HomeMy Public PortalAbout10726 FREER ST_Plumbing__ 76 A 667—CE 817 8/68
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APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 0 12
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCAL
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER _ FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY,_ TEL. NO. /f�L
LAVATORY 1.50 CONTRACTOR
SINK 1.5 0 ADDRESS
DISHWASHER 1.50 CITY TEL. NO. 11
CLOTHES WASHER 1ATE LIC
.50 LICENSE NO ` CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GR�yJp Z E ESSED BY r
a
LAWN SPRINKLER SYSTEM 2.00 �-115Q � _/ U
WATER HEATER 1.50 INDUSTRIAL Zo
WASTE APPROVAL
t=
GAS SYSTEM OUTLETS 1.50 INSPECTION RDOUTLETS
U
_ W
55 PER SYSTTEMR .30 d '(f:
Z
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Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
Cit}' Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THELEG L OWNE F,AND INTEND TO
RESIDE IN. THE ABOVE DESCR ENTIA OPERTY FINAL / �'
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK M.O. CASH
1
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
. , DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer PLUMBING 11
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE P
ERRIT NO.
PLUMBER VAI I Fy Pnlil r_I,.an� RECEIVED BY READY FOR DATE ISSUED
-."_:„�� r-� J�I�'�urG� FIRST INSPECTION / -'�S ��
ADDRESS F,(tcT 1 �I �- _
p ”":'E'-� ELVU. BUILDING
R
CITY OSE viFisn. TEL. No. ADDRESS ✓:) ,O ,�.
COUNTY
LICENSE N0. 9316 EXPIRES L� s LOCALITY
U-.. NEAREST3CROSS ST.
PERMIT FEES -•��//may�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0 0.51 ADDRESS
BATH TUB 0 0.50 CITY TE_L. No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Q 0.513 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT i POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.513 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE OF
WATER HEATER 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 Q 0.50 .J
a
HOUSE SEWER a 0.50 Z
MISCELLANEOUS -M_
O
APPROVALS
y DATE INSSJPI:CTOR•5 NAME
ROUGH PLUMBING
GAS PIPING
a
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT • . I 1.00 Ga TEST
TOTAL FEE
r —� —
UTILITY CO.NOTIFIED _
� //���.w = �'
FINAL L , ��f®
76A667 DBS#17 6-52
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APPLICATION FOR PLUMBING PERMIT db
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS
NUMBER FIXTURE OR ITEM ® FEE
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY TEL NO
DISHWASHER CONTR T
CLOTHES WASHER
ADDRE
SWIMMING POOL RECEPTOR
CITY � TEL.NO
LAWN SPRINKLER SYSTEM _
STATELIC
�
WATER HEATER LICENSE NO CLASS
GAS SYSTEM TLE6`0DIST
� RNO ROUP Z NE PR SED BY
OCT IA .
OPTL TEMR INDUSTRIAL
WASTE APPROVAL U
INSPECTION RECORD u
A
H
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE / SZ
Plan check applicant
APPROVALS DATE R
c 's RE
Nome UNDER SLAB WORK B 3—`2
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 CO Y WITH ALL COUNTY ORDINANCES
AND STATE LASCERTIHA
BING HOT WATER HEATER
I HEREPROP LY GISTERED AND/OR LICENSED AS PLUMBINGFIXTURES
REQUIRED BYY AND T F CALIFORNIA OR THAT I AM THE �O—?J�LEGAL OWNERESID TH ABOVE DESCRIBED RESIDENTIAL ,
PROPERTY UTILITY CO NOTIFIED
SIGNATU
OF PE I FINAL
PLAN CHECK VALIDATION 7 CK M O CASH PERMIT VALIDATION CK M O CASH
7 3 2N SEP 12 5 D 1 3.5
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1207190043
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE. (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS: 1
ITR- 17867 LT: 2 1 I 10726 FREER ST 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803405 I
(ASSESSOR INFORMATION NUMBER: I I ' NEAREST CROSS STREET: I
18574-001-002 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, CI
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 1
(TENANT: 111 CLOTHESWASHER(S) 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: I
1 113 DISHWASHER(S) 1.00 FIX 16.20 107/25/12 SR I
1 121 HOSE BIBB(S) 2.00 FIX 32.40 1 I
10WNER. TEL. NO: 125 LAVATORIES/SINKS 2.00 FIX 32.40 (FINAL• DATE/ FINA ,,;Y: CODE: I
ICHAVEZ E THOMAS;MARJORIE J - 145 WATER CLOSET/URINAL 1.00 FIX 16.20
110726 FREER ST 147 WATER HEATER(S) 1.00 WTH 16.20
ITEMP 917803405 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 IDtSCRIPTIOlq OF WORK I
I TOTAL FEES 189.80 (PLUMBING FOR BATHROOM, KITCHEN, LAUNDRY ROOM, WATER HEATER I
1 (AND GAS LINE I
(APPLICANT: TEL. NO. I I 1
IO'LEARY, TOM (626) 287-0927- I I 1
1 ISPECIAL CONDITIONS: I
I I I I
1CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
ITOM O'LEARY CONSTRUCTION (626) 287-0927- 1 1 I
15823 AGNES AVENUE' LIC NO I_ - (UNDER SLAB WORK ] I
I TEMPLE CITY, CA 91780 489354-9 * �I I -)--
I
I 1 (WATER SERVICE IKlflI
I (PLASTIC Y/N METAL Y/N I 1 I
(ARCHITECT OR ENGINEER: TEL. NO: I I I I I
11960 S, TAM N (213) LIC. NO: I IROUGH PLUMBING 77
11960 SANTA ANITA AVE. LIC. N0: j I i1�.•11/,{(4/
ISIERRA MADRE, CA S-3974 I IGAS PIPING
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1 IGAS VENT I I
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IHOT WATER HEATER I I
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(PLUMBING FIXTURES
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1 ILAWN SPRINKLERS
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1
IGAS TEST
1 (UTILITY COMPANY NOTIFIED( d LII v I
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IGRAY WATER SYSTEM 1 I 1
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I 1* ADDITIONAL DATA ON FILE I I I
(REPORT ID: DPR263 ROUTE TO: BS0508
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