HomeMy Public PortalAbout9213 BLACKLEY ST_Plumbing__ 78A887 -CE#817 5/69
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIMION ADDRESS 21 Blakeley
JOHN A LAMBIE COUNTY ENGINEER
CROSS
WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY Temple Citi
' FOR APPLICANT TO FILL IN NEAREST
CROSS sr
NUMBER FIXTURE OR ITEM EACH FEE
OWNER E. Hannah
WATER CLOSET $1 25 MAIL
BATH TUB 1 25 ADDRESS same
SHOWER 125 CITY TEL NO At.71844
LAVATORY 125 CONTRACTOR Pacific Installers
SINK 125 ADDRESS 10920 E Grand
DISHWASHER 1 25 CITY Temple City _ TEL NO 4422-1234
CONLAUNDRY TUB 125 REGISTARAi ON NO 211898 COUNTY ❑
CLOTHES WASHER 125 DISTRICT NO GROUP ZQIVE PR SED BY ,
1 WATER HEATER 1 50 1• 0 J (��j ) f,
-OUTLETS diDUSTRIAL O_
GAS SYSTEM
I� WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD
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replacement
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a
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT s 2 00 UNDER SLAB WORK ,}� r
ROUGH PLUMBING 1
TOTAL FEE 1 3.kO GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Q"
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY GAS VENT yy�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST r
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN,THE ABOVE DE8CRI ED RESIDENTIAL P PERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE ��/! �..-r•
" FINAL
LIDATION ROBERT A�WOOD
cCK// M O CASH SUPERVISING MECHANICAL ENG R
LAAO 6 3 1 2 MAR 6 5 D 3.5 0-
Q
�-IARTX"TT
OF COUNTY ENGINEER PLUMBING t
ION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING `�1 ��
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS �` 1-� \ �_C P%.A
FOR APPLICANT TO FILL IN LOCALITY j C.
BUILDING /�'/i �71n // NEAREST
CROSS ST 7"' V1 C- k
ADDRESS 7 �. G/���� Y DISTRICT NO GROUP ZONE PERMIT NO
LOCALITY
NEAREST
CROSS ST //�� K1RE,CEIVED BY Ready for Inspection DATE ISSUED
OWNER x/41016 „ J, a0
MAIL INDUSTRIAL`I
ADDRESS WASTE APPROVAL
CITY TEL No INSPECTION RECORD A
PLUMBER � -7 � A �- '�L• �� "��'/�-'° �v.
ADDRESS 2 6 �_ — Zn 4�°� ORgr
CITY S. l TEL �9.Ql e v C* r+
zcr 7=" 0 STATE C G��' a�4✓ '7"� s7 L c
LICENSE NO 634 6-30-54 n COUNTY
lll� AE
PERMIT FEES J
Q
n Z
JUM9ER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 080 $
BATH TUB @ 080 n, a
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0 80
l KITCHEN SINK Q 080
LAUNDRY TUB OR TRAY @ 0 80
SLOP SINK @ 0 80
FLOOR SINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 080
DRINKING FOUNTAIN @ 080
URINAL @ 080
GAS SYSTEM j -OUTLETS @ 1.00 �D
WATER HEATER @ 1 00 L
MISCELLANEOUS
APPROVALS
D TE INSPECTOR'S SIGNATURE
UNDER SLAB WORK y� i
PERMIT $ 1 00 ROUGH PLUMBING l7 J
TOTAL FEE GAS PIPING p -
G
iHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI. GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXT RES
I HEREBY CERTIF 1 AM P Y REGI ERED
AND/OR LICENS S REQU D ANGELES OUNTY GAS TEST gym-
AND STATE 0 ALIFORNI M THE .AL OWN-
ER OF TH BOVE B DENTI E UTILITY CO NOTIFIED /-A 15
SIGN URE
OF RMITT
FINAL r u
76A667 DBS 17
CA 12-53
. r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0303270015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL - S PAID BUILDING
TR: 11492 LT 17 BL: .001 9213 BLACKLEY ST '
FEE DESCRIPTION QUANTITY: UOM: AMOUNT TEMP CA 917803137
T99MW INFORMATION NUMBER: NEAREST,CROSS STREET ENCINITA
8590-001-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS'PAGE: 596 GRID. J4 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED SS P PI ES .
21 HOSE BIBB(S) 1.00 FIX 16 20 03/27/03 JK 09/23/03
25 LAVATORIES/SINKS 1.00 FIX 16.20
OWNER: TEL. NO 45 WATER CLOSET/URINAL �=1,.OQ FIX 16 20L FINAL BY: CODE
PEREZ;GREG & CHRISTY (626) 286-2332- 47 WATER HEATER(S) 1.00 WTH 16.20 /�
9213 BLACKLEY 51 LOW PRS GAS 5 OUTLET, ,1.00o SYS 16.20 Z/
TEMPLE CITY 91780 'TOTAL FEES" 141.15 CR ON OF WORK
LU
PMBIN FOR ADDITION
APPLICANT:
MASTER REMODELERS (STEVE KYNE) (626) 960-2951-
2149 W GARVEY AVE SPECIAL CONDITIONS
WEST COVINA
CONTRACTOR: TEL NO APPROVALS DATE INSPECTOR SIGNATU E
MASTER REMODELERS (626) 960-2951-
2149 W. GARVEY AVE NORTH LIC NO UNDER L R
WEST COVINA, CA 91790 622749 HIC * /-/ L) 3
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT R ENGINEER: L. N0. ROUGH PLUMBING
LIC NO
GAS PIPING
S VENT
HOT WATER HEATER
PLUMBING FIXTURES
SPRINKLERSLAWN
GAS TEST
UTILITY COMPANY 0
cu
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508