HomeMy Public PortalAbout9517 OLEMA ST_Plumbing__ 76A66 4E817 6-60
ti APPLICATION I=®RPLU RING PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGIINEER l
BUII.DING AND SAFETY DIVISIONfAMD;DRES3
OILDAVG
JOHN A. LAMBIE.COUNTY ENGINEERDDRESS
WILLIAM A.JENSEN.SUPT of BUILOING OCALITY
FOR APPLICANT TO FII.L IN EAREST
ROSS ST.
NUMBER FIXTURE OR ITEM WNSIi
rQ.
WATER CLOSET KAM
BATS TUB
TEL.NO.
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SHOWER .
LAVATORY CONTRACTOR 5 -ti G(M
SII18 ADDRESS `
DISHWASHER CITY TEL. NO ,--' jt�"' U j `
CONTRACTOR'S OF / 5^ 3 COUNTY.
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LAUNDRY TOB REGISTRATION NO. I
CLOTHES WASHER D,ISST'RICT G ZONE P ED BY
WATER HEATER r7 Q
GAS SYSTEM DMUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
—_- - �a
O
G $1.08 PER ITEM
OR FDCPORE $ rj P v APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK E
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AHD STATE THAT THE ABOVE 18 CORRECT AND. AGREE TO COMPLY GAS VENT t
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER „/� �•'7 .. _ Ji�/
I HER CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES � �I17�•�. �i y�,V
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF r
CALIFORNIA OR THAT 1 AM THE LEGAL QWNER OF THE ABOVE GAS TEST
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED /
SIGNATURE IE III % _77
OF FERMIEll FINAL IV V
D. VALIDATION ROBERT N1 WOOD.
/ ML / X.O. on SUPERVISING MECHANICAL ENG'R
B:.102 0 5 5 AUG ?--9 5 D 1 0.0 0 a
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1008110016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ON FILE 9517 OLEMA ST
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801344
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15382-014-035 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
I 147 WATER HEATER(S) 1.00 WTH 16.30 1
(TENANT: TOTAL FEES 44.10 (ISSUED ON: PROCESSED BY: PLAN BY:
108/11/10 VG
I
TOWNER: TEL. NO: IF DATE FINAL Y: CODE:
IHUSON NELTA JOANNE (626) 447-5917- [
19517 OLEMA ST. 1 T
ITEMPLE CITY 91780 I IDESCR PTION OF WORK
IWATEF. HEATER CHANGE OUT 1
(APPLICANT: TEL. NO: [
I
IRESCUE ROOTER (626) 858-9284- [
I
II ISPECIAL CONDITIONS:
I
(CONTRACTOR: TEL. NO: [ (APPROVALS DATE INSPECTOR SIGNATURE [
IRESCUE ROOTER (626) 858-9284- 1
1475 E. ARROW HIGHWAY LIC. NO I (UNDER SLAB WORK I I I
IAZUSA CA 91702 765155 C36
IWATER SERVICE I I I
(PLASTIC Y/N METAL Y/N I I
(ARCHITECT OR ENGINEER: TEL. NO:
I - I (ROUGH. PLUMBING 1 I I
LIC. NO:
(GAS PIPING
IGAS VENT
[HOT WATER HEATER
1PLUMBING FIXTURES I I I
I [ (LAWN SPRINKLERS I I I
[GAS TEST
UTILITY COMPANY NOTIFIED( [
[ I I I I I
I (GRAY WATER SYSTEM I I I
1 I I I
I I I I I I
I I I I I I
I I* ADDITIONAL DATA ON FILE I I I I
(REPORT ID: DPR263 ROUTE TO: BS0508 I [ I I