HomeMy Public PortalAbout9647 WEDGEWOOD ST_Plumbing__ • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1305300025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 21833 LT: 14 1 9647 WEDGEWOOD ST 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMDUNT:1 TEMP CA 917802534 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18588-008-013 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY Cl
I 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 1
(TENANT: TOTAL FEES 44.00 ISSUED ON: PROCESSED BY: PLAN BY:
1 105/30/13 SR 1
TOWNER: TEL. NO: I FI TE FINAL Y: CODE:
I
1BISHNU DIPAK K;SUDHA ( 1 I
19647 WEDGEWOOD ST 1 1I
(TEMP 917802534 1 1D S IPT 0 OF WORK ]
1 (REPLACE LOW PRESSURE GAS SYSTEM, LESS THAN 5 OUTLETS 1
(APPLICANT: TEL. NO: I I I
IGARCIA, REY (562) 804-2891- I I
19641 ARTESIA BLVD I ISPECIAL CONDITIONS:
IBELLFLOWER CA 90706 1
I � I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IGOMEZ HEATING & AIR CONDITIONING (562) 804-2891- 1 1 I
19641 ARTESIA BLVD LIC. NO I 1UNDER SLAB WORK 1 I I
1BELLFLOWER CA 90706 920850 C20 I I I I
WATER SERVICE
PLASTIC Y/N METAL Y/N I I
1ARCHITECT OR ENGINEER: TEL. NO:
I - IROUGH PLUMBING I I I
LIC. NO:
I
IGAS PIPING I Z-11
IGAS VENT I I I
(HOT WATER HEATER ] I 1
I 1 IPLUMBING FIXTURES
� I I
(LAWN SPRINKLERS I I I
I I ]GAS TEST ]
I I (UTILITY COMPANY NOTIFIED( I
I I ICWV I I I
IGRAY WATER SYSTEM I I I
I I I I I I
I I I I I I
I I 1 i I I
I I I I I
I I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 I I I
I I I I I
7BA9®T
8.98 APPLICATION FOR •PLIJI� B.ING� PERMIT '
DB8-17
DIVISION OF BUILDING AND SAFETY
Dej4 of County Engineer
0 County of Los Angeles BUILDING
WM.J. FOX.COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN.SUPT OF BUILDING
LOCALITY
OR APPLICANT TO FILL IN NEARESS ST
ROST. ��� Y!. 57'�
C
OWNER DISTRICT NO. I GROUP ZO READY FOR INSPECTION
MAIL d^I
ADDRESS
INDUSTRIAL -
• CIT � EL.NO. � WASTE APPROVAL
PLUMBER�D/1� . IY,¢ �•�/,��° e' INSPECTION RECORD
i T
_ �e.y�
CITY PW P,v , / TEL N0',FyP M
LICENSE NO. �j
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILETY $ �- 00
BATHTUB 11,06
SHOWER / 00
LAVATORY(WASH BASIN) .200
KITCHEN SINK f��
DISHWASHER
LAUNDRY TUB OR TRAY / DO
CLOTHES WASHER po
TOTAL NO. @ 0.80 APPROVALS
1 p DATE INSPECTOR'S SIGNATURE
GAS SYSTEM � OUTLETS ® 1.00
ND
WATER HEATER 1.00 � 00 UER SLAB WORK
• ROUGH PLUMBING �(
PERMIT S 1 00 GAS PIPING ,t�,J
TOTAL FEE ZZOD GAS VENT / J11 �L,
ACOHEREBY .ACKNOWLEDGE THAT . HAVE READ THIS APPLICATION HOT WATER HEATER
STATE THAT THE ABOVE IS RRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES (I' e%ttl1`!i' "�►
PLUMBIN.G. ,. )
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST /.lam i•�•Z�1L �r-r"
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE. OF .UTILITY CO.NOTIFIED
CALIFORNIA OR THAT i AM T E'LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT) POP, RTY,
SIGNATURE
OF PERMITTEE - -� _ I�Js!. ...I I FINAL r
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION R.A.WOOD,CHIEF PLBG.INSPECTOR
' I��' 6 3 1 5 mAY 2 4 . 3 12.0 0 !�