HomeMy Public PortalAbout6127 TEMPLE CITY BLVD_Plumbing__ .7/6A6IN7 lW817 2-62 TEN PLE CRT ,
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING p{
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS d
WILLIAM A.JENSEN, SUPT OF BUILDING I
LOCALITY
FOR APPLICANT TO FILL IN NEAREST r
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE ,
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 'ADDRESS
SHOWER 1.25 CITY TEL. NO.
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q` LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1,25 CONTRACTORS STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DIST ICT GROUP ZONE P ESSED BY
WATER HEATER 1.50 `l-
GAS SYSTEM !9�_OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30
INSPEC/T.ION RECORD_
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Q.
/ /tO AP. OVALS DATE INSPECTOR'S 31 N,ITU RE
VV UNDER iQWWORK
PERMIT $ 2 00
ROUGH PLUMBING /1 Z2,
TOTAL FEE S D Q GAS PIPING I J
I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT {
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFDESG ED RESIDEGAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO Y
RESIDE IN,THE ABO NTIA -PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE /11 .In A,n A.
OF PERMITTEE FINAL tea' ✓ f�'%��/�
LIDATION ROBERT A.WOOD J
CK. . M.O. CASH SUPERVISING MECHANICAL ENG'R
5 8 7 9JM 7 5 D 1 IJ.0 0
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0403010008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID B LD NG ADDRESS:
ON FILE 6127 TEMPLE CITY SL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801748
ASSESSOR I OR TION BER: NEAREST CROSS STREET: GARIBALDI
5385-012-030 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 13 DISHWASHER(S) 1.00 FIX 16.20 ISSUED : PROCESSED BY: PLAN BY: EXPIRES 0 :
25 LAVATORIES/SINKS 3.00 FIX 48.60 03/01/04 VG 08/28/04
45 WATER CLOSET/URINAL 2.00 FIX 32.40
OWNER: TEL. NO: TOTAL FEES 157.35 FINAL DATE FINAL BY: CODE:
GOSS, MARY (949) 380-8772- i
27422 VIA AMISTOSO • ' • (�
MISSION VIEJO 92692 DESCRiPTION OF WORK
PLUMBING FOR REMODEL
APPLICANT: TEL. N0:
HEINLEIN (626) 523-5422-
1311 W. GREENHAVEN SPECIAL CONDITIONS:
SAN DIMAS, CA 91773
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
DEANS HOME REPAIR (626) 523-5422-
P.O. BOX 1393 LIC. NO UNDER SLAB WOR
GLENDORA, CA 91740 808571 B
WATER SERVICE
ARCHITECT OR ENGINEER:
PLASTIC Y/N METAL Y/N
TEL. 0:
ROUGH PLUMBING
LIC. NO:i
S PIPING
GAS VENT
HOT WATER E
PLU BING FIRTIaRES
LAWN SPRINKLERS
GAS TES
UTILITY COMPANY NOT F D
CW
GRAY WATER SYSTEM
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REPORT ID: DPR263 ROUTE TO: SS0508