HomeMy Public PortalAbout9174 FORTSON DR_Plumbing__ D.B.s:iv nm secs-wl-46 APPLICATION FOR PERMIT
-DEPARTMENT-OF BUILDING AND SAFETY
COUNTY .OF LOS ANGELES � �
Wm.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION , DISTRICT NO. GROUPI ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE _
RECEIVED
BY READY FOR DATE ISSUED
HEATER• CESSPOOL SEPTIC TANK /7/ S%/� FIRST INSPECTION i7/D� y
GAS MISCELLANEOUS 1'
APPLICANT FILL IN HEAVILY OUTLINED(p PORTION ONLY
JOB
0: NAME 614 J az""(, /--oJ ADDRESS'ADDRESS LOCALITY
�IAJr'3 G (�GC�C�Q//" / SCC �' LOCALITY
Aye/ / /�/. �} y �/ /�j NEAREST
A
CITY .N6�. �- ^..-�',. F! TEL.,NO. : f / ! •! CROSS ST. :SIS-i���';-i•;�,
COUNTY /�J
CERT.No. `7 ��/ EXPIRES •� NAMES- �L.c..�,:1
LOCATION OF SEPTIC TANK, OR CESSPOOL
Z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER t
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
D
"I OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK z
/ HATH TUB FURNACE U'
SHOWER DISHWASHER O
/ LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP 1
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
_WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY I
- ROUGH PLUMBING
METER__4o3_GAS SODA FOUNTAIN
OUTL GAS PIPING
1
GAS VENT I 1
CESSPOOL I I
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CEBSPOO�-• SEPTIC TANK d SEWER I I n
��_ UTILITY CO.NOTIFIED I I I
TOTAL FEE
FINAL
D.B.S.17 25M SETS 2-47 APPLICATION FOR PERMIT
DEPARTMENT"OF B$ILDING AND SAFETY '
COUNTY OF LOS ANGELES PLUMBING .
WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE sO�d 3
HEATER
RECEIVED BY READY FOR DATR ISSUED
CESSPOOL I-I SEPTIC TANK FIRST INSPECTION S� 2
AS MISCELLANEOU 6.
APPLICANT FILL IN-HEAVILY OUTLINED
PORTION ONLY
JOB
NAME ADDRESS---
m ADDRESS � LOCALITY ! V
� y �$` NEAREST U
4 CITY iCd i TEL.N&y/ d� Y CROSS ST. 'V
COUNTY �-
CERT.No. EXPIRES NAME wLv
LOCATION OF SEPTIC TANK, OR.CESSPOOL = MAIL ` )/�+,
3 ADDRESS �1--S`•.'/A
NORTH O
CITY / TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIIIF ATION.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRI- ED
ABOVE. Y
3 OWNER
CORRECTIONS
------------------
SOUTH
• J
DESCRIPTION OF WORK a
_z
BATH TUB' FURNACE L�
R'
SHOWER DISHWASHER p
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTALLAVATORY ROUGH PLUMBING I I
METEQ GA8 SODA FOUNTAIN
OUTL GAS PIPING I i
GAS VENT I I
CESSPOOL I I
�-TOTAL NUMBER OF FIXTURES SEPTIC TANK
'ESSPOO� SEPTIC TANK SEWER
S l9� UTILITY CO.NOTIFIED I I I I
TOTAL FEE
FINAL I \1 v
76A667-CE817-8-58' Job 473
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS 911.4 Fortson
CASSATT D. GRIFFIN, Supt of Building LOCALITYTe=le'City Calif.
FOR APPLICANT TO FILL IN NEARESx
CROSS ST. IAa
NUMBER FIXTURE OR ITEM
OWNER McKee. "
WATER CLOSET MAIL
I 1 BATH TUB ADDRESS
SHOWER CITY . TEL. NO.
] LAVATORY CONTRACTOR
SINK ADDRESS 11900 E. Garvey Blvd.
DISHWASHER CITY El Monte TEL. NO. GjUN ATE JN
36
LAUNDRY TUB 'REGISTRATION NO. 179568 ATI� 19
TY
CLOTHES WASHER DISTRICTNO. GR`O�UP' 1,7ZE _ SSEN
WATER HEATER
] GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
n - INSPECTION RECORD
Leo T 5 r1JA,
APPROVALSCa � � �
OR FIXTURE ER d $
DATE
ry INSPECTOR'S SIGNATURE
4.00 UNDER SLAB WORK 21S S 9 I
PERMIT $ ?-100 ROUGH PLUMBING
TOTAL FEE GAS PIPING ()
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
x 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 / SIJ-ID- r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST L e,
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE �, UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTE rz FINAL
ROBERT A.WOOD.
OF V LIDATION SUPERVISING MECHANICAL ENG'R
CK. M.O. CASH
su 2 s A 6.00
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1201090007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 14396 LT: 43 1 I 9174 FORTSON DR I
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT. 1 TEMP CA 917801322 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15382-016-023 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.30 I 1
ITENANT 125 LAVATORIES/SINKS 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY. I
145 WATER CLOSET/URINAL 1.00 FIX 16.30 101/09/12 SR I
I TOTAL FEES 76.70 1 1
(OWNER 'TEL. NO: I IFINAL DATE FINAL BY: CODE: I
ILAMSAM JOHN S;DIANA Y (213) 785-4108- 1 1
19174 FORTSON DR
ITEMP 917801322 ID S RIPTION OF WORK
I
I I IPLUMBING FOR ONE BATHROOM REMODEL I
I I I I
1APPLICANT: TEL. NO: I
ISAME AS OWNER
I ISPECIAL CONDITIONS: 1
I I I I
I I I I
I I I i
ICONTRACTOR: TEL. NO 1 1APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I .. I
I LIC. NO I 1UNDER SLAB WORK I I I
I I I I I I
I (WATER SERVICE 1
I I 1PLASTIC Y/N METAL Y/N I I
(ARCHITECT OR ENGINEER: TEL. NO: I I 1 1 I
I I IROUGH PLUMBING 110�1
LIC. NO: I I - I l l
IGAS PIPING
I I I I I I
I I IGAS VENT I I I
I I 1 11 1
I IHOT WATER HEATER I I I
I I II' I I
I IPLUMBING FIXTURES
LAWN SPRINKLERS 1 I
I I I I I I
I IGAS TEST I
I I I - 11 I
I (UTILITY COMPANY NOTIFIED( I I
I I I I I I
I I ICWV I I I
I 1 I I I
1 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 I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 1 1
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