HomeMy Public PortalAbout10720 FREER ST_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY L
WILLIAM J. FOX, County Engineer
DISTRICT NO. GROUP ZONE • /(
FOR APPLICANT TO FILL IN
PLUMBER {nl i 17V PnlII I711Anr) DI il^A,-ij ',n r.n RECEIVED BY READY FOR DATE ISSUED (o
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ADDRESS qqnn I-AQ T V//`.I 1 �::-\1 1_-.1 ilr%
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- - - •---• �"""• BUILDING j� „,/O
CITY R0IF1•'F:I n TEL Na. ft-r X1
n 171 rl ADDRESS r` ` _
COUNTY 4 7 LOCAL:TY
LICENSE NO. ..J., EXPIRES r,_=•1_ 1:c
NEAREST
PERMIT FEES CROSS ST. 1//J
rUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
AIL
`NATER CLOSET(TOILET) 0 0.50 $ _ DDRESS
BATH TUB 0 0.50 CITY_ TEL. NO.
SHOWER 0 13.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) C.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE -VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS 9YHTEMOUTLETS @ 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOV
SIGNATURE OF
WATER HEATER 0 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 J
Q
HOUSE SEWER O.So Z
MIBCELLANEOUB E3
ly
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER /` ( �f
PERMIT 1.00 GAS TEST /d y jy y C�
• UTILITY CO.NOTIFIED lz?��
TOTAL FEE FINALi
7GA667 DBS##17 6-52 —
76A667 -CE#817 4-64
APPLICATION FOR PLUMBING PE IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING r
BUILDING AND SAFETY DIVISION ADDRESS %�� ^�j Q /-n�c-
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. PI e n
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER l,u CITY Te. TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS 7 D
DISHWASHER 1.25 CITY oONTRACTOR'S �d TEL. NO. 50.3
LAUNDRY TUB 1.25 REGIS RATION NO. a/J `a O d C 3 b STATE
COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GRO P
WATER HEATER 1.50 t f
1.50 INDUSTRIAL CL
GAS SYSTEM r OUTLETS a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
O
H
U
W
d
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING q
TOTAL FEE GAS PIPING t 7�
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF l�9 -�
CALIFORNIA OR THAT-I AMGAS TEST X4�17THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESC'R1 RE�SI ENTIRE PR � v. UTILITY CO. NOTIFIED /
Com„ /
SIGNATURE >I
OF PERMITTE
FINAL ! �• �����
�LIDATION ROBERT A. WOOD
M o CASH SUPERVISING MECHANICAL ENG'R •
�tLO 6 4- 7 4�, DEC 2 3 5 D 3.5 d
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• COUNTY OF -LOS'ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1007260031
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 17867 LT: 3 I 10720 FREER ST
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803405 I
(ASSESSOR INFORMATION NUMBER: I - _ I NEAREST CROSS STREET: 1
18574-001-003 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4. LOCALITY: TEMPLE CITY, Cl
1 125 LAVATORIES/SINKS ,1.00. FIX 16.30 I 1
ITENANT: 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 (ISSUED ON: PROCESSED BY: PLAN BY: I
TOTAL FEES 60.40 107/26/10 SR 1
10WNER: TEL. NO: 1 IFINAL DATE FINAL BY: CODE: 1
IRAGUSA MARGUERITE (626) 824-0897- 1
110720 FREER STI I
ITEMP 917803405 I IDESCRIPTION OF WORK 1
I I IPLUMBING FOR KITCHEN REMODEL AND GAS LINE FOR HVAC SYSTEM 1
1APPLICANT: TEL. NO: 1 1 1
IWORLDWIDE CONSTRUCTION INC. (818) 709-2424- 1 1 1
119327 VENTURA BLVD. I ISPECIAL CONDITIONS: 1
ITARZANA, CA 91356 1 1 1
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IWORLDWIDE CONSTRUCTION, INC. (886) 709-2424= I 1 1
119327 VENTURA BLVD #A LIC. NO I (UNDER SLAB WORK 1 1
ITARZANA CA 91356 891643 B I I 1 1
I I IWATER SERVICE I 1 1
I 1 1PLASTIC Y/N METAL Y/N 1 1 1
1ARCHITECT OR ENGINEER: TEL. NO: I I I I I
1 - I IROUGH PLUMBING //�/� /� I
LIC. NO: I 1 /qwe
IGAS PIPING
1 IGAS VENT I I I
IHOT WATER HEATER I I1
IPLUMBING FIXTURES I I 1
1 I ILAWN SPRINKLERS 1 1 I
EV IPaEu I I
1 1 IGAS TEST 1 1 I
1 /X ✓I/ (UTILITY COMPANY NOTIFIEDI I
✓ V CWV
I I 1 I I I
1 1 IGRAY WATER SYSTEM 1 I 1
I I I I I I
I I I I I I
I I I I I I
I I I I I I
1 IREPORT ID: DPR263 ROUTE TO: BS0508 I 1 1 1
I I I I I I
COUNTY OF LOS"ANGELES TEMPLE CITY #' 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1007220009
BUILDING AND SAFETY /-LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT
LEGAL ID. 1 FEES PAID BUILDING ADDRESS:
1TR: 17867 LT: 3 1 10720 FREER ST 1
1 1FEE DESCRIPTION: QUANTITY UOM: AMOUNT- 1 TEMP CA 917803405
(ASSESSOR INFORMATION NUMBER: 1 _ . NEAREST CROSS STREET:
18574-001-003 101 PERMIT ISSUANCE'FEE 27.80 1 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE'CITY, Cl
1 107 BATHTUBS/SHOWERS .2.00 FIX 32.50 J. 1
TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.30 JISSUED ON: PROCESSED BY: PLAN BY:
145 WATER CLOSET/URINAL 1.00 FIX 16.30. 107/22/10 SR
1 • 163 WATER PIPING BR/FIX 6.00 FIX 40.30 1 'I
1OWNER: TEL. NO: 1 TOTAL FEES 133.20 1FINAL DATE FINAL BY: CODE: 1
1RAGUSA MARGUERITE (626) 824-0897- 1
110720 FREER ST I1
1TEMP 917803405 1 1DESCRIPTION OF WORK 1
1 1PLUMBING FOR BATHROOM REMODEL AND REPIPING ALL HOUSE 1
1APPLICANT: TEL. NO:
1WORLDWIDE CONSTRUCTION INC. (818) 709-2424- 1 1 1
119327 VENTURA BLVD. 1 1SPECIAL CONDITIONS: 1
1TARZANA, CA 91356 1 1
I I
1CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
1WORLDWIDE CONSTRUCTION, INC. (888) 709-2424= 1 1
119327 VENTURA BLVD #A LIC. NO 1 1UNDER SLAB WORK 1
1TARZANA CA 91356 - - 891643 B I1
1 1 1WATER SERVICE
1 1 1PLASTIC Y/N MET Y/ 1 '
1ARCHITECT OR ENGINEER- TEL. NO: 1 1
- 1ROUGH PLUMBING
1 LIC. NO: 1 111
1 1 1GAS PIPING ! 1
1 1
1 1 - 1GAS VENT 1 1 1
I I I
I I IHOT WATER HEATER 1
I I I
1 1 1PLUMBING FIXTURES 1 1
1 1 1
PIuEXt999BE1LAWN SPRINKLERS 1 1
1 GAS TEST 11 1
1 1 I
1 1 1UTILITY COMPANY NOTIFIEDI 1 I
I 1cWV I I
1 1 1GRAY WATER SYSTEM 1 1 1
I I I I I I
1 1 1 1 1 1
I I I I I I
1 I I I I I
I I I I I I
1 1REPORT ID: DPR263 ROUTE TO: BS0508
I I I I I I