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
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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