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HomeMy Public PortalAbout5530-5538 WELLAND AVE_Plumbing__ 76 A 667— CE 817 7-69 APPLICATION �FdR ' P 4MBINERMIT -� COUNTY OF LOS ANGELES . J DEPARTMENT OF COUNTY ENGINEER _ BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN PR NT OR TYPE) NEA ST. NUMBERFIXTURE OR ITEM EACH FEE OWNER Al— WATER CLOSET 1.50F. MAIL. BATH TUB 1.50 ADDRESS Q., .Y, SHOWER 1.50 CITY Q • TEL. NO. r� Nja LAVATORY 1.50 CONTRACTOR l CL ep f 4:5.0SINK 1.50 ADDRRSS 4 S A '� /Y �l DISHWASHER 1.50 CITY ��' TEL.NO. j j~ CLOTHES WASHER 1.50 STATE LIC LICENSE N_26 , CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GR ZONE SP pbCESS LAWN SPRINKLER SYSTEM 2. q9 i: WATER HEATER 1.50 WDUSTRIASTEP�PROVAL GAS SYSTEM OUTLETS .1.50 INSPECTION RECORD OUTLETS OVER Iz 30 5 PER SYSTEM z Plan check fee.25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Nance ROUGH PLUMBING Address GAS PIPING GAS'VENT City Tel. No.. HOT WATER HEATER 1 'HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE'DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATUREJACK R: ALLEN, SUPERVISING CH ANICAL EN'G'R. OF PERMITTEE PERMIT VALIDATION K. M.o. cases PLAN CHECK VALIDATION CK. M.O. CASHtv . LAW-5 8'!5 3 0 Jm 5 5 D 4.75 76A667- CE817 5/70 f^°'• '"+"�� I APPLICATION FOR PLUMBING PERM : COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER RUMDING ,r $UII:DING AND SAFETY DIMON ADDRESS JOHN A.LAMBIE. COUNTY ENGINEER COLEMAN W.JKNKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN PR NT OR TYPE LI�//L. Vhtk NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 610. Im T BATH TUB 1.50 ' ss.2�7, �'H, � � Q�ri SHOWER 1.50 CITY 1040V 14 iv O TEL.NO -f LAVATORY 1.50 ! CONTRACTOR V#b r PLA,4B1'Z1gr- IWI. SINK 1.50 / O ADDRESS DISHWASHER 1.50 CITY CdSr'�'IAi'© TEL.NO.�p27— j Q� CLOTHES WASHER 1.50 STATE � �^g(} r /�g�, Q LICENSE NO.216 4, C ASS63 �`(�2 SWIMMING POOL RECEPTOR 1.50 DISTRICT KV. GROUP Z{�0111E EBBED BY LAWN SPRINKLER SYSTEM 2.00 A/ Plrr' 14 WATER HEATER 1.50 " 1NDUSTRIAL WASTE APPROVAL - GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD i OUTLETS OVER 30 5 PER SYSTEM z Plan check'fee 25% Of above. See.reverse. PLUMBING PERMIT ISSUING FEE•8 2 00 TOTAL FEE APPROVALS DATE INS2*fOR'p SIGNATURE Plan check applicant UNDER SLAB"WORK Name ROUGH PLUMBING G 00 Address GAS PIPING GAS VENT City Tel..No. _HOT WATER HEATER "1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATIC THAT THE ABOVE to CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST' r PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA'OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO BESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE F JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R. OF PEttMITTEE PERMIT VALIDATION M.o. CASH PLAN CHECK VALIDATION CK. M.O. CASH 0 7 7 0 Jai L D 5 (.�V.0 t�N �} 76A667 038.17 5/70 1�APPLICATION FOR PLUMBING PERMIT �COUNTY OF LOS, ANGELES DEP COUNTY ENGINEER SUMDING BUILDING TAW SAFETY DIVISION ADDRESSSS-30 Wew)w-b 4 11g- JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W.JONKINS. SUPT. OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN(PR NT OR TYPE) OSS . V CRST & NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 . 6 mm "7,r~n;VA?Vxl 3pulla- BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY S&V �W4�10 TEL.No.614-A Ga4414 /I ILAVATORY 1.501 t,6 CONTRACTOR P#A plwlm'W� Ive-, SINK 1.50 ADDRESS /10 61 PA0&-4A1,r- A—tl&— DISHWASHER 1.50 crff TEL.31062+'79/Br so STATE Jwr—c CLOTHES WASHER 1. 1 LICENSE NO.26-54tP LkS I SWIMMING POOL RECEPTOR 1,50 DISTRICT NO 2ptD GR UP P OCESSED BY LAWN SPRINKLER SYSTEM 2.00 WATER HEATER 1.50 twND WASTEAPPROVAL GAS SYSTEM OUTLETS 1.50N nmncTIQ RECORD ECORD OUTLETS OVER 5 PER SYSTEM .30 ....... .... OV01 A 0 Plan check.fee 25%of above. See reverse. PLUMBING PERMIT ISSUING FEE-8 9 00 TOTAL FEE_ APPROVALS DATE INSPECTOR'S 2IGNATURE: Plan check applicant UND, ER'SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City. Tel. No. HOT WATER.HEATER IHERESY ACKNOWLEDGE TRAIT I HAVE READ THIS APPLICATION FIXTURES AND STATE THAT THE ABOVE 10 CORRECT AND AGREE TO COMPLY PLUMBING F WITH ALL''COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HERESY CERTIFY THAT I AM PROPERLY REGISTERED ANDI'OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE ;OF Af CALIFORNIA OR THAT I Am THE LEGAL OWNER OF,AND INTEND TO OL. RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY- FINAL ZF SIGNATURE JACK R. ALLEN, SUPERVISIN9,4& CHAN.ICAL ENG'R. OF PERMITTEE 24t4/1f�,` IE '7:� PERMIT VALIDATIONC/C- m-0- CASH.K PLAN CHECK VALIDATION CK. M.O. CASH v- 0 7.6 8' JW 9 5 D 92.00 7GA887A GE 617 yR♦'�V.'Ka/78I '! APPLICATIO F PLU ING PE IT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDNG ADDRESS 5530 N. Welland IP15 NUMBER FIXTURE OR ITEM ® FEE WATER CLOSET LOCALITY Temple City NEAREST Live Oak BATH TUB CROSS ST. SHOWER OWNER Mrs. Virginia M. Richards MAIL LAVATORY ADDRESS 1710 Elevado SINK CITY Arcadia, 91006 TEL.NO- 355-4364 DISHWASHER MCONTRACTOR G-E-M Plumbing CLOTHES WASHER ADDRESS 43 N. Baldwin SWIMMING POOL RECEPTOR AWN SPRINKLER SYSTEM CITY Sierra Madre 91024 TEL.NO. 355-3496 ATE LIC. WATER HEATER 3100 LICENSE NO. 111305 CLASS C-3 GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK t 5 PER SYSTEM ROUGH PLUMBING GAS PIPING 0 GAS VENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST Plan check fee UTILITY CO.NOTIFIED g_ PLUMBING PERMIT ISSUING FEE$ 7. 00 TOTAL FEE 10, 00 FINAL r?f. ��k.�• ' lPlan check applicant PLAN CHECK VALIDATION am e Address City Tel.No. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ' AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION r 1 HEREBY CERTIFY THAT I AM P PERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND TE OF CALIFORNIA....-..,"AT'TAM'THE _ LEGAL OWNER OF.AND INTEND TO RESID IN E ABOVE DESCRIB SIDENTIAL 1 PROPERTY. ' SIGNATURE OF PERMITTEE ^ ^ `-7'MWRICT,NO, PROCESSED BY J/, � INDUSTRIAL WASTE APPROVAL e--- 76A667 OR817 S/70 Lee- APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT F COUNTY ENGINMZ BUILDING SUILD21G A! SAFETY DIVISION ADDRESS wezl-#A,;) JOHN A.LAMBIE, COUNTY ENGINEER COLEMAN Wi JENKINS. SUPT. OF BuiLw' LOCALITY ;NG E)4 NEAREST FOR APPLICANT TO FILL IN(PR NT-OR TYPE) CROSS ST. 44ef-' NUMBER FIXTURE OR ITEM EACH FEE, OWNER WATER CLOSET 1.50 1 oto NAM BATH TUB 1.50 16 o ADDRESS #&41117FOA16�rog& Dr, CITY�g _� AjgA4�V TEL.NO. 644 SHOWER 1.50 , _0 I 14 LAVATORY 1.50CONTRACTOR , 16 ,66 PAD, /mo, P_DgM SINK 1.50 ADDRESS0671 /) V /e- _ g- &L DISHWASHER 1.50 Tn-NO,627—,-z3 CITY XV CLOTHES WASHER 1.50 STATE SE No.296-4j9 LIC LICENSE CLASS636 _C210 SWIMMING POOL RECEPTOR 1.50 1 - DISTRICT No. GROUP. ZONE p OCESSED By LAWN SPRINKLER SYSTEM -2-00 67 , 11 W.- oam:]l . \3 WATER HEATER 1.50 INDUSTRIAL WASTE APPROVAL Q*9-STS7E9 OUTLETS 1.50 = IItSPSCTIOIE RECORD OUTLETS 5 PER SYSTEMOVER .30 CC L 16,194S16sr P42, 06 Plan check fee 25%of shove. See reverse. PLUMBING PERMIT ISSUING FEE.8 2 00 TOTAL FEE X0 APPROVALS DATE INS1jftCTOR*)pGNATURF Plan check.applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City. Tel. No. HOT WATER HEATER I-HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS,TEST PLUMBING. REGISTERED AND/OR UTILITY Co.NOTIFIED I HEREBY CERTIFY THAT I A14 PROPERLY RE LICENSED As REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AN THE LEGAL OWNER OF,AND INTEND TO I RESIDE IN.THE ABOVE DE&CRI ED RLSIDENtIALPRoPERTY. FINAL SIGNATURE ! JACK R.ALLEN, SUPERVISING A G ECHANICL ENG'R. OF PERMITTEE &W—kya f, PERMIT VALIDATION M.O. CASH. PLAN CHECK VALIDATION CK. M.O. CASH '67-4 JU14 9 - 0 3 350- - 07 5 76A667 0817 5/70 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUIIAING AND SAFETY DIVISION BUILDINGUR .�53 Ell �/,b JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LdcALiTy FOR APPLICANT TO FILL IN.PR NT OR TYPE NEAREST Vile- d*p" 1CROSSST. NUMBER FIXTURE OR ITEM EACHrox E WATER CLOSET :1.50 / MAIL ?p�ryrj �A Q, 7 BATHTUB 1.50 / © ADDRESSP-.97,5' -•i&A1r7 V N g Mile SHOWER 1.50 =y n! J/�/ �'•NO'6Q 149. LAVATORY 1.50 CONTRACTOR ,D, Mg J `7 SINK 1.50 /C� 'ADDRESS /G�h �+ DISHWASHER 1..50 ""-� CI1Y �//���'� p TSL. NO. �3 CLOTHES WASHER 1.50 Q STATE E NO.9 04-- Q CL:ASSC 116"�Glig SWIMMING POOL RECEPTOR 1.50 ~ DISTRICT NO.+ GROUP ZONE SSED BY LAWN SPRINKLER§YSTEM 2.00 �� S WATER HEATER 1.50 INDUSTRIAL WASTE APPROVAL Q GAS.SYSTEM OUTLETS 1.50 INSPECTIONRECORD OUTLETS OVER ,ss 5 PER SYSTEM .30 C499#4Ar T1 r fP- Q t" PIan check fee 25%of above. See:reverse. ' PLUMBING PERMIT ISSUING FEE•S 2 00 Al(- �. TOTAL, FEE —�_� c�t fr�l(- rt T1 &K A&L4 ARPROVAL i` DATE INSP TOR' SIGNATURE Plan check applicant UNDER SLAB WORK .�.• Name ROUGH PLUMBING Address GAS PIPING GAS VENT City. Tel' No. HOT WATER HEATER I HERESY ACKNOWLEDGE THAT I NAVE READ THIS AP*UCATION PLUMBING FIXTURES AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING: I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AMDIOR UTILITY CO.NOTIFIED: L SED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TOE IN.THE ABOVE DE CRIBED RESIDENTIAL PROPERTY. FINAL ATURE „ JACK R. ALLEN, SUPE MING MMECHANICAL ENWR. PERMITTEE PERMIT VALIDATION /4 KJ M.O. CASH. PLAN CHECK VALIDATION CK. M.O. CASH �,/ x,07699 IN 9 5 D 93.50- WORKERS'COMPENSATION DECLARATION CE 81 A ) APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a' certificate of consent to self z (z-eo insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. '" 1 '21 Company t i'l t' 1t1lA Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING © ADDRESS Certified copy is filed with the coufkty building inspection NUMBER FIXTURE OR ITEM FEE III ar ent. LOCALITY Temple City Date �— 1.Applicant�I,'� / ' r/ WATER CLOSET NEAREST 1,ife Q;Ak BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER miry Reynolds o MAIL (This section need not be completed if the work involved LAVATORY ADDRESS F'•c" 13nx 973 U by the permit is for one hundred dollars ($100) or less.) w SINK CITY .onrovia TEL.NO. J_ I certify that in the performance of the work for which this DISHWASHERr LL. permit is issued, I shall not employ any person in any manner CONTRACTOR Tien Il alker PlumbinQ >_so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER s. ADDRESS 29 'if. 37i11CZ@St Ddte Applicant SWIMMING POOL RECEPTORQ 1 C< NOTICE TO APPLICANT: If, after making this Certificate of CITY i,�onrovia TEL. No. 5801 cc Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE i a LIC. el Compensation provisions of the Labor Code, you must forth- LICENSE NO. CLASS with comply with such provisions or this permit shall be WATER HEATER H deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. PROCESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL VALIDATION ness and Professions Code, and my license is in full force and DATE effect. _ dry FINAL License Ku er Lic.Class BY 'ContractdFl z;�_l t;_Ct1 I am exempt from the licensing requirements as Y am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE �• Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section 7031.5, Busi- City Tel.No. -_ ness and Professions Code): I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec. 3097,Civ.C.). Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. Sign -ure of Perm' to .. Date WORKERS'COMPENSATION DECLARATION a' ;rsaesr` ) APPLICATION FOR PLUMBING PERMIT I hereby affirm tharI have certificate of consent to self ;CIE 817 z-eo insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,La ) j COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company C f 667 '� Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDIN ADDRESS Certified copy is filed with t unt b ild( g inspection NUMBER FIXTURE OR ITEM • FEE p Date7d. .tm nt. WATER CLOSET r� LOCALITY LM Uel 1 Applicant r w NEAREST / BATH TUB CROSS ST.. Ohl — CERTIFICATEY� OF EXEMPTIONKROM WORKERS' � COMPENSATION INSURANCE SHOWER OWNER LAVATORY MAIL (This section need not be completed if the work involved ADDRESS SS3 JA)- WJ M CL O by the permit is for one hundred doll= ($100) or less.) SINK CITY TEL.NO.5-10-5/4' U I certify that in the performance of the work for which this DISHWASHER CONTRACTO' R c permit'is issued, I shall not employ any person in any manner so as to eco a subject to the kers' om. enation Laws. CLOTHES WASHER �^ ADDRESS W LJJ Date% :� Applicant SWIMMING POOL RECEPTOR �. a 'NOTICE TO APPLICANT: If,afterk6king this Certificate of CITY l iff T q Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE //�� p Compensation provisions of the Labor Code, you must forth.- WATER HEATER LICENSE NO. 'aC� .i�S(j with comply`with such provisions or this permit shall be DISTRICT NO. 'deemed revoked. GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS OVER ��& I hereby affirm that I am licensed.under provisions of Chapter 5 PER SYSTEM i '9 (commencing with Section 7000)of Division 3 of the Busi- FINAL /` ness and.Professions Code,and my license is in full force and DATE / y VALIDATION effect: �/ v°A n >eF( License..Number 1 Lic.Class ( BY AL Contractor Date At ElI am exempt rom the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer. PLUMBING PERMIT ISSUING FEE$ acting in my .professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lie.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section 7031.5, Busi- City Tel.No. 0 1 9 9.8 A ness and Professions Code): ` I, as owner of the property, am. exclusively contracting o'o o o o 5with licensed contractors to construct the project i (Section 7044,Business and Professions Code). I 2 0 0 1 0.00 CONSTRUCTION LENDING AGENCY 0 0 0 1 a,0 OAU I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is 1 1, 1 7-81 issued(Sec.3097,Civ.C.). Lender's Name Lender's Address I I certify that I have read this application and state that the i above information is correct..I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE l ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-m oned roperty for inspZZ u. es. i Signatur .Permittee Date ; j COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1003170005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: 1 FEES PAID I BUILDING ADDRESS: I ITR: 29825 ON: 13 1 5530 WELLAND AV 13 1 1 IFEE DESCRIPTION: QUANTITY: DOM: AMOONT:1 TEMP CA 917802931 1 (ASSESSOR INFORMATION NUMBER: IINEAREST CROSS STREET: 18573-019-039 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl 1 121 HOSE BIBB(S) 1.00 FIX 16.20 1 1 TENANT: 63 WATER PIPING BR/FIX 6.00 FIX 40.50 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 103/17/10 SR 03/17/11 I 1 TOTAL FEES 100.65 1 I TOWNER: TEL. NO: 1 IFINAL DATE FINAL CODE: 1 PERKINS, DOREEN (909) 597-4120- 1 15530 WELLAND AV D ITEMP 917802931 I IDESCRIPTION OF WORK MI I 1 ICOPPER REPIPE 6 FIXTURES, 1 HOSE BIBB AND WATER MAIN 1 I I 1APPLICANT: TEL. N0: I I I IZAMORA (818) 735-7876- I I I 15858 DOVETAIL DR. 1 ]SPECIAL CONDITIONS: 1 IAGOURA HILLS 91301 1 I 1 I ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 I 1ALL PRO COPPER REPIPE, INC. (909) 517-2994- 1 I I 114261 FERN AVE #B LIC. NO [ 1UNDER SLAB WORK 1 I 1 ICHINO CA 91710 626884036 1 I I I 1 1 IWATER SERVICE IPLASTIC YIN METAL YIN I I I 1ARCHITECT OR ENGINEER: TEL. NO: ] I I 1ROUGH PLUMBING 1 LIC. NO: I 1 I 1 1 1 IGAS PIPING 1 I 1 IGAS VENT I I I IHOT WATER HEATER 1 I I I I I IPLUMSING FIXTURES I I I I I I ILAWN SPRINKLERS I I I 1 I I I I I 1GAS TEST I I I [UTILITY COMPANY NOTIFIED( I ] I I ICWV IGRAY WATER SYSTEM I I I 1 I ] } ] I I I 1 mr '0AJ u. �ld� Jlk� I I I I I I I I I I I I I I I I I I I I I I I 1 EPORT ID: DPR263 08 ] 1 I 1 I iR ROUTE TO: SSOS I I I I I I COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PABLIC WORKS 9701 LAS TUNAS PL 0508 1003170006 BUILDING AND SAFETY/. LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 29825 UN: 12 I I 5530 WELLAND AV 12 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802931 IAS$ESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18573-019-038 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl 1 121 HOSE BIBB(S) 1.00 FIX 16.20 I I ITENANT: 163 WATER PIPING BR/FIX 7.00 FIX 47.25 [ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 1 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 103/17/10 SR 03/17/11 [ 1 1 TOTAL FEES 107.40 1 [ (OWNER: TEL NO: I (FINAL DATE FI BY: CODE: [ 1WRIGHT, STEPHEN (909) 597-4120- 1 I [ 15530 WELLAND AV I O 1 ITEMP 917802931 1 CRIPTION OF WORK (COPPER REPIPE 7 FIXTURESA HOBE BIBB AND WATER MAIN [ I [APPLICANT: TEL. NO: 1 I I IZAMORA (909) 517-2994- 1 1 5858 DOVETAIL DR. I ISPECIAL CONDITIONS: AGOURA HILLS 91710 I I I I ICONTRACTOR: TEL. NO: I [APP OVALS DATE INSPECTOR SIGNATURE 1 [ALL PRO COPPER REPIPE, INC. (909) 517-2994- 1 1 1 114261 FERN AVE #B LIC. NO 1 IUNPER SLAB WORK (CHINO CA 91710 626884C36 1 1 1 1 I I I I 1 IWATER SERVICE I I 1 I 1PLPSTIC YIN METAL YIN I I I [ARCHITECT OR ENGINEER: TEL. NO: I I_ I I I 1 - I IROUGH PLUMBING LIC. NO: 1 1 1 I [GAS PIPING I I I 1 I [GAS VENT 1 1 I I IHOT WATER HEATER I I I I 1 I IPLUMBING FIXTURES 1 1 [ I I I 1 [ ILAWN SPRINKLERS 1 1 I I I I [ IGAS TEST 1 1 I I I (UTILITY COMPANY NOTIFIEDI I I I I ICWv I I I I I [GRAY WATER SYSTEM I I I I I I r I I �I 1 I I I I I I I I 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