HomeMy Public PortalAbout6015 TEMPLE CITY BLVD_Plumbing__ 76A667-CE .817 5-61
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
JOHN AG AND
COUNTY ENGINEER _ADDRESS Q
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST , r
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
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WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL. NO.
CONTRACTOR 1-1�,A:J
LAVATORY
ADDRESS
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DISHWASHER CITY T C� T
CONTRACTOR'S STATE g
LAUNDRY TUB REGISTRATION NO. Q COUNTY H
CLOTHES WASHER DISTRICT NO. GROUP I ZONE P SEED BY
WATER HEATER _
GAS SYSTEM INDUSTRIAL O
WASTE APPROVAL U
INSPECTION RECORD
0
U
W
O.
N
Z
0 $1.00 PER ITEM r
OR FIXTURE $ ` APPROVALS DATE INSPECTOR'S SIGNATURE
I PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED ANIOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL O ER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY, _UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE'= -%� �-�
FINAL
VALIDATION ROBERT A. WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
0702 t:�
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9791 LAS TUNAS PL 0508 9901270022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUI ING ADDR SS:
TR: 6561 LT: 214 UN: .002 ,
6015 TEMPLE CITY BL
FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: TEMP CA 917802013
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5385-013-008 ,01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: P OCESSED PLAN B PIRES ON:
01/27/99 UT 01/27/00
OWNER: TEL. NO: FINAL DAT. OT: CODE:
COLE ROSEMARY R;RILEY JAMES P -
6015 TEMPLE CITY BL
TEMP 917802013 DESCRIPTION OF WORK
CHANGE OUT OF WATER HEATER:
APPLICANT: O:
SIR. ROOTER PASADENA (626) 445-8203-
25 WHEELER #L SPECIAL CONDITIONS:
ARCADIA, CA
�ELES C®
MR. ROOTER: NSIGNATURE
OF PASADENA (626) 445-8203- �o� U�T� APPROVALS DATE INSPECTOR
P. 0. BOX 661843 LIC. NO UNDER SLAB WORK
ARCADIA, CA 91066 706307C-36
WATER SERVICE
PLASTIC Y/N METAL Y/N
'ARCHITECT OR NGI 0:
/ ROUGH PLUMBING
yy LIC. NO. L 1111111
� GAS PIPING
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i v PLUMBING FIXTURES
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GRAY WATERSYS-79r--
REPORT
SREPORT ID: DPR263 ROUTE TO: BS0508