HomeMy Public PortalAbout9520 BLACKLEY ST_Plumbing__ DBe8710.55 APPLICATION FOR PLlJ IVIBIIVG 'PEI�IVIIT vv
DIVISION OF BUILDING AND SAFETY � *
Department of County Engineer
County of Los Angeles BUILDING MNIHISIR�
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESSCASSATT D.GRIFFIN,SUP'T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN I NEAREST
_ CROSS ST
OWNER \ ` DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER ,%I1�/�' INSPECTION RECORD
ADDRESS �-
}/
CITY / 11 TEL. NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $100 $
BATH TUB - @ $100
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $100
CLOTHESWASHER @ $100
WATER HEATER @ $1 00,
GAS SYSTEM @ $1 00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
'
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST 'SCo
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGALOW�• OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL OPE Y -
SIGNATURE
OF PERMITTEE FINAL
JOHN A L AMBIE. COUNTY ENGINEER VALIDATIONROBERT A LOD, CHIEF PLBG. INSPECTOR
CK. Al.0. SH '
-LG-2-3 8 5 cv 15 3 2.00
f
76A667 CES17 5/70
APPLICATION FOR PLUMBING PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ADDRESS Cl- CJ6 r7�--� / cJ
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JEIVKINS. SUP T of BUILDING LOCALITY � /fPL�C ��
FOR APPLICANT TO FILL IN (PR NT OR TYPE) ROSS ST. L
NUMBER FIXTURE OR ITEM EACH FEE 4 /
OWNER �. �� /��
WATER CLOSET 17-F MAIL r
BATH TUB 1 0 ADDRESS1..
SHOWER 1. 0 CITY TEL. NO.
LAVATORY 1 0 CONTRACTOR 0
SINK 1 0 ADDRESS
DISHWASHER 1 0 CITY TEL. NO.
CLOTHES WASHER 1. 0 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1. 0
DISTRICT NO. G P E ESSED BY
LAWN SPRINKLER SYSTEM 2 0Q
WATER HEATER 1 0 - INDUSTRULL
WASTE APPROVAL Q
GAS SYSTEM OUTLETS 1. 0 J INSPECTION RECORD
OUTLETS OVER ^ "
5 PER SYSTEM 30 / ¢ O
C..
• N
z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 9 2 000
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address - GAS PIPING W— q--72 Rw,a.�
GAS VENT
City Tel. NO. HOT WATER HEATER
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ALATHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH
COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
S REQUIRED BY LOS ANGELES COUNTY AND STATE OF '
OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO _
HE ABOVE IB D R-SIIIDDEENTIAL PROPS FINAL
`�
E JACK R. ALLEN, SUPERVISING MEC LAICAL
ITTEE e
PERMIT VALIDATION c� CASH^
PLAN CHECK VALIDATION CK MO CASH
c>a _
LA o ��.�, MAP , D 5
eAPPLLCATL®LV - FOR PLUMBING -PERMIT
,7 12.54 7 - '
\� DMSION OF BUILDING AND SAFETY
` Department of County Engineer
County of Los Angeles ;
WM.J. FOX. COUNTY ENGINEER BUILDING @�
ADDRESS (J
CASSATT D. GRIFFIN, SUPT OR BUILDING t
LOCALITY
FOR.APPLI NT TO FILL IN NEAREST
CROSS ST
• C
OWNER DISTRICT NO I GAUP I ZQNE AEADY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY 0 TEL WASTE APPROVAL
PLUMBERet INSPECTION RECORD
ADDRESS .G . �, N U� Y C`a-�•A �'Cv"` aT
CITY
TEL NO.
LICENSE NO. / v r/ ��•
NUMBER TYPE OF FIXTURE OR ITEM FEE •O Z -
WATER CLOSET (TOILET) d _A_-_ ,
BATHTUB - �'�. c A :C•�.
-SHOWER �-
LAVATORY (WASH BASIN) O _
KITCHEN SINK
DISHWASHER '+�t• •*a•'-� --
LAUNDRY TUB OR TRAY
CLOTHES WASHER ,
1
TOTAL NO. @ O 80 —,Z O APPROVALS
^^QQ DATE INSPE9TOR•S SIGNATURE .L
GAS SYSTEM OUTLETS @ 1 00 � UNDER SLAB WORK H O I Nh
fWATER HEATER @ 1.00 00 ROUGH PLUMBING (Z =S �C J-I�nA A-,.--
PERMIT $ 1 00 GAS PIPING
TOTAL FEE U GAS VENT
I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION HOT WATER HEATER 11 _
LY
WIITHALL COUNTYORDINANCES ANDSTATE AWS
STATE THAT H E ABOVE IS C S CT D AGREE EGU ATTO ING PLUMBING FIXTURES Z�_ —5,6
PLUMBING -
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORGAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED
CALIFORNIA OR THAT I AM THE LEGAL *OWNE OF T E ABOVE _ ^
DESCRIBED RESIDENTIAL P PERTY. II ,
SIGNATURE
OF
IOF PERM ITTEE FINAL l C�Pv.I �T U,-AII�Ll
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
4 l'i:�' WV 3.0 3 5.4_ O
BY _
�EPUTY
0
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 -"'�'"4�{� PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS - P-L_0508-9808240050
BUILDING AND SAFETY / LAND DEVELOPMENT - TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
--LEGAL ID• FEES PAID BUILDING-ADDRESS:
TR: 14572 LT: 61 9520 BLACKLEY-ST -
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: -TEMP-CA 917803142
ASSESSOR NFO ATIONNUMBER: NEAREST CROSS STREET: CLOVERLY
8590-007-026 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED B PLAN BY: EXPIRES ON:
08/24/98 UT 08/24/99
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
DEREIGHN VICTOR C;EDITH G TR (818) 286-6508-
9520 BLACKLEY ST
TEMP 917803142 CR PTI N OF WORK
C CHANGE-OUT-WATER HEATER
APPLICANT: TEL. NO:
PRIORITY ONE PLUMBING HEATING (800) 310-2349-
8944 GLENOAKS BLVD. SPECIAL CONDITIONS:
SUN VALLEY, ,CA �SLES
CONTRACTOR: TEL. NO: ®� APPROVALS DATE INSPECTOR"SIGNATURE
PRIORITY ONE PLUMBING, HEATING, A, (818) 252-0344-
8977 GLENOAKS BLVD. LIC. NONDDTISLAB WOR
SUN VALLEY, CA 91351 700928/C36
® A WATERiSERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT R EER: TEL. 0: 9
ROUGH PLUM G
LK. N0:
GAS PIPING
AS VENT
�� C W0V � 0RKS HOT WATER HEATER
PLUMBING FIXTURES
O co
0 0 LAWN SPRINKLERS
15 �® UTILITY COMPANY NOTIFIED
(�U CWV
r c GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508