HomeMy Public PortalAbout5203 SANTA ANITA AVE_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY fi ,:in PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0410220015
BUILDING AND SAFETY / LAND DEVELOPMEUT TETAPLC CITY CA 91780
PIiCmr,. CG26) 285-0488 EXT:
L G ID: FEES PAID B I DINC =KESS:
iTR: 13363 Li: r 5203 SANTA ANITA AV
FEE DESCRIPTION: QUANTITY: UOM: kiA..UNT: TEMP CA 917803622
ASSESSOR IN ORMA ION NUMBER: NEAREST CROSS STREET: FREER
8574-009-007 01 PERMIT ISSUANCE FEE ?7.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 21 HOSE BIBB(S) 1.00 FIX 16.20 ISSUED ON:--PROCESSED BY: PLAN BY: EXPIRES ON:
25 LAVATORIES/SINKS 1.00 FIX 16.20 10/22/04 JK 04/20/05
45 WATER CLOSET/URINAL 1.00 FIX 16.20 _
OWNER: TEL. N0: TOTAL FEES 92.55 FIN L Dq FIyBY: CUuit
HUYNH CUONG;TRAN HUONG (213) 367-4671-
5203 SANTA ANITA AV
--
TEMP 917803622 DESCRIPTION OF :TORY.
PLUMBING FOR NEW BATH
APPLICANT: —T—E—. NO-
SAME AS OWNER -
SPECIAL CONDITIONS: --
CONTRACTOR: TEL. NO: APPROVALS DATE INa'PECTOR SIGNATURE
SAME AS OWNER -
LIC. NON REJ�SLAB WORK �-
WATER SERVICE
ARCHITECT PLASTIC Y/N METAL Y/N CT OR ENGINEER:EER: TEL. N0: _
ROUGH PLUMBING
LIC. NO:
GAS PIPING
S VENT
OT WATER HEA t_R
PLUMBING FIXTURES
WN SL SPRINKLERS
GAS TEST
TILITY COY.W-4'" :JIIF1Eil
C V
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
:
DS-17 9.35 APPLICATIONAPPLICATIONFOR PLUMBING PERMIT
DBS-17
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
WM.J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN, SUPT OF BUILDINGLOCALIfi�13d
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. c
OWNER i DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL G" �J ♦ I I d
ADDRESS Ys�L.C/ Q
2IN
RIAL
CITY �?�. TEL.NO —WASTE APPROVAL
PLUMBER L/�y .vL . .✓/✓�•J� t w,� INSPECTION RECORD
ADDRESS / / �-et
_CI_ TYY Y� TEL.`NOtl] -3 7.y/+y ca fffa
�—
LICENSE NO. �j �q/L A3L/-%r1:-4th^ "
NUMBER TYPE OF FIXTURE OR ITEM FEE r
/ WATER CLOSET (TOILET) $
BATH TUB
_T SHOWER
LAVATORY (WASH BASIN)
KITCHEN.SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. . 0.80 APPROVALS
G� DATE INSPEC '
GAS'SYSTEM.�c40UTLETS � 1.00 ORS SIGNATURE 0�}
WATER HEATERI.00 UNDER SLAB WORK
�D
PERMIT S 7 00 ROUGH PLUMBING
J GAS PIPING
TOTAL FEE ✓" GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 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 PLUMBING FIXTURES
PLUMBING. �t
1 HEREBY CERTIFY THAT I AM. GAS TEST
PROPERLY REGISTERED AND/OR I�a'>i %I.t')-�%/'a-i=•..
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNZ;Z;
ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL ROPE TY. y SIGNATUREcvOF PERMITTEE FINAL " ��+I r
QZ305111IMEM Issue mm'w.,giv;
WILLIAM J.FOX,COUNTY ENGINEER' VALIDATION R.A.WOOD.CHIEF PLBG.INSPECTOR
i
.Ga 9 3 9 7 u OCT 26 3 4.4 0 '�