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78A887-CE#817 12-84 _ -
APPLICATION FOR PLUMBING PERMIT ,
COUNTY OF LOS ANGELES 1
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND'SAFETY DIVISION BSIII.DING
JOHN A. LAMBIE, COUNTY ENGINEER ADDBESS
COLEMAN W. JEN KINS,SUPT OF BUILDING LOI`. .
FOR APPLICANT TO FILL IN NEAREST
. CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE /
_ OWNER
WATER CLOSET $1.25
MAIL .
BATH TUB 1,25 ADDRESS
SHOWER 1.25 'CITY TEL.NO. 41 d
LAVATORY 1.25CONTRACTOR
SINS 1:25 ADDRESS
DISHWASHER 1.25 CITY _ - SEL.NO�'�I
LAUNDRY TUB 1.25 CONTRACTOR'S / STATE
REGISTRATION NO. / ,� COUNTY..Q.
I.CLOTHES WASHER 1.25 %:DISTRICT'NO. GROUPNE P SSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS
1.50 IPiDUSTRW.
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 90 INSPECTION RECORD e0
�0..
• Z
APPROVALS DATE INSPECTOR*SS-SIG.ATURE
PERMIT $ 2 00 UNDER'S CABWORK
r
ROUGH PLUMBING �+
TOTAL FEEIr GAS PIPING
1 D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
RGAS VENT _
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH•ALL COUNTY ORDINANCES AND STATE LAWS REGULATING.
PLUMBING. HOT WATER HEATER .0e
�J/ �,
%N
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �• v � Vs r
LICENSED AS REQUIRED. BY LOS ANGELES'COUNTY AND,STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF;AND INTEND.TO - .�
RESIDE IN,THE ABOVE DESCRIBED RESIDE TIAL PROPERTY. UTILITY CO.NOTIFIED.
SIGNATURE / t !.
OF PERMITTEE �A�+a[�
FINAL O V®!'
LMATION ROBERT A.WOOD
M.0. CASH SUPERVISING MECHANICAL ENG'R ,
�Hl,o 5 4 3 k� SEP 2 2 5 D 3.5 0- c
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0310210003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D' FEES PAID ADDRESS:
TR: 14210 LT: 20 9662 OLIVE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803251
ASSESSOR N 0 BER: NEAREST CROSS STREET: TEMPLE CITY BLVD
8589-003-010 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT-- TOTAL FEES 43.95 ISSUED ON- PROCESSED BY: PLAN EXPIR S N:
10/21/03 JK 04/18/04
OWNER: TEL. NO: FINAL AT FINAL BY: - CODE:
PIERCE RUPERT V;SALLIE K (626) 285-4554- /� 3
9662 OLIVE ST
TEMP 917803251 DESCRIPTION OF WORK
NEW HVAC SYSTEM
APPLICANT:
0•
TEMPO AIR CONDITIONING (626) 285-1218-
5937 OAK AVENU SPECIAL CONDITIONS:
TEMPLE CITY 91780
iGELES
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
TEMPO AIR CONDITIONING AND HEATING (626) 285-1218- s�•'�® ��� �'l�` +
5937 N. OAK AVE. LIC. NO 6.!� nUNDER SLAB R
`
TEMPLE CITY, CA 91780 274880C20 ; ��,�
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMKING
LIC. NO:
GAS PIPING
�,-— ------ - ---- ---- -— ------ - - : GAS VENT
Ll HOT
1'' -J I t - HO TER R
PLUMBING FIXTUR S
LAWN SPRINKLERS
GAS TEST
�•,' .L1` 1 �� :/r t ry •`��'4UTILITY COMPAUOT F I ED
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CWV
GRA A ER S E
REPORT ID: DPR263 ROUTE TO: BS0508