HomeMy Public PortalAbout6307 TEMPLE CITY BLVD_Plumbing__ 7RA -CEEIT 17,59 TEMPLE CITY ,
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APPLICATION FOR PLUMBING PERMIT
D C OF/LOS
W ENGINEER
i IE O EW NTY aV1 ON DsILDRAs1o3o7
WILLIAM JENSEN SUPT OF BUILDING
I OCNLTTY
FOR APPLICANT TO FQ.L III ��
NUMBER FIXTURE OR ITEM
OWRER
WATER CLOSET mm
ADDRESS
BATH TDD
BHOLVER CITY TEL NO
LAVATORY COMACrgR f
SDQ ADDRESS
D®RWASEUM CRT 7k NO. G I
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LAUNDRY TUB REGISTRATION NO COUNTY 11
CLOTHES WAS® DISTR�ICTNO�i OUP WNE P ED BY
WATER HFATER
OBS SYST®E INDUSTBm
WASTE APPROVAL
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APPROVALS 'DATE INSPECTOR 9 SIGNATURE
PERMIT S E OO UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HER CE4UIM
N PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICEMS[D AS RAMORU FOUMT7 AND STATE OF
CALIFORNIA OHi WE OWNER OF THE ABOVE OAS TEST
DESCRIBED RESI UTILITY CO NOTIFIED
1
SIGNATURE n
OF rERMITTE FINAL
mF -YMMATCION ROBERT A WOOD,
/(C[ M G . SLR'ERVISING MECHANICAL ENO R
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,.A.a,ala. APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE? BUILDING
NUMBER FIXTUREOR ITEM 6 FEE ADDRESS 6307 1EMKE Cl2Y
WATER CLOSET LOCALITY
BATH TUB NEAREST
CROSS ST
SHOWER OWNER GuriwWt, P=
LAVATORY ADDRESS SAM 286-098
SINK CITY yyn-yc•E ,= TEL NO SIFOCM
DISHWASHER CONTRACTOR TRW H.C.C.
CLOTHES WASHER ADDRESS 2034 N. PECK RD.
SWIMMING POOL RECEPTOR
CITY .S TEL NO _
LAWN SPRINKLER SYSTEM STATELICENSE N0 265094 LIQ G-20
WATER HEATER
1
GAS SYSTEM 1 OUTLETS iFINAL DISTW NO _P NE EDB y
O5 PER SVSTEMR INDUSTRIAL B C
WASTE APPROVAL O
INSPECTION RECORD {.1
0
Plan check fee
PLUMBING PERMIT ISSUING FEE E
TOTAL FEE
Plan check applicant
Nome APPROVALS DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
Address ROUGE(PLUMBING
City Tel NoGAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICAATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W ITV ALL COUES
AND STATE LAWS REGUurixG PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUIRY AND STATE OF CALIFORNIA OTHE GASTEST
LEGAL OWNER OF AND INTEND TD RESIDE IN THE ABOVE DESCRIIAL
PROPERTY LMLITYCO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
PLAN CHECK VALIDATION CK Mo CASH PERMIT VALIDATIONoj cN i.oCASH
CD0 4 9 5, , 9,N-'JUL 12. 5 0 1 3.0 0 •s""'
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APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPABTNIENNT OF COUNTY ENGIIGER
BUILDING A SAFETY DMSION ��a 6107 Temple Cit Blvd
c�RRaaaaBePu Ea'�'°IIaA,G LOCAusr Temple City, California
FOR APPLICANT To F31L IN NEAw.
NUMBER FIXTURE OR ITEM
OWNER R,y Fortner
WATER CLOSET NNAIL
2 BATH TDB ADDHEBR
SHOWER cur TEL NO
2 LAVATORY cOwmcTOR Fontana Plumbing Contr.
HTNX ADDEBB813329 E. Ector Street
DRIEWASBEB C+*YOf Industry TEL No ED 7-7226
CONTRACTOR B STA19
LAUNDRY mB RHa®TBATIO N NO 96496 COUNTY
' CLOTHES WA® DISTRI GROUP I ZONE CEB9
WATER HEATER
GAR RYRTENS INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
A167:
d& 75PAZ40~
B�t�PJL
APPROVALS
/j1 �B p�Bg DATE INSPECTOR 9 SIGNATURE
UNDER SLAB WORK
PERMIT s OO ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPUCATIOR GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COVPLT NOT WATER HEATER 10-Z7--a-
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
1 BEHEST C®RIPY THAT 1 AM PROPERLY REGISTERED AND/OK OI1S 7.E87,
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER Of THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RE3IDENI L PROPERTY
SIGNATURE
OF PERM ITTE FINAL
®� VALIDATION ROBERT A WOOD
SUPERVISING MECHANICAL ENG R
u ■ 0 ems
x,07607 XN 5 5 A 12.00 �g
� pp i
7BA667C ICC-mel -ops
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FDISHWASH4TER
LICANT TO FILL IN (PRINT OR TY PEI BUILDING
FIXTURE OR ITEM ® FEE ADDRESS
CLOSET LOCALITY
UB NEAREST O
CROSS ST
R OWNER fJ
OR MAIL D
ADDRESS
U CI Q4 n L N
SHER CONTRACTO
ES WASHER
ADDRESS
NG POOL RECEPTORC TY TEL CPRINKLER SYSTEM
STATE LIC
WATER HEATER LICENSE NO� CLASS �
GAS SYSTEM OUTLETS
DISTRICT QNnCO GR���c NE ROC SLED Y V
-
OUTLETS OVER 0[J i'
5 PER SYSTEM INDUg TRI AL w
WASTE APPROVAL H
INSPECTION RECORD at
It
Plan check tee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant 0
Name APPROVALS DATE iHe occ TOR s siGweru Rc
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel NO GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STAT! LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LI CEN BED ASOR REQUIRED BY LOS ANOCLES COUNTY AND STATE Of GAS TEST
CALIFORNIA THAT I AM THE LEGAL OWNEP OF AND INTEND TO
RESIDE IN THE ABOVE D RIBlD IOENTI♦ PROPERTY UTILITY CO NOTIFIED
SIGNATURE ///R/B/)C
OF PERMITTEE vA- FINAL X27.77
PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION CK M O CASH
571�DEc 2 50 7.50AS�-,
(YV&
COUNTY OF IDS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS PL 0508 0902030007
BUILDING AND SAFETY / 7AND DEVEIOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
6307 TEMPLE CITY BL
ON FILE (FEE DESCRIPTION QUANTITY DOM AMOUNT I TEMP CA 917801431
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET GOLDEN WEST
5382-022-062 OL PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY C
07 BATHTUBS/SHOKERS 3 00 FIX 48 60
TENANT 11 CLJTHESWASHER(S) 1 00 FIX 16 20 ISSUED ON PROCESSED BY PIAN BY EXPIRES ON
1 25 LAVATORIES/SINKS 2 00 FIX 32 40 102/03/09 SR 08/02/09
145 WATER CLOSET/URINAL 2 00 FIX 32 40
(OWNER TEL NO TOTAL FEES 157 35 FINAL DA FI BY CODE I
ICHANG MO SHENG (626) 447-0610- �j7 '
16307 TEMPLE CITY BL FR
1TEMPLE CITY CA 91780 SON OF WORK
PLUMBING FOR NEW BATHROOM, LAUNDRY AND REMODEL BATHROOM
I I I I
1APPLICANT TEL NO
AGL CONTRACTOR INC (626) 350-0131-
12728 TYLER AVE 1 SPECIAL CONDITIONS
LEL MONTE CA 91733 1
CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE
IA G L CONTRACTOR INC (626) 350-0131- 1 1 1
12728 TYLER AVE LIC NO (UNDER SLAB WORK
LEL MONTE CA 91733 B9198OC36 I RATER SERVICE I
IPLASTIC YIN METAL YIN 1
ARCHITECT OR ENGINEER TEL NO 1ROUGH PLUMBING 1 1
LIC NO GAS PIPING 1 1
IGAS VENT
1 IHOT WATER HEATER
1
(PLUMB ING FIXTURES
LAWN SPRINKLERS
I I (GAS TEST
I 1
IUTILITY COMPANY NOTIFIED
I CKv
(GRAY WATER SYSTEM
I
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1 I 1 I
1 1 1 1 I
I I I 1
I I I I
IREPORT ID DPR263 ROUTE TO BS0508 1
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