HomeMy Public PortalAbout9707 VAL ST_Plumbing__ )DABB] ICE-E1]APPLICATION FOR PLU ING-P RMIT
COUNTY OF LOS ANGELES n
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO ADDRESSal-
HARVEY T BRANDT, COUNTY ENGINEER LOCALITY xgp],e Cit
FOR APPLICANT TO FILL IN (PRINT OR TYPEI NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM O FEE
WATER CLOSET 1 75 OWNER { > Dick Bowen
MAIL
BATH TUB 1 75 ADDRESSLane"' EyY
SHOWER 1 75 CITY Arcadia TELINO 4455-1177
LAVATORY 1 75 CONTRACTOR SII BMSO Plumb Inc*
SINK 1 75 ADDRESS 4265 N. Baldwin Ave•
DISHWASHER 1 75 r CITY ffi Monte- • TEL NO 1443-0078
CLOTHES WASHER 1 75 --
71 LICENSE NO 231 CLASS C36-20
LIC
SWIMMING POOL RECEPTOR 1 75
LAWN SPRINKLER SYSTEM 1 7s DIST CT NOp GROUP ONE PR ESSED BY
•LL�O
WATER HEATER 1 75 WASO TE TAPPROVAL
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD v
OUTLETS OVER [C
5 PER SYSTEM 30 — i 0 , N /�C. 0 p
z
Plan check fee See ReVe,..
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE ,Aj',5
APPROVALS DATE INSPECTOR � SIGNATURE
Plan Check applicant UNDER SLAB WORK 7_ 51
Name ROUGH PLUMBING
Address• GAS PIPING
City Tel NO GAS VENT _
HOT WATER HEATER '
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ADO VE 13 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUM DI NG GAS TESTjy
O.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED DY LO
ANGELES COUNTY AND STATE OF
CALI FO RMIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE SC BED RESIDENT( RO PER TY FINAL
SIGNA TU RE
OF PERMITTEE
PERMIT VALIDATION cK M o CASH
PLAN CHECK VALIDATION CK M 0 CASH
1 3 9Vja 1 5 0 n 2 2.$ $ !yo
COUNTY OF IAS ANGELES TEMPLE CITY g 0508 PLUMING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1210250021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
BK 60 PG .9 PC 29707 VAL ST E
IFEE DESCRIPTION QUANTITY DOM AMOUNT 1 TEMP CA 917800000
)ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
15383-017-031 101 PERMIT ISSUANCE FEE 27 80 ) THOMAS PAGE GRID - LOCALITY TEMPLE CITY, Cl
1T r 113 DISHWASHER(S) 1 00 FIX 16 20 ) I
125 LAVATORIES/SINKS 3 00 FIX 48 60 ISSUED ON PROCESSED BY PLAN BY
I TOTAL FEES 92 60 110/25/12 SR
OWNER TEL NO IFINAL DATE FINALBYBY CODE
BABAYVA ARA (818) 642-0361- /�
19707 VAL ST /)"1 Y !//
ITEMP 917800000 DES RIPTION OF WORK I -
1REPLACE DISHWASHER SINK AND TWO LAVATORIES
)APPLICANT TEL NO I I I
SANE AS OWNER -
SPECIAL CONDITIONS
I 1 I
ICONTRACTOR TEL NO ) - APPROVALS METE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I
I LIC NO UNDER SLAB WORK
I
I )OUTER SERVICE II-
(PLASTIC YIN METAL YIN
1ARCHITECT OR ENGINEER TEL NO 11
- ) IROUGH PLUMING I )
LIC NO I
GAS PIPING 1
GAS VENT
HOT OUTER HEATER )
PLUMBING FIXTURES ) _
r )LAWN SPRINKLERS
I
1 IGAS TEST
1UTILITY COMPANY NOTIFIBD
1
CWV 1IGRAY OUTER SYSTEM
I I
I
I I I I
I
1 I I I
IREPORT ID DPR263 ROUTE TO BS05O8