HomeMy Public PortalAbout6129 TEMPLE CITY BLVD_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1004080026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID BUILDING ADDRESS:
ON FILE I6129 TEMPLE CITY BL
(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] TEMP CA 917801748
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
5385-012-031 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 60.15 04/08/10 SR 04/08/11
OWNER: TEL. NO: IFINAL DATE FINAL BY: CODE:
DULL, PATRICK (626) 292-6595- 1
6129 TEMPLE CITY BL
TEMP 917801748 , JDE CRIPTION OF WORK
PLUMBING FOR BATHROOM REMODEL
APPLICANT: TEL. NO:
DAN MIKOLASKO CONST, INC. (626) 716-2273-
15118 CALMVIEW AVE. [SPECIAL CONDITIONS:
IBALDWIN PARK 91706
CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
DAN MIKOLASKO CONSTRUCTION (626) 338-0055- 1 1 1 1
5048 A CALMVIEW AVE. LIC. NO JUNDER SLAB WORK
]BALDWIN PARK, CA 91706 855601B
WATER SERVICE
PLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO:
- ROUGH PLUMBING
LIC. NO: I (GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
(UTILITY COMPANY NOTIFIEDI I
I jCWV I I
GRAY WATER SYSTEM
' IREPORT ID: DPR263 ROUTE TO: BS0508
74%h6ey-di'*817 2-112 TEN E CRT
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ——
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUP'T OF BUILDING '
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 81.25 MAIL 1
BATH TUB 1.25 ADDRESS
' SHOWER 125 CITY TEL. NO.
CONTRACTOR
LAVATORY 1.25
SINS 1.25 ADDRESS
ol
DISHWASHER .1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRAC OR'S• STATE
REGISTRATION NO. 9 7 COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PpolSgSSED BY
WATER HEATER 1.50 B
GAS SYSTEM S OUTLETS 1.50 INDUSTRIAL y
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD
W
a
w
Z
3 OO APP OVALS DATE INSPECTOR
'S
SIG AT RE
PERMIT $ 2 00 UNDER WORK
ROUGH PLUMBING
TOTAL FEE �� �� GAS PIPING
1 HEREBY 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 HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN,THE ABOV ESCR D RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE Az
OF PERMITTEE aLl/
FINAL
LIDATION ROBERT A.WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
LAO 5 6 8 0 J:,:•d 7 5 D 1 5 0 0