HomeMy Public PortalAbout4946 WILLMONTE AVE_Plumbing__ ti.
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APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 4946 Willmonte
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN(PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER Richard Bowen
WATER CLOSET 1.50 31400
BATH TUB 1.50 ADDRESS 1620 Melanie Lane
SHOWER 1.50
CITY Arcadia TEL. NO.
LAVATORY 1.50 d CONTRACTOR Owen Bross Plumbing,Inc.
/ SINK 1.50 ADDRESS 4265 North Baldwin Ave.,
1 DISHWASHER 1.50 CITY El Monte 91731 TEL" NO.443-0078
STATELIC
CLOTHES WASHER 1.50 S� LICENSE NO. 231 741 CLASS C 36
SWIMMING POOL RECEPTOR 1.50 DISTRICTNO GROU ZO E PR SS Y
LAWN SPRINKLER SYSTEM 2.00 �� .� a
42
O
WATER HEATER 1.50 INDUSTRIAL C7
WASTE APPROVAL Z
/ GAS-SYSTEM OUTLETS 1.50 ( SZ) INSPECTION RECORD CD
OUTLETSU
OVER
5 PER SYSTEM .30 a
W
' Z
` Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE
APPROVALS D TE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK C dt.
Name ROUGH PLUMBING
r
Address GAS PIPING
GAS VENT r
City Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION -.712 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TESTi ��
PLUMBING. il2Z t , J-_�
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.TME ABO DE I RESIDENTIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE JACK R. ALLEN, SUPERVISING M CHANICAL ENG'R.
PERMIT VALIDATION CK M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
I kc'„8 0 O r 1.0 15 a 18.50, g
76A667A.IOU 8176)!41'17' "0
APPLICATION FOR PLUMBING PERMIT
BUIL IN D SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS .
WATER CLOSET LOCALITY 0
BATH TUB NEAREST
CROSS S .
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY /e dom
TEL..NO.
DISHWASHER CONTRACTOR
CLOTHES WASHER a
ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM
STATE / LIC.
WATER HEATER LICENSE NO. CLASS
DISTRICT NO. UP ZONE CESSED Y
GAS SYSTEM OUTLETS � � }
OUTLETS OVER
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL C
INSPECTION RECORD
a
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTALFEE
Plan check ai licant
Name - APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address OJ0046 V ROUGH PLUMBING
City Tel.No. GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT'
THAT THE ABOVE 15 CORRECTAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO:NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
VVISN a .W,5'C OM ISI=NSA;r$06*H PERMIT VALIDATION M.O. CASH
9 6 59!APR 8 1 .0 0 z
POLICY FIOLDE� "
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0503290004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: S PAID BUILDING R SS:
BK: 19 PG: 47 PC: 1 4946 WILLMONTE AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804044
ASSESSOR NEAREST CROSS STREET: LOWER AZUSA
8589-026-049 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 13 DISHWASHERS) 1.00 FIX 16.20 ISSUED 0 PROCESSED L . EXPIRES ON:
21 HOSE BIBB(S) 1.00 FIX 16.20 03/29/05 JK 09/25/05
25 LAVATORIES/SINKS 2.00 FIX 32.40
OWNER: EL. NO: 45 WATER CLOSET/URINAL 1.00 FIX 16.20I 0 FI BY: CODE:
YOUNG, DIANA (626) 455-0080- 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 S
4946 WILLMONTE AV TOTAL FEES 141.15
TEMP 917804044 p WORK
PLUMBING FOR NEW BATHROOM AND KITCHEN
APPLICANT: 0:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE NSP CTOR SIGNATURE
SAME AS OWNER
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT0 TEL. NO: i
ROUGH
LIC. NO: PLUMBING -
S P G V
S VENT
PLUMBINGHOT WATER HEATER
rxgff RS
NOTIFIEDGAS TEST
UTILITY COPIP-ANY
WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508