HomeMy Public PortalAbout9048 EMPEROR AVE_Plumbing__ 76A667 (CE-817) - 1/75 /l"t 1-\1 ^ r' ' ( I G I-,,
APPLICATION FOR PLUM93ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION T
UILDING
MAKE CHECKS PAYABLE TO DDRESS 11 4 F.
HARVEY T. BRANDT, COUNTY ENGINEER
OCALITY --r�yY, ( I Cv _�
FOR APPLICANT TO FILL IN (PRINT OR TYPEI EARESTCROSS ST ��
NUMBER FIXTURE OR ITEM 2 O FEE OWNER C
WATER CLOSET
MAIL
BATH TUB 200 ADDRESS
SHOWER 2 00 CITY It TEL N —D
LAVATORY 200 CONTRACTOR
SINK 200 ADDRESS foci
DISHWASHER 200 CITY c d TEL NO LIQ_707o
CLOTHES WASHER 200 STATE LIC
SWIMMING POOL RECEPTOR 2 00 LICENSE NO b�I u O CLASS
DISTRICT NO GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 200 l d
r
WATER HEATER 200 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 200 INSPECTION RECORD a
OUTLETS OVER C:)
5 PER SYSTEM •30 V
O
Pian check fee See Reverse
I
PLUMBING PERMIT ISSUING FEES O
TOTAL FEE l
Plan check applicant � APPROVALS DATE INSPECTOR 9 SIGNATURE
UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO s�
RESIDE IN THE ABOVE DRI D RESII^D-ENTIAL PROPERTY FINAL
SIGNATURE j
OF PERMITTEE c
MMEM PERMIT VALIDATION CK M 0 CASH
PLAN CHECK VALIDATION CK M 0 CASH
8 4 nA�n�t. 1G 0 7.5
76A667-CE817 6-60
APPLICATION FOR PLUMBIN PERMIT" �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING p-
JOHN A LAMBIE. COUNTY ENGINEER ADDRESS O O
WILLIAM A JENSEN. SUPT OF BUILDING
LocALITY
FOR APPLICANT TO FILL INFT
CROSS ST.
NUMBER FIXTURE OR ITEM (/ r
OWNER
WATER CLOSET
ADDRESS
BATH TUB
CITY TEL .
SHOWER O
LAVATORY
CONTRACTOR l _ K _
SINK ADDRESS 40 r J
DISHWASHER CITY - TEL NO. [7
CONTBA OR'S ) { STATE p
LAUNDRY TUB REGISTRATION NO oC / COUNTY El
CLOTHES WASHER DISTRLQTNOr/ GROUP ZONE PROC EI3BY
WATER HEATER S I }U�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
P4
P4
O
U
m
O
a
/-IS41 IUI�Yi d?,-P4j7ee/1r,r-A/f 4
/I r,,M S —r47S-1 ?,-'�T0
$100 PER ITEM U
OR FDLTDAE $ APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE d d ROUGH PLUMBING
GAS PIPING
1 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 1 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 OF THE BOYE
DESCRIBED RESIDENTIAL�PB�RTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL A- 611
®a /VALIDATION ROBERT A WOOD,
cx 9 C. CASH SUPERVISING MECHANICAL E:NG'R
c1 0 9 s 16 s Q 3 .0 0 r
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1112120037
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID FEES PAID 1 BUILDING ADDRESS I
ITR 12504 LT 11 I 1 9048 EMPEROR AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I SGAB CA 917752040 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 1
15382-019-006 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID Hl LOCALITY TEMPLE CITY, Cl
1 121 HOSE BIBB(S) 1 00 FIX 16 30 I I
ITENANT I TOTAL FEES 44 10 11SSUED ON PROCESSED BY PLAN BY
I I 112/12/11 SR
1OWNER TEL NO I IFINAL DATEFIN BY CODE
ICHAING (626) 451-6229- I
19048 EMPEROR AV i I ��-� I
ISGAB 917752040 1 ESCR7 IPTION OF WORK
I IREPLACE HOSE BIBB
1APPLICANT TEL NO I I I
IRAZ GRINBAUM (818) 448-1355- I I
14759 KESTER AVE I ISPECIAL CONDITIONS 1
1SHERMAN OAKS 91403 I I I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I
ICLASSIC HOMES REMODELING (800) 243-8006- 1 1 I
1523 VENTURA.BLVD LIC NO (UNDER SLAB WORK I I I
IWOODLAND HILLS, CA 91364 611536 B I 1 I
IWATER SERVICE I
IPLASTIC Y/N METAL Y/N 1
(ARCHITECT OR ENGINEER TEL NO I I I I
1 - IROUGH PLUMBING I I
LIC NO 1 11
IGAS PIPING
GAS VENT
I I I
IHOT WATER HEATER I I
1 I IPLUMBING FIXTURES 1
I I ILAWN SPRINKLERS I 1
IGAS TEST I I I
I (UTILITY COMPANY NOTIFIEDI I I
I ICWV I
I IGRAY WATER SYSTEM
I I I I I I
I I I I I I
I I I I I I
I I I I I I
(REPORT ID DPR263 ROUTE TO BS0508 I I
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0002170004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEG ID S PAID BUILDING ADDRESS:
TR 12504 LT: 11 9048 EMPEROR AV
FEE DESCRIPTION QUANTITY. UOM AMOUNT SGAB CA 917752040
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET: ROSEMEAD
5382-019-006 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY
11 CLOTHESWASHER(S) 1.00 FIX 16 20
TENANT TOTAL FEES 43 95 SSU D ON PROCESSED 13Y PLAN BY. EXPIRES ON
02/18/00 VG 8/16/00
OWNER TEL. NO FINAL DATE FINAL B CODE:
CHAING, Al YEH (626) 445-6143- �7
9048 EMPEROR AV (�
SGAB 917752040 DE IP ON WO
PLUMBING FOR NEW LAUNDRY AREA
PPLICANT TEL. NO
SAME AS OWNER
SPECIAL CONDITIONS-
CONTRACTOR TEL NO: icy G,�LI co
APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER i
LIC NO � � UNDE B WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
RCHIT OR ENGINEER NO
ROUGH PLUMBING
LIC. NO
1111111 GAS PIPING
GA
G)UL'-/LO❑ W❑❑K❑ HOT WATER HEATER
PLUMBING FIXTURES
O 0 le- LAWN_ INKLERS
0 Al
I®1L
O0 **" GAS TEST l
❑ ®
UTILITY I COMPANY NOTIFIED
���• ❑ �1Oe� CWV
'C Service Vh'fi WATER SYSTEM
REPORT ID DPR263 ROUTE TO BSO508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBtI,NG0,PERMD
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS L 0508 0004270031
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL I • FEES PAID 1
TR 12504 LT: 11 9048 EMPEROR AIV `
FEE DESCRIPTION. QUANTITY. UOM AMOUNT AB CA 9•'hg752 40
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET ROSEMEAD
5382-019-006 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID: H1 LOCALITY TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43 95 ISSUED ON: PROCESSED BY- PAN BY EXPIRES ON
04/27/00 UT 0/24/00
OWNER TEL NO FINAL Of FINAL B CODE
CHAING, AI YEH (626) 445 6143
9048 EMPEROR AV
SGAB 917752040 DESCRIPTION OF WORK
GAS LINE (EXTEND EXISTING)
APPLICANT TEL. NO
SAME AS OWNER
SPECIAL CONDITIONS:
GS CO
CONTRACTOR TEL NO OCJ APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNERd
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER, T 0
ROUGH PLUMBING
LIC N0. ! 1111111
L � GAS PIPING
GAS
VENT
HOT WATER HEATER
[[LJJI LLL�� V v IuuJ Luul u ��JJ
PLUMBING FIXTURE
S 6 LAWN SPRINKLERS
29 o
0 Q �� GAS TEST
❑ ® ®y UTILITY C PANY NOTIFIED
D �
0 CWV
C `llervjce'Tba� GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BS0508
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