HomeMy Public PortalAbout5413 ROBINHOOD AVE_Plumbing__ 7UM--CiS17=11-57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION NUILDING
JOHN A.LAMBIE, County Engineer ADDRESS Q Z
SATT D. GRIFFIN. Sup t of wilding LOCALITY
i
F08 APPLICANT TO FILL IN NEAREST J
NUMBER FIXTURE OR-ITEM CROSS ST. / d I'
WATER CLOSET OWNER 4t6
MAIL
BATH TUB ADDRESS
SHOWER CITY TEL NO.
LAVATORY
CONTRACTOR 1 lum ing442 "Q,
slNs
ADDRESS eetwood P1.
Glendora Ed 5-129
DISHWASHER CITY TEL.NO.
LAUNDRY TUB CONTRACTOR'S 160847 STATE ❑
REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRICT O. GROUP ZONE READY FOR INSPECTION
WATER HEATER44
GAS SYSTEM DUSTRL'
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
@ $1.00 PER ITEM
D E 1NSPE ,OR'S SIGNATURE
b OR FDCTURE $ O UNDER SLABWORK
PERMIT $ Proo ROUGH PLUMBING y,
TOTAL FEE 4 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIi APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ! HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES LC
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AN GAS TEST
LICENSED AS REQUIRED BY.LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AN THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED u 0 I5� �•A ... ,.•
DESCRIBED RESIDENTIAL P PERT �.
SIGNATURE FINAL �!
OF PERMITTEE
ROBERTA.WOOD.
®P VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.O. .CASH
LAC07 0 7 3 00. NOV 2 8 5 A 12.00 V
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1012060018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
[TR: 21704 IT: 3 5413 ROBINHOOD AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917802730
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
18586-023-003 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
[ 145 WATER CLOSET/URINAL 1.00 FIX 16.30
TENANT: TOTAL FEES 44.10 JISSUED ON: PROCESSED BY: PLAN BY:
[ + 112/06/10 SR
OWNER: TEL. NO: [F NAL DATE FI Y: CODE:
[KAO, TED - f
15413 ROBINHOOD AV 1
TEMP 917802730 [DESCRIPTION OF WORK
REMOVE/REPLACE GAS WATER HEATER (SAME LOCATION) UTILITY
I CLOSET
APPLICANT: TEL. NO: [ [
FAST WATER HEATER COMPANY (425) 636-7084- ! [
112601 132ND AVE NE j [SPEC.TAr, CONDITIONS:
[KIRKLAND WA 98034
CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE [
FAST WATER HEATER CO. (425) 636-7054- [ [ [
112601 132ND AVE NE LIC. NO [ [UNDAR SLAB WORK [ [ [
[KIRKLAND WA 98034 931237 C36 *� [ [
[ WATER SERVICE
[ PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO: [I ROUGH PLUMBING I I [
LIC. NO:
[GAS PIPING I [
[GAS VENT [ [ [
[HOT WATER HEATER I [
[ PLUMBING FIXTURES
[ [ [ [ [
[ LAWN SPRINKLERS
[ [ [ [ [
[ I [GAS TEST [ [ [
[ (UTILITY COMPANY NOTIFIED( I [
I [ [cWV [ [ [
[ I [GRAY WATER SYSTEM [ [ [
i* ADDITIONAL DATA ON FILE
[ iREPORT ID: DPP263 ROUTE TO: BS0508