HomeMy Public PortalAbout5512 SARA MAR LN_Plumbing__ 7eAS67-CENSIT 5,63 CITY OF TEMPLE CITY H4487
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES S
DEPARTMENT OF COUNTY ENGINEER
B1oIIHDNING AAMB E COUNTY DNIVIS�ON fB�UaMMGER 5512
WILLIAMA JENSEN SUPT OF BUILDINGm Temple City
FOR APPLICANT TO FILL IN T BraadmeNUMBER FIXTURE OR ITEM EACH FEEWATER CLOSET $125 R. L. Vire
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BATH TOS 125 ESS Same
SHOWER 125 CRT TEL NO
LAVATORY 125 CONTRACTOR General Tnstnllnt48
SINK 125 ADDRESS
DISHWASHER 125 CITY loos Angeles TEL NO ]COUNTY LAUNDRY TOS 125 CONTRACTORS
REGISTRATION NO
CLOTHES WASHER 125 DIYTRIGT O OR)UP2 NE F EBBED
WATER HEATER 1 50 r
o_
GAS SYSTEM-OUTLETS 150 MDUSTRIALWASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD
water softener 1 SO Ready for Ins a OF
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APPROVALS DATE INGPCCTOR 9S.GN TUR[
PERMIT s 2 DO UNDER SLAB WORK
ROUGH PLUMBING /
TOTAL FEEvJ SD GAS PIPING
1 MEREST ACKNOWLEDGE THAT 1 NAV[ RIAD THIS A I.ICATION GASVENT
AND STAT[ THAT TN[ ASOV[ IE CORRECT AND AGIRE TO COMPLY
WITH ALL COUNTY ORDINANCIS AND STAT[ LAW. REGULATING
FLUM51NG HOT WATER HEATER
H[REST CERTIFY THAT I AM PROF[RLY MOISTENED AND/OR PLUMBING FIXTURES
F
pLINSED AS REQUIRED BY LOS ANG[L[E COUNTY AND STATE OF GAS TEST f
CALIFORNIA OR THAT 1 AM THE LEGAL OWM[R OF AND INTEMO TO
RUIOS IN TH[ASOV[pESCRIS[O R[.1 L
UTILITY CO NOTIFIED f `
SIGNATURE �r"Y" • f T
OF PERMITTEE l�NY�✓
FINAL
0AMATION ROBERT A WOOD
M O CASH SUPERVISING MECHANICAL ENG R
LACO � 0 1 9—� DEC 2 5 D 3.55 0—
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Dee APPLICATION FOR PLUMBING PERMIT - 1
o e[.
DIVISION OF BUUMBIG AND SAFETY
Department of CoBnty Engineer
County of hoe ABgela BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN,SUP T of BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
ROSS HT
OWNER DIST
MAIL 0 GROUP ZpNE READY rov INSPECTIOM
ADORE88/ 0 IF
CITY TEL NO - y/,3 INDUSTRIAL
WASTE INDUSTRIAL
APPROVAL
TOTfr� ner.r�
PLUMBERReliance 2ffiP TION RECORD
ADDRESS 20 SOUTH PRIMROSE AV
CITY
!_?NR
OV IF RNIA
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM PCE
WATER CLOSET (TO]LET) 40 $100 S o0
BATHTUB it
SHOWER @ $100 / O
LAVATORY (WASH BASIN) *too Y 00
KITCHEN SINK Q $100
DISHWASHER Q $1 00 / O.0
LAUNDRY TUB OR TRAY a $1 DO
CLOTHES WASHER ® $1 00 I 00
WATER HEATER 0 $1 00 / 00
GAS SYSTEM f 00
APPROVALS
DATE INSPECTOR 3SIGNATURE
UNDER SLAB WORK
PERMIT i 1 00 ROUGH PLUMBING N 57
GAS PIPING <•+ '
TOTAL FEE aG GAS VENT
I 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 PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GASTEST
LICENSED AS REQUIRED BY LOS ANGELES UNTY AND STATE OF
CALIFORNIA OR THAT i M T E LEGA 0 NER OF TXE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENT RO TT
16
SIGNATURE
OF PERMITTEE FINAL
JOHN A L AMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
cK ■ • "SH
" ' LACoB 9 3.0—� JUN 6 3 1 2 0 0 In
7SA667 Cfe8i7 8 57 \
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY D"ION ADDRESS 5512 Sari 1'�ar Ln.A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY Temple Ll a y
FOR APPLICANT TO FILL INRG ARE T
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNER John Ehrsman
BATH TUB ADDRESS Same
SHOWER .-erryTemple Clty TEL NO
LAVATORY CONTRACTORC W 'Iohnston
BINE ADDRESS 42 UCein View
DISHWASHER cffyGlendale TEL NOCh 94081
LAUNDRY TUB CONTRACTORS STATE Li
REGISTRATION NO TY
CLOTHES wnBHeR
DISTR O GROUP NE [EAOY FOR Ixst[ci mH
WATER HEATER -r
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
water system or pool INSPECTION RECORD
APPROVALS
1 @ $100 PER ITEM DATE INSP SY04ATURE
OR FE TORE { / UNDER SLAB WORK
PERMIT f ROUGH PLUMBING
GAB PIPING
TOTALFEE O GASVENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THEABOVE 19 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
1 HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AXD/OR GAS TEST
LICENSED AS REQUIRED BY LOS AXGELES C ND STATE OF
CALIFORNIA OR T 1 AM THE LEGAL 0 XER F TX ABOYE UTILITY CO NOTIFIED
DESCRIBED RESID T P PER
SIGNATURE
OF PERM11 FINAL
ROBERT A OOD
VALIDATION SUPERVISING MECHANICAL ENG R
�( [ D I uaH
LT0 6 4 0 7 M NOV 6 5A 3,0 0 x
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC FORKS 9701 LAS TUNAS PL 0508 0704180015
BUILDING AND SAFETY / LAPID DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488_ EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE
5512 SARA MAR IN
PEE DESCRIPTION QUANTITY pOM AMOUNT I T@0? CA 917802537
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
8588-010-028 01 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl
07 BATHTUBS/SHOWERS 1 00 FIX 16 20
TENANT 25 LAVATORIES/SINKS 1 00 FIX 16 20 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
45 WATER CLOSET/URINAL, 1 00 FIX 16 20 04/18/07 JK 10/ls/07
TOTAL FEES 76 35
F/y/plpL/SDA P/p/�,/BY CODE
LLIUWWEEI C,CREN XIAO LAN (626) 292-1287- 1yli///i^ C// �' ,
15512 SARA MAR IN I "C - 1
TEMP 917802527 PLUMBIG FOR ONEW BATHROOM
(APPLICANT TEL NO
FRANK NGUYEN (626) 523-0366-
11711 MAGELLAN ST SPECIAL CONDITIONS
(WEST COVINA 91791
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
LI WEI CHAO (626) 293-1287-
5512 SARA MAR IN LIC NO I I UNDER SLAB YAR& r
TEM.E CITY CA 91780 NONE
WATER SERVICE I
PLASTIC Y/N METAL Y/N
1ARCHITECT OR ENGINEER TEL NO
1CHEN, JASON (909) 595-3226- ROUGH PLUMBING
120601 AI.DA CT LIC NO
DIAMOND BAR, CA 40169 " GAS PIPING
I
GAS VENT I
HOT WATER NEATER I I
PLUMBING FIXTURES - -
• (LAWN SPRINKLERS
I iGAS TEST I I
(UTILITY COMPANY NOTIFI60
CWv I
GRAY WATER SYSTEM
I I
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(REPORT ID DPA263 ROUTE TO HS 0508 I I 1