HomeMy Public PortalAbout4902 WILLMONTE AVE_Plumbing__ 76A667-CE817 MO
APPLICATION FOR PLI, MBINGEIRMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUII.DING AND SAFETY DIVISION BUUDnrG
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 4902 Willmonte
WILLIAM A.JENSEN.SUPT OF BUILDING
LocALrrY Tem ,le Cit
FOR APPLICANT TO FILL IN NEARESTROSS T.
NUMBER FIXTURE OR ITEM
oWN= J C Aahl
2 WATER CLOSET MILM
1 TUR ADDRESS 3371 North Corrida. .
CITYCovirm
TEL NO-
1 ssowsR -_CONTRACTOR Valley Plumbing Co.
LAVATORY
1 sm ADDRESS 442 W. Fleetwood Pl .
1 DISHWASHER CITY Glendora TEL NO. Ed --
_.CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION No.160847 COUNTY ❑
�. CLOTHES WASHER DISTRICT NO, GRqy_P—1 ZONE Es ED BY
1 WATER HEATER Q
Al
], GAS SYSTEM INDU$TEIAL
WASTE APPROVAL
1 INSPECTION RECORD / n
... Ili'✓/[�2. v�l•'C , / '' ni. Vii.. � �p�^:N""j'��''J / �
0 SLIM PER ITEM /}/y
y OR BDITURE $ I /l [J(/ PATE, 1NSPECTOR'S_�SIGNATURE
d.�. APPROVALS '
PERMIT lid 2 00 UNDEFW":'_B'WORKd-#d 191A61sl
TOTAL FEE ROUGH PLUMBING I,
GAS PIPING .3n 0
1 HEREBY ACKNOWLEDGE THAT I HAVE READ JHJS APPLICATION GA8 VENT L A
AND STATE THAT THE ABOVE IS CORRECT AND'AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE -LAWS REGULATINS. ter, _j7�f
PLUMBING. _� HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS. REQUIRED BY LOS ANGELES COUNTY-AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER' OF THE ABOVE GAS TEST
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE
FINAL
DF VALIDATION ROBERT A"WOOD,
E.0, GAYH SUPERVISING MECHANICAL ENG'R
u 130 0 t
w . P:
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1101190019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BIIILDING ADDRESS: 1
ITR: 9848 IT: 19 UN: .003 I [ 4902 WILLMONTE AV I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917804044 [
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA 1
18589-025-016 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 5.00 FIX 81.30 1 I
ITENANT: III CLOTHESWASHER(S) 1.00 FIX 16.30 11SSUED ON: PROCESSED BY: PLAN BY: 1
113 DISHWASHERS) 1.00 FIX 16.30 101/19/11 SR I
I 121 HOSE BIBB(S) 4.00 FIX 65.10 1 [
(OWNER: TEL. NO: 125 LAVATORIES/SINKS 4.00 FIX 65.10 IFINAL DILTE FIN BY: CODE:
IMRS. NGAR MEI HSIN (626) 807-7395- 145 WATER CLOSET/URINAL 4.00 FIX 65.10 1 (a
19227 BLACKLEY ST. 147 WATER HEATER(S) 1.00 WTH 16.30 1
ITEMP 917804044 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 IDESCRIPTION OF WORK I
I I TOTAL FEES 369.60 IPLUMBING KITCHEN, BATHROOMS, LAUNDRY, GAS LINE AND WATER I
1 I IHEATER I
(APPLICANT: TEL. NO: 1
ILIN, DAVID (626) 926-4876- 1
15917 OAK AVE PMB 372 1 ISPECIAL CONDITIONS:
(TEMPLE CITY CA 91780 1 1
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE
ILIN, DAVID (626) 926-4876- [ 1 I
15917 PMB 372 LIC. NO 1 1UNDER SLAB WORK �� I
ITEMPLE CITY, CA 91780 NONE 1 I 1 1
[ 1 [WATER SERVICE 1 [ 1
1 1 (PLASTIC YIN METAL YIN 1 I I
(ARCHITECT OR ENGINEER: TEL. NO: I I I
IT AND W CONSULTING ENGINEERS (626) 288-0708- 1 [ROUGH PLUMBING [ [
11168 SAN GABRIEL BLVD. LIC. NO: I I 1
IROSEMEAD, CA 91770 C35693 I (GAS PIPING
GAS VENT
1 I IHOT WATER HEATER I I [
[ I IPLUMBING FIXTURES I I 1
I I ILAWN SPRINKLERS I I 1
GAS TEST
I I I I I I
(UTILITY COMPANY NOTIFIED( I
I I ICwv I I I
(GRAY WATER SYSTEM I I.
[ [ 1 1 I
I I I I I I
I [ [ I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 [ 1 1
[ I I I I I