HomeMy Public PortalAbout10410 OLIVE ST_Plumbing__ 76A867-CE#,81'7-10-62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY'ENGINEER
BUILDING AND SAFETY DMSION BUILDING
ADDRESS
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A..JENSEN,'SUP'T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER ,
OL WATER CLOSET' $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER T,25 CITY TEL. NO.
q� LAVATORY 1.25 CONTAACTO
SINS1.25 ADDRESS'
DISHWASHER 1.25 CITY TEL. N
CONTRACT6R'SF STATE
LAUNDRY TUB 1,
REGISTRATION NO. COUNTY p
-CLOTHES WASHER 1.25 DISTRICT NO [GROUP ZONE ROCE. Y
WATER HEATER 1.50
GAS SYSTEM 'OUTLETS 1:50 'INDUSTRIAL p�
WASTE APPROVAL
OUTLETS OVER 5 PER.SYSTEM .90 V
INSPECTION RECORD
5 c s Vit_ y rtp-r✓.�. ual
f
r
APPROVALS liATL INSPECT R'S SAGNATURE
.PERMIT $ 2 00 UNDER SLAB WORK r rp 3
` ROUGH PLUMBING a 17o .� I-a+' ")
TOTAL FEE o GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION, GAS VENT'
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE tAWB REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS'ANGELES COUNTY,AND STATE OF GAS TEST cpl
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN,-THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED ,a�'.y��,$
.
SIGNATURE ► ✓ r
OF PER
..FINAL //���t:3•? �^' a�jff.�'1
/--VILLIDATION ROBERT A.WOOD r
CK. M..O.: CASH SUPERVISING MECHANICAL ENG'R
1 5.�� ' cv
-Lhv7`4 0 4 6 IAPB 3 � 5 D
• COUNTY OF LOS ANGELES TEMPLE CITY ' 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0406090012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING AD RESS:
TR: 10558 LT: 47ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802862
ASSESSOR INFORMATION 'Us"3�ER: NEAREST CROSS STREET:
8585-020-030 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C
51 LOW PRS GAS 5 OUTLET 1.00 SYS '16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PAN BY: EXPIRES ON:
06/09/04 VG 12/06/04
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
PARMENTER WALKER E;14ARY JO W (626) 445-3063—
10410 OLIVE ST �//Zli/
TEMP 917802862 lDESC5rlFfrION OF WORK
GAS FOR FAU
APPLICANT: TEL. NO:
CONNOR AIR CONDITIONING (626) 286-3157—
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CONNOR AIR CONDITIONING (626) 286-3157-
4931 ENCINITA AVE LIC. NO UNDER SLAB WORK
TEMPLE CITY, CA 91780 403735 C20
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. 40:
— ROUGH-PLUMBING
LIC. NO:
GAS PIPIVG
GAS VENT
OT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPAN NOiI� FIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508