HomeMy Public PortalAbout4449 TEMPLE CITY BLVD_Plumbing__ TtAtt, 17 11-1* APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY PLUMBING
CODNTY LOS ANGELES
WILLIAM J.. FF LOS FOX, CHIEF ENGINEER
uiaTRICT NO. G PERMIT NO.
FOR APPLICANT TO FILL IN In; /
PLUMBER // 1 RECEIVE&'SY I READY FOR DATE ISSUED
ADDRESS FIRST INBPlCTION // —
( f
BUILDING
CITY Am♦ / TEL o G/ ADDREBB
DOUHTY IpI LOCALITY
LICENSEO U IX
c����.n �+i�' NEAREST
vf
PL.[Mr FEES CROSS ST
NUMBER TYPE OF FIX AZ OR ITEM FEE OWNER IV
MAIL
WATER OLOSET(TOILET) ® O BO B ADDRESS!
SA—TUB ! 1350 CITY TEL No
SHOWER 050 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 050 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK 050 AND STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB O TRAY ® O SO ANGELES COUNTY LICENSE, OR I AM THF. LEGAL OWNER
OF THE RESIDENTIAL PROPERTY ES E ABONVY
GAB SYSTEM OUTLETS a 050 SIGNATURE OF�
WATER MEATCR a 050 PERMITTe,
SLOP BINK ® 05a INSPECTION RECORD
FLOOR BINK a 050
FLOOR DRAIN @ 0501
DISHWASHER a O SO
ORINKING FOUNTAIN ® 050
URINAL a O 30 J
t
HOUSE SEWER ® as z
MISCELLANEOUS
C
O
APPROVALS
DATE INRP[Qtt]q't NAME
ROUGH PLUMBING
GAS PIPING
OAS VENT
CESSPOOL ® 1G0 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) 100 SEWER (^
PERMIT 1 DO GAS TEST L 7
1 /ry UrIf CO NOTIFIED
ox
TOTAL FEE 9 3 IJ
FINAL `
COUNTY OF LOS ANGELES TEMPLE CITY A 0508 PLUMBING PERMIT
• DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0306180015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID. fFE5 PAID BUILDING ADDRESS:
TR: 12998 4449 TEMPLE CITY BL
FEE DESCRIPTION QUANTITY LION AMOUNT TEMP CA 917804231
ASSESSOR INFORMATION NUMBER- NEAREST CROSS STREET LONER AZUSA
8592-002-041 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE: 597 GRID: A5' LOCALITY TEMPLE CITY, C
51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20
TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY: EXPIRES ON
06/18/03 VG 12/15/03
OWNER
AIKEN FINAL DATE FINAL BY: CODE
4449 fE PLE CITY BL (fib) 444-2445- "'i - I '? � �„
TEMPLE CITY 91780 l
GAS FOR FAU
APPLICANT TEL NO
HOCCOM (626) 286-7119-
SPECIAL CONDITIONS-
CONTRACTOR TEL NO
LS DATE INSPECTOR SIGNATURE
L D H CONSTRUCTION (626) 286-7119- i� '(��� AV1•��
9634 OLIVE ST LIC NO ^, }�� LINDER SLAB WORK
TEMPLE CITY, CA 91780 562071 B WATER SERVICE
ARCHITECT OR TEL NO // ( f q, tih`�\ PLASTIC Y/N METAL Y/N
iROU(]H PLUMBING
LIG NO
- t �� � � � ) � iGAS PIPING
E--- —i T I�
GAS VENT
/7 !-QJHOT WATER HEATER
i
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TESTT/ -61
UTILITY COMPANY NOT=
CWV
GRAT WATER SYSTEM
i/ i to- �•/
` S ivlc^ [Ii'g j
REPORT ID: DPR263 ROUTE TO BS050B
: COUNTY OF LOS ANGELES TEMPLE CITY B 0508 PLLNMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0501250006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID- FEES PAID BUILDING ADDRESS
TR 12998 4449 TEMPLE CITY BL
FEE DESCRIPTION QUANTITY UOM• AMOUNT TEMP CA 917804231
NEAREST CROSS STREET BISBY
8592-002-041 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID A5 LOCALITY TEMPLE CITY, C
05 BACKFLOW DEVICE(S) 1.00 DEV 16 20
TOTAL FEES 43.95 LSSUEU ON PROCESSED BY- PLAN BY EXPIRES ON
01/25/05 JK 07/24/05
OWNER TEL NO FINAL DArplan BY CODE
ER, KURT (626) 827-7271-
4449 TEMPLE CITY BL
TEMPLE CITY CA 91780 6ESCRIP
INSTALLATION OF SPRINKLER SYSTEM
APPLICANT
SAME AS OWNERCONTRACTOR APPROVALS DATE INSPECTOR SIGNATURE
-
SPECIAL CONDITIONS
SAME AS OWNER -
LIC NO LINDER SLAB WORK
WATER SERVICE
PLASTIC YIN METAL YIN
RUUrK PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
LAWN SPRINKLERS
GAS TEST
GRAY WATER SYSTEM
REPORT 1D. DPR263 ROUTE TO: BS0508