HomeMy Public PortalAbout9422 GARIBALDI AVE_Plumbing__ 76A667A
GL 817(RE V 6781
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS 22 Garibaldi Ave
NUMBER FIXTURE OR ITEM ® FEE
WATER CLOSET LOCALITY Temple City city
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER J. Schspens
LAVATORY MAIL
ADDRESS Same [ [
SINK CITY TEL.NO. 285-5088
DISHWASHER CONTRACTOR Universal Plumbing
CLOTHES WASHER ADDRESS 2631 Lee Ave.
SWIMMING POOL RECEPTOR CITY
So. El Monte TEL.NO. _ 6
LAWN SPRINKLER SYSTEM JATE
WATER HEATER LICENSE NO. 16018 CLASS C36
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING 0
GAS VENT V
OC
HOT WATER HEATER C
H
PLUMBING FIXTURES
GAS TEST
Plan check fee UTILITY CO.NOTIFIED Z
PLUMBING PERMIT ISSUING FEE$
FINAL
TOTAL FEE `
Plan check applicant
PLAN CHECK VALIDATION
Name a
Address
City Tel.No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 8 7 F P
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES / l�
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
I HEREBY CERTIFY THAT AM ROPERLY REGISTERED AND/OR LICENSED AS -
REQUIRED BY LOS ANGELES COUN AND STATE OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF,AND INTEND T RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY.
SIGNATURE
OF PE RM ITT
DISTRICT NO. OCES Y
s v�
INDUSTRIAL
WASTE APPROVAL
78A667-CE4817 9/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING s�
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS oC
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. L L
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.,t
LAVATORY 1.25
CONTRACTOR qt-
SIN% 1.25
ADDRESS 3g,9°1
DISHWASHER 1.25 CITY a* TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. I&Iil 91COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. GR-0-Y NE P CESSED BY
WATER HEATER 1.50of
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GAS SYSTEM OUTLETS 1'50 INDUSTRIAL D_
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
O
0
U
W
CL
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE �J( ✓ GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROP Y. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
VfLIJDATION ROBERT A. WOOD
CK. j M.0. CASH SUPERVISING MECHANICAL ENG'R
4 0 "� OCT
C:
�I
Ll too
0 3� 6 5 D 3.50N
I
DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS ^_ G�
BUILDING FOR APPLIC T TO FILL IN NEAREST LOCALITY 1 r ryG..-
ADDRESS CROSS ST.
/ DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY
NEAREST
CROSS ST. �� RECEIVED BY Ready for Inapectlan / DATE ISSUED
OWNER A f2
• 1 ! G7 r /.
MAILy n INDUSTRIAL
ADDRESS ` L� WASTE APPROVAL
CITY ' EL.NO. INSPECTION RECORD
PLUMBER G
ADDRESS
w
CITY TEL.N0.
MoSTATE
LICENSE NO. n COUNTY J
PERMIT FEES a
z
JUMSER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 0.80 S
BATH TUB @ 0.80 O
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 @ '0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM..............OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
Te APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT s 1 00 ROUGH PLUMBING
TOTAL FEE o e� GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP
LI- 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 CALIFORNIAR THAT '
AM THE LEGAL OWN-
ER OF THE ABOVE D CRYB"D RESIDENTIAL PROPERTY., - UTILITY CO.NOTIFIED
SIGNATURE s
OF PERMITTEE.. x.. .:..r_. .. ..__. ... -. .- •.r,e�a . •�.
FINAL j
76A667 DBS 17
Ob 12-53
D.B.S.-Is 25M SETS 6-46 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �������� 7
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
_ NATURE OF INSTALLATION DISTRICT NO. GROUP zo E PERMIT NO.
ROUGH FIXTURES COMPLETE 1� /'
HEATER CESSPOOL RECEIVED BY READY FOR DATE ISSUED
I SEPTIC TANK FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
g, NAME ADDRESS O f ! _ ! _ -•�
m ADDRESlS LOCALITY �'.� •' _
g
NEAREST
IL CITY' Z-I�°r TEL.No. CROSS ST.
COUNTY
CERT.No. EXPIRES O: NAME
W
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
W D
3 i OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
z_
BATH TUB FURNACE p
C!'
SHOWER DISHWASHER Q
_LAVATORY REFRIGERATOR
/ KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
-WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER-GAS SODA FOUNTAIN
OUTL GAS PIPING I J
GAS VENT I I
CEBSPnOL I I
TOTAL NUMBER OF FIXTURES _ SEPTIC TANK I I
CESSPOOI SEPTIC TANK SEWER
$
UTILITY CO.NOTIFIED _
TOTAL FEE
FINAL �
D.B.B:" 25M SETS 11-46 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��������
COUNTY OF LOS ANGELES
Wm.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE y'
R EIVED BY READY FOR DATA ISSUED
HEATER CESSPOOL SEPTIC TANK - FIRST INSPECTION
AS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
E NAME ADDRESS
W
m ADDRESS - LOCALITY
_ NEAREST
L CITY - TEL.NO. CROS8 ST.
6
COUNTY
CERT.NO. EXPIRES W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 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
ABOVE.
3 '
� OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
BATH TUB FURNACE E3
it
SHOWER DISHWASHER Q
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
OUTL GAS PIPING
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI SEPTICTANK SEWER
s
TOTAL FEE UTILITY CO.NOTIFIED
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY 0 0504 PLU4BING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TLNAS PL 0508 0403050016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID- FEES RID BUILDING ADDRESS:
TR: 6561 LT: 308 9422 GARIBALDI AV
FEE DESCRIPTION: QUANTITY: UOM: AMIOI!liT: TEMP CA 917801646
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OAK AVE.
5385-006-003 01 PERMIT ISSUANCE FEE - 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C
47 WATER HEATER(S) 1.00 NTH 16.20
TOTAL FEES 43.95 .
03/05/04 VG 09/01/04
FINAl DATE BY: COD E
LYNE L.AW!RENCE C•BARBARA (626) 285 -5088-
9422 GARIBALDI iV
TEMP 917801646 DESCRIPTioN OF WORK
NATER HEATER CHANGE OUT
APPLICANT: TEL. NO:
ACTION CONTRACTORS (310) 515-1311-
SPECIAL CONUMNS:
ACTION CONTRACTORS (310) 515-1311
17111 SOUTH BROADWAY LIC. NO UNDER Sl A WORK
GARDENA CA 90248 B/L 27953
WATER SERVICE
ARCHITECT OR ENGINEER: TEL. RO- PLASTIC Y/N METAL Y/N
LIC. NO:
GAS PIPING
GAS VENT
HOT UATER HEATER
PLUMBING FI)(TURES
LAWN SPRINKIM��
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYST9F-
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGElt3S TE24PLE CITY R 0508 PLUMBI29G PERMIT
DEPART[= OF PUBLIC WORKS 9701 LAB TUNAS PL 0508 0706060018
BUILDING AND SAFETY / LAND DEVELOPMEaTP TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT,
LEGAL ID: FEES PAID BUI7D2.151G ADDRESS:
TR, 6561 LT: 308 9422 CARIB LDI AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEP CA 917801646
ASSESSOR I2IFORlATION NDMHER: NIDULE4T CROSS STREET: OAK
5385-006-003 01 PERMIT ISSUANCE FEE 27.75 TBONAS PAGE: 596 GRID: J2 LO 2LLIT'Y: TE34PLE CITY, C
26 NTSCRIJLANEOUS FTXTUR 1.00 FIX 16.20
TENT: TOTAL FEEB 43.95 ISSUED ON: PROCE.9SED BY: PLAN BY: EXPIRES ON:
06/06/07 SR 12/03/07
(7F18ER: TEL. NO: FC�T F CODE
�,}� LAWRENCE Clanunnnn (626) 285-5088- M
9422 GARIBALDI AV
TEKP 917801646 DESCRIPTICIB OF WORK
G.MER. CAS SHUT OFF VALVE INSTA=
APPLIC7M: TEL. NO:
SAKE AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIC$UaTSIRE
SAME AS OWNER -
LIC. NO UNDER SLAB F10RE
WATER SERVICE
PLASTIC YIN METAL Y/N
ARCHITECT OR ENGINE�R: TEL. NO: .
- ROUGH PLUMBING
LIC. NO: - ','
GAS PIPING
GAS VENT
HOT XkT'ER HEATER
PIZWBI G FIXTURES
LAAN SPRINKLERS
CAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: 1380508