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HomeMy Public PortalAbout4922 WILLMONTE AVE_Plumbing__ 7fi W--CE817-11-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER . BUILDING AND SAFETY DIVISION BIIILDING JOHN A.LAMBIE. County Eag�se®r ADDRESS _ L L TT D. GRIFFIN,Supt of SuilLa LOCALITY M FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM WATER CLOSET OWNER i BATE TUB ADDRESS ,S SHOWER CITY (STEL.NO. . . LAVATORY CONTRACTOR Plumbing Sig ADDRESS442 a DISHWASHER CITY endera TEL.NO. ° LAUNbBY TUB CONTRACT T REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTRICT [O. I GROUP L ZONE I READY FOR INSPECTION WATER HEATER 2:74-11 GAS SYSTEM INDUSTRIAL `- WASTE APPROVAL INSPECTION RECORD APPROVALS @ $1.00 PER TEEM $ DAT � INSPECTOR`S-SiG1yATURE OR FEXTURE $ UNDER7S B WORK r PERMIT $ 00 ROUGH PLUMBING TOTAL FEE GAS PIPING ` 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT.AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES LREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST ED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF `RNIA OR THAT I AM THE LEGAL 'OWNER OF THE ABOVE UTILITY CO.NOTIFIEDBED RESIDENTIAL PROPERTY TUREERMITTE FINAL ROBERT A.WOOD.` ®� VALIDATION SUPERVISING MECHANICAL ENG'R N.0. CASH 4 5 A 11.00 76A667-CE#817 10-67 Ly-v p4,49 e i � 70 • ~=� APPLICATION FOR PLUMBING PERMIT - COUNTY OF LOS ANGELES . DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FORAPPLICANT TO FILL IN(PR NT OR TYPE) NEAREST CROSS ST. (✓ NUMBER FIXTURE OR ITEM EACH FEE - / �� WATER CLOSET 1.50 OWNER - MAIL BATH TUB 1.50 ADDRESS �m- SHOWER 1.50 CITY TEL. NO. _ LAVATORY 1.50 O CONTRACTOR (V SINK 1.50 ADDRESS � � ' - - a DISHWASHER 1.50 CIT,Yt(). CoU ?/?VD TEL.NO. - CLOTHES WASHER 1.50 STATE LIC CLA..SS C LICENSE NO. 6 SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GR P ONE R E SED BY LAWN SPRINKLER SYSTEM 2.00 Qiri I (L oe C WATER-HEATER. 1.50t7 INDUSTRIAL V WASTE APPROVAL CD GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD '...... v OUTLETS OVER 30 d 5 PER SYSTEM N .Z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 3 2 00 TOTAL FEE W APPROVALS DATE INSPE OR'S SIGNATURE^ Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING f GAS VENT City. Tel. No. HOT WATER HEATER I 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 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF "" CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE .TACK R. ALLEN', SUPERVISIN HANI'CAL EN'G'R. - OF PERMITTEE w PERMIT VALIDATIONCK. M.o. CASH PLAN CHECK VALIDATION CK. M.O. CASH � 690� I AL30 5D 300 . GZ a , m COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9609060013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 9848 LT: 21 4922 WILLMONTE AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804044 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8589-026-001 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 TENANT: TOTAL FEES 44.10 ISSUED ON: PROCESSED Y: LAN B XPIRES ON: 09/06/96 TC 09/06/97 OWNER: TEL. NO: FIN DATE FINAL Y• CODE: VINCIGUERRA AUGUSTINE (818) 579-4310- - 4922 WILLMONTE AV TEMP 917804044 D CRIP IN OF WORK NEW GAS LINE FOR A/C AND HEATING SYSTEM APPLICANT: CONNOR A/C/ & HEATING (818) 286-3157- __ SPECIAL CONDITIONS: I CONTRACTOR: TEL. N0: \. APPROVALS DATE INSPECTOR SIGNATURE CONNOR AIR CONDITIONING & REFRIG. (310) 286-3157- 4931 NORTH ENCINITAS LIC. NO ;f % �� UNDER SLAB WORK TEMPLE CITY, CA 91780 403735 WATER SERVICE ARCHITECT OR ENGINE TEL. N0: PLASTIC Y/N METAL Y/N ROUGH LUMBING LIC. NO: GAS PIPING a ! GAS VENT HOT WATER HEATER LUMBING FIXTURES LAWN SPRINKLERS GAS TES UTILITY COMPANY NOTIFI D C V GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1309160021 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: 21 I I 4922 WILLMONTE AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917804044 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET. LOWER AZUSA 1 18589-026-001 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY CAI 1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 I (TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: 145 WATER CLOSET/URINAL 1.00 FIX 16.20 109/16/13 SR I I TOTAL FEES 76.40 I I 10WNER: TEL. NO: I FINAL DATE FIM BY: CODE: 1 ICHUNG, DIANE (626) 470-7588- 1 1 I 14922 WILLMONTE AV 1 1 I ITEMP 917804044 1 ID SCRIP ION OF WORK I I I NSTALL BATHTUB/SHOWER, LAVATORIE AND WATER CLOSET 1 1APPLICANT: TEL. NO: 1 I 1 ISAME AS OWNER I I ISPECIAL CONDITIONS: 1 I I i I ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 (SAME AS OWNER - LIC. NO i JUNDER SLAB WORK 1 I IWATER SERVICE I I I I I IPLASTIC Y/N METAL Y/N 1 1 1 1ARCHITECT OR ENGINEER: TEL. NO: I I I I I I - I [ROUGH PLUMBING 1 LIC. N0: I I IGAS PIPING I I I I I [GAS VENT I I I I I IHOT WATER HEATER I I IPLUMBING FIXTURES I I I I [ I 1 1LAWN SPRINKLERS I I 1 IGAS TEST i I I I 1UTILITY COMPANY NOTIFIED( 1 I I ICWV I I I I I (GRAY WATER SYSTEM I I I I 1 I I I IVL7I 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 1 I I 1 I I I I I I