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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 O- C* - Z 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