HomeMy Public PortalAbout4851 WILLMONTE AVE_Plumbing__ 9sA667-40117 3-S
APPLICATION FOR PLUME G PERM r
COUNTY OF LOS ANGELES _
DEPARTMENT OF•COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
SNAMBILCutyDIedAuDDESG
4851 Wi.l lmonte
CAD. IIof$mg _
LOcm= Temple City _
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. Lower Azusa
NUMBER FIXTURE OR ITEM
OWNER J.C. & W. Be Ashley
2 WATER CLOSET 2.00- p4m
1 HATH TUB 1.00 ADDRESS 3371 Corrida
1
SHOWER crrY Covina TEL.NoXd 2-4126
2 LAVATORY 2 00 CONTRACTOR Merlin L Geddes
ADDRESS 51 N 3rd Ave
Sm AV
DMWASHER crrY Arcadia m No. Hi. 7-8135.
CONTRACTOR'S 79237 STATE ❑
LAUNDRY TUR REGISTRATION NO. COUNTY,
1 CLOTHES WASHER 1100 DISTRICT O GROUP Z NE P D B
1
WATER HEATER 1.00 v� q�
1 GAS SYSTEM1.00 1NDUSTRIAL
WASTE APPROVAL
1 Dia O /`?.�'S .si INSPECTIONRECORD
VtAit
Q 08 oFP ER rE= $
11.00 APFJROYALS DATE
/ INSPECTOR'S SIGNATURE1,
PERMIT $ 2 00 UNDER LAB CORK a �+/0 Lazsw��
ROUGH PLUMBING or Psacryl A; -,';i�
TOTAL FEE I 13 100
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION `.
AND STATE THAT THE ABOVE IS-CORRECT AND AGREE TO COMPLY. . GAS VENT
WITH ALL COUNTY ORDINANCES AHD STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES IS 1 1, dJfJAA-- a
LICENSED AS REQUIRED BY'LOS ANGELES COUNTY AND STATE 'OF GAS TEST
CALIFORNIA OR THAT I AN THE LEGAL OWNER OF THE ABOVE -
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED 6/
SIGNATURE A
OF PERMITTE
/�J} FINAL
OF VALIDATION ROBERT A.WOOD,.
Og,
M.p, an SUPERVISING MECHANICAL BNG'R;
LEO 820B NOV 17 5 a 13.00
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
` DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
PL 0508 1205140017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 9848 IT: 80 BL: .001 UN: .002 I I 4851 WILLMONTE AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT-1 TEMP CA 917804043 I
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA
18589-024-012 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, Cl
1 163 WATER PIPING BR/FIX 12.00 FIX 81.60 I I
ITENANT: I TOTAL FEES 109.40 (ISSUED ON: PROCESSED BY: PLAN BY: ]
[ [ 105/14/12 SR [
]OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: 1
[LIU, FENGLAN (626) 203-9582- [ I� / r
4851 WILLMONTB AV fit,' I
ITEMP 917804043 I IDESCRIPTION OF WORK
I I IRE-COPPER 12 PLUMBING FIXTURES
I I I I
(APPLICANT: TEL. NO: 1 I
[SAME AS OWNER
ISPECIAL CONDITIONS: !
I I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
[
SAME AS OWNER _ I I
I LIC. NO [ [UNDER SLAB WORK [ I [
[WATER SERVICE
I (PLASTIC YIN METAL YIN I I I
1ARCHITECT OR ENGINEER: TEL. NO: 1 I I I
I - I ]ROUGH PLUMBING
LIC. NO: 1l ]
[GAS PIPING
IGAS VENT
I I I
I 1 IHOT WATER HEATER I ] I
[ IPLUMBING FIXTURES [ [ I
[ ; (LAWN SPRINKLERS [
I I
[ [GAS TEST [ [ [
I 1 [UTILITY COMPANY NOTIFIEDI I
[ I ICWv I I I
I IGRAY WATER SYSTEM I I I
] ! I I I I
I I I [ I I
I ! [ I [
I I I I I
I I I I I I
[REPORT ID: DPR263 ROUTE TO: BS0508 I I I I