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HomeMy Public PortalAbout9471 BLACKLEY ST_Plumbing__ r 76A667Ar « CE 817,IREV 6/781 APPLICATION FOR PLUMBING, PERMIT • y COUNTY OF LOS ANGELES BUILDING AND SAFETY ' FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING -614 71 ADDRESS NUMBER FIXTURE,OR ITEM ® FEE LOCALITY WATER CLOSET NEAREST BATH TUB _ CROSS ST SHOWER OWNER LAVATORY MAIL ADDRESS I ADDRESS Lf SINK CITY TEL N DISHWASHER CONTRACTOR CLOTHES WASHER -ADDRESS SWIMMING POOL,RECEPTOR CITY TEL NO r!O LAWN SPRINKLER SYSTEM STATE /� Z' LIC U v 0 G WATER HEATE ��e _ LICENSE NO , CLASS C—3 GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST -' OAF Plan check fee UTILITYCO NOTIFIED PLUMBING PERMIT ISSUING,FEE$ (}� TOTAL FEE FINAL Plan check applicant PLAN CHECK VALIDATION Name Address City Tel No I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES y " AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION I HEREBY CERTIFY THAT 1 AM PROPERLY REGI ED AN OR ICENSED AS REQUIRED BY LOS ANGEL OUNTY AND STATE OF CALI ORNIA OR AT I AM THE LEGAL OWNER OF AND TE TO RESI IN THE ABO ESCRI D RESIDEN L ¢r7 rl O /1 PROPERTY - ! 7 fV • SIGNATURE #;0 O O O O 5 '• OF PERMITTE , 2 16,0,0 DISTRICT N PROC D BY ;0 0 0 1 6,00 INDUSTRIAL �0 WASTE APPROVAL i3OUNIY OF LOS ANGELES icevLiz -ITY 4 3503 PLUMBING PERVI- DEPARTMENT OF PUBLIC WORKS 9701 LSCS TUNIS PL 0508 0410180OC4 BUILDING 4ND SAFETY / LAND DEVELOPMENT TEMP'" 'l TY CA 91780 X626) 285-0488 EXT: LEGAL ID: FEES EL' '~^ECS: ON FILE 9471 BLACKLEY ST FEE DESCRIPTION: QUANTITY: tk)'4: AMOUNT: TEMP CA 917803158 ASSESSOR INFORMATION NUMBER: NEAREST CRrSS STREET: CLOVERLY 8590-004-015 01 PERMIT ISSUANCC FEE 27.75 riG7AS PAGE: 596 GRID: J4 LGCALITY: TEMPLE CITY, Cl 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 EN 25 LAVATORIES/SIrBCS 1.00 FIX 16.20 I M—Eff�- PROCLSSED Y: PLAN BY: EXPiR S 0 : 45 WATER CLOSET/URINAL 1.00 FIX. 16.20 10/18/04 JK" Ou/16/05 � 64 WATER PIPNG <= 11/2 1.00 LIN 16.20 /r%1 OWNER: TEL. N(,: TOTAL FEES 92.55 FINAL DATE g y' B CODE : BOELE NANCY E TR NANCY E BOELE TRUS AI 9471 BLACKLEY ST TEMP 917803158 DE CRIPT1751.1 0,= ;.OR PLUMBING FOR N&I BATHROOM APPLICANT: EL. 0: SAME AS OWNER SPECIAL CUNDITIGNS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER _ LIC. NO DER SAF+.i 0: WATER SERVICE RCHITECT OR ENGINEER: TEL. NO: — PLASTIC YIN METAL Y/N LIC. N0: ROUGH PLUI3ING W GAS PIPING � GS VENT OT WATER HEA PER P UM INS Fi�TU:ES LAWN SPR7NKL RS GTS TEST UTILITY CC'-0PANY NOTIFleD CWV GRAY WATER SYs EM REPORT ID: DPR263 ROUTE TO: BS0508 t 7BAEa7: » a-no M APPLICATION FOR PERMIT „,..��DL-PARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER im FOR APPLICANT TO FILL IN DISTRICST NO. GROUP I ZONE PERMIT NO. 106'(0D FONTANA PLUMBING CONTRACTORS RECEIVED BY READY FOR DATE ISSUED PLUMBER _ FIRST INSPECTION 344 � arvty Monterey Fark, a T ADDRESM I'lanti6 2J 4654 �T T-.-T'_^.:•iSfl{ c-,�4cn �,QI BUILDING 1,(L E IT V CITY TEL NO. ADDRESS COUNTY LOCALITY LICENSE NO EXPIRES ' ` f NEAREST C Ao V eR 0. ,cwe PERMIT FEES • cRoss sr. \� /!�'Y NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER `� P �/ /Y S MAIL / WATER CLOSET (TOILET) (a) O 50 S -ADDRESS)_ll f BATH TUB Q O SO CITY TEL. NO. SHOWER ® O 50 1 {41ZREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) Q O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK O 50 STATE LAWS REGULATING PLUMBING. I 'CERTIFY THAT I POSSESS THE ABOVE VALID LOS 1 LAUNDRY TUB OR TRAY © O 50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ O 50 SIGNATURE OF •WATER HEATER Q O 50 PERMITTE'Jm_ SLOP SINK Q o 50 INSPECTION RECORD FLOOR SINK Q O 50 1 1 FLOOR DRAIN Q O 50 I DISHWASHER Q O Sol DRINKING FOUNTAIN Q O 50 URINAL O 501 I _J HOUSESEWER Q O so, I Q z MISCELLANEOUS I � 0 I I I 1 I f I� • I� APPROVALS DATE INSPECTOR'S NAME 1� ROUGH PLUMBING 1” GAS PIPING 1 GAS VENT CESSPOOL @ 1 OOI CESSPOOL SEPTIC TANK SEPTIC TANK _ 1 DRAIN ( ) PIT ( ) Q 1 00I SEWER PERMIT, 1 00 GAS TEST >� UTILITY CO NOTIFIED I ,TOTAL FEE $ y�o FINAL