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HomeMy Public PortalAbout5409 ROBINHOOD AVE_Plumbing__ 76AG67C (CE-81713) -9/75 .,._ PPL` 1CATION •FOR PLUMBING PERMIT BUILDING SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING _ NUMBER FIXTURE OR ITEM @ FEE ADDRESS WATER CLOSET 41C/'ZS LOCALITY BATH TUB NEAREST / CROSS ST. SHOWER OWNER LAVATORY IC MAIL 001, ADDRESS10, SINK CITY ` TEL.NO DISHWASHER CONTRACTOR r CLOTHES WASHER ADDRESS �. :SWIMMING POOL RECEPTOR LAWN SPRINKLER SYSTEM CITY TEL. NO. STATE LICA WATER HEATER LICENSE NO. 109PgI29CLAS 0 DISTRICT NO. I GROUP VQPEI P CESS D BY v GAS SYSTEM OUTLETS _ OUTLETS OVER Lv �( CD 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL Lu a fn INSPECTION RECORD ? Plan check fee PLUMBING PERMIT ISSUING FEE $ 6,50 TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER.WA-BI ORK Address ROUGH PLUMBING ���� fR.+�` � City Tel. NO. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT 1 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER4 n PLUMBING. , I HEREBY CERTIFLAN OPERLY R STERED AND/OR PLUMBING FIXTURES LICENSED AS REQUILES C Y AND ;VE OF TO GAS TEST CALIFORNIA OR THATOWN OF, AN RESIDE IN THE ABOVEENT PROPE Y. UTILITY CO. NOTIFIED ff ` SIGNATURE /.Ylt OF PERMIT E FINAL 19 PLAN CHECK DATION�. 3K'A1=& PERMIT VALIDATIONcK.' M.D. CASH 0 2 2-NOV 8 5 © 1 6.5 0 A:i� POLICY HOLDER: f �. 'POLICY NUMBER! 71- � �� 76AG67C ('CG:-817BJ -9/75 - -PPLICATION - FOR PLUMBING PERMIT BUILDING SAFETY DIVISION//- FOR IVISIONFOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS OY WATER CLOSET LOCALITY NEAREST ` BATH TUB CROSS ST. SHOWER OWNER '_J LAVATORY MAIL ADDRESS SINK CITY ~ L TEL.J�10 DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS 66 � - SWIMMING POOL RECEPTOR CITY TEL. NO. .LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO. jG� CLASS- CD DISTRICT NO. GROUP VQj4E1rPvCESS D BY v GAS SYSTEM OUTLETS - _ OUTLETS OVER I v 5 PER SYSTEM INDUSTRIAL Lu WASTE APPROVAL a H INSPECTION RECORD Z Plan check fee PLUMBING PERMIT ISSUING FEE $ . j7.3 TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER'.SL � ORK Address ROUGH PLUMBING e���c l• ws7+-.,� City Tel. No. GAS PIPING w 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY •AT I AM PROPERLY R STERED AND/OR PLUMBING FIXTURES (��.�� r j��•- /� LICENSED AS REQUIRED BY OS ANGELES C Y AND TA�1TE OF GAS TEST CALIFORNIA OR THAT 1 M HE LEGAL 0WN OF, AN S'£NO TO JI RESIDE IN THE ABOVE DE C BED RESIDENT PROPE Y. UTILITY CO. NOTIFIED { l SIGNATURE OF PERMIT E FINAL {i ' PLAN CHECK DATION-•rte-+: .G� A PERMIT VALIDATION cK.� M.D. cases 0 2 a-Nov 8 5- D 1 6.5 0 d� POLICY HOLDER: i � � _ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1307150011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 21704 IT: 2 I 1 5409 ROBINHOOD AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802730 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: OLIVE 8586-023-002 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI 107 BATHTUBS/SHOWERS 3.00 FIX 48.60 I 1 TENANT: 13 DISHWASHERS) 1.00 FIX 16.20 JISSUED ON: PROCESSED BY: PLAN BY: I 125 LAVATORIES/SINKS 6.00 FIX 97.20 107/15/13 SR 145 WATER CLOSET/URINAL 3.00 FIX 48.60 1 (OWNER: TEL. NO: I TOTAL FEES 238.40 IFXW DATE FINAL BY: CODE: IFANG, SHU Y (626) 862-6488- 1 1 1 1233 W NORMAN AVE I 1 [ IARCADIA CA 91006 1 ID SCRIP ON OF WORK 1 [REPLACE 2 BATHTUBS/SHOWER, SHOWER, 5 LAVATORIES, KITCHEN 1 ISINK'AND 3 WATER CLOSETS (APPLICANT: TSL. NO: I ISAME AS OWNER - I I I I [SPECIAL CONDITIONS: 1 I I I [CONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I LIC. NO 1 [UNDER SLAB WORK I I I I [ I I I I [WATER SERVICE I I 1 I I IPLASTIC YIN METAL Y/N I I 1 (ARCHITECT OR ENGINEER: TEL. NO: I (ROUGH PLUMBING I I 1 LIC. NO: 1 I I I I [GAS PIPING I I IGAS VENT I I 1 [ IHOT WATER HEATER I I [ I i IPLUMBING FIXTURES I I I I I I 1 I (LAWN SPRINKLERS I I IGAS TEST I I I [ I I I I I 1 I (UTILITY COMPANY NOTIFIEDI I [ I ICw I I I I I IGRAY WATER SYSTEM I I 1 I I I 1 I I I I I I I I [ I I I I I I I I I I I (REPORT ID: DPR263 ROUTE TO: BS0508 I I 1 I