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FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
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WATER CLOSET TOILET O.SO mI ` 0 ADDRESS
BATH TUR O.O f—f CITY TEL NO.
111HOWER 0.30 !
1 MER ACIINOW GE THAT 1 HAVE READ THIS
LAVATORY WARN■AKIN 0.80 APPLICATI AND STATE AT THE ABOVE IS CORRECT AND
AGRQ TO I WI ALL COUNTY ORDINANCES AND
KITCHEN BINK 0.50 s�d STATE LAWS REOULATI G PLUMBING.
1 CERTIFY THAT 4 POSSESS THE ABOVE VALID LAB
LAUNDRY TUB OR TRAY O.NO S' ANGELES COUNTY LICZNRW OR 1 AM THE LEGAL OWNER
S� OF THE RESIDENTIAkP ERTYxmmZ-
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GANSYBTE EM O.BO SIGNATURE OFr ►�/WATER NEATER 0.BO O.BO INIVECTAM,
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FLOOR BINK 0.00
FLOOR DRAIN 0.00
DISHWASHER 0.80
DRINKING FOUNTAIN 0.50
URINAL 0.1110 ,I
HOUSE SEWER 0.50
MISCELLANEOUS O
f od 0
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DATE INRFNI.TO llm MAYE
ROUGH PLUMBING ON
GAN PIPING
GAf VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK- SEPTIC TANK
DRAIN ( ) PIT ( ) e 1.00 SEWER
PERMIT . 1.00 GAB TEST k
TOTAL FEB B / �`/9 UTILITY CO. NOTIFIED
El FINAL
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1306030018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 6561 IT: 162 I I 9633 WOODRUFF AV I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802015 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY 1
15385-014-011 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI
1 151 IOW PRS GAS 5 OUTLET 1.00 SYS 16.20 1 I
TENANT: I TOTAL FEES 44.00 (ISSUED ON: PROCESSED BY: PLAN BY: I
1 1 106/03/13 SR
(OWNER: TEL. NO: I 1F T FI AL CODE: 1
ICHOU, CLAIRE (562) 980-6512-
19633 WOODRUFF AV 1 I 1
ITEMP 917802015 1 ID CRIPTION OF WORK 1
I I IEXTEND GAS LINE FROM BASEMENT FURNACE TO NEW LOCATION IN
I I IATTIC
(APPLICANT: TEL. NO: 1 I I
IPISANO, ROSS (626) 286-1141- 1 1 1
11350 E LAS TUNAS DR I ISPECIAL CONDITIONS: 1
(SAN GABRIEL CA 91776 I 1
I
CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE I
1BRYANT HEATING AND AIR CONDITIONING (626) 286-1141- I 1 I
11350 E LAS TUNAS DRIVE LIC. NO I (UNDER SLAB WORK 1 1 1
ISAN GABRIEL CA 91776 948151 * I 1 I I
I I IWATER SERVICE I I I
I I IPLASTIC YIN METAL YIN 1 I 1
(ARCHITECT OR ENGINEER: TEL. NO: 1 I 1 I 1
1 - IROUGH PLUMBING I 1 I
LIC. NO: I
GAS PIPING 1 I 1
I IGAS VENT I I 1
IHOT WATER HEATER I I I
1 IPLUMBING FIXTURES I I I
ILAWN SPRINKLERS I I
I I I I
1 I IGAS TEST I
1UTILITY COMPANY NOTIFIEDI I
I I ICWv 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* ADDITIONAL DATA ON FILE 1 1 I I
IREPORT ID: DPR263 ROUTE TO: BS0508 1 1 1 I
I I I I I I
r
p COUNTY OF LOS ANGELES TEMPLE CITY $ 0508 PLUMBING PERMIT r
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1210300023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS: I
ITR: 6561 LT: 162 1 9633 WOODRUFF AV 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917802015 I
[ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15385-014-011 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI
I Ill CLOTHESWASHER(S) 1.00 FIX 16.20 I
ITENANT: 63 WATER PIPING BR/FIX 9.00 FIX 61.20 (ISSUED ON: PROCESSED BY: PLAN BY: I
I 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 110/30/12 SR
1 192 NO PERMIT OWNER-BLDR 342.20 DOL 342.20 1 1
IOWNER: TEL NO: I TOTAL FEES 463.60 IFINAL MTE FINAL CODE: 1
[TAN, JURIANA (626) 510-6107- I 1 I
19633 WOODRUFF AV 1 1 ! / l 1
ITEMP 917802015 IDESCRIPTION OF WORK [
I I 12 BATHROOM HOUSE COPPER REPIPE, WATER MAIN FROM EXISTING
I IMETER TO HOUSE AND CLOTHESWASHER [
[APPLICANT: TEL. NO: 1 [ I
IJUAREZ, ALBERT (323) 932-2020- [ 1
11617 CENTINELA i [SPECIAL CONDITIONS:
INGLEWOOD CA 90302
I 1 1
CONTRACTOR: TEL. NO: I 1 APPROVALS DATE INSPECTOR SIGNATORE 1
ISUPERIOR 1 PLUMBING (323) 932-7070- I 1 1
11617 CENTINELA AVENUE LIC. NO 1 [UNDER SLAB WORK I I I
IINGLEWOOD CA 9030243 875015 * I 1 VIC 1 1 1
(2L!STIC Y/ METAL /N
ARCHITECT OR ENGINEER: TEL. NO:
1 LIC. NO: I TROUGH PLUMBING ISI
IGAS- PIPING
[ IGAS VENT I 1 I
I [ IHOT WATER HEATER I I I
I I [PLUMBING FIXTURES [ I I
I I (LAWN SPRINKLERS I I I
I I GAS- TEST
1 1 1
1 [UTILITY COMPANY NOTIFIEDI
I I ICwv I I I
I 1 [GRAY WATER SYSTEM 1
1 i I 6
I I ► I I
1 I*I I I 1 I
ADDITIONAL DATA ON FILE I 1 I
1 ]REPORT ID: DPR263 ROUTE TO: BS0508 1 1 1
1 1 1 11 1