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Home My Public Portal About6361-6363-6365 TEMPLE CITY BLVD_Plumbing__ D■• 17 95M EATS 12. APPLICATION FOR PERMIT DEPARTMENT OFLOS AN AND SAFETY PLUMBING 1 COUNTY OX.F LOS ANGELES WY .1 PDX.CHIV ENGINEER rLOCATION NATURE OF INSTAgttRON DISTRICT No UPI)ONr FIIITURES COMPERE CESSPOOL RltPi1C TANK [C Br RGDT PORDAT[OIOU®em/-Ir_ ''.'— vFIRST INfP[CTIONd �/O��t0 LAPPLICANT FILL HEAVILY OUTLINED PORTION O Y ADDRESS LOCALITY NEAREST T!L No CROSS ST[XPIRlS 6 NAY[ OF SEPTIC TANK, OR CESSPOOL ADDRESS 0 MAIL NORTH CITY TEL No I AM THU LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION MUMMER 1 AM THE LEGAL OWNER OF E P [RTY DESCRIBED ABOVE EA CORRECTIONS SOUTH ' DESCRIPTION OF WORK ATN TUB FURNACE W HOWER DISHWASHER -- 0 -..LAVATORY REFRIGERATOR lb TTCHKN SINR WATKRSOFTKNKR R SINK TRAP SINK ^DOR DRAIN WASH TRAY ---------URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DAT[ WATER HKATER DENTAL LAVATORY ROUGH PLUMBING ETER�WR LASS _SODA FOUNTAIN OUTL GAS PIPING OAS VENT CKOSPOOL TOTAL NUMBER OF FIXTURES 893-TIC TANK RASPOOIISEPTIC TANK SEWER S TOTAL PfiILTTY CO NOTI115z-o E �� >.A.eTA (CE B" TPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FORAPPLICANT TO FILL IN(PRINT OR TYPEI BUILDING L C NUMBER FiXTURF OR ITEM O FEE WATER CL05ET LOCALITY BATH TUB NEAREST CROSS ST p SHOWER OWNER LAVATORY MAIL ADDRESS A NSB 40 SINK CITY psi e L TEL NO DISHWASHER CONTRACTOR GI 4i- CLOTHES iCLOTHES WASHER ADDRESS �— SWIMMING POOL RECEPTOR CITY TEL NO 4 LAWN SPRINKLER SYSTEM STATE UC Q WATER HEATER LICENSE NO Z CLASS '7 I GAS SYSTEM OUTLETS DISTRICT NO UP ZONE P ESSEDBY OIITLETSgVER J'^v9 5 PER SYS EM I USTRIAL STE APPROVAL INSPECTION RECORD CD W d N Z Plan check fee PLUMBING PERMIT ISSUING FEE S TOTAL FEE Plan check oppllcant Nome APPROVALS DATE INSPECTOR S SIGNATURE DER SLAB WORK Address GH PLUMBING City Tel No PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND VENT THAT THEABOVE ISC ECTAND AGREETOCOMPLYWRHALLCOUNTYORDIN AND STATE LAWS REGULATING PLUMBING WATER HEATER HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED /OR LICENSMBING FIXTURES REWIRED BY LOS ANGELES COUNTY AN STA OR ALIFO OR THAT I ATEST LEGAL OWNER OF AND INT TO E IN E BOVF RISED RESIDE PROPERTY TYCO NOTIFIED SIGNATUREPERRE AL PLAN CHECK (DATION CK No CASH PERMIT VALIDATION CK M o ` y� 048�MG 2 5 D 10.0C) •=0 � r� TGA"?A ASK mel -A/n APPLICATION FOR PLUMBING PERMIT BUILD0 AND SAFETY DIVISION FOR APPLICANT TO FILL IN IPRINT ORTYPEI BUILDING ADDRINS (i G [, I NUMBER FIXTURE OR ITEM Y FEE WATER CLOSET LOCALITY C BATH TUB NEAREST CROSS ST SHOWER OWNER LAVATORY MAIL ADDRESS 63 SINK CITY TEL NO DISHWASHER CONTRACTORCLOTHES WASHERMIADDRESS 7OSWIMNG POOL RECEPTOR CITY TEL NOLAWN SPRINKLER SYSTEMSTATE LICWATER HEATER LICENSENO CLASS GAS ISYSTEEyMEE OUTLETS )IST RKT yQU 8 _UP _E SSED V 50 PER SYSTEMR INDUSTRIALS WASTE APPROVAL C INSPECTION RECORD W ya Z Plan check fee PLUMBING PERMIT ISSUING FEE E TOTAL FEE r Plan check applKont Name APPROVALS DATE INSPECTDR S SnNATURE UNDER SLAB WORK Address ROUGH PLUMBING Cly Tel No GAS PIPING I HEREBY ACKNOWLEOGE THAT I HAVE READ THIS MPLICIITM)N AND STATE GAS VENT THAT TME ABOVE IS CORRECT AND AGREE TO COMPLY W THI ALLCOUNTY CADINANCES AND STATE UWB REGULATING PLUMBING HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REWIREDeT LOS ANGELES COUNTY AND STATE OF FOR OR THAT I AM ME GAS TEST LEGAL OWNEN OF AND INTEND To RESI IN TH A VE RMTM INED RESIDEL PROPERTY UTILITYCO NOTIFIED SIGNATLRE CF PERM nTEE FINAL •j PLAN CHECK V ATION cK No U H PERMIT VALIDATION CK MoH=_ 0 4 99AUG 2 5 U 1 0.0 0 ,&ya >eweaTAiu enn npa ",.-APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION Al- FOR APPLICANT TO FILL IN CPRINT OR TYPE) ADDR 6363 Temple Cit Blvd. NUMBER FIXTURE OR ITEM B FEE WATER CLOSET U OO LOCALITY Temple City BATH TUBNEAREST n 0 CRosssr d, SHOWER OWNER Juu KUhn LAVATORY I. A'DDRESS D" 1705 S. Santa Anita Ave. SINK CITY Arcadia TEL NO 0W DISHWASHER CONTRACTOR Owen BPDs. Plumbing, Inc. CLOTHES WASHER V ADDRESS 4265 N. Bal ATain Ave. SWIMMING POOL RECEPTOR LAWN SPRINKLER SYSTEM CITY TEL NO 443-0078 STATE LIC L M WATER HEATER L ICENSE NO .231 741 CLASS 036-20 GAS SYSTEM OUTLETS OUTLETSDISTRICT NO P E ESSED 467 TER LETS '^' STRIALE APPROVAL 0 INSPECTION RECORD W d Plan check fee 7 G 0 PLUMBING PERMIT ISSUING FEE E TOTAL FEE Plan Check applicant Name APPROVALS DATE 5swum" UNDER SLAB WORK 2 7 Addrm ROUGH PLUMBING .S—` City Tel No GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION MID GAS VENT THAT THE ABOVE M COMECT AMD AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS MGULATINo PLUMBING HOT WATER HEATER I HERESY CEITTFY THAT I AM PROPERLY REGISTERED AMD/OR LICENSED AS PLUMBING FIXTURES REOUMED BY LOS ANGELES COUNTY AND STATE OF CALIFOMIA OR THAT I AM THE GAS TEST LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED MSIDENTW. PROPERTY UTILIrYCO NOTIFIED l e IGNATVRE OF PERMITTEE FINAL 47-1121 PIAN WRCX I gLVBZg":� IVI EeM�' r er cleR PERMIT VALIDATION CK M 0 LASH � 1 3 7�hAR 17 5 D 4 9.0 0 POLICY HOLDER a POLICY NUMBER- W61 /533 s m` DEPARTDUOM OF COUNTY ENGl NEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES •BUILDING WILLIAM J. FOX. CouHTY EnDINeeR ADDRESS 63 6 1 Q4 6A7 23UCA T TO F1 LOCALITY BUILDING EARE9T ADDRESS CROSS ST GISTS 0 Be 20Ni PEJtYIT NO LOCALITY S / / 6 g Op NEAREST CRD888T E VED Y RrA0Y T0rInpwUw DATE ISSUED OWNER Al PAIL INDUSTRIAL ADORE WASTE APPROVAL cI • EL INSPECTION RECORD PLUMB t ADDRESS CITY TEL NO B✓!� STATETY LICEN 0ofx= DUNJ PERMIT FEES z 'UHZER TMP[ Of rixT R[ OR IT m [Li m WATER CLOSET(TOILET) 080 8 O BATHTUB O 080 HE SHOWER ® 820 LAVATORY (WASH BASIN) 01 080 KITCHEN SINK a 080 LAUNDRY TUB OR TRAY • 080 SLOP SINK 0 080 FLOOR BINK 0 080 FLOOR DRAIN CP OSO DISHWASHER a 080 DRINKING FOUNTAIN 0 080 URINAL a 080 GASSYSTEY Z _OUTLETS 0 100 0 WATER HEATER ® 100 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE _ UNDERSLABWORK PERMIT { 1 00 ROUGH PLUMBING TOTAL FEE Z 66 BAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AMD/OR LICENSED ASREGUI D BY LOS ANGELES COUNTY OASTEST AMD STATE OF CALIF MIA HAT I AM THE LEGAL OWN- ER OF THE ABOVESCRI 0 REB TI 0 STY UTILITY CO NOTIFIED SIGNATURE OF PERYITT6 _ _ _ _ _ _ FINAL I 1 ,9-lb TBABOT DBS 1T 1/08