HomeMy Public PortalAbout9831 VAL ST_Plumbing__ 78A(567�=17 6-60
APPLICATION FOR PLUMBING PERMIT
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NUMBER FIXTURE OR ITEM OWI® /TV S
WATER CLOSET
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APPROVALS DATE INSPECTOR B SIGNATURE
PERMIT f $ 00 UNDER SLAB WORK
TOTALFEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION OAS VENT
MD STATE THAT THE ABOVE IE CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 MEREST CERTIFY THAT 1 AN PROPERLY REGISTERED OR PLUMBING FIXTURES
LI CKNSED A$ REQUIRED BY LOB ANGELES COUNTY AND OF Q/18 TEST
CALIFORNIA OR THAT 1 E ER OF TH VE
DESCRIBED RESIDENTIAL UTILITY CO NOTIFIED
SIGNATURE ��
OF PEIIM I7'TE FINAL (�
mr VALIDATION ROBERT A WOOD,
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APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUIL
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DRESS
JOHN A LAMBIE COUNTY ENGINEER
CASSATT O GRIFFIN SUP T OF BUILDING CALITY
FOR APPLICANT TO FILL7fNEARESTOSSSSNUMBER FIXTURE OR ITEWATER CLOSET N®IL
BATH TUB DRESS
SHOWER CITY TEL NO
LAVATORY CONTRACTOR
SINE ADDRESS
DISHWASHER CITY TEL NO
LAUNDRY TUB CONTRACTORS STATE
REGISTRATION NO COUNTY
CLOTHES WASHER
DISTR OROU � 11 GAOY iOq INSPECTION
WATER HEATER
GAS SYSTEM / INDUSTRIAL
WASTE APPROVAL
/ INSPECTION RECORD
APPROVALS
/
® $1 00 PER ITEM DATE INSPECTOR S SIGNATURE
OR FIXTURE S UNDER SLAB WORK
PERMIT 1 00
ROUGH PLUMBING
f
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOYE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REOUI RED BY LO ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED
CALI iOPMIA OR THAT I E AL O E F HE ABOVE
DESCRIBED RESIDENT PRO TY V
SIGNATURE
OF PERMITTEE INAL
®. VALIDATION ROBERT A WOOD
SUPERVISING MECHANICAL ENG R
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It CL CASH
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APPLICATION FOR PLUh48ING PER IT
COUNTY OF LOS ANGELES
DEPARTbIE iT OF COUNTY ENG71IEER
RUWINQ AND SAFETY DrVISIION ffiB
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LOCALIiT Le
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WA'L'K CLOSET ITY Cv
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BATH TOE Clic TEL 110.
SHOW®
LAVATORY CONTHACIOH
SINE ADDRESS e'3
DIRRWARHER CRT TEL NO.
CONTRACTORRSTATE
LAUNDRY TBH REGISTRATION NO I I Y COUNTS
CLOTHES WASHES DISTRICTo
ORO BY
WATER HEATII
GRH STETEER INDBSTBM
WASTE APPROVAL
INSPECTION RECORD
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APPROVALS DATE INlPECTOR!SIGNATURE
PERMIT S E 00 UNDER SLAB WORK
TOTAL FEE -000
O ROUGH PLUMBING
GAS PIPING
1 HEREBY ACANOWLEDGE THAT 1 HAY[ READ THIS APPLICATION
D
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COYPU GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
' HM
CERTIFY THAT 1 PROP �T REGISTERED AND/OE PLUMBING FIXTURES
LICENSED N RlOUIEED SY S ANGELUS C N AND STATE Of
GAS TEST
CALIFORNIA OR THAT 1 A HE LEG L 0 N OF THE ABOVE
DESCRIBED RESIDENTIAL P TT UTILITY CO NOTIFIED
SIGNATURE
OF PERMI FINAL �/-�6
0. ,�VAImATION ROBERT A WOOD
a B p GASB SUPERVISING MECHANICAL ENG R
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COUINY OF LOS ANGELES TEMPLE CITY 9' 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9704170001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE, (818) 285-0488 EXT:
LEGAL ID. --TM FWID BUILDING ADDRESS
ON FILE 9831 VAL ST
FEE DESCRIPTION QUANTITY UXM AMOUNT' TEMP CA 91780
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GOLDEN WEST
01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE: GRID: LOCALITY TEMPLE CITY
07 BATHTUBS/SHOWERS 1 DO FIX 16 35
TLNANI 25 LAVATORIES/SINKS 1 00 FIX 16 35
ISSUED ON PROCESSED BY: PLAN BY EXPIRES Ghl-
45 WATER CLOSET/IIRINAL 1 00 FIX 16.35 04/17/97 TC D4/17/98
OWNER TEL NO- TOTAL FEES 76.80 FINAL DATE -nar-w OWE
9831 VALUST -MIN (818) 447-4545- / ` ,'
/
TEMPLE CITY, CA uEb"IF11ON Of WORK
PLUMBING FOR NEW BATH CREATED IN EXISTING SO FT
APPLICANT: I
SAME AS OWNER - - -
SPECIAL CONDITIONS
CONTRACTOR —m-. NOFUNDER�fAPPROVALS DATE INSPECTOR siGKATURE
SAME AS OWNERLIC. NO-
NJ� WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINFER. TEL. NO:
LIC.-MO- I 1 __—
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IC WO` aGPLUPtBIMEi FIXTURES� HOT WATER HEATER GAS VENT
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REPORT ID: DPR263 ROUTE TO RS0508