HomeMy Public PortalAbout9327 OLIVE ST_Plumbing__ 78A687-CE#817 9/63' �!/�1w :.�- �(;.•�r� r
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN, SUP.'T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM EACH FEE `` OWNER
WATER CLOSET 51.25 J MAIL
BATH TUB 1.25 Z S ADDRESS
SHOWER 1.25 CITY TEL..NO.
LAVATORY 1.25 CONTRACTOR V N/> 14C
17 SINS 1.25 ZS' ADDRESS
DISHWASHER 1.25 S CITY TEE'NO. �
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. COUNTY [ICLOTHES WASHER 1.25 DISTRICT NO. GROUP E PROGESSED BY
WATER HEATER 1.50 ./j'� j ;`��t�
1
GAS SYSTEM OUTLETS. 1.50 0 INDUSTRIAL
WASTE ROVAL - ( O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD u
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APPROVALS DPRTE IN.pF-'TORpS/SIGNATURE
PERMIT $ 2 . 00 UNDER SLAB WORKy
yy�� ROUGH PLUMBING pt It �n
TOTAL FEE �Q� ,GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT a C
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF t w
CALIFORNIA OR THAT I AM THE-.LEGAL OWNER .,AND INTEND TO GAS TEST
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PERTY. UTILITY CO.NOTIFIED /•� �' `�'�'+ -�'`-�f
i III ,.. c+-�✓.'tic�t• - .a
SIGNATURE ,/ �� I ► a s. . s
OF PERMITTEE ? /
FINAL• f /a/�lyd
ALIDATION ROBERT A WOOD e
cK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
;�. `•; 9 2, 4 .6%-Z'" MAY 2 5 5 0 Z 0.0 0-
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1406230010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ON FILE I 9327 OLIVE ST I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803128
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18588-029-011 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY CAI
113 DISHWASHER(S) 1.00 FIX 16.20 I I
1TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: I
TOTAL FEES 60.20 106/23/14 SR ]
OWNER: TEL. NO: I (FINAL DA FINAL B CODE: I
TSU YUNG-HO
19327 OLIVE ST
ITEMP 917803128 I ID SCRIPTION OF WORK I
1 1REPLACE DISHWASHER AND SINK FOR KITCHEN REMODEL 1
(APPLICANT: TEL. NO: I I
IPHUNG, SAM (626) 378-2781-
19059 WOOLLEY STREET I ISPECIAL CONDITIONS:
TEMPLE CITY CA 91780
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
IP S M SUPERIOR CONSTRUCTION INC. (626) 378-2781- I
18780 VALLEY BLVD STE 1 LIC. NO I (UNDER SLAB WORK I I I
IROSEMEAD CA 91770 964260 1 1 I I I
I I IWATER SERVICE I I I
IPLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
I - I [ROUGH PLUMBING I I
LIC. NO:
1GAS PIPING
IGAS VENT
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IHOT WATER HEATER I I I
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IPLUMBING FIXTURES
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ILAWN SPRINKLERS I I I
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I ]GAS TEST I I
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I ] (UTILITY COMPANY NOTIFIED(
I I ICWV I I
I I IGRAY WATER SYSTEM
I I I I
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IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I
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