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HomeMy Public PortalAbout6032 AGNES AVE_Plumbing__ 76AGS7 17 B SO APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY r COUNTY OF LOS ANGELES L 1 WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRIC NO GROUP ZONE PERMIT NO 9116(0 PLUMBER Revere Service Corn, RECEIVED BY READY FOR DATE ISSUED QA FIRSTINSPECTION 1 `O ADDRESS 11811 Teale Sto ThyX A � CITY Culver ClE ty TEL NO 72151 BUILDING '1 _ DDRESS 09 Ne Agnes COUNTY6750-MEj�3�5]. LOCALITY Temple City CO LICENSE NO JJ EXPIRES NEAREST PERMIT FEES Garibaldi Ave,�j (� NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER R. E. Gonren MAIL 1 WATER CLOSET (TOILET) Q O 50 S ADDRESS Swae as above BATHTUB Q O 50 CITY TEL NO 1 SHOWER Q O 50 1 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) Q O 50 APPLICATION AND STATE THAT THE ABOVEIS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q O 50 STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER 1 OF THE RESIDENTIAL PROPERTY DESCRIBED SO £GAS SYSTEM OUTLETS @ O 50 1 SIGNATURE O 1 WATER HEATER Q O 50 I PERMITTEE SLOPSINK Q O Sol INSPECTION RECORD FLOOR SINK Q O Sol FLOOR DRAIN Q O 50 1 DISHWASHER Q O Sol 1 DRINKING FOUNTAIN Q O 50 1 1 URINAL Q O 501 1 HOUSE SEWER Q O 50 1 Q 1 Z MISCELLANEOUS (, 1 Water Softener 1 -50_ o 1 1� 1 1 APPROVALS DATE INSPECTOR S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL Q 1 00 CESSPOOL 1 SEPTIC TANK SEPTIC TANK I DRAIN ( ) PIT ( Q 100 SEWER PERMIT I O0 GAS TEST UTILITY CO NOTIFIED TOTAL FEE I 1 - FINAL I �TgA t/2n I 79A697 17 5 30 KD ! APPLICItTION FOR PERMT DEPARTMENT OF BUILDING AND SAFETY ti COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER PLUMBING 1 FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO PLUMBER RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS BUILDING t� CITY TEL NO ADDRESS l COUNTY LOCALITY LICENSE NO EXPIRES NEAREST PERMIT FEES CROSS ST NUMBER TYPE OF FIXTURE OR ITEMFEE OWNER .�C � MAIL �. WATER CLOSET (TOILET) @ O soj$ I ADDRESS 1 BATH TUB @ O 501 1 CITY TEL NO SHOWER @ O s0 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) Q O So APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q O 50 STATE LAWS REGULATING PLUMBING I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER 1 GAS SYSTEM OUTLETS O SO OF THE RESIDENTIAL PROPERTY DESCR'BE ABOVE @ SIGNATURE OF WATER HEATER @ O 50 1 PERMITTEE ,.. SLOP SINK Q o so INSPECTION RECORD FLOOR SINK Q O Sol FLOOR DRAIN @ O 50 I 1 DISHWASHER Q O 501 DRINKING FOUNTAIN Q O 501 URINAL Q O 501 J HOUSE SEWER @ O Sol I a Z MISCELLANEOUS (' I� O 1 1 I I 1 � 1 APPROVALS 1 1 DATE INSPECTOR S NAME 1 I ROUGH PLUMBING GAS PIPING 1 1 GAS VENT 1 CESSPOOL @ 1 00 ) CESSPOOL _T 1 SEPTIC TANK I SEPTIC TANK 1 DRAIN ( ) PIT ( ) @ 1 00 1 SEWER PERMIT I 1 00 GAS TEST TOTAL FEE UTILITY CO NOTIFIED 7 $ z �� FINAL 7GA667 17 9 49 ® APPLICATION FOR PERMIT ? DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER PLUMBINty FOR APPLICANT TO FILL IN DISTRICT*NO GROUP ZONE PERMIT NO l `JJ `?-Z /ty'/ PLUMBER +` I.G, // / J RECEIVEBY READY FOR D TE I SUED //�,,�" FIRST INSPECTIONrr- ADDRESS / 6 � i .//►� X/� BUILDING CITY JE4, Q �` TEL NO I O'V� A DRESS y��J I COUNTY / LICENSE NO lllfff � �EXPIRES LOCALITY�0"�Q NEAREST PERMIT FEES CROSS S NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) @ O 50 $ I ADDRES BATH TUB @ O 501 1 CITY / TEL N ig SHOWER @ O 501 I HEREBY ACKNOWLED E THAT 1 HAVE READ THIS 1 LAVATORY (WASH BASIN) Q O s0 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q O 501 STATE LAWS REGULATING PLUMBING I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q O 501 ANGELES COUNTY LICENSE QQQQQQR I A THE LEGAL OWNER GAS SYSTEM OUTLETS @ O 50 OF THE RESIDENTI L PR OF D S GIBED ABOVE SIGNATURE OF 1 WATCR HEATER Q O 501 PERMITTE SLOP SINK @ o Sol INSPECTION RECORD FLOOR SINK @ O 50 1 FLOOR DRAIN @ O 501 DISHWASHER Q p 50 DRINKING FOUNTAIN (cil O 501 {,/�J�y PL URINAL Q O 501 �'�'►-7,r<i c n4 1 F IY ii i- I" LSr, - J 1 HOUSE SEWER Q O 50( f 16�. p-j��h,` Z MISCELLANEOUS fJ JS U/V LlT-rb 0 lo1= ► P L 131,--6-1.— APPROVALS 1 DATE INSPECTOR S NAME ROUGH PLUMBING J 1 /u M Jn/ GAS PIPING U I �I I// f 1 1 GAS VENT r�`�} 1 CESSPOOL Q 1 001 1 CESSPOOL v SEPTIC TANK 1 I _SEPTIC TANK DRAIN ( ) PIT ( ) Q 1 00 I SEWER PERMIT 1 pp GAS TEST I- ►tJtxlZ SI l°i ln, UTILITY CO NOTIFIED I TOTAL FEE I $ i II �I,vt J FINAL COUNTY OF LOS ANGELES TEMPLE CITY # 0508 i._� DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS 4LP�05` QO4a`00003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID S PAI ESS TR 6561 LT 52 030 AGNES AV ' FEE DESCRIPTION QUANTITY UOM AMOUNT 89 707 ASSESSOR INFORMA NUMBER NEAREST CROSS STREET GARIBALDI/LAS TUNAS 5385 028 031 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY 47 WATER HEATER(S) 1 00 WTH 16 20 TENANT TOTAL FEES 43 95 ISSUED ON ---PROCESSED BY PLAN BY Exp-TTS ON 01/10/00 UT 07/08/00 OWNER TEL NO FINAL DAT FINAL BY CODE LIU DON,PHUNG KIN M 6030 AGNES AV 1-19 -*Zoo TEMP 917801707 16=09f K ER APPLICANT TEL NO SAME AS OWNER SPECIAL CONDITIONS G CONTRACTOR TEL NO � APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC NO UNDER SLAB WORK WATER SERVICE d PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER TEL NO ROUGH PLUMBING LIC NO / �- 1111111 GAS PIPING n n (� K GAS VENT G O II O W O'LrR HOT WATER TER LLL��� V�V� LLLJJJ 111.111 ��J PLUMBING FIXTURES a O 0 LAWNSPRINKLERS ,All O ❑ 't#` GAS TEST �co UTILITY COMPANY NOTIFIED CWV °service'T'8l' GRAY WATER SYST REPORT ID DPR263 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 c�PAL�fJMBS��aG�P�ER10II07 REPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS `�P BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID BLD NG TR 6561 LT 52 30 AG S A FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 91780 07 ASSESSOR 0 BER NEAREST CROSS STREET GARIBALDI/LAS TUNAS 5385-028 031 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY 07 BATHTUBS/SHOWERS 2 00 FIX 32 40 TENANT 25 LAVATORIES/SINKS 1 00 FIX 16 20 ISSUED ON PROCESSED AN BY EXPIRES ON 45 WATER CLOSET/URINAL 1 00 FIX 16 20 08/04/99 UT 01/31/00 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 OWNER TEL NO TOTAL FEES 108 75 FINAL DATE FINAL BY CODE LIU DON,PHUNG KIN M - C..t�„ �Q�� 6030 AGNES AV TEMP 917801707 C UP LLIMB DNG-FOR--ADDITION. D--GAS IN APPLICANT NO SAME AS OWNER SPECIAL CONDITIONS ��C3ELES CO CONTRACTOWNER TEL O �OcJ 0�,,� APPROVALS ATE INSPECTOR SIGNATURE SAMELIC NO UNDER SLAB WORK WATER PLASTIC Y/NCEMETAL Y/N ARCHITECTEE N LIC NO 1111111 ROUGH -PLUMBING +11 AS PIPING GAS r T � RURS' (C �l CJ GIRM� FMER PUMBIN®� G FIXTURES LAWN SPRINKLERS Q ** GAS TEST A ® ®5 UTILITY COMPANY NOTIF-195 CWV 9ervlc,e't GRAY WATERS REPORT ID DPR263 ROUTE TO BS0508