HomeMy Public PortalAbout6312 TEMPLE CITY BLVD_Plumbing__ 7.AE41A (CC 'r'APPLICATION FOR PLUMBING PERMIT
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BUILDIN AND SAFETY DTVI ION LOt 12
FOR APPLICANT TO FILL IN IPRINT OR TYPEI BUILDING
ADDRESS 6312 ample City Blvd.
FIXTURE OR ITEM O EE
WATER CLOSET11(/ LOCALITY Te a Cijti
BATH TUB NEAREST
�' D class ST
SHOWER OWNER F81Tb8ven Developmwrt
LAVATORY 1 1,31661 D'PFCS 8656 E. Huntington Drive
SINK O CITY $en Gabriel TEL NO 287-9527
DISHWASHER CONTRACTOR Chen Mos. Plumbing, Inc.
CLOTHES WASHER
ADDRESS 4265 N. RATS^ Ave.
SWIMMING POOL RECEPTOR
CITY $1 Monte TEL NO 1i1;,I-0pPT8
LAWN SPRINKLER SYSTEM STATE q L M
WATER HEATER LICENSE NO 231 741 CLASSC36—M
GAS
`SYSTEEyME OUTLETS DIST YQ O ARQU� E SSED BY
SO PER SYSTEMR INDUSTRIAL /vIT`/ O
WASTE APPROVAL G
INSPECTION RECORD
8 o z6' cP Qa
PIOn check fee
PLUMBING PERMIT ISSUING FEE E
TOTALFEE
Plan check applicont = 7
Name APPROVALS TE CTOR s RE
UNDER SLAB WORK
Address ROUGH PLUMBING _
City Tel No GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAW MAO THIS APPLICATION AND STAT[ GAS VENT
THAT THE MOVE IS CORRECT MID AGREE TO COMPLY WRH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/GTI UCENSBD AS PLUMBING FIXTURES
REOUWED W LOS ANGELES COUNTY AMU STATE OF CAVFORNM OR THAT I M THE GAS TEST L
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DMRIBED RESIDENTIAL
PROPERTY UTILITYCO NOTIFIED
SIGNATURE �p
OFPERMITTEE FINAL
PLAN jEjoj@AT COt FTNSAfM PERMIT VALIDATION 4=MX_ Mo CASH
POLICY HOLDER:� E� ;?"a /e 1lJ JUN 22 5 D 4_ 0.0 0
POLICY NUMBER: 33
COUNTY OF LOS ANGELES TEMPLE CITY q 0508 PLUMING PERMIT
DEPARTMENT OF PUBLIC WORXS 9701 LAS TUNAS PL 0508 1005120009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 33529 ON 12 6312 TEMPLE CITY BL
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801453
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
5383-015-045 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY Cl
1 45 WATER CLOSET/URINAL. 1 00 FIX 16 20
ITENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY
05/12/10 SR
OWNER TEL NO IFINAL DATE FINAL. BY LODE
1BOOMHOWER DONALD (626) 285-1823-
6312 TRIPLE CITY BL 1
TEMP 917801453 DESCRIPTION OF WORK
REPLACE 40 GALLON GAS WATER HEATER SAME LOCATION GARAGE
APPLICANT TEL NO
LITTLEFIELD, BCD= (661) 259-7131-
124663 RAILROAD AVE ISPECIAL CONDITIONS
NSWHALL, CA 91321
CONTRACTOR TEL NO ) APPROVALS DATE INSPECTOR SIGNATURE
AFFORDABLE MATER HEATERS (661) 259-7131-
24663 RAILROAD AVE LIC NO UNDER SLAB WORK 1
HEWHALL CA 91321 627368 C36
WATER SERVICE
PLASTIC YINMETAL Y/N
ARCHITECT OR HNGINEER TEL NO
- IROUGH PLUMBING
LIC NO
GAS PIPING
GAS VENT
i IMOT WATER HEATER
PLUMING FIXTURES 1
LA.WN 43PRTNrr.Evc
1
GAS TEST
iEXPIRED JuTILITY COMPANY NOTIFIED
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WV
GRAY LATER SYSTEM
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i
REPORT IO DPR263 ROUTE TO 890508
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COUNTY OF LOS ANGELES TEMPLE CITY I) 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 0508-9771190020
BUILDING AND SAFETY / LAND DEVELOPMENT TE14PLE CITY CA
PHONE (818) 285-0488 EXT
LEGAL ID: FEES PAID BUILDING 1
TR: 33529 UM: 12 6312 TEMPLE CIT%'BL
FEE DESCRIPTION QUANTITY. LION AMOUNT L�E�M�P��C�A� 917801453,
ASSESSOR INFORMATION NUMBER NdMG -=SS-STREET
5383-015-045 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID: J2 LOCALITY: TEMPLE CITY
13 DISHWASHER(S) 1 00 FIX 16 35
25 LAVATORIES/SINKS 1 00 FIX 16 35 ISSUED ON PROCESSED BY- PLAN BY EXPIRES ON
51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 35 11/19/97 UT 11/19/98
TOTAL FEES 76 80 '
OWNER TEL NO FINAL DATE FINAL BY. c��COOE:
BOOMHOWER DONALD C TR BOOMHOWER TRU -
6312 TEMPLE CITY BL �Z-
TEMP 917801453 6ESCRIP4-
; •�
KITCHEN UPGRADE - NEW FIXTURES AN COUNTERTOP
APPLICANT: TEL NO
ARROYO PLUMBING (626) 446-5117-
SPECIAL CONDITIONS
CONTRACTOR. TEL NO APPROVALS DATE INSPECTOR SIGNATURE
GELES CO�i
ARROYO SANTAPLUMBING,ANI INC (818) 446-5117-
LINDER SLAB WORK
ARC N SANTA ANITA LIC C3 O�
ARlJ1DIA CA 91006 629923 C36
WATER SERV'Lh
PLASTIC Y/N METAL Y/N
ARCHIFECT OR ENGINEER TEL NO
14. ROUGH FlaOT99-
LIC NO
GAS PIPING
nn
GAS WENT
PUBLIC WORKS
PLUMBING FIXTURES
ooLAWN SPRINKLERS
�g O� GAS TEST
UTILITY COMPANY-RMTffM- /21
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REPORT ID' DPR263 ROUTE TO 850508