HomeMy Public PortalAbout4902 ROBINHOOD AVE_Plumbing__ .BASS, APPLICATION FOR PLUMBING PERMIT
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�IVISION OF BUILDING AND SAFETY
Department of County Engineer
County Of LOS Angeles BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS O
CASSATT D.GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER • DISTRICT NO. GROUP ZONE] I READY FOR INSPECTION
MAIL
ADDRESS , I _
STRIAL
CI TEL.NO. �a .3 WASTE APPROVAL
PLUMBER ``gautill��11 INSPECTION RECORD
ADDRESS /p (Q
CITY TEL.NO.CO h- X-1/27
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
I SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00 e y
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
�� GAS PIPING
TOTAL FEE. GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE.READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST 'S
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AN THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIALPERTY.
SIGNATURE `(_jv71� too
OF PERMITTEE FINAL R ijs.✓ei!!t!lf��Y:�
IOHN A.LAMBIE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CK. M.S. CASH
L 0 .9 5 69 FEB 4 - 3 A 1, 2.0.0 �
76A667-CE.p7-8.57 �.
APPLICATION FOR .PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING t/� / ,
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ,r' / ..'
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALIT . +r.t,,,
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. [ /' ,r,
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNER Iry f`}
MAIL
BATH TUB ADDRESS �' r'' .l•±+! / �� I i .�'
SHOWER CITY r..t s`i%r.'d�C P Sx -'TEL.NO.�'j `c
LAVATORY- CONTRACTOR
SINK ADDRESS
DISHWASHER CITY TEI„�
LAUNDRY TUB CONTRAC _ J STATELl
REGISTRATIO NO. COUNTY
CLOTHES WASHER
DISTRICT NO. GROUP READY FOR INSPECTION
WATER HEATER kf??qj
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL_ ..
¢r�i's f: +'•.� �f% INSPECTION RECORD
d f Z'_"7 met
PC
APPROVALS
$1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
41 OR FIXTURE $ UNDER SLAB WORK 17•� y
T ROUGH PLUMBING
PERMIT S 1 00
GAS PIPING
TOTAL FEE 00 GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION' HOT WATER HEATER
AND STATE THAT THE ABOVE iS CORRECT AND AGREE TO COMPLY f
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT 1 AM,PROPERLY REGISTER AND/OR' GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY TATE OF UTILITY CO. NOTIFIED
CALIFORNIA OR THAT ! AM T. E LEGAL OVgNE O.F E A VE
DESCRIBaD RESIDENTIAL RROY TY. `e�
�.
SIGNATURE ,�, r •� _.�... .�� ✓�y�
OF PERMITTEE FINAL v
ROBERT A.WOOD.
VALIDATION SUPERVISING MECHANICAL ENG'R
'CK. M.0. AS
1 1 1 5 0 HAY 2 2 3 A 5.0 O N
OweW
76A667-CEMS17 9/63 /
APPLICATION FOR PLUMB-IN 7 PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMS.ION BUILDING.
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS f"9od Z ��r�b4dtDl
WILLIAM A.JENSEN,SUP'T OF BUILDING LOCALITY
t�/yLE C
FOR APPLICANT TO FILL IN NEAREST y
CROSS ST. Cei K.
NUMBER Fl)(TURE OR ITEM EACH FEE
WATER CLOSET $1.25 OWNER
MAIL
BATH TUB 1.25 ADDRESS
SHOWER 'OO&A-ZI 1.25 CITY TEL. NO..
LAVATORY 1.25 CONTRACTOR ,'&Ae, � .
SINS 1.25 ADDRESSsZo IV 1419'1167V ,Q L prj�
DISHWASHER 1.25 CITY ZA V^016 TEL. NO..U1,6-1/gPg
CONTRACTOR'S STATE: ❑
LAUNDRY TUB 1.25
a REGISTRATION NO. ze/Z.®x' Z. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP I ZONE PROCESSED BY
WATER HEATER 1.50
X-108 <:�ct,-- i(^
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL � D_
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD. U
- m
. O
F-
V
W
a
N
f �
APPROVALS DATE INSPECTOR'S SIGNATURE
�PRMITE $ 2 00. UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS:CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT A AM PROPERLY REGISTERED AHD/OR PLUM'B'ING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR-THAT I AM TH EGAL OWNER OF,AND 1 END TO
RESIDE IN.THE ABOVE D RES{ PROPERTY UTILITY CO.NOTIFIED
SIGNATURE
OF PERMIT
FINAL -•3 �¢. /
VALIDATION ROBERT A. WOOD
M.0. 'CASH SUPERVISING MECHANICAL ENWR
LACO 3 4 4 6 SEP. 2. 5 D 3.25-
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0901120006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 19043 LT: 23 I I 4902 ROBINHOOD AV 1
I FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 TEMP CA 917804030 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: RYLAND I
18585-010-028 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, Cl
1 121 HOSE BIBB(S) 3.00 FIX 48.60 I
ITENANT: 163 WATER PIPING BR/FIX 10.00 FIX 67.50 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
1 I TOTAL FEES 143.85 101/12/09 SR 07/11/09 I
(OWNER: TEL. NO: I IFINAL DATE FI BY: CODE:
CEPEDA JOSEPH S;ROSA N (626) 442-9668- I
14902 ROBINHOOD AV
ITEMP 917804030 I IDD26CRIPTION OF WORK [
I I ICOPPER PIPE 10 FIXTURES AND 3 HOSE BIBBS I
(APPLICANT: TEL. NO: I I I
(SAME AS OWNER - I (SPECIAL CONDITIONS: I
1 I �
(CONTRACTOR: TEL I (APPROVALS DATE INSPECTOR SIGNATURE I
NO: I
ISAME AS OWNER
LIC. NO I (UNDER SLAB WORK I I I
[WATER SERVICE I I
I IPLASTIC YIN METAI SYN I C I
(ARCHITECT OR ENGINEER: TEL. NO: I Iy I ✓
_ I IROUGH PLUMBING I I I
LIC. 140: I (GAS PIPING I I I
IGASI VENT I I I
I I IHOT WATER HEATER I [
[ I IPLUMBING FIXTURES [ I [
ILAWN SPRINKLERS I I I
I I I I I
1GAS TEST I I
1 I (UTILITY COMPANY NOTIFIED( I I
1 1cWV I I I
I I IGRAY WATER SYSTEM I I I
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IREPORT ID: DPR263 ROUTE TO: BS0508 1 I
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