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HomeMy Public PortalAbout9170 CAMINO REAL AVE_Plumbing__ DBS-17 APPLICATION FOR PLUMBING PERMIT 1 D69-17 DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING /�{ /� p JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS % /�(/ CASSATT D. GRIFFIN,SUP'T OF BUILDING LOCALITY �� a• FOR APPLICANT TO FILL IN CROSS sT. . OWNER DISTRICT NO. b�ROUP ZONE READY FOR INSPECTION MAIL ADDRESS49-CC / // INDUSTRIAL CITY V TEL. NO. WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS CITY TEL. NO. ^ (o LICENSE NO. 414�1 NUMBER TYPE OF FIXTURE OR ITEM FEE U. ` WATER CLOSET (TOILET) @ $1.00 $ -T X70 r,2WEA' BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 — DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 1 APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK ' f PERMIT $ 7 00 ROUGH PLUMBING / 7 1 GAS PIPING TOTAL FEE GAS VENT 1 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 LICENSED AS REQUIRED BY LgSj ANGELES OUNTY AND STATE OF CALIFORNIA OR THAT/1A H 0 F THE ABOVE UTILITY CO.NOTIFIEDDESCRIBED RESIDENTIP SIGNATURE _ OF PERMITTEE - FINAL JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR CASH j S.0 0 76A667-CE817-11-57 4 Y APPLICATION FOR PLUMBING PERMIT 4 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County. Engineer ADDRESS / r CASSATT D. GRIFFIN, Sup t of Building LOCALITY Cr" FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY (� .T', TEL. NO. LAVATORY CONTRACTOR SINS ADDRESS DISHWASHER CITY . ri ( TEL. NO. CONTRACTOR'S STATE LAUNDRY TUB REGISTRATION NO. a COUNTY ❑ CLOTHES WASHER DISTRICT NO. GROUP ZONE READY FOR INSPECTION WATER HEATER GAS SYSTEM INDUS IAL WASTE APPROVAL INSPECTION RECORD l APPROVALS @ $1.00 PER ITEM OR FIXTURE $ DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 00 ROUGH PLUMBING TOTAL FEE N 6,6, GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST 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)PROPERTY. / SIGNATURE lr) I` �' FINAL 1 OF PERMITTEE ." ' /i ROBERTA.WOOD. ©F VALIDATION SUPERVISING MECHANICAL ENG'R CK. M.O. CASH f 11k l -i APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUN'T'Y ENGINEER BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TY F£1 NEAREST CROSS ST. NUMBER FIXTURE OR ITEM • FEE WATER CLOSET 1.75 OWNER MAIL BATH TUB 1.75 ADDRESS SHOWER 1.75 C ITY � L TEL. NO. LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESS P, Sox DISHWASHER 1.75 -17 CITY TEL NO. CLOTHES WASHER 1.75 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT N0. GROUPZONE P OCESSED BY LAWN SPRINKLER SYSTEM 1.78 ,D / y WATER HEATER 1.75 WASTRT %OVAL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD OUTLETS OVER 90 5 PER SYSTEM Plan check fee S•. Reverse PLUMBING PERMIT ISSUING FEE 8 3 Do TOTAL FEE APPROVALS D TE IN CTOR'B a TUR[ Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. NO. GAS VENT HOT WATER HEATER I HEREBY ACKNOWL[DSI< THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY 0RDINAXCKS AND STAT[ LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRE Y LOS ANGELES COUNTY AND S OF CALI FORNIA OR THAT I A THE L[ AL OWNER OF, AND T D TO REBID[ IN THE ABOVE S RISE ID[NTI PROPER FINAL 510NA TU RE OF PERMITTEE PERMIT IDATIONcK. M.O. CASH PLAN CHECK V ATION CK. M.O. CASH 1 4 9 773 5. 5 D 825.- V OS 1 DEPARTMENT OFLPIBL,IC�ENOM 9701LLEACIT�S. 0508 P0508 990ER11T 6 BUILDING AND SAFETY / LARD DEVELOPMENT TEMPLE CIT CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: fthS PAID WILD449-1MESS TR: 11993 LT: 1 9170 CAMI FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GAB- ;wO NEAREST CROSS STREET: OAK 5382-012-038 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY O7 BATHTUBS/SHOWERS 1.00 FIX 16.20 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSM PROCESSED BY: PDgf-NT-- EXPIRES 45 WATER CLOSET/UtINAL 1.00 FIX 16.20 05/18/99 . UT 11/14 TOTAL FEES 76.35 OWNER: TEL. NO: FINAL DAT E: CHEN CHIEN MIN•DONG LIAN W (818) 287-1086- 9170 CAM I NO REAL SGAB 917752010 PLUMBING FOR BATHROOM APPLICANT: -TEE'. No SAME AS (AMER - SPECIAL CONDITIONS: OS P�GELES coCONTRACTOR: TEL. NO: �� APPROVALS DATE INSPECTOR S TURE SAME AS OWNER Ty LIC. NO UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL YIN ARCHITECT DR. ENGINEER: . LIC. NO. GAS PIPINGGAS YENT HOT �ATER HEATER LoUC WA 00 [H K LAWN SPRINKLERS GAS TEST lb UTILITY WNPANY NOTIFIEN /J O 0 Service Tt'at REPORT ID: DPR263 ROUTE TO: RS0508