HomeMy Public PortalAbout5023 TEMPLE CITY BLVD_Plumbing__ 7"6" 01,1117 ll- APPLICATION FOR PERMP!
DEPARTMENT OFNG AND SAFETY PLUMBING /
* COII M F
OFF LOS LOS ANGELES
WILLIAAM J. OX. DNI[F ENGINEER
F0pfPLI5tE TO FILL
PLV B[R [O A READY FOR DAT[ 1®U[Q
FIRBTINSP[OTION l
ADDR I L�-
BUILDING
O CGry
OI L No 3 3,) ADDRESS J .�A
COUNTY Jia 7 XpjR - 31,-5 LOCALITY
NEAREST
PERMIT FEES cRORR RT
MUNQR TYF[DI rni TIRE OR REM F[[ OWNER g 0 A
MAIL
7� WATER CLOSET(TOILET) O coo R ADDRESS
BATH TUB @ Coo CITY TEL No
BHOW[R O 660 1 HERESY ACKNCWLEDG[ THAT 1 HAVE READ THIS
LAVATORY (WARN BASIN) O COO APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK O 060 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 PORO[BB THE ABOVE V D LOB
LAUNDRY TUB TRAY @ 050 ANGELLB COUNTY LICE IBE. OR 1 M THE
GAB BYRTEM OUTLETS @ coo OF THE REBIDENTI OPE S
SIGNATURE
WATER HEATER O 0 60 PERM
SLOP OINK @ O 60 INSPECTION RECORD
FLOOR BINK O O 60 S
FLOOR DRAIN O Dan
DISHWASHER O COO
DRINKING FOUNTAIN O ILW
URINAL O 660 9
MOUE[ BEW[R O 0.60 a
U
MISOELLANEOII J
L
0
APPROVALS
DAT[ tNR►[OTG11•R NAM[
ROUGH PLUMBING
OAS PIPING -J
BAB VENT J
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANKS SEPTIC TANK
DRAIN ( I PIT ( I O loolool IBCW[R
PERMIT 1 GO GAB T6GT
UTILITY 00.NOTIFIED i �L
TOTAL FEE G Q
FINALT
1 1
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUM13ING PERMIT
• bEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS PL 0508 0704190019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 13329 LT 61 ON 002 5023 TEMPLE CITY BL
FEE DESCRIPTION QUANTITY DOM AMOUNT TOM CA 917803830
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
18590-015-017 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A5 LOCALITY TEMPLE CITY Cl
151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20
1 TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PIAN BY EXPIRES ON
(04/19/07 JR 10/16/07
I
I TEL NO I I J]NJL Ike FIWRY CODE
IPAPP(PAPPI JORGE,DOLORE9 TRS (626) 285-8723- I - ."LX/��j
5023 TEMPLE CITY BL - -
TEMP 917803830 DESCRIPTION OF WORK
GAS LINE FOR HVAC SYSTEM
I
APPLICANT TEL NO I -
ROSSMOYNE INC (818) 249-8397-
3500 OCEAN VIEW DR I SPECIAL CONDITIONS
GLENDALE, CA 91208-
(CONTRACTOR TEL NO
APPROVALS DATE INSPECTOR SIGNATURE
�ROSSMOYNE INC (818) 249-8397-
3500 OCEANVIEW BLVD LIC NO I UNDER SLAB WORK
GL 1DAA!L Le, CA 91208 5010528
WATER SERVICE 1
- PLASTIC Y/N METAL Y/N
I ARCHITECT OR ENGINEER TEL NO
I - 1 ROUGH PLUL�ING �
LIC NO
1 GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
ILAWN SPRINKLERS
I
GAS TEST
(UTILITY COMPANY NOTIFIED
CWV I I
' GRAY WATER SYSTEM
1
(REPORT ID DM263 ROUTE TO BS0508
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