HomeMy Public PortalAbout9335 PENTLAND ST_Plumbing__ 76A667CE817 121599 � I J Job #197
APPLICATION FOR PL MBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENTOFCOUNTY ENGIN
EER
BJOH UR jTY
BUILDING
NTY NGINE
ADDRESS 9335 PeNGROU �7ONE�/�
WILLIAM A JENSEN SUPT OF BUILVINa Temple
LOCALITY
pow
FOR APPLICANT TO FILL IN NEAREST
CB
OSS ST
NUMBER FIXTURE OR ITEM OVVNEB
2 WATER CLOSE! - - MAII.1 BATH TUB ADDRESS
BHOWEHCITY J,I.JIA WIN
LAVATORY CONTRACTOR1Sam ADDHE83
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DISHWASHERCITY CONTRACTO SLAUNDRY TUB REGISTRATION NO 1 CLOTHPB wA� DISTRICT NO PRO
1 WATER HEATER
1 GAS SYSTEM MDUSTR AT
WASTE APPROVAL
INSPECTION RECORD
O Sl OD PEB REtQ
11 OR TiETORE S 11.00 APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK „-1
TOTAL FEE 13. ROUGH PLUMBING _ s..✓'
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER J
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FI TU '
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST b O
CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOVi
191
DESCRIBED RESIDENTI P PERTY UTILITY CO OTIFIED /
SIGNATURE ITFEwwe.l�(
®P VALIDATION RO ERT A WOOD
M Q CA>g SSUPERVISING MECHANICAL ENG R
_ I
Lf;L 8643 X15 5 D 1300
COUNTY OF IAS ANGELES TEMPLE CITY 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1003080016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 2B5-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 12210 LT 16 9335 PENTLAND ST
(FEE DESCRIPTION QUANTITY DOM AMOUNT I TEMP CA 917803737
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET ENCINITA '
18590-009-035 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY CI
' 127 PRESS REG DEVICE(S) 1 00 DEV 16 20
TENANT 163 WATER PIPING- BR/FIX 15 00-FIX 101 25 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
164 WATER PIPNG o 1 1/2 1 BO LIN 16 20 103/08/10 SR 03/08/11
I TOTAL FEES 161 40 1 1
OWNER TEL NO - iFI����� FIrypL BY CODE
19035E CHRISTOPHER/MY - (626) 569-6087- �Gl`/X)
19335 PENTLANp ST
TEMP 917803737 1 IDESCRIPTION OF WORK
_ 1COPPER RE-PIPE 15 FIXTURES PRESSURE REGULATOR AND WATER
MAIN
1APPLICANT TEL NO
(SAME AS OWNER _
1 1SPECRw CONDITIONS
CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC NO - - _ (UNDER SLAB WORK
{ s IWATER SERVICE
PLASTIC YIN �E'f'pT�, YIN r
HI
(ARCTECT OR ENGINEER TEL NO I
(ROUGH PLUMBING
LIC NO
(GAS PIPING
_ (GAS VENT
1HOT WATER HEATER
1PLUMBING FIXTURES
LAWN SPRINKLERS
I I
GAS TEST 1 -
(UTILITY COMPANY NOTIFIEDI I I
l cw 1
1 I I I I
GRAY WATER SYSTEM
I I
I I I I t
I I
REPORT ID DPR263 ROUTE TO BS0508 1
I I I I I I