HomeMy Public PortalAbout9662-9664-9666-9666 1/2 WOODRUFF AVE_Plumbing__ 76A667-CE#8172.62 TEMPLE CITY
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APPLICATION FOR -PLUMBING , PERMIT
COUNTY OF LOS ANGELES r
DEPARTMENT OF COUNTY ENGINEER
BUU ING AND SAFETY DIVISION n
JOHN! A.LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN. SUPT OF BUILDING LOCAI.ITY�vJJ
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER' FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 buuL ,
BATH TUB 1,25 ADDRESS
CITY ;TEL. NO.
s1lowEa � 1.25
LAVATORY 1.25 CONTRACTOR Jl
SINK 1,2,13 ADDRESS
DISHWASHER 1.25
CITY �_- .NO.CONTRACTOR'S COTTATELAUNDRY TUB 1.25 REGISEATION No. f Y Jj
CLOTHES WASHER 1.25 J DISTRICT NO. GRO ZC�j�i`E PROGEg Eipl'BY
WATER BEATER I.50
GAS SYSTEM OUTLETS I.50 a !J WASE INDUSAP ROVAL
OUTLETS OVER 5 PER SYSTEM INSPECTION RECORD
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APPROVALS r D/A E, IIISSP ry4614'S SIGNATDRE
PERMIT S Z Qty UNDER SLAB WORK ./d e'r ,,Ar;✓,7" � �.
f� ROUGH PLUMBING !1i } +..
TOTAL FEE ( `✓ GAS PIPING
f t t y ng
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE,TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES, AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. /'.�•y
I HEREBY CERTIFY THAT t AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
UCENSEO AS REQUIRED BY LOS ANGELES COUNTY AND ST4TE OF GAS TEST. qy°' s[•a fir' .<h'-.Y�. :Ir
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIkID
SIGNATURE I It
OF PERM TTEE
FINALltAr
VALIDAT --. ROBERT A!WOOD
CK. M.o. CASH SUPERVISING MECHANICAL ENG'R
L,i�o 5 5 9 0: FEB 1 7 5 D ; 8.0 0M
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0809220035
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 6561 IT: 118 BL: .001 I I 9662 WOODRUFF AV 1
JFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802235 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: KAUFFMAN
18587-020-036 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl
I 147 WATER HEATER(S) 1.00 WTH 16.20 I I
(TENANT: 193 NO PERMIT OTHER OCCP 257.00 DOL 257.00 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
(RAYMOND IP I TOTAL FEES 300.95 109/22/08 SR 03/21/09
IOWNER: TEL. NO: I IFINAL DATE FIN CODE: I
ILA LANG THUC (626) 625-4271- I 1
15955 KAUFFMAN AVE. 1 I
ITEMPLE CITY CA 91780 I ID2SCRIPTION OF WORK I
I 1 1REPLACE WATER HEATER 1
APPLICANT: TEL. N0: I I I
TAM (626) 780-8879-
11901 WALNUT ST. I [SPECIAL CONDITIONS: [
ISAN GABRIEL CA 91775 I
1CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I
TAM'S HOME IMPROVEMENT PLUMBING (626) 280-8879- 1 1 I
1901 WALNUT STREET LIC. NO 1 1UNDER SLAB WORK 1 1
SAN GABRIEL,CA 91726 785202 C36
WATER SERVICE I
IPLASTIC YIN METAL YIN I I
[ARCHITECT OR ENGINEER: TEL. NO: I I I
I - 1 IROUGH PLUMBING I I I
LIC. NO:
1GAS PIPING
IGAS VENT II I
I
]HOT WATER HEATER "}. I I
I I 1PLUMBING FIXTURES [ I [
I I ILAWN SPRINKLERS
I I I
IGAS TEST I I I
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I [UTILITY COMPANY NOTIFIEDI I I
I I ICWV I I I
IGRAY WATER SYSTEM
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I I I I I I
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IREPORT ID: DPR263 ROUTE TO: BS0508
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