HomeMy Public PortalAbout10318 FREER ST_Plumbing__ 76A667C (CE-8178) -9/75 '
APPLICATION FOR PLUMBING PERMIT
BUIL G AND SAFETY D ISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING 1JJ p E FREER STREET
NUMBER FIXTURE OR ITEM @ FEE ADDRESS 10
WATER CLOSET
LOCALITY TEMPLE CITY
BATH TUB NEAREST
CROSS ST.
SHOWER OWNER ANTHONY T,TTTZZT
LAVATORY MAIL
ADDRESS 10318 E. FREER STR$ET^
SINK CITYTEMPLE CITY TEL. No. 44 _ 1
DISHWASHER
CONTRACTOR AQUATIC
CLOTHES WASHER ADDRESS 101 E. HUNTINGTON DRIVE
SWIMMING POOL RECEPTOR co
✓✓ cIrYARCADIA TEL. NOj+46-21661
LAWN SPRINKLER SYSTEM
STATE 315620 LIC C_53
WATER HEATER LICENSE NO. CLASS y
a.
DISTRICT NO. UP ZON P OCESS BY
GAS SYSTEM OUTLETS v U
OUTLETS OVER 6 U I�✓� O
5 PER SYSTEM INDUSTRIAL V
WASTE APPROVAL 1y
INSPECTION RECORD N
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE Q
Pian check applicant
Name APPROVALS DATE IN_S.P TOR'S SIGNATURE
UNDER SLAB WORK f
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.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF GAS TEST Oma'
CALI FORN IA .OR THAT I AMT LEGAL OWNER , AND INTEND TO
RESIDE IN THE ABOV SC D RESIDENTIA P T UTILITY CO NOTIFIED
SIGNATU RE
OF PERMITTEE FINAL
PLAN CHECK VAODATION CK. M.O. CASH PERMIT VALIDATION M•0. CASH
17''-3 r:Sgp 14 .5 .0 1-05-0 Aub
neaee7 17 s-Bo APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER '
FOR APPLICANT TO FILL IN DISTRF NO. GROUP ZONE PERMIT NO.
J�(J ?E/'e/t1)�
PLUMBER C% Z9 REC LVED BY READY FOR DATE ISSUED
/OO �� a FIRST INSPECTION D✓��Com/
ADDRESS �7 V
CITY // /"d h /v TEL. NO( �' d� ADDRESS
c j ,j
COUNTY ��/ ,// LOCALITY '� '/�/4
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES cRoss sIV
/jf/ / )
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNE !.�' ICJFxr ~�'�^^" d 11
IcI MAIL
WATER CLOSET (TOILET) tQ 0.50 s ADDRESS
BATH TUB Q 0.501 ,, 1 <�D y
CITY aSad itlrl TEL. NO." /
SHOWER a 0.501 HEREBY ACKNOWLEDGE THAT 1 AVE READ THIS
LAVATORY (WASH BASIN) [+ 0.501 V v APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
f
KITCHEN SINK rt 0.501 ,O STATE LAWS REGULATING PLUMBING.
f r 1 CERTIFY THAT_- POS ESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY c O 50 I ANGELES COU NTYi1IC S 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL ESCRIBED ABOVE.
GAS SYSTEM- 3—OUTLETS 0.501 J'o SIGNATURE/i�;
I I WATER HEATER @ 0.501
PERMI�TTE
SLOP SINK @ 0.501 INSPECTION RECORD
FLOOR SINK tCil 0.50 I
J FLOOR DRAIN @ 0.50
DISHWASHER og 0.501
DRINKING FOUNTAIN Q 0.501
URINAL a 0.501 I J
HOUSE SEWER a 0.50 I I a
Z
MISCELLANEOUS
I �
I� 0
I�
APPROVALS
DATE pp INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL tail 1.00 I CESSPOOL
SEPTIC TANK: I SEPTIC TANK
DRAIN ( ) PIT ( ) n 1.001 SEWER
PERMIT . oGAS TEST
UTILITY CO. NOTIFIED py
TOTAL FEE
/ FINAL
V
76A667A (C.9 6178) -11/77 ` �I
APPLICATION FOR PLU M B ING PERMIT
BUILDING AN AFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDRESS
/ WATER CLOSET LOCALITY T1P4rn P443 C ITl'1NEAREST
BATH TUB C OSS ST go,Mo a 2
SHOWER 3 OWNER R_ �Z
LAVATORY MAIL
ADDRESS
SINK CITY TEL NO
DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL NO
LAWN SPRINKLER SYSTEM
STATE LIC
WATER HEATER LICENSE NO CLASS
GAS SYSTEM OUTLETS DISTRICT NOG UP ONE OCESSED BY
OUTLETS OVER 15- 0 w '3 _I O
5 PER SYSTEM INDUSTRIAL V
WASTE APPROVAL C
INSPECTION RECORD el t3
U
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTALFEE .i
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING /
City Tel No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES HOT WATER HEATER
AND STATE LAWS REGULATING PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY EGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES TY AND ST TE O LIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF,AND NTETO SDETHE AB DESCRIBED RESIDENTIAL
PROPERTY UTILITYCO NOTIFIED
r
SIGNATURE _
OF PERMITTEE FINAL
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK. M o CASH
21 o`r'lAR 2*3 '5 1 6.0 0 g
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1003180032
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID. -' FEES PAID I BUILDING ADDRESS:
ITR: 15874 LT: 4 I 10318 FREER ST
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803442 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-019-004 101 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I I
(TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
I 145 WATER CLOSET/URINAL 1.00 FIX 16.20 103/18/10 SR 03/18/11 1
I 1 TOTAL FEES 76.35 1 1
(OWNER: TEL. NO: 1FINAL DATE FINAL BY: CODE:
HWANG TONY C;FRANCES (626) 448-1149- 1r,�` 1
110318 FREER ST. � -
1TEMPLE CITY CA 91780 DESCRIPTION OF WORK
I 1PLUMBING FOR 3/4 BATHROOMIJI
I
(APPLICANT- TEL. NO: 1 I I
SAME AS OWNER -
I ISPECIAL CONDITIONS:
ICONTRACTOR. TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
1SAME AS OWNER _ - I I I
I LIC. NO I (UNDER SLAB WORK I I
I (WATER SERVICE
PLASTIC YIN METAL YIN I
1
1ARCHITECT OR ENGINEER: TEL, N0:
I 1ROUGH PLUMBING
1 1
LIC. NO: 1 I
I I 11
IGAS PIPING I
I I I
I IGAS VENT 1 I I
A I I
1 IHOT WATER HEATER I I
I I I
1 _ I IPLUMBING FIXTURES I I 1
I 1 1LAWN SPRINKLERS
I I I
I IGAS TEST I I
I I I
(UTILITY COMPANY NOTIFIED( I
I - ICWV I 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
1REPORT ID: DPR263 ROUTE TO: BS0508 I I
I I I I I I