HomeMy Public PortalAbout9650 OLIVE ST_Plumbing__ 76A68.7Af•(CE 811113) -4]77
r APPLICATION FOR PLUMBING PERMIT
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BUILDIN AND SAFETY DIVI N
FOR APPLICANT TO FILL IN IPRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESSL�U E ST
,C WATER CLOSET LOCALITY
BATH TUB NEAREST CROSS ST.
SHOWER 3 OWNER
LAVATORY __3 .� MAIL
ADDRESS
SINK CITY" TEL.NO. T
DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRESS
SWIMMING POOL.RECEPTOR
CITY O.
LAWN SPRINKLER SYSTEM
STATE v LIC.
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS DISTRICT NO I =nUP
�ZjO(NE ESSED Y
OUTLETS OVER -, v
5 PER SYS EM INDUSTRIAL
WASTE APPROVAL 1=
IN PECTION ECORD CD
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Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
THEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES 02
REOUIRED BY LOS ANGELES COUNTY AND STATE.OF CALIFORNIA OR THAT I-AM THE GAS TEST
LEGAL OWNER OF.AND INTE RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED10,
SIGNATURE
OFPERMITTE FINAL •�,�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
m. �S 5 ® .0 Q An
4 .9 i t-ft
COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0408230009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL I S PAID BUIE-DIWG ADDRESS:
TR: 14210 LT: 3 9650 OLIVE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803249
ASSESSOR INFORMATION NUMB R: NEAREST CROSS STREET:
8589-002-003 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED 0N: PROCESSED BY: PLA Y: EXPIRES OW--
08/23/04
:08/23/04 JK 02/19/05
OWNER: TEL. NO: FI L DATE AL BY: -CODE:
BOWMAN DIANE L (626) 286-5223- // v
9650 OLIVE ST `f
TEMP 917803249 DESCRIPTION OF 6
GAS LINE FOR NEW HVAC
APPLICANT: TEL. 0:
TEMPO AIR COND. (626) 285-1218-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
TEMPO AIR CONDITIONING AND HEATING (626) 285-1218- _
5937 N. OAK AVE. LIC. NO UNDER SLA9 WORK
TEMPLE CITY, CA 91780 274880C20
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
UGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPR RS
GAS TEST
ILITY COMPANY NOTIFIEff
I I CNV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508