HomeMy Public PortalAbout8615 ROCCUS LN_Plumbing__ 76AB87=CL#817 5/63- '
%' APPLICATION FOR PLUMBING PERMIT
y COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ,ENGINEER
BUILDING AND SAFETY DIVISIONBUILDING ✓ : .
JOHN A. LA.MBIE, COUNTY ENGINEER. ADDRESS; �S �i
J
WILLIAM A. ENSEN,SUPT OF BUILDING '
LOCALII`Y C
FOR APPLICANT TO FILL IN NEARERT
CROSS ST. .1•
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 �. MAI
; L
HATH TUB 1.25.
ADDRESS ..
SHOWER 1.75 S CITY TEL.NO.
LAVATORY 1,25 ` CONTRACTOR
xJ
SINS 1.25 f ADDRESS.
DISHWASHER 1.25 S CITY
LAUNDRY TUB 1.25 CONTRACTOR'S STATE p
REGISTRATION NO. COUNTY p.
CLOTHES WASHER' 1.25 'DISTRICT NO. GROUP I ZONE PROCESSED'By
WATER HEATER 1;50
GJ13 SYSTEM. 'L OUTLETS 1.50 INDUSTRIAL
a
WASTE APPROVAL O
OUTLETS OVER 5-PER SYSTEM- AlU
INSPECTION RECORD
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- t
APfflOV, Lwwlw DATE INSPECTOR'S BIGNATURE+
PERMIT S 2 00 UNDER SLAB WORK i Li l:.:
ROUGH•PLUMBING
TOTAL FEE Fj GAS PIPING P
1 HEREBY ACKNOWLEDGE THAT 1 HAVE' READ THIS APPLICATION .
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT.WATER'HEATER A t
- _ _
1 HEREBY CERTIFY THAT 1 AM PROPERLY•REGISTERED AND/OR PLUMBING FIXTURES •�
LICENSED AS REQUIRED BY LOS ANGELES'COUNTY AND STATE' OF GAS TEST
CALIFORNIA OR THAT2AM THE LEGAL OWNER OF., INTEND.TO
RESIDE IN,THEABOV SCRIBED.RESIDENTIAL PROP RTr. UTILITY CO.NOTIFIED. �
SIGNATURE
OF:PERMITTEE FINAL
LIDATION' ROBERT A.WOOD '
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
LACo 3 0.2 0;3 AUG 2 4 .5 A 16.25' 9
7GA667 ICE-817) - 1/75 _
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
DING
MAKE CHECKS PAYABLE TO: suDDRESSD
ARESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. (A )
NUMBER FIXTURE OR ITEM ® FEE
WATER CLOSET
2.00 OWNER V P—AlIP.
MAIL
BATH TUB 2.00 ADDRESS
SHOWER 2.00 C ITV 1 } TEL. NO.
LAVATORY 2.00 CONTRACTOR
SINK 2.00 ADDRESS r--,
DISHWASHER CI TEL. NO. ,_�L 7176
CLOTHES WASHER 2.00 STATE L LIC
LICENSE NO. �IQ1 CLASS
SWIMMING POOL RECEPTOR 2.00 DISTRICT NO.GROUP ONE ROC SE BY
LAWN SPRINKLER SYSTEM 2.00 � I
WATER HEATER 2.00 IN v
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD 0
OUTLETS OVER C.3
5 PER SYSTEM •30 ,�� — 74 t91V a',T F ,V11,1
v
W
co
N
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 00
TOTAL FEE I tYbo
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No.
GAS VENT
1
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES "-3®!
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST y
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, ANB fNTBNb TO
RESIDE IN THE ABOVE DESCRIBED RESIDE TIAL PROPERTY. �y ryry,/ �,.+_ d,•�� '
FINAL �°"..�!l�Ft�.+ .Y�v.fr:�
SIGNATU RE._ /��//,,��++ r
OF PE RMITTEE / l J'
PERMIT VALIDATION CK. M.O.. CASH
PLAN-CHECK VALIDATION CK. M.O. CASH 5 8r,1p.1 2 .5 A 9.0 Q Azz
0
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0208210044
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEESPAID
TR: 29475 LT: 9 8615 ROCCUS LN ADDRESS:
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752638
ASS5SSOR INFORMATIONNEAREST CROSS STREET: BURTON
5386-007-070 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TOTAL FEES 43.95ISSUED - SSD EXPIRES -
08/21/02 JK 02/17/03
OWNER: TEL. N0: FINAL DATE INAL BY: CODE:
ANDREW MCKENZIE & DANA MCKENZIE (626) 287-6773- p�
8615 ROCCUS LANE �
SAN GABRIEL 91775
C/O WATER HEATER
APPLICANT: NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. 0: '�';_, - �;%�;ti:: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - -
•LIC. NO UNDER SLAB OR
WATER
PLASTIC EY/NCEMETAL Y/N
ARCH I TCTO EG 0:
8 G
LIC. NQ
iGAS PIPING
- GAS VENT
HOT WATER HEATER
- PLUMBING FIXTURES
LAWN SPRINKLERS
GAS S
UTILITY C09PANTWITrED
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
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