HomeMy Public PortalAbout6043 AGNES AVE_Plumbing_4/10/1967_ .76A 667 -CE#817 12-64 City of Temple City P 10773
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION T
UILESS 6043 North Anes
DING
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING LITY
Temple Cit
FOR APPLICANT TO FILL IN EST & Live Oak
S ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Dorothy Aaron
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS Same
CITY TEL. NO.
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR General Installation Co.
ADDRESS 6558 Voest Blvd.
SINK 1.25
DISHWASHER 1.25 CITY Los Angeles TEL. NO. PL 3-2541
CONTRACTOR'S STATE [3
LAUNDRY TUB 1.25 REGISTRATION NO. C-36 151839— 787COUNTY L4
CLOTHES WASHER 1.25 DISTRICT NO. GROUP
� ZONE P CESSED BY
1 WATER HEATER 1.50 1 0 , � � `7
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL C
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD i7
Ready for Inspection Now oe
TO 0
W
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 3 50 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I 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 HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESID- A�O� UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
0ALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
Lt o7a'.97 APR 10 5 0 3.50
76AGG7 f7 5 50 ® 4 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY In Al Ift I IL N 030,
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
(�� t_ n- cit �t
PLUMBER Revere ClArP e%A CnrU,. RECEIVED BY READY FOR DATE ISSUED
: FIRST INSPECTION
ADDRESS 11811 Teale u"$.
�t .7��[' ADDRESS 109 N.
BUILDING
CITY C+lL�9eT' �'ilty TEL NO ([� ^/G�)1 � �}�A"
COUNTY �j7, EXPIRES 61+-30,1 LOCALITY TF.tp1Erity
LICENSE NO r0-
NEAREST
PERMIT FEES CROSSST r�r1b81.di Ave.
OWNER R. I'„ Gorman
NUMBER TYPE OF FIXTURE OR ITEM FEE
� MAIL
WATER CLOSET (TOILET) @ O 501S I ADDRESS S-- -e --a above
BATH TUB @ O 50 L CITY TEL NO
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ O 50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK @ O 50 I CFRTIFY THAT I POSSESS HE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 I ANGELES COUNTY LICENSE OR I AM THE LEGAX OWNER
OF THE RESIDENTIAL ROPCRTY D SCRIBED ABOVEI
GAS SYSTEM OUTLETS @ O 501
SIGNATURE
WATER HEATER @ O 50 PERMITTE
SLOP SINK @ O 501 INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50
DISHWASHER OF O 50
DRINKING FOUNTAIN @ O 50
URINAL @ O SOI W
H
HOUSE SEWER @ O 50 I Q
U_
MISCELLANEOUS .J
1 Beater Softener 50 �
I
I
I
APPROVALS
IDATE INSPECTORS NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 00 CESSPOOL �I
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( @ 1 00 SEWER
PERMIT I 1 00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE $ 1 50
FINAL
reAear rr 9 TI9 15 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
c�
PLUMBER ,, a Lf t,4 RECEIVED)Bp
)READY FOR DATE ISSUED
F IRST INSPECTION
ADDRESSL+.d'"G�+L��- 1 C 4.o�+�•tG-�l.C, �t'G/��`���. !e'
fy{ �y qtr
CITY /„+v�-p�rL TCL No (1t,,z to ADD EISS ® t, I8/!1„t7
COUNTY T LOCALITY ..
LICENSE NO EXPIRES NEAREST 1
PERMIT FEES CROSS ST/ -(12-11-,,4.4
12-11r/1
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER/` ,o ►^^� tr�y(�/j'Ip�y`�(( ,,
MAIL
WATER CLOSET (TOILET) Q O 50 $� ADDRESS F! of 1 J /f
BATH TUB @ O 501 I CITY y i1Y+ t -Q f TEL NO r�- 4F("6
SHOWER Q O 50I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVEIS CORRECT AND
LAVATORY (WASH BASIN) @ O 50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK Q O 50 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RCSIDENTYAL'PROPERTY DESC IBED ABOVE t
GAS SYSTEM OUTLETS Q O 501 SIGNATURE O �� � 11t }i
WATER HEATER @ O 501 PERMIT -��i�1�lA� �'�' ! /
4
SLOP SINK @ o Sol I INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN Q O 501
DISHWASHER @ O 501
DRINKING FOUNTAIN Q O 501
URINAL @ O 501 _I
HOUSE SEWER Q O 501 z
1 MISCELLANEOUS I lh �c�f.sT ) a
I I�
I
I
APPROVALS
DATE INSPECTOR 5 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1 00 I I CESSPOOL
SEPTIC TANK I I SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1 00 I SEWER
PERMIT I 1 00 GAS TEST
I UTILITY CO NOTIFIED
TOTAL FEF $ f
FINAL
"xeei +y a wo T APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
PLUMBER RECEIVED BY READY FOR DATE ISSUED
i
FIRST INSPECTION
ADDRESS '-L ,�' �c�a ~
ADDRESSD NG D N. 4 C-,.iv ,C
CITY Jt,TEL//NO //�� + n/y�
COUNSE NO XJRES LOCALITY �/`✓11-P Lam. r ! F/
NEAREST � �
PERMIT FEE CROSS ST �' 'E 1[/iB'' /A4-}k J
l�'!�'JQ
NUNBER I TYPE OF FIXTURE OR ITEM FEE OWNER - A/
R1AIL
O ("/1//' S Z5
I WATER CLOSET (TOILET) Q O 50 I$ I ADDRESS pp//�� !u� Cl `o �f�' / ( /
BATH TUB Q O 50 1 I CITY ,./W 11-� / TEL NO / A / b1 X41
SHOWER Q O 50 I I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q O 50 -1 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 CCRTIrY THAT-1 POSSESS THE ABOVE VALID LOS
1 LAUNDRY TUB OR TRAY Q O 501 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
,,r,
GAS SYSTEYI OUTLETS Q O 501 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
I
SIGNATURE OfF
I WATER HEATER Q O 50 PERMITTEE
SLOPSINK Q O 501 1 INSPECTION RECORD
FLOOR SINK Q O 50
1 FLOOR DRAIN Q O 501
F= DISHWASHER Q O 50I
il DRINKING FOUNTAIN O 501
URINAL a O 501 J
HOUSESEWER Q O SOI I Q
MISCELLANEOUS I (�
0
I I�
I�
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING
1 GAS VENT
CESSPOOL Q 1 00I CESSPOOL
SEPTIC TANK 1� SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1 00I I SEWER
PERMIT I 1 00 GAS TEST
I TOTAL FEE I $ / I Q UTILITY CO NOTIFIED ik 113p �i�g�I•�
FINAL
t
' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SPL�1 RJNGn�P,E.�RMTT�
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PLC 0508g00U7_190008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID
FEES P ILD D S
TR 6561 LT 56 6043 AGNES V
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801708
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GARIBALDI
5385 027 005 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY
05 BACKFLOW DEVICE(S) 2 00 DEV 32 40
TENANT 07 BATHTUBS/SHOWERS 4 00 FIX 64 80 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
11 CLOTHESWASHER(S) 1 00 FIX 16 20 07/19/00 UT 01/16/01
_ 13 DISHWASHERS) 1 00 FIX 16 20
OWNER TEL NO 21 HOSE BIBB(S) 2 00 FIX 32 40 FINAL DATE FINAL BY CODE
GONG, JING (626) 665 5668 25 LAVATORIES/SINKS 3 00 FIX 48 60
6043 AGNES AV 45 WATER CLOSET/URINAL 3 00 FIX 48 60 4!M2 V I
TEMP 917801708 47 WATER HEATER(S) 1 00 WTH 16 20 DESCRIPHON UF WOR
51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 PLUMBING FOR KITCHEN LAUNDRY AND BATHROOMS
_
APPLICANT TEL NO TOTAL FEES 319 35
SAME AS OWNER
SPECIAL CONDITIONS
CONTRACTOR
TOWNER TEL NO ®� ����� APPROVALS DATE INSPECTOR SIGNATURE
SAME A
LIC NO UNDER SLAB WORK 36l�
WATER SERVICE OO
L'-
PLASTIC Y/N METAL Y/N
RCHITE R ENGINEER L NO
HAN, FREEMAN (626) 796 5899, I i ✓ \\� ROUGHPLUMBING
9051 VALLEY BLVD #104 LIC NO '// {
ROSEMEAD, CA 91770 C21976 ,fJ ( 11 GAS PIPING
GAS VENT
NN I � i �
- - -- 'i
Cr.' 7\�n�lOot CD �� �
HOT WATER HEATER
J
PLUMBING FIXTURES
/ AWN SPRINKLERS
61
Z/7 �1 GAS TEST
TILITY COMPANY NOTTRED
VV
B�' ®� CRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0007190008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 6561 LT 56 6043 AGNES AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801708
ASSESSOR FOR NEAREST CROSS STREET GARIBALDI
5385 027 005 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY
05 BACKFLOW DEVICES) 2 00 DEV 32 40
TENANT 07 BATHTUBS/SHOWERS 4 00 FIX 64 80 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
11 CLOTHESWASHER(S) 1 00 FIX 16 20 07/18/01 UT 01/14/02
13 DISHWASHER(S) 1 00 FIX 16 20
OWNER T L NO 21 HOSE BIBB(S) 2 00 FIX 32 40 FINAL DATE FINAL BY CODE
GONG JING (626) 665 5668 25 LAVATORIES/SINKS 3 00 FIX 48 60
6043 AGNES AV 45 WATER CLOSET/URINAL 3 00 FIX 48 60
TEMP 917801708 47 WATER HEATER(S) 1 00 WTH 16 20 DESCRIPTION OF WOR
51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 PLUMBING FOR KITCHEN, LAUNDRY AND BATHROOMS
TOTAL FEES 319 35
APPLICANT NO
GONG TEL
SPECIAL CONDITIONS
CONTRACTOR TEL NO ®tea ��11,� APPROVALS DATE INSPECTOR SIGNATURE
LLOYD SONAR CONSTRUCTION (909) 350 2724
P 0 BOX 2095 LIC NO UNDERS B WORK
FONTANA CA 92335 678641 B
WATER SERVIC
i PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER TEL NO
HAN, FREEMAN (626) 796 5899/ ROUGH P UMBING
9051 VALLEY BLVD #104 LIC NO /� lllllll
ROSEMEAD CA 91770 C21976r, GAS PIPING
J
�\ C V1��K� A VENT
U O L� HOT ER HEATEW
PLUMBING
1
0 OLAWN SPRINKLERS
GAS TEST
��! ❑ �� UTILITY COM
CwV
GRAY WATER S ST
REPORT ID DPR263 ROUTE TO BS0508