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76A667-CE817=8.57 _
APPLICATION FOR -PLUMBING PERMIT 1
COUNTY OF LOS hNGELES
DEPARTMENT OF COUNTY ENGINEER F
BUILDING AND SAFETY:DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D.GRIFFIN, SUPT OF BUILDING Y
FOR APPLICANT TO FILL .IN y y.
--
NUMBER FIXTURE OR ITEM
OWNER _ C'q A �s a
,WATER CLOSET - - MAIL
BATH TUB ADDRESS 2. V
SHOWER.' CITY .� z TEL.NO./ r 6 1r4
LAVATORY CONTRACTOR W-jjV7 &-
SINK ADDRESS �r
DISHWASHER CTfY.. TEL.NO. ,$'I
LAUNDRY TUB CONTRACTOR'S STATE LJ
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER
DISTRICT NO. GROUP ONE READY FOR:INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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APPROVALS '
J @ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
/ OR FIXTURE $ r UNDER SLAB WORK
ROUGH PLUMBING
PERMAT S 1 00
GAS PIPING-
TOTAL FEE 190
Gi4S VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS-APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE. IS CORRECT AND AGREE,TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING pLIJMBING FIXTURES
PLUMBING.
IHEREBY CERTIFY THAT FAM O ERLY REGJJSTERED AND/OR GAS TEST fli AAb 4:,• .
LICENSED AS REOUIR BY LOS G ES COU AND STA:E. OF • '
CALIFORMIA OR T AM OWf 'R OF TH BOVE UTILITY CO. NOTIFIED
DF.SGRIBLD REST NTIAL ROP
SIGNATURE fjy9
OF PERMITTEE FINAL
VALIDATIO ROBERT A. WOOD, ,
SUPERVISING MECHANICAL.ENG'R
CK. M.0. CASH .
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78A-867-C E#817 4-84 ���
APPLICATION FOR PLUMBING ' ERM.IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUI jII AND SAFETY DIVISION BUILDING ��--•=
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS v
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN
4 NEAREST
ROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE'
OWNER
WATER CLOSET $1.25 MAIL
!y�
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY L. NO.
r
LAVATORY 1.25 CONTRACTOR
SINS 1,25 ADDRESS
DISHWASHER 1.25 CITYatloA TEL.NO.
LAUNDRY TUB 1.25 CONTRACTO S pqJ/8 STATE
REGISTRATION NO-
CLOTHES
.D
CLOTHES WASHER La DISTRICT NO. GROUP ZONE I P ESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
O
H
U
W
N
Z
APPROVALS DATE . INSPECTOR'S SIGNATURE ,
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING e l
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION .GAS VENT
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY 9 .
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. NOT WATER HEATER �,•�
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF / ,y
CALIFORNIA OR THAT I AN:THE LEGAL OWNER OF AND INTEND TO GAS TEST
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL P... PERTY. UTILITY CO.NOTIFIED "'
SIGNATURE e
OF PERMITTEE / ✓✓ g
FINAL
LIDATION ROSERT.A.WOOD
CK.M M.O. - CASH SUPERVISING MECHANICAL ENG'R
,LA
1 7 5 2 UR FAY 18 5 D 3.5 0
75A557-CE#517 12-54
APPLICATION FOR PLUMBING RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS o
COLEMAN W. JENKINS,SUPT OF BUILDING,_ LOCALITY
FOR APPLICANT TO FILL IN NEAREST4 1 ,
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER W� LX)S 0
WATER CLOSET $1.25 c^�
:HOWER
Y (� �ATH TUB 1.25 DRESS 5 9 Z. , r`O SV 1.25 CIT 'y N
TEL. O. D7 D�
LAVATORY 1.25 CONTRACTOR I �. C( R
SINS 1.25 ADDRESS , 9 Z e
DISHWASHER 1.25 CITY'" �- cxr TEL- NO. 49 ;161
CONTRACTOR'S STATE O
LAUNDRY TUB 1.25
REGISTRATION NO. I J$9 COUNTY
CLOTHES WASHER 1.25. DIST CT N0. GROUP E PR CES 'B
WATER HEATER 1.50
GAS SYSTEM OUTLETS- 1.50 rO INDUSTRIAL '
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 O
INSPECTION RECORD+ /1 C3
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APPROVALS DAT INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
O ROUGH PLUMBING
TOTAL FEE GAS PIPING
r
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER /
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES f
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR.THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE t^; { f
OF PERMITTEE w /
FINAL v7
ALIDATION ROBERT A'WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
LACO 8 4 5 9, jAN 3 . 5 Q..:.. . 3.5 0'M V
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 f PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0507070035
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0486 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5904 IT: 167 I 5928 ROSEMEAD BL
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917801536
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5384-016-014 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
07/07/05 JX 01/03/06
OWNER: TEL. NO: FINAL DA pI�r BY: CODE:
HERVEY, LINDA (626) 286-3786-
5928 ROSEMEAD BL
TEMP 917801536 1"Or WORK,
WATER HEATER CHANGE OUT
APPLICANT: TEL. NO:
JORDAN (909) 623-2502-
309 E. COMMERCIAL ST SPECIAL CONDITIONS:
POMONA, CA 91767
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
H B COVEY (909) 623-2502-
309 E COMMERCIAL LIC. NO UNDER SLAB WORK
POMONA CA 91767 BUS LIC
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
I HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508