HomeMy Public PortalAbout10832 ARROWOOD ST_Plumbing__ D.B.S.-17 25M SETS 12-4s APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF IAS ANGELES �`� �� �
Wm. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP; =LONE .i PERMIT NO.
— i
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL II SEPTIC TANK RECEIVED BY READY FOR DATEISSUED
., FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
E NAME
----------------------- A D D R E59-- - ----_--- --
W
ADDRESS LOCALITY
J NEAREST
IL CITY TEL.NO. CROSS ST.
COUNTY -- ---- -+
CERT. NO. EXPIRES 6 i NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 I
ADDRESS
NORTH 0 ----._.._----------.__._----_.---
- --^- -- - CITY TEL, No. _
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
AM THE LEGAL OWNER OF THE PROPERTY DESCRIBKD
ABOVE.
N
;I • OWNER
1
i
CORREC'T'IONS
SOUTH -- �—
a
DESCRIPTION OF WORK --------- ------"- ---- z
BATH TUB FURNACE _ ~
G7
H
SHOWER DISHWASHER _--- - ----_----`-- O
LAVATORY REFRIGERATOR
KITCHEN SINK _WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
.WASH TRAY URINAL APPROVALS
—_ WATER CLOSET — DRINKING FOUNTAIN DATE INSPECTOWS NAMH
WATER HEATER DENTALLAVATORY ROUGH PLUMBING
METER GAB SODA FOUNTAIN GAS PIPING I 4
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSFOOI SEPTIC TANK SEWER !
UTILITY CO. NOTIFIED
TOTAL FEE I
I FINAL
o�ry�
76A667 OBS 17 11-SO - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ' im
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENOINEER
DISTRICTOUPO .
FOR APPLICANT TO FILL IN
PLUMBER GENERAL INSTALLATION CO RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 311 E. 80th STREET L. A. 3 Vr\
PLeasant 3-2541 BUILDIN1310832 Iti. Arrowwood
CITY TEL.No. ADDRESS
COUNTY 399
LOCALITY
LICENSE NO. EXPIRES
NEAREST Dalewood Ave.
PERMIT FEES CROSS ST. 7T (�1p�fY
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 71V L. "�Li�l•
f MAIL AS above
WATER CLOSET(TOILET) a 0.50 0 ADDRESS
BATHTUB @ 0.50 CITY Temple City TEL No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL CO-LINTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL ROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50 `-
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTE
SLOP SINK @ O.SO INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50 -
DISHWASHER 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 'J
Q
_-.- — --HOUSE.-SEWER -- `-----@`-Oc'50 - = --- -- - ------ - --_.- -- - ---= Z_,.,_ ---
MISCELLANEOUS L7
1— Water Softener 0
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1;00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE `E; 1 5 0 s
FINAL Z - LY' �'�rI
76A667-CE0V7 "4-64
COUNTY OF LOS ANGELES Ld
DEPARTMENT OF COUNTY ENGINEER °gUILD1NG
BUILDIJOHN NG AND �FETY DIVISION OUNTY ENGINER ADDRES Zg
WILLIAM.A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST �
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE _
r OWNER �.
WATER CLOSET $1.25 S
BATH TUB 1.25
ADDRESS /If
a
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
CONTRACTOR'SSTATE ElLAUNDRY TUB 1.25 REGISTRATION N COUNTY ❑
a
CLOTHES WASHER 1.25 DISTRI T NO. GROUP ZONE P SED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1'� INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
a 2 f � I�►� c�' -s-r 0
a
Tv� Lu
V�
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING V
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LIGATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DE BED RE� IDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE C,/�
OF PERMITTEE 1
FINAL
VAL W") ROBERT A. WOOD'
M.0.
CK. M.0. / CASH JSUPERVISING MECHANICAL ENG'R
Li X0.1 6 7 2 i4 AY 17 5 D 4.5 00- N,
C6UNTY OF LOS ANGELES TEMPLE CITY # 0508 PL ".S?3U IERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0708 0;'.08190019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 917u0
PHONE: (626) Ls C 88 EXT:
ILEGALI : - SES PAID " BUILDING ADDRESS:— -
TR: 14020 LT: 30 10832 ARROWOOD ST
i PEE DESCRIPTION: L?Li=;i<TITY: L'OM: v'•!^LNT:I TEMP CA 917803517
IA.SSESCR INFORMATION NUMBER: ! NEAREST-CROSS STREET:
1817/+- 06-008 01 'EitIaIT ISSUANCE FEE L7.''S i THOMAS PAGE: 597 GRID: D4 LOCALITY: TE14PLE LCITY, C
j 51 LOW PRS GAS' 5 OUTLET 1.00 SYS 16.20
'T0.1ANs: TOT L FEES 43.95 ! =SUED ON: PROCESSED BY. PLAN BY: EXPIRES
I 10%9/19/04 JK 02/15/05'
TEL. NO: FINAL DATE ''4t_ SY. CODE•—�
!NUNS_ IRENE N TR IRENE N NUNEZ TRUS (818) 444-3840- ,
j-_ 9 17S93517 j_DES RIPTI W K
I y IGAS LINE FOR NEW HEATING AND AIR j
jM1_
PPLIC TEL. NO:
'COMFORT CLIMATE CONTROL (626)815-1632-
j1U17t4i. F:?OTHILL BL iSrE:CTAL CO`.DITIONS: —�
�.^.;!!!SA, CA 91702
(APPROVALS "A' c- INSPECT0R S'',;,.ATli?'i-
!COMFORT CLIMATE CONTROL (626) 815-1632-
11017 W FOOTHILL BLVD LIC. NO I ilNDER. SLAB WORK
AZUSA; CA 91702 641060/11 C
IIi !WATER SERVICE
i ` RI jPLA`.'TIC Y/N METAL Y/N _—--
;ARC
i17c 67 ENGINEER: _E 7 10 j
MSINGING
!� t
;GAS 'v_N�
lHOT iiATER HEATER
j tt-LL'IbING FIXTURES ;
i.A NSPRINKLERS j
I i ',:?ILITY COMPANY NOTIFIED j.
j I GRAY WATER SYSTEM _--�—i
I
I * ADDITIONAL DATA ON FILE I .
REPORT ID: DPR263 ROUTE TO: SS0508 ! L —
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