Loading...
HomeMy Public PortalAbout5321-5323 VILLAGE CIRCLE DR_Plumbing__ 76A667 (CE-817)- 5/73 APPLICATION FOR PLUMBIPERMIT COUNTY OF LOS ANGELES l� DEPARTMENT OF COUNTY ENGINEER /'/4'L, BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: AUDIDRESS 5 & 5323 Village Circle HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Temple City FOR APPLICANT TO FILL IN (PRINT OR TYPE1 NEAREST BMW= vee CROSS ST. NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET OWNER Neel Baldwin BATH TUB 1 5 V6 ADDRESS 5302 Baldwin Ave* SHOWER 1,75 CITY emp e 1 y TEL. NO.448-3907 �� LAVATORY 1 75 3\i1 CONTRACTOR Owen BTOS• Plumbing, Ino• SINK 1,75 ()Q ADDRESS 4265 Ne Baldwin Ave. DISHWASHER 1 5 U� CITY TEL. N0. CLOTHES WASHER 1. 5 © STATE / LIC LICENSE N0.231 141 CLASS C36-20 SWIMMING POOL RECEPTOR 1. 5 DISTRICT NO. •GROUP ONE. 0:� LAWN SPRINKLER SYSTEM 1. ` D p _L WATER HEATER 1.7 t90 INDUSTRIAL o WASTE APPROVAL GAS SYSTEM , ' UTLETS 1.7 INSPECTION REQORD v OUTLETS OVER 5 PER SYSTEM •3 C -e=�®�� CD Plary check fee See Reverse PLUMBING PERMIT ISSUING FEE $ e� TOTAL FEE APPROVALS DATE INS PE CJOR'S SIGNATURE Plan check applicant UNDER SLAB WORK •� Name ROUGH PLUMBING Address GAS PIPING City Tel. NO. GAS VENT HOT WATER HEATER IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICEN SEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO /J RESIDE IN THE ABOVE R D RESIDENTIA ROPERTY. FINAL SIGNATU RE OF PERMITTEE PERMIT VALIDATION OCK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH 6 9 3 0 tloV 10 5 0 8 2.5 0 ®98 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0109100014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 29602 LT: 3 UN: 64 5323 VILLAGE CIRCLE DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803359 ASSESSOR NEAREST CROSS STREET: HOWLAND 8585-001-134 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 64 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.20 TOTAL FEES 43.95 IS PROCESSED : P S 09/10/01 JK 03/09/02 . OWNER: TEL. NO: FINAL DTE FromB CODE: REED CHARLES F;SHU-FEN - 5323 VILLAGE CIRCLE TEMP 917803359 DESCRIPTION OF WORK WATER HEATER CHANGE OUT APPLICANT: TEL. NO: ACTION CONTRACTORS (310) 515-1311- 17111 S. BROADWAY _ SPECIAL CONDI IO S: GARDENA 90248 CONTRACTOR: TEL. NO: ' `j :.!�•: '��r\`.':, APPROVALS DATE INSPECTOR SIGNATURE ACTION CONTRACTORS (310) 515-1311- 17111 S. BROADWAY LIC. NOUNDER SLABR GARDENA CA 90248 B/L 4201 * �,' WATER CE PLASTIC EY/NMETAL Y/N ARCHITECTOR ENGINEER: ROUGH G LIC. NO: GAS PIPING GAS EN HOT WATER HEATER FIXTURESPLUMBING LAWN SPRINKLE R GAS TEST UT I L I TY C P N 0 I C V GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508