HomeMy Public PortalAbout10324 FREER ST_Plumbing__ 76A667A7 ,
FIE 817 IREV.6/76)
is
• APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE( ADDRESS
LDING NUMBER
Z'LI2�✓ �ST_
NUMBER FIXTURE ORITEM @ FEE LOCALITY �jJN•rG� &I r-%/
WATER CLOSET
NEAREST
BATH TUB CROSS ST - A 1,62 w CIA, (�7
SHOWER OWNERMAIL
LAVATORY ADDRESS U 3 2'�1 ►� ��
SINK CITY TEL NO, LIQ-_� 776
DISHWASHER CONTRACTOR
2'r iia L, Poo!,,
CLOTHES WASHER ADDRESS /�'s
r SWIMMING POOL RECEPTOR CITY �^ _ TEL NO y�'-c83
LAWN SPRINKLER SYSTEM .STATE eG�p�,L ^�
LIC
WATER HEATER LICENSE NO 2i'p7� V CLASS
G—S 3
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT
29
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST B14:;!�— S
Plan check fee UTILITY CO NOTIFIED g
PLUMBING PERMIT ISSUING FEE$
TOTZ FEE FINAL
Plan check applicant PLAN CHECK VALIDA�ON/
C —�
Name C &/N/�l. b I(
Address O. r3lb1C 113-0
City /ar2C^ OP Tel No �r7,3
V3
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION,
•I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL '
PROPERTY C7 O 0 ft0
O O O (1�D
SIGNATURE —+ O O O CA
OF PERMITTEE
4�����Xyu C3' —+ ° o W
DISTRICT NO P ESSED BY I o Q
S, UBr v o o
0 0 o u, �
INDUSTRIAL CH.
WASTE APPROVAL
76A667 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
FOR APPLICANT TO FILL IN I R ROUP O
PLUMBS P�2ay 1 REr,01VED BY READY FOR DATE ISSUED
ADDRESS FIRKION
or / BUILDING
_CITY zLZI. TE L, Np, �r�r�,jADDRESS !'
COUNTY z LOCALITY 1
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST. p .
NUMBER TYPE CF FIXTURE OR ITEM FEE OWNER Z ^/`�/f.M
MAIL
WATER CLOSET(TOILET) 0.50 $ ADDRESS
BATH TUB 0.50 CITY TEL. No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) (I?? 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE •LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50 ��"
SIGNATURE EE 1>y�
WATER HEATER @ 0.50 PERMITTEE ' ////7777////���'
BLOP BINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 •J
a
HOUSE SEWER @ 0.50
MISCELLANEOUS (7
O ,
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 ¢JQ CESSPOOL I I vY7 I'�JmMIY
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE s 'q J
FINAL
7'dA667 17 5-50 Ik APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM.J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBESO r r�095/T/O'i Y �.' _ RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS [��yy rQ r ✓ to �`l
O(fl-" BUILDING
CITY / TEL. N �. (� ADDRESS /IS�j �( /(it+�✓Y orc
COUNTY o LOCALITY .0
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSSST.
NUMBER TYPE OF FIXTURE OR ITCM FEE OWNER .�/G'S • �'n. s 7 yt/f��"/7 r v>•'�
MAIL
WATER CLOSET (TOILET) @ 0.50 $ I V ADDR �3 /Cl'Q�0 /vim(
BATHTUB @ 0.50I I CITY, ".S��I �'�-'r-'i TEL. NO4 �� �•� �/
p I SHOWER @ 0.501 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 TB APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
r I hh STATE LAWS REGULATING P MBING.
_ KITCHEN SINK Q 0.50 V 1 CERTIFY THAT I/p08 SS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LL ENS OE AM THE LEGAL BED ABOVE. OWNER
OF THE RESIDENTIALP
GAS SYSTEM _OUTLETS Q O 50 ,,JJ 0
SIGNATURE OF/
WATER HEATER @ 0.50 I PERMITTE,V
SLOPSINK @ 0.501 INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN @ 0.50
1 1
DISHWASHER Q 0.501
DRINKING FOUNTAIN
URINAL @ 0.50 ,J
HOUSE SEWER @ 0.501 i z
MISCELLANEOUS
0
I
I
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 I CESSPOOL
SEPTIC TANK: I SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT , I 0 GAS TEST
UTILITY CO. NOTIFIED
I TOTAL FEE
FINAL
r 76A667—CE8174-68
APPLICATION FOR PLUMBI G PER '
COUNTY OF LOS ANGELES.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
1032 . Freer
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT OF BUILDING Temple City
FOR APPLICANT TO FILL IN (PR NT OR TYPE) Arden
NUMBER FIXTURE OR ITEM EACH FEE
OWNER R.F. Lugo
WATER CLOSET 1.50 MAIL
BATH TUB 1.50
ADDRESS 10321 Freer
SHOWER 1.50 CITY Temple City TEL. NO. 448-5739
LAVATORY 1.50 CONTRACTOR PACIFIC-'INSTALLERS INC.
SINK 1.50 ADDRESS 10920 E. Grand Ave.
DISHWASHER 1.50 CITY Temple City TEL. NO. 442-7070
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. 2'11,98 CLASS C-20
SWIMMING POOL RECEPTOR 1.50 DV ICT�,,,., GROUP ZONE
(Jl C�J(J�S�
LAWN SPRINKLER SYSTEM 2.00
WATER HEATER 1.50 0 INDUS IAL
WAST APPROVAL
GAS SYSTEM OUTLETS 1.50 INSP ON REC D
OUTLETS OVER .30
5 PER SYSTEM
6LA
0-
W)
Plan check fee 25% of above. See reverse.
PLUNIBING PERMIT ISSUING FEE S 2 00
TOTAL FEE 3.50
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER '
LANSTATE
BY ACKNOWLEDGE THAT I HAVE READ TH15 APPLICATION
TE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY PLUMBINGFIXTURES
LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
G.EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
D ASREQUIRED BY LOS ANGELES COUNTY AND STATE OF
NIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
N,THE ABOVE DEG RIBED R SIDENT L PROPERTY. FINALUREJACK R. ALLEN, SUPERVISIN CHANICAL ENG'R.
RMITTEE
PERMIT VALIDATIO CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
2'2 5 0