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+ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1202160025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID BUILDING ADDRESS:
ITR: 19043 IT: 7 4925 ROBINHOOD AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917804031
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-008-002 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
I 127 PRESS REG DEVICES) 1.00 DEV 16.30
TENANT: 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.30 JISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 60.40 102/16/12 SR
OWNER: TEL. NO: IFINAL DATE FINAL BY: CODE:
ISAMURA MASATOSHI;BARBARA Q (626) 625-9777- 1
14925 ROBINHOOD AV I 1
ITEMP 917804031 I IDESCRIPTION OF WORK I
ITO REPLACE THE GALVANIZED WATER PIPES FROM THE WATER METER 1
I I ITO THE PROPERTY WITH NEW COPPER PIPES 1
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER
I I ISPECIAL CONDITIONS:
I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I—
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—I LIC. NO I IUNDR SLAB WORK I I I
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I I IWAT'R SERVICE I I I
I I IPLASTIC YIN METAL YIN I I I
(ARCHITECT OR ENGINEER: TEL. NO: I I I I I
I - I IROUGH PLUMBING I I I
LIC. NO: I II I I
IGAS'PIPING
IGAS VENT I I I
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I IHOT WATER HEATER I I I
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I1Iry IPLUMBING FIXTURES
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IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I
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reaseTs M APPLICAT.'ON FOR PLUMBING PERMIT
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DIVISION OF BUILDING AND SAFETY 1
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS Robinhood
CASSATT D,GRIFFIN,SUPT OF BUILDING
LOCALITY Te le Cit
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER Rognsqtad J. DISTRICT NO. I GROUP I irN�E- I READY FOR INSPECTION
MAIL .
ADDRESS
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER Joseph Cadilli Plumbing.Co. //"7 `-1'7 INSPECTION RECORD
ADDREss. 7821 E Garrey Ave / f
CITY S_ San Gabriel ` TEL.NO. AT 0-5349
LICENSE NO. 134935 C-36
NUMBER TYPE OF FIXTURE OR ITEM FEE
2 WATER CLOSET (TOILET) @ $1.00 5
1 BATH TUB @ SLOO' 1
1 SHOWER @ $1.00
2 LAVATORY (WASHBASIN) @ $1.00 2 00
1 KITCHEN SINK @ $1.00 1 CD
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
1 CLOTHES WASHER @ $1.00 1 0
WATER HEATER @ $1.00 1 00
1 GAS SYSTEM @ $1.00 1 00
APPROVALS
DATE INSPECTOR'S SIGN -URE
UNDER SLAB WORK
PERMIT $ 1100
ROUGH PLUMBING ;�1/,�•,,,�� f
GAS PIPING / '�'� �`I •�� ,ssts(s.a=
TOTAL FEE 00 GAS VENT
I HEREBY ACKNOWLEDGE THAT IHAVE 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 FIXTURES ,A-
PLUMBING. r
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 AM THE LEGAL OW F THE ABOVE UTILITY CO.NOTIFIED �, J
DESCRIBED RESIDENTI PROPERTY..
SIGNATURE
OF PERMITTEE FINAL
OHN A.LAM E COUNTY ENGINEER ,�VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
o
M.0. CASH
009221Ln JM13 3 11 .00 �