HomeMy Public PortalAbout5117 ROSEVALE DR_Plumbing__ 78AG87•CRS4I7 481 I
APPLICATION FOR PLUMBINd PERMI
COUNTY OF LOS ANGELES
DEPAMIENT OF COUNTY ENGINEM
[?II.D G AND pF'�'TY D ADDRESS
$ IA-_Am IE o�-..r FMION
WILLIAM A JENSEN SUPT OF BUILDING LOCALITY M J
FOR APPLICANT TO FILL IN NEAREST TT
NUMBER FIXTURE OR ITEM EACH FEE
OWI¢e
7j WATER CLOSLT 51 T5 NAM ^�►
BATH TUB 195 -L ADDRESS /r W .
' SMOWLS 195 -L CtTT l+ TEL xo - SQ
LAVATORY 195 s'd CONTRACTOR
8DN[ 195 ADDRESS
DISHWASHER 195 CITY TEL NO
LAUNDRY TOB 125 COaTRACTOR 8 STATE e
Z BEOISTRATION N COUNTY
CLOTHES WASHER 115 I DISTRICT NO GROUT I ZONE F ! BY
WATER HEATER 150
OAB SYSTEM ✓ OUTLETS- 150
�UWASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 90ST
INSPECTION RECORD U
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APPROVALS DATE IMSPSCTOI S SIGNATURE
PERMIT J" COMPLY
2 OO UNDER SLAB WORK
�1 ROUGH PLUMBING /
TOTAL FEEV GAS PIPING
I N[RIRr ACRNOWL110" THAT I Nwv[ RUDICATION GAB VENT _
ANO STAT[ THAT THR ABOVE IF CORM4=T AND COMPLYWITH ALL COUNTY ORDIHAMHv AND STATE UUTINOPLUMBING HOT WATER HEATER
CRC[ IFY THAT I AM PROPIMLY RAno/OR PLUMBING FIXTURE$
LIC6NND AS RIOUIRSO BY LOS ANOBLSS COUATC OF GAS TEST
ULIFORNIA OR THAT I AM TNI LSOAL OWN" TIUMP TORISIOB IN THS ABOVE p RIBLD RISIDSNTIAL UTILITY CO NOTIFIED
SIGNATURE
OF PlRMITTEEX
FINAL _ ZZ
VALIDAITC]AI__, ROBERT A WOOD
CR M o ( cow SUPERVISING MECHANICAL ENG R
tl�o.g 98 " NOV 23 s o 1 5.00^' o
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0 01060017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID I D M111-DING ADDRESS
TR 29316 LT 5
FEE DESCRIPTION QUANTITY UDM AMOUNT TEMP 308
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LA ROSA
8585-007-052
01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID 84 LOCALITY TEMPLE CITY
47 WATER HEATER(S) 1 00 WTH 16 20
TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
01/06/00 UT 07/04/00
OWNER TEL NO FINAL DATE FINAL BY CODE
HEWKO JOHN,ANGELA H TRS (818) 444-5019-
5117 ROSEVALE DR -�
TEMP 917&)3308
CHANGE OUT OF WATER HEATER
APPLILANT TEL NO
ACTION CONTRACTORS (310) 515-1311-
17111 S BROADWAY SPECIAL CONDITIONS
GARDENA, CA
CONTRACTOR �G9 PNGELES CC/JAPPROVALS DATE iwsFnT6W-frMU7UWr--
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ACTION CONTRACTORS (310) 515-1311-
17111 S BROADWAY LIC NO UNDER SLAB WORK
GARDENA, CA 90248 652535C36
WATEP SERVICE
/ PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER hL NU
ROUGH PLUMBING
LIC NO/(/ i
VI'_Jr'J-L 1 1 I 1 PIG
GAS VENT
U 'UBUC MiORKS
0 LAWN SPRINKLERS
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GAS TEST
UTILITY COMPANY NOTM-M
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ADDITIONAL DATA ON FILE
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