HomeMy Public PortalAbout10783 FREER ST_Plumbing__ 1
*1 SETS 2-47 APPLICATION FOR PERMIT
COU
DEPARTT OF BUILDING AND SAFETY �����'�� 1
COUNTY OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRIC�NO. GROUP ao EM� NO.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL
1-1
SEPTIC TANK I REC9&ED BY READY FOR DA IS UE
RL FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
it NAME ADDRESS
W
m ADDRESS LOCALITY
NEAREST
'I CITY TEL.No. CROSS ST.
IL
COUNTY
CERT.No. EXPIRES K NAME
W
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL"
ADDRESS
NORTH O
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
p ABOVE.
W >
3 i OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK i
BATH TUB FURNACE 9
Q'
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SANDTRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOL SEPTIC TANK. SEWER
$ UTILITY CO.NOTIFIED
TOTAL FEE �" 1
DEPARTMENT OF COUNTY ENGINEER PLUMBING I
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING 97'3 y n ( r
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
BUILDING NEAREST
ADDRESS 15112 ��AM �' CROSS ST.
DISICT N0. GROUPZfONE PERMIT NO.
LOCALITY
NEAREST P //
CROSS ST. RECEIVED
CEyBY Ready for Inspection DATE;(ISSUyED
OWNER
MAIL INDUSTRIAL
ADDRESS �y'A ' WASTE APPROVAL
INSPECTION RECORD
CITY TEL.100.
PLUM BER �O`+,tT lZ lt;...i
ADDRESS
CITY C k_j; f00*A TEL.N0. S"4 ff h4
LICENSE NO. d� � FI CC;ODUTNTY
J
PERMIT-FEES z
JUMO-ER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 0.80 $
O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY (WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOORSINK @ 0.80 ,
FLOOR DRAIN @ 0.80
DISHWASHER @
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM..............OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
! APPROVALS
` DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK„
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE ) ? GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI• GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOV DESQPIBED RESID TIA PRO ERTY. UTILITY CO.NOTIFIED
SIGNATURE ..
OF PERMITTEE �. '� rl..... .......... ......-
FINAL
76AG67 DBS 1T �^,b 12-53 �J
PLUMBING 1
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATIONS
COUNTY OF LOS ANGELES BUILDING
WILLIAM J: FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
BUILDING / y�� f.� '` NEAREST �/ 1
ADDRESS / l S CROSS ST.
DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY .C` ri D Aos—?4
NEAREST
CROSS ST. �CE�IV�E�D,BY Ready for i; Peet on DATE ISSUED
OWNER K ! _� / � /Ev -I I/bCJC f I.�7
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL.N0.
INSPECTION RECORD
ADDRESS S 6; ZU
CITY ! y TEL.NO.
LICENSE NO. ��� / U �? n COUNTY J
PERMIT FEES a
z
JUMNER TYPE OF FIXTURE OR ITEM FEE ur
WATER CLOSET(TOILET) @ 0.80 $ O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY (WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0 80
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM..............OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE ?, -,tY GAS PIPING
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GASVENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUI D BY L V ANGEIES COUNTY GAS TEST
AND STATE OF CALIFORNI M EGAL OWN.
ER OF THE ABOVE DESC T OPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE.......... ... . --......................._........
— ..._......_....
FINAL
76A667 DBS 17
b 12-53
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS - PL 0508 9811090017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13613 LT: 50 10783 FREER ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803533
ASSESSOR INFORMATION NUMBER: 'NEAREST CROSS STREET: SANTA ANITA
8573-006-004 01 PERMIT ISSUANCE FEE 27.75' THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
11/09/98 UT 11/09/99
OWNER: TEL. NO: FINAL• DATE FINAL CODE:
BRADBURY MARY (626) 279-5263- J
10783 FREER ST r/ tz
TEMP 917803533 DESCR PTION OF WORK
WATER SERVICE
APPLICANT: TEL. NO:
GEORGE BRAZIL 35229 -
3801 LENAWEE AVE. SPECIAL CONDITIONS:
CULVER CITY, CA31025 GELES Co
CONTRACTOR: TEL. N452-1001 ®� �L'� APPROVALS DATE INSPECTOR SIGNATURE
DEORGE BRAZIL 154 UNIVERSITY PARKWAY #D LIC. NO UNDER SLAB WORK
POMONA, CA 91728 679898 C20
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO: �� 1111111
GAS PIPING
GAS VENT
I ?I U�I C G� HOT WATER HEATER
P �J-- ---
` PLUMBING FIXTURES
O 0
0 �I-L LAWN SPRINKLERS
Z9 El
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GAS TEST
El
UTILITY COMPANY NOTIFIED
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GRAY WATER SYSTEM
* ADDITIONAL DATA ON F-ILE
REPORT ID: DPR263 ROUTE TO: BS0508