HomeMy Public PortalAbout9521-9523 WOODRUFF AVE_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0305200011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL 10: FEES PAID VOILDIV"-O-RESS:
TR: 6561 LT: 268 UN: .002 9523 WOODRUFF AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802042
ASSSSOR 0 0 NEAREST CROSS STREET: TEMPLE CITY
5385-007-028 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 S UED : PROCESSED B EXPIRES ON:
SABRINA CHEN 05/20/03 JK 11/16/03
OWNER: L. N0: FINAL DATE FINAL BY: CODE:
CHEN THEODORE I YUNG;SABRINA HUA SU (626) 614-0586- Lr1�d 3
9523 WOODRUFF 7"
TEMPLE CITY D SCRIP ION OF WORK
NEW HVAC SYSTEM
APPLICANT: L. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNAT RE
SAME AS OWNER -
LIC. NO UNDER g
WATER SERVICE
PLASTIC Y/N METAL Y/N
RC C R NG R: NO:
ROUGH PLUMBING
LIC. NO:
S PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
S TEST
UTILITYCOMPANY NOTIFIED
cWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BSO5O8
76A667-CF#817 2-62 TEMPLE CR la '
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING `LOCALITY C
FOR APPLICANT TO FILL IN NEAIIEST `
CROSS ST..
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1'25I. MAIL
BATH TUB 1.25 ADDRES Q Q
SHOWER 1.25 CITY �. TEL. N rl.~
LAVATORY 1.25 CONTRACT
CK
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY $ TEL. NO �10. _1,4
LAUNDRY TUB STATE
1.25 EGISTRAT N NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP Z NE eRGCESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD '^
G.
A
V
. ®G
P=
9.
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 21 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND 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 PLUMBING FIXTURES r1
LICENSED AS REQUIRED B LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DE RIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED r^`
SIGNATURE /
OF PERMITTEE ��'FINAL �I+t-(f, 91 ,�SL
VALIDATI. N ROBERT A.WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
2 5 9t2 NOV 14 5 D 3.50- 9
76A667 (CE-817)-4/72 � C� r�
APPLICATION FOR PLU IG -PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: FNEAREST
HARVEY T. BRANDT, COUNTY ENGINEER
FOR APPLICANT TO FILL IN (PRINT OR TYPE)
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75
MAILBATH TUB 1.75 ADDRESS
SHOWER 1,75 CITYZ.," NOZ*t- rl
LAVATORY 1.75 CONTRAC R
SINK 1.75 ADDRESS ��
DISHWASHER 1.75 CITY TEL. NO
CLOTHES WASHER 1.75 STATE61 LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO D ' CLASS
DISTRICT NO. GROUP Z NE PR CESS BhL
LAWN SPRINKLER SYSTEM 1.75 �✓D� r
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v
OUTLETS OVER 30 C
5 PER SYSTEM
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W
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rA
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
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
PLUMBING. GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS RECUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DES C IBED RESIDENTIAL PROPERTY. `
r FINAL
SI GNATU RE
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASHI -
PLAN CHECK VALIDATION CK. M.O. CASH
4 4 5 AUG 8 . 5 D 4.7 5 A98
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