HomeMy Public PortalAbout4866 ROBINHOOD AVE_Plumbing__ )BS-17 loss APPLICATION FOR PLUMBING PERMIT 1
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DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS `cp
CASSATT D. GRIFFIN, SUPT OF BUILDING L`
LOCALITY
FOR APP ICANT TO FILL IN NEAREST
CROSS ST.
DISTRICT NO. GROUP ZONE I READ?FOR INSPECTION
MAIL 1
ADDRESS A-1/
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER .G(.'�L�i� INSPECTION RECORD
ADDRESS
CITY / TEL. NO.
_LICENSE NO. L�y
NUMBER /TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASHBASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1,00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
r GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
�t GAS PIPING eL.y
TOTAL FEE / D L9 f) GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES :fix-ate
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST yy
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I 0 THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL POP
PERT;.
SIGNATURE
OF PERMITTEE t '�'t'�'�`t'� FINAL — •�� .�_;-;t -
OHN A. LAMBIE, COUNTY ENGINEER VA IDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CK. EE.G. CASH
' ',Q1 4 5 0r kUG22 3 1 0.00
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0511150001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 19043 LT: 25 4866 ROBINHOOD AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804028
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: RYLAND
SSSS-010-030 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: BS LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 25 LAVATORIES/SINKS 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 2.00 FIX 32.40 11/15/OS JK 05/14/06
TOTAL FEES 124.95
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
MCCARTHY JOHN B;JUDITH A
4866 ROBINHOOD AV
TEMP 917804028 DESCRIPTION OF WORK
PLUMBING FOR 2 BATHROOMS
APPLICANT: TEL. NO:
P.S. CONSTRUCTION (626) 442-2764-
5415 PERSIMMON SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
P.S. CONSTRUCTION (626) 442-2764-
5415 PERSIMMON AVE LIC. NO UNDER SLAB WORK
TEMPLE CITY CA 91780 431044 B
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. N0:
GAS PIPING
GAS VENT
ROT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508