HomeMy Public PortalAbout9526 BLACKLEY ST_Plumbing__ 7
DBS-17 10•SS - APPLICATION FO PLUMBING PERMIT
DBS-1
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST LIT
OWNER --C� - DISTRIGRP I ZONE I READY FOR INSPECTION
MAIL ..
ADDRESS e
INDUSTRIAL
CIT TEL NO WASTE APPROVAL
PLUMBER INSPECTION REC RD
ADDRESS - 1-- o HILI-�
CITY TEL. NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
If WATER CLOSET (TOILET) @ $1 00 $
BATH TUB @ $1 00 '
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $100 ,
CLOTHES WASHER @ $100
WATER HEATER @ S100
GAS SYSTEM ,@ $1 00
APPROVALS
DATE 1 SPECTOR'S SIGNATURE
• UNDER SLAB WORK 11
PERMIT S 1 00 ROUGH PLUMBING
GAS PIPING -
TOTPL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I 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
_
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST k N
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL. PROP€RTY•
SIGNATURE
OF PERM IT-rEEW4eat adA 4
^ FINAL
r
JOHN A, LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CH 1d 0. CASH
L&-.1,;9 O O-R OCT 31' 3 8.O 0 �,
78A867-CE#877 4-87 /n1<2� �
APPLICATION. FOR PLUMBING PER IT IILJII
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
:BUILDING AND SAFETY DMSION 7BDJOHN A. LAMBIE, COUNTY ENGINEER E. laGkley
{(,,��COLEMAN W. JENKINS SUP T OF BUILDING Tem le City
FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM EACH FEE 7 _.
WATER CLOSET $1.25 1 a c kl e
MAIL b-
BATH TUB 1.25
ADDRESS 26 E.-
SHOWER 1.25 CITY Temple city TEL. N0. 287-4283
LAVATORY 1.25 CONTRACT94Ullen Water Heater E
SINK ADDRESS 2143- F.-.Huntington 1)riv6
DISHWASHER 1.25 ,CITY_ L uar.t e TEL. NO. 358-1189
STATE LIC
LAUNDRY TUB 1.25 LICENSE NO2081 QCLASS
CLOTHES WASHER 1.25 DISTRICT NO. GRO ZPNE PIRCICESigeD
WATER HEATER 1.50 INDUSTRL&
a
GAS-SYSTEM OUTLETS 1.50 WASTE APPROVAL
V
OUTLETS OVER 5 PER'SYSTEM 30 INSPECTION RECORD
O
U
W
a
z
' APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT- $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
_,TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT CRAVE READ THIS APPLICATION GAS VENT
AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
Ll .ERE.Y,
n
CERTIFY'THAT I AMPROPERLY REGISTERED AND/OR PLUMBING FIXTURESS REQUIRED BY LOS ANGELES COUNTY AND STATE OFGAS TEST OR THAT I AM TME LEGAL OWNER OF,ANO INTEND TOTHE ABOVE DE9 RIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
EITTEE FINAL ��2� l_d*,4w
VALIDATION JACK R. ALLEN
M O CASH SUPERVISING MECHANICAL ENG'R.
= - ;2sssem- ;> 12 5 D 4.75N
t
76A667 17 25M SETS 7-48 APPLICATION FOR PERMIT
. �i3ERARTMENT OF BUILDING AND SAFET
COUNTY OF LOS ANGELES 1
I WILLIAM J. FOX, CHIEF ENGINEER PLUMBING
ERMIT NO.
FOR APPLICANT TO FILL IN D R T D. GRO P
1 l ? l7ac
PLUMBER READY FOR
RECEIVED Y DATE I93U EED
FIRST INSPECTION
ADDRESS i
CITYTEL. No JOB O
ADDRESS
COUNTY j / 7
LICENSE NO.
2' EXPIRES / G
LOCALITY
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEAREST
ANGELES COUNTY LICENSE. —C ROSS ST..
OWNER _
MAIL
PLUM6ER ADDRESS
PERMIT FEE IS $1.00 FOR THE FIRST FIXTURE OR CITY TEL. No.
ITEM LISTED BELOW, PLUS 50c FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE.
$1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH
GAS SYSTEM IS A SEPARATE ITEM.
OWNER
NUMBER TYPE OF FIXTURE OR ITEM
/ WATER CLOSET (TOILET) CORRECTIONS
BATH TUB
SHOWER
I LAVATORY (WASH BASIN)
KITCHEN SINK
LAUNDRY TU® O TRAY
EM
GAS SYSTOUTLETS
WATER HEATER \
SLOP SINK J
FLOOR SINK Z
FLOOR DRAIN L7
DISHWASHER Q'
O
DRINKING FOUNTAIN
• URINAL
MISCELLANEOUS
APPROVALS
D1A�TE[/ INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL
SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK
CESSPOOL $ SEWER
HOUSE SEWER $ GAS TEST
TOTAL FEE $ UTILITY CO.NOTIFIED
'•'r' cINAL
76A667C (CE-81713) -9/75
APPLICATION FOR PLUMBING PERMIT
BUILDING D SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING �+ ' Q�`
NUMBER FIXTURE OR ITEM @ FEE ADDRESS -/ c�
WATER CLOSET LOCALITY
BATH TUB NEARET
I
CROSSSST.(.r LJ - Q
SHOWER3 .0a OWNER
LAVATORY MAIL
ADDRESS C
SINK C I TY r TEL NO.62
Q�
DISHWASHER CONTRACTOR
CLOTHES WASHER r
ADDRESS///,-,-) �,
SWIMMING POOL RECEPTOR
CITY TEL NO
LAWN SPRINKLER SYSTEM
STATE '7 LIC � '
WATER HEATER LICENSE NO �` �q� CLASS a
O
DISTRICT NO. GfF ZONE PRO ESSE BY v
GAS SYSTEM OUTLETS q�.{9 C=
OUTLETS OVER v
5 PER SYSTEM INDUSTRIAL w
WASTE APPROVAL
r L7
INSPECTION RECORD Z
Plan check fee
PLUMBING PERMIT ISSUING'FEE $ J.
TOTAL FEE
Plan check applicant �(?
4
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel No 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
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
REST OE IN THE ABOVE DESC RESIDE TIAL PROPERTY UTILITY CO NOTIFIED
SIGNATU RE
OF PERMITTEE FINAL +If✓�
PLAN CHECK VALIDATION CK M.0 CASH PERMIT VALIDATION CK. M.0.
W'
4.4'5c-APR 1 45 , 7.5'Q o
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1101180012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID I BUILDING ADDRESS 1
ITR 14572 LT 62 I 9526 BLACKLEY ST 1
IFEE DESCRIPTION QUANTITY UOM AMOUNT 1 TEMP CA 917803142
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 1
18590-007-027 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J4 LOCALITY. TEMPLE CITY, Cl
1 147 WATER HEATER(S) 1 00 WTH 16 30
ITENANT I TOTAL FEES 44 10 (ISSUED ON PROCESSED BY PLAN BY
1 101/18/11 SR 1
1OWNER TEL NO I IFINAL DATE FINP4, BY CODE 1
IHAYTON, BETTY (626) 287-4283- I Ifi�-( I
19526 BLACKLEY ST I I
ITEMP 917803142 I I ESCRIPTION OF WORK I
1 (REPLACE EXISTING WATER HEATER I
(APPLICANT TEL NO
(RESCUE ROOTER (626) 858-9284- 1 I I
1475 E ARROW HWY I (SPECIAL CONDITIONS I
IAZUSA, CA 91702 I I I
(CONTRACTOR TEL NO. 1APPROVALS DATE INSPECTOR SIGNATURE 1
(RESCUE ROOTER (626) 858-9284- 1 1 I
1475 E ARROW HWY LIC. NO I IUNDEF: SLAB WORK 1 1
IAZUSA CA 91702 765155 C36 I I I I I
I IWATEL SERVICE I
I IPLASTIC Y/N METAL Y/N I I I
(ARCHITECT OR ENGINEER TEL NO I I
I - I IROUGH PLUMBING I I
LIC NO
IGAS PIPING
I I IGAS VENT I I
I I (HOT WATER HEATERI 6a
IPLUMBING FIXTURES I
ILAWN SPRINKLERS
IGAS TEST I
(UTILITY COMPANY NOTIFIEDI I I
ICwv I
I (GRAY WATER SYSTEM I
I I I I I I
I I I I I I
1 IREPORT ID DPR263 ROUTE TO BS0508 I I
I I I I I I
, r
•
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS- 9701 LAS TUNAS PL 0508 1007060019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID. FEES PAID I BUILDING ADDRESS-
ITR 14572 LT 62 1 9526 BLACKLEY ST
I - IFEE DESCRIPTION QUANTITY. UOM: AMOUNT. ( TEMP CA 917803142 1
(ASSESSOR INFORMATION NUMBER: I - I , NEAREST CROSS STREET. CLOVERLY
18590-007-027 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID J4 LOCALITY. TEMPLE CITY, Cl
I 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 30 1 1
ITENANT I TOTAL FEES 44 10 JISSUED ON PROCESSED BY. PLAN BY -1
1 1 107/06/10 SR
(OWNER TEL NO- 1 _ IFINAL DATE FINS BY: CODE
)HAYTON, BETTY (626) 281-4.283-
19526 BLACKLEY ST
ITEMP 917803142 1 IDtSCRIPTION OF WORK
I - (REPLACE FORTY FEET OF DETERORATING GAS PIPING FROM METER BOXI
ITO FRONT OF HOUSE I
(APPLICANT. TEL NO- I
)GOOD DAY PLUMBING INC.. (626) 285-8080- 1 1 1
19729 E. LIVE OAK AVE 1 ISPECIAL CONDITIONS _ 1
ITEMPLE CITY CA 91780 1 I
ICONTRACTOR TEL NO. (APPROVALS DATE INSPECTOR SIGNATURE 1
IGOOD DAY PLUMBING, INC. (626) 285-8080- 1
19729 E. LIVE OAK AVENUE LIC. NO I (UNDER SLAB WORK I I
ITEMPLE CITY, CA 91780 565485BC36
I I, IWATER SERVICE 1 1 I
I I' IPLASTIC Y/N METAL Y/N I I
(ARCHITECT OR ENGINEER- TEL. NO-
1 - i TROUGH PLUMBING I I
1 LIC. NO I D 1
I I (GAS PIPING
I IGAS VENT
I I
I _ I IHOT WATER HEATER I I I
-A I I
I IPLUMBING FIXTURES I
I I. I
ILAWN;SPRINKLERS I -
I IGAS TEST I I
I I I
I I )UTILITY COMPANY NOTIFIEDI I
I ICWV t I I
. (GRAY WATER SYSTEM
I
II I I I I I
I IREPORT ID DPR263 ROUTE TO: BS0508 I ) 1 1