HomeMy Public PortalAbout6253 TEMPLE CITY BLVD_Plumbing__ TlAD[T CE981TY e[ TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY H
jO%D vG AN� 3AFEfY D (oS 3 E JO N AMIE COUNTY WILLIAM A JENSEN BUST OF BLOCALRT
FOR APPLICANT TO FILLNUMBER FIXTURE OR ITEM WATER CLOSET G�1 e A NN s KAM
BATH TUB D� $ In ple
SHOWER 125 Cm I P �i TEL NO
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WASTE APPROVAL.
OUTLETS OVER S PER SYSTEM 70 INSPECTION RECORD !
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APPROVALS DATE INSPECTOR 5 SIONATuwE
PERMIT SJAWLI�T
O UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEEGAS PIPING
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GLIF011NIA T M TM[ OAL O [ OF ARAID[ IN A RID RESID[ AL FROF[ UTILITY CO NOTIFIED
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OF PER FINAL
VALIDATION ROBERT A WOOD
CK M o CAVI SUPERVISING MECHANICAL ENG R
LA�O 4 9 1 5. JAN 2 8 5 D 6.0 0- v
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUMAS PL 0508 0304110002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 ENT:
LEGAL ID: FITS FAM BUILDING ADDRESS
ON FILE 6253 TEMPLE CITY BL
FEE DESCRIPTION QUANTITY: UOM AMONT. TEMP CA 917801750
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LONGDEN
5385-011-002 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20
TENANT TOTAL FEES 43 95
ISSUED ON PROCESSED BY PLAN BY VmRrg-m-
04/11/03 JK """ 10/08/03
CODE.OWNER TEL NO ///FINAL DATE FI7L BY '''
VICT6253�TEMPLE M LOPCITYRBL (626) 285-6242- ('04 d yv
TEMP 917801750 DESCRIPTiuN ut wuKx1
GASLINE FOR RVAC SYSTEM
APPLICANT TEL NO
ALE)(SON CHALINYAN (818) 625-4467-
15933 BASSELL ST SPECIAL CONDITIONS
VAN NUYS 91406
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
ALEX CONSTRUCTION (818) 780-8405-
15933 BASSETT ST LIC NO UNDER SLAB WORK
VAN NUYS CA 91906 735476/C20
WATER SERVILt
PLASTIC Y/N METAL Y/N
ARCHITECT ON ENGINEER: TEL NO
LIC NO
GAS PIPING
GAS VENT
Mr-UM HUTMF-
GAS TEST
UTILITY COMPANY NOTITM
/G 3
CWV
GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO: OS0508