HomeMy Public PortalAbout4924 ROBINHOOD AVE_Plumbing__ N3s47,o.ss
APPLICATION FOR PLUMBING PERMIT
' DIVISION OF BUILDING AND SAFETY '
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE. COUNTY ENGINEER. ADDRESS
CASSATT D..GRIFFINS SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER �a� DISTRICT NO. GROUP ZONEREADY FOR INSPECTION
MAIL I o%/
ADDRESS •sK i I I A—1 I
T � d INDUSTRIAL
CITY TEL.NO. i� WASTE APPROVAL.
PLUMBER 6+LktGtl INSPECTION RECORD
ADDRESS",/"•' / a o
CITY `[ 7A�a/p / TEL.NO. JQ ,Q"
LICENSE NO. r / j-5.349
NUMBER TYPE OF FIXTURE OR ITEM FEE '
o� WATER CLOSET CTOILET) @ $1.00 OO
BATH TUB @ $1.00
SHOWER @ $1.00 OO
LAVATORY (WASHBASIN) Q. $1.00 •OD
KITCHEN SINK @ $1:00
DISHWASHER Q $1.00 O
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
G SYSTEM. @ $1.00 0
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
rC.
PERMIT $ 1,00 ROUGH PLUMBING ��°�j rJ,,✓i 1_. n��,
GAS PIPING f
TOTAL FEE
C3A8 YEN'1' I
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. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 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
DESCRIBED RESIDENTIALOY. ' ®�
SIGNATURE
OF PERMITTEE 49 FINAL 2
IOHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLEIG. INSPECTOR
CK. M.0. CASH _
,o o 3 as jAN 2 3 A 12.00 M
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1207100021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 19043 IT: 20 I 4924 ROBINHOOD AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT-1 TEMP CA 917804030
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-010-025 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
163 WATER PIPING BR/FIX 8.00 FIX 54.40
TENANT: 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 JISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 98.40 07/10/12 SR
OWNER: TEL. NO: I lF E FINAL Y: CODE: I
[LEE, SUSAN/RICHARD (626) 953-0336-
I4924 ROBINHOOD AV
TEMP 917804030 D3CRIPTION OF WORK
IP REPIPE HOME COPPER REPI E MAIN
1.
� I
APPLICANT: TEL. NO:
JOHNSON, JIM (818) 408-4100-
1560 LIBRARY ST. I ISPECTAL CONDITIONS:
ISAN FERNANDO 91340 I I I
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
IMASTERSERV INC. (818) 408-4100- I _
1560 LIBRARY ST LIC. NO (UNDER SLAB WORK
ISAN FERNANDO, CA 91340 580017 C36 I
WATER SERVICE^
I I PLASTIC YIN T YIN r�1r�1(-'�I
ARCHITECT OR ENGINEER: TEL. NO: I
- IROUG3 PLUMBING f
LIC. NO: � I Y�I
1 IGAS PIPING
IGAS VENT I
I ' [HOT WATER HEATER
IPLUM3ING FIXTURES I I I
I (LAWN SPRINKLERS I I
I i IGAS TEST
I I I I I
I
UTILITY COMPANY NOTIFIED( I I
IGRAY WATER SYSTEM I I I
I i I i I
I I I I I I
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I I I I I I
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I I I I I I
I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I
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