HomeMy Public PortalAbout9141 EMPEROR AVE_Plumbing__ 76A667 (CE-817)-4/72
APPLICATI FOR OLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO BUILDINGZ-7, &W Q
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
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FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM @ FEE OWNER ✓�G� �R-(,��
WATER CLOSET 1 75
MAIL
BATH TUB 1 75 ADDRESS
SHOWER 1 75 CITY 5R/fL TEL NO �! - ZS
LAVATORY 1 75 CONTRACTOR
SINK 1 75 ADDRESS
DISHWASHER 1 75 CITY L NO
CLOTHES WASHER 1 75 STATE LIC
LICENSE NO CLASSI
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO GROUP NE CESSE BY
LAWN SPRINKLER SYSTEM 1 75V_I
WATER HEATER 1 75 INDUSTRIAL i
WASTE APPROVAL
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GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD V
OUTLETS OVER 30 t O
5 PER SYSTEM
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1
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR s sIrNAT�RE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
C 1 ty
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 REGULAJING GAS TEST
PLUMBING
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
L
REQUIRED BY LOS ANGELES COUNTY AND STATE OF
OR THAT I AM THE LEGAL OWNER OF, AND INTEND_7O
E ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL
ITTEE
PERMIT VALID T N CK M O CASH
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PLAN CHECK VALIDATION CK M 0 CASH
11 MIr s a ��� �;� 14 5 D 4 .75
7GA667 17 S-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY L
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FI L IN DISTRICT NO GROUP ZONE PERMIT NO.
III �� �- 19-/ �"� I 0 6
PLUMBER l RECEIVED BY READY FOR , DATE ISSUED
I�� � FIRST INSPECTION
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ADDRESS 4 -// /
a Q. BUILDING
CITY L>L TEL NO ,� a�`b' ADDRESS
COUNTYLOCALITY
LICENSE NO EXPIRES v
NEAREST
PERNIIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 0
MAIL
WATER CLOSET (TOILET) @ O 50 $ ADDRESS
J I BATH TUB @ O 50 CITY TEL NO
SHOWER @ O 50 I� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 l� 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
t= 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 �l ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
GAS SYSTEM-1-OUTLETS@ O 50 ,.-n
SIGNATURE OF
WATER HEATER @ O 501 PERMITTEE
SLOP SINK @ o so INSPECTION RECORD
FLOOR SINK @ O 50
l I
FLOOR DRAIN @ O 50
1 1
DISHWASHER @ O SO
l I
DRINKING FOUNTAIN @ O 50
URINAL @ O so „J
HOUSE SEWER @ O 50 Z
MISCELLANEOUS _0
O
APPROVALS
DATE INSPECTORS NAME
ROUGH PLUMBING ! I Q
i
GAS PIPING
GAS VENT
CESSPOOL @ 1 00I CESSPOOL
SEPTIC TANK SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1 OOI SEWER
PERMIT 1 Oo GAS TEST
UTILITY CO NOTIFIED /1
TOTAL FEE $, �®
FINAL 4
�45M SETS 7-48 I APPLICATION FOR PERMIT
TMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTR
0. GROUP I ZONE .
PLUMBER READY FOR
RE IVED BY DATE ISSUED
�IeE MABEL MONTEREY PARK AT 1.5418 FIRST INSPECTION -L—/]�
ADDRES6 �
CITY TEL. No JOB
ADDRESS _
COUNTY
LICENSE NO EXPIRES
LOCALITY
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEAREST �1
ANGELES COUNTY LICENSE. CROSS ST n
OWNER
EMAIL
PLUMBER r1 ADDRESS /
PERMIT FEE IS $1 00 FOR THE FIRST FIXTURE OR CITY /�( (:!/LTEL No
ITEM LISTED BELOW, PLUS SOc 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 OO MINIMUM FEE FOR ANY PERMIT $1 00 EACH
GAS SYSTEM IH A SEPARATE ITEM.
OWNER
NUMBER TYPE OF FIXTURE OR ITEM
WATER CLOSET (TOILET) CORRECTIONS
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
LAUNDRY TUB OR TRAY
�r
GAS SYSTEM OUTLETS
WATER HEATER
SLOP SINK J
FLOOR BINK Z
FLOOR DRAIN [9
DISHWASHER
O
DRINKING FOUNTAIN
URINAL
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL
SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK
CESSPOOL $ SEWER
HOUSE SEWER $ GAS TEST
TOTAL FEE
c UTILITY CO NOTIFIED
$
FINAL +\
' \ I
•J COUNTY OF LOS ANGELES TEMPLE CITY # 0508 Pt'UMB�INL GP4ERjM T
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS cEt- 508 0010050Q32
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT
LEGAL ID FEES PAID BUID
NG-ADDRESS:
TR: 11990 LT 9 F91411NEMPEROAV
FEE DESCRIPTION: QUANTITY• UOM: AMOUNT. SGAB-CA'91'7MO18
ASSESSOR FO ATNUMBER- NEAREST CROSS STREET OAK
5382-012-030 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
ENANT• TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES 0
10/05/00 UT 04/04/01
OWNER: TEL NO: FINAL DATE FINA?Y: CODE:
CHEN;MEI YING
9141 EMPEROR
SAN GABRIEL, CA D SCRIPT F WORK
GAS LINE FOR HVAC SYSTEM
APPLICANT. TEL. NO
NORMAN LIU SER. CORP (626) 579-1559-
4901 ARDEN DR SPECIAL CONDITIONS:
TEMPLE CITY, CA
��y,GELES CO
CONTRACTOR: TEL. NO � �/� APPROVALS DATE INSPECTOR SIGNATURE
NORMAN LIU SERVICE CO (818) 579-1599-
4901 ARDEN DR LIC NO UNDER SLAB WORK
TEMPLE CITY CA 91780 559374 C10
WATER SERVICE
A PLASTIC Y/N METAL Y/N
C T ENGINEER: N0:
ROUGH PLUMBING
LIC NO / lllllll
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PLLN48ING FIXTURES
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❑ ® ®g UTILITY COMPANY IFIED
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GRAY WATER SY M
REPORT ID DPR263 ROUTE TO. BS0508