HomeMy Public PortalAbout4909 ROBINHOOD AVE_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1307090039
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 19043 IT: 5 I I 4909 ROBINHOOD AV I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917804031 I
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 1
18585-009-009 �01 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY CAI
07 BATHTUBS/SHOWERS 1.00 FIX 16.20 I
ITENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.40 [ISSUED ON: PROCESSED BY: PLAN BY:
1 145 WATER CLOSET/URINAL 2.00 FIX 32.40 107/09/13 SR
I I TOTAL FEES 108.80 1 I
10WNER: TEL. NO: [ IFINAL DATE FIkJAL BY: CODE: [
IPANG KING CHUEN;HO SUSANA KIT-CHING (626) 454-1683- I [ n
14909 ROBINHOOD AV [ [� e01017
ITEMP 917804031 I IDD$SCRIPTION OF WORK 1
I I IREPLACE SHOWER, TWO LAVATORIES AND TWO WATER CLOSETS I
IAPPLICANT: TEL. NO: I I I
[SAME AS OWNER
ISPECIAL CONDITIONS:
I I I I
[CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I I
LIC. NO I (UNDER SLAB WORK I I I
I I [WATER SERVICE 1 I I
I I IPLASTIC YIN METAL YIN 1 I I
(ARCHITECT OR ENGINEER: TEL. NO: I I I I I
1 - I ]ROUGH PLUMBING
I LIC. NO: I I ]
(GAS PIPING
I 1 IGAS VENT I I I
I 1 (HOT WATER HEATER I I
I I IPLUMBING FIXTURES I [ I
I [ (LAWN SPRINKLERS I [ I
[ [ IGAS TEST I I I
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[ ]UTILITY COMPANY NOTIFIED(
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(GRAY WATER SYSTEM I I
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IREPORT ID: DPR263 ROUTE TO: BS0508
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7eAPPLICATION FOR PLUMBING PERM#T :1
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BUILDING AND SAFETY DrMON
Department of County Engineer
County of Los AngelesBUILDING
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS.. 49N RObinhOOd
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY. Tem le Cl
ty
FOR APPLICANT TO FILL IN NEAREST
CROSS ST,.
OWNER Ken Williams DISTRICT'NO. GROUP ZONE READY FOR INSPECTION
r MAIL P• O• BOX xT .�� �/ .I
ADDRESS.
INDUSTRIAL
CITY Tj=1e City - TEL.NO. GI 4-5U3 WA TEA PROVAL
PLUMBER Parker Plumbing :INSPEC ON RECORD
ADDRESS 611 Ew Ramona
CITY Baldwin Park TEL.NO. ED 8-1127 � / -�'�"-�''•'
LICENSE NO. 114535
'NUMBER. TYPE OF FIXTURE OR ITEM FEE In�,I.� •a3
WATER CLOSET (TOILET) @ SI.00 a &2 -1 C, A-
1 BATH TUB @. $1.00
1 SHOWER @ .61.00 -
2 LAVATORY (WASH BASIN) @ $1.00
1 KITCHEN SINK @. $1.00
1 DISHWASHER @ SI.00
LAUNDRYTUB OR TRAY. @ $1.00
CLOTHES WASHER @ $1..00
WATER HEATER @ $1.00
GAS SYSTEM.. @ $1.00
111 O
APPROVALS_
DATE INSPECTOR'S SIGNATURE. 01
a.
WORK ,,s
UNDER SLAB` Ag
_G •!'�
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE lit OO GAS VENT
I HEREBY ACKNOWLEDGE THAT I 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. pLUMHING:FIXTUREB
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED-BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY.CO.NOTIFIED S
DESCRIBED RESIDENTIAL P PERTY-
SIGNATURE �
OF PERMITTEE
ROBERT A.WOOD,
JOHN A.LAMBIE.COUNTY ENGINEER V ATION SUPERVISING hlFCHANICAL ENG'R
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C05 T1 3 S SEP 19 5 A l 2.0 d