 W. DUARTE RD SPECIAL CONDITIONS:
ARCADIA, CA 91007
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
NATIONAL BUILDER, INC. (626) 821-0572-
735 W DUARTE RD #203 LIC. NO UNDER SLAB WORK +
ARCADIA CA 91007 497755 B
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
I
7SABe7 17 29M SETS 7-48 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY 'PLUMBING
��� �'
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT GROUP- ZONEP '
-=�:2 1ir�� �GG ��
PLUMBER fREADY FOR
RECEIV D BY DATE ISSUED
FIRST INSPECTION
ADDRESS �j � I1)1 /0—// V
CITY ri.(3'',, IJ TEL.No. �JA
COUNTY DDRESS
LICENSE NO. L EXPIRES 41 43� LOCALITY ,
I CERTIFY THAT I PO88ESS THE ABOVE VALID LOS NEAREST /7
ANGELES COUNTY LICENSE. CROSS ST.
OWNERMAIL
PLUMBER ADDRESS ,V 1 �8 v ` -
PERMIT FEE 18 $1.00 FOR THE FIRST FIXTURE OR CITY TEL. No.
ITEM LISTED BELOW, PLUS 500 FOR EACH ADDITIONAL 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE.
$1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH
GAS SYSTEM IS A SEPARATE ITEM. 74��
OWNER
NUMBER TYPE OF FIXTURE OR ITEM
WATER CL09ET (TOILET) CORRECTIONS
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
LAUNDRY TUB R TRAY
GAS 6Y8TEM OUTLETS
WATER HEATER
SLOP SINK �_ /,+'VJ
FLOOR SINK Z
FLOOR DRAIN
DISHWASHER 0
O
DRINKING FOUNTAIN
URINAL
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL
SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK
CESSPOOL $ SEWER �p
HOUSE SEWER $ GAS TEST ® m
UTILITY CO.NOTIFIED
TOTAL FEE w ) Ir�I
FINAL
,BAeey 43S.17 Io-ss APPLICATION FOR PLUMBING.� .PERMIT
DIVISION OF BUILDING AND SAFETY
Department,of County Engineer,
Countyj of:LOS Angeles BUILDING y 9
JOHN A.•LAMBIE, COUNTY ENGINEER ADDRESS �(.V
CASSAH,D,GRIFFIN,SUP'T OF BUILDING
.: LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER 1, . DISTRICT NO. GROUP' I ZONE I READY FOR INSPECTION
MAIL ? / )
i ADDRESS
INDUSTRIAL
Ci TEL.NO •. WASTEAPPROVAL
PLUMBER q �f/!/ INSPECTION RECORD
ADDRESS �C
CITY TEL.N -jJ7,0
req .I.
LICENSE N
NUMBER TYPE OF FIXTURE OR ITEM FEE
9 '
WATER CLOSET (TOILET) @ .$1.00 S.
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ SLOO
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB.OR TRAY @ $1.00
CLOTHESWASHER @ .$1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
• APPROVALS
DATE INSPECTORS SIGNATURE
s UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
" GAS PIPING
TOTAL FEE at a 0 es GAS.VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15,CORRECT AND AGREE TO.COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. pL'UMBING FIXTURES
'
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR ^, GAS TEST
LICENSED AS-REQUIRED BY LOS GELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 T LEGAL OWNER OF THE AS UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL/fib TY..
SIGNATURE
OF PERMITTEE FINAL –6—r ,
IOHN A.L AMBIE.COUNTY ENGINEER S/ALIDATIO ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
• CK. M.6. SR
.1 0 0 2 AUG 2.0
sGlE.s 1s s�o ® a>yoLMATION FOR PEBSIIT
DEPARTNIENT OF
COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN 08TRI�. GROUP ZONE PERM .
PL.UMMER belvedere Plumbing RECE YED RY READY FOR DATE ISSUED
RST INNPECTION
ADDRESS 11900 E. uarvey Blvd. FI
CITY El Monte TEL. NO. 70 89836 BUILDING 6523 N. Oak
ADDRESS
COU YNER 2 6 1 6- 0- LOCALITY Temple City
LICNEAREST
PEDUT FEES CROSS ST.
MYMRRR Tres OF mwmm OR ITEM FEE OWNER Ida Patton
MAIL
WATER CLOYS TOILS 0.00 • 80 ADDRESS
MATH TUN 0.00 CITY M NO.
SHOWER 0 0.50 1 HERSEY ACKNOWLEDGE THAT 1 HAVE READ THIN
LAVATORY WASH BASIN) O.NO APPLICATION AND STATE THAT THE ABOVE 10 CORRMCT AN
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK O.So STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS%THE ABOVE VALID LOS
LAUNDRY TUN OR TRAY 0.00 ANGELES COUNTY LICENSE. OR 1 AN THE L L OWNER
OF THE RESIDENTIAL PROPERTY DE RIMEGA
D
GAS SVWM CUTLX M O.MO SIGNATURE OF
WATER HEATER 0.00 PERMIT TE
SLOP SINK 0.00 INSIPECTION MO=
R SINK O.MO
FLOOR DRAIN 0.80
DISHWASHER O.No
DRINKING FOUNTAIN O.MO ^m)
URINAL 0.00 / .J
HOUSE NEwm 0.00
MISCELLANEOUSe
7'— O
7VRA& Al"
APPSOVAtS
DATE INRPECTOR'R NAYS
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL f. CESSPOOL
NEPTIC TANK: SEPTIC TANK
DRAIN ( I PIT ( ) ® 1.00 SEWER
PERMIT , • • f.00 GAS TEST
S 60 UTILITY CO. NOTIFIED d' . - &
TOTAL FEE y+
SINAL (.� oT OIL
999