HomeMy Public PortalAbout4931 ROBINHOOD AVE_Plumbing__ 78x687 (9E-8117) - 1/78
APPLICATION FOR PLUMBING PERMIT _
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE tO: BUILDING,
ADDRESS ,3 �9�J T.�
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
- Yl P-ui Cid
FFORAPPLICANTTO FILL IN (PRINT OR TYPE) NEARESTCROSS ST.FIXTURE OR ITEM FEEATER CLOSET 2.00 OWNER °�MAIL
ATH TUB 2.00 ADDRESS
SHOWER 2.00 CITY TEL. NO.. " TV-3 V
LAVATORY 2.00 CONTRACTOR vD
SINK 2.00 ADDRESS k,y b
DISHWASHER 2.00
CITY TEL. NO..qla'LJ%Q�
CLOTHES WASHER 2:00 'STATE +-� LIC
LICENSE NOCLASSC 3
SWIMMING POOL RECEPTOR '2.00
DISTRICT NO.GROUP P CESSED BY
LAWN SPRINKLER SYSTEM 2.00 0�0 ONE
Y /
WATER HEATER 2.00 IN y
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00 t'O INSPECTION RECORD,
TLETS
5 R
PESYSTEM OVER .30 (p r"
0
vsW
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Plan check fee See Reverse
PLUMBING PERMIT-ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPE'CTOR'S SIGNATURE.
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
HOT WATER HEATER
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS.TEST 7. sa-"-7 � 122,,
1 HEREBY CERTIFY.THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENS
ED .AS REQU1RED Y LOS GELES COUNTY AND STATE -
CALIFORNIA OR THAT• T L AL OWNER ANB III TERb O '
RESIDE IN THE ABOV CR ED R (DENTIA AO ERTY. FINAL ,
SIGNATU RE
OF PERMIT—TT
PERMIT VALIDATION CK. M'.O: CASH
PLAN-CHECK VALIDATION. CH. M.O. CASH,
2 6 719.,E 4 -JIN 1 3.5 .
• pn
-E77
5'ts� APPLICATION FOR PLUMBING PERMIT1
BUTT.D= AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles BUILDING yj
JOHN A.L.AMBIE,COUNTY ENGINEER ADDRESS
CASSATTO.GRIFFIM SUPT OF BUILDING
> LOCALITY
FOR APPJIC4NT TO FILL IN NEAREST
CROSS ST. �
OWNER DISTRICT NOS/' GROUP ZONE READY FOR INSPECTION
MAIL h - I ,r I
' ADDRESS dpa- — o� 1
° t INDUSTRIAL
CITY TEL.NO. .. WASTE APPROVAL
PLUMBER - INSPECTION RECORD
ADDRES '`/�+'hr. G7-J7-10
CITY u Q
TEL.NO. y7% !�
LICENSE NO. A-T p a
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00
z
BATH TUB @ $1.00
SHOWER @ $1.00 �d
LAVATORY (WASHBASIN) @ $1.00
KITCHEN SINK @ $1.00 Q�
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ .$1.00
F GAS SYSTEM @ $1.00
i
r
APPROVALS
DATE IN/SPECCYOR`S S19NATURE.
UNDER SLAB WORK
ROUGH PLUMBING 'y�^
PERMIT $ 1 .00 f
GAS PIPING ,�L'
TOTAL FEE G�
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER z4.
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES -7�
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST TT I? Ei
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWN F THE AB VE UTILITY CO.NOTIFIED "
DESCRIBED RESIDENTIAL PERTY. i
SIGNATURE 9
OF PERMITTEE FINAL
ROBERT A.WOOD.
JOHN A.LAMBI OUNTY ENGINEER AMATION SUPERVISING MECHANICAL ENG'R
Cx. N.O. CASH
2 6 8V; SEP
25 3 11 -00
1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0512280008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PRONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 19043 LT: 8 4931 ROBINEOOD AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804031
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: RYLAND
8585-008-003 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY,
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: 64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
92 NO PERMIT OWNER-BLDR 257.00 DOL 257.00 12/28/05 JK 06/26/06
TOTAL FEES 317.15
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
SIMONIAN JANET T, JOEL SIMONIAN (626) 579-5805-
4931 ROBINHOOD AV y�i bb
TEMP 917804031 DESCfIPTION OF WORK
REPLACE WATER LINE AND GAS LINE
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CKV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 rPttJM MI _
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PLti 0508.00011;30027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID B -AD�RESS��
TR: 19043 LT: 8 4931 0 �NHOOD AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804031
ASSESSOR INFORMATION B : NEAREST CROSS STREET: DAINES
8585-008-003 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIR ON:
01/13/00 UT 07/ /00
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
SIMONIAN JANET T (626) 579-5805-
4931 ROBINHOOD AV I- N
TEMP 917804031 DESCRIPTIUN OF WURK
WATER HEATER CHANGE OUT
APPLICANT: TE O:
ACTION CONTRACTORS (310) 515-1311-
17111 S. BROADWAY SPECIAL CONDITIONS:
GARDENA, CA 90248
CONTRACTOR: TEL. N0: �~= _ �" ,': ' APPROVALS DATE INSPECTOR SIGNATURE
ACTION CONTRACTORS (310) 515-1311-
17111 S. BROADWAY LIC. NO E "�, UNDER SLAB WOR
GARDENA, CA 90248 652535C36 WATER SERVICE
ARCHITECT ORENGINEER: TE 0: , ^,'i' -; ` `,;� PLASTIC Y/N METAL Y/N
1 ROUGH PLUMBTla
LIC. NO.:,
- _ GAS P PING
i
i. V GAS VENT
HOT WATER HEATCR
-
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
`
UTILITY COMP NY OTIFI D
Ca
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508