HomeMy Public PortalAbout9517-19 GARIBALDI AVE_Plumbing__ 76A667A (CE 617B) -4/77
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS ` c
WATER CLOSET LOCALITY
/ NEAREST
BATH TUB CROSS ST
SHOWER OWNER
LAVATORY / 2, ADDRESS ADDRESS ✓
SINK CITY TEL.NO.
DISHWASHER 3 / CONTRACTOR
CLOTHES WASHER 3 ADDRESS
47
SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER ,/ LICENSE NO. 04, 6-�U�— CLASS tj
GAS SYSTEM OUTLETS 3 D41&I NO. UP NE PRO ESS
U t' -3KCD
OUTLETS OVER C7
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL d'
CD
INSPECTION RECORD v
W
CL.3
N
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTALFEE �1
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address Sl �1'j ROUGH PLUMBING
Cityel.No. i�7 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAV READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL C RDI CES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM OPERLY REGIST ED AND/OR LICENSE AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES CoU ND STATE O LIFORNIA OR THAT I A THE GAS TEST '
LEGAL OWNER OF,AND INTEND SIDE IN T VE DESCRI ED RESID TIAL � -
PROPERTY. UTILITY CO.NOTIFIED
JSIGNATU
OFP MITTEE FINAL
PLAN ALIDA O /?C K. O. CASH PERMIT VALIDATION CK. M.O. CASH
C
3 / 0 -790 077 6 5 J= ;i�Y 3a 5 0 4 UCj {)
76A667 - CES17 5/70 CITY OF TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES 6527
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 9519 Garibaldi
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
Temple City
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST _
CROSS ST. ✓r / ir
NUMBER FIXTURE OR ITEM EA H FEE
OWNER W. J. Rexin
WATER CLOSET 1. 0
MAIL
BATH TUB 1.10 ADDRESS
SHOWER 1 0 CITY TEL. NO.
LAVATORY 1 50 CONTRACTOR GENERAL INSTALLATION CO.
SINK 1 s0 AII'DRESS 6558 WEST BLVD.
DISHWASHER .50 CITY Los Angeles TEL. NO. PL 3-2541
CLOTHES WASHER 50 LIC
LICENSE NO. C 36 15153STATE 9 CLASS
SWIMMING POOL RECEPTOR .50
DISTRIC G, GR P ZO E PZZ
€p
LAWN SPRINKLER SYSTEM 2 00 Cn/
WATER HEATER 1 75 INDUSTRIAL ' d
WASTE APPROVAL O
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD U
OUTLETS OVER
5 PER SYSTEM .30 Ready for Inspection Now Z _
WATER SOFTENER � �0 rY 0
a
Vf
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE 4 75 —
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
Cit GAS VENT
y 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
WITH ALL 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 1 AM THE LEGAL OWNER OF,AND INTEND TO ,<
RESIDE IN,THE ABOVE DESCRIBED RESTI.0 PRO RTY. FINAL
SIGNATURE
OF PERMITTEE JACK R. ALLEN, SUPER V154N GME HANICAL ENG'R.
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
�;;�� DEC 2 CD D 4.75-
7615667 (CE-q17) - 5/73 —
APPLICATION iR�LUM G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS 9519 East Garibaldi Ave.
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY Temple City, California
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROs,ST. Primrose 6 Garibaldi
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 OWNER Larry A. PagTne
MAIL
BATH TUB 1.75
ADDRESS 9519 E. Garibaldi Ave.
SHOWER 1.75 CITY Temple City, CA. TEL. NO.287-7066
!{ LAVATORY 1.75 ` — CONTRACTOR Payne Construction
SINK 1.75 ADDRESS 9519 E. Garibaldi Ave.
DISHWASHER 1.75 CITY Temple City, CA. TEL. NO-287-7066
CLOTHES WASHER 1.75 � STATE LIC
LICENSE NO. 285401 CLASS Bl
SWIMMING POOL RECEPTOR 1.75
DISTRICT N0. GROUP �ANE OCESSED EY
LAWN SPRINKLER SYSTEM 1.75 ,Q
/ WATER HEATER 1.75 iJ INDUSTRIAL V� r
WASTE APPROVAL p
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM .30 O
U
W
!/7
Z_
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name Larry A. Payne ROUGH PLUMBING
Address 9519 East Garibaldi Ave. GAS PIPING
City Temple City, Tel. No. 287-7066 GAS VENTf
1
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES j
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TESTIq
HEREBY CERTIFY THAT I AM PROPERLY REGISTER.EO AX%P/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY IQD STAT OF
CALIFORNIA OR THAT I AM THEr LEGAL OWNER OF AN INTE D TO
RESIDE IN THE ABOVE D'SCRI Bj'D RESIDENTIAL PER Y. FINAL I
SIGNATU RE J/, /
OF PERMIT,T-1'E4�
PERMIT VALIDATION CK. M.0. CASH
PLAN CHECK VALIDATIkN/ CK. MO. CASH
469r'0-XT 1 5 0 46.50 ��
COUNTY OF LOS ANGELES TIC[PLY CITY # 0508 PLU)BING PYRKIT
DSPLRTMXNT 01 PUBLIC WORKS 9701 LAB TUNkS PL 0508 0602090018
BUILDING AND SAFETY / LARD DNVELOPMENT TKKPL3 CITY CA 91780
PHONE. (616) 185-0488 XZT:
LNGAL ID. FERS PAID BUILDING LDIIR.R981
ON FILE 9519 GARIBALDI AV
FE1 DESCRIPTION: QUANTITY+ DOM+ AJ60UNTI TEMP CA 917801650
ASSESSOR I37FORIATION NUMBER. NEAB=ST CROSS STREET+
5305-000-014 01 PinT ISSUANCE FEE 27.75 THOM" PAGE+ 596 GRID. J2 LOCALITY: TEID?LE CITY, C
47 WATER HEATER(g) 1.00 NTH 16.20
TENANT. TOTAL Y13S 43.95 ISSUED ON+ PR SAD BY: PLAN BY+ =T,2S ON,
02/09/06 sc 08/08/06
OWNER: TEL. NO: F rBY: CODE:
GILBERT YEN (626) 309-0476-
9519 GARIBkLDI AV 14
h'
TIMP 917801650 bEsoAptits 07 NORI
NATER HEATER CHAN® OUT
APPLICANT. TE:I+. 190, �
HALJ.7LA39 VAL -
SPECIAL CONDITIONS+
CONTRACTOR+ TEL. NO APPROVALS DATE INSPZC TOR SIGHLTURN
H B COVEY INC. (909) 623-2502-
14774 ClOrfRkL AVE LIC. NO UNDER SLAB WORK
CHINO CA 91710 269354
NATER SERVICE
PLASTiC YIN XrnLL YIN
ARCHITECT OR ENGINEER TEL. NO:
ROTmt PLUMBING
LIC. N0+
GAS PIPING
GAS V�NI
HOT NkTII2 E30 T R
PLUMB'GJG FI3=URES
LAIR 87PRINI .E S
GLS T1 ST
UTILITY COMPANY NOTIFIED
CNV
GYAY FATNR SYSTEM
� I
EXPORT ID+ DPR263 ROUTE TO: B80508 I
CtUWrY OF LOS ANGELS TEMPLE CITY # 0508 PLIINBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1205020018
BU=RG AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EMT:
LEGAL ID: FEES PAID B=ING ADDRESS:
ON FII,& 9519 G.ARIBALDI AV
FEE DESCRIPTION: QUANTITY: DOM: AMJUNT: TEMP CA 917801650
ASSESSOR INFORMATION NUMBER:
NEARFL9T CROSS 9TRENCT: 'T'rarPT.c CITY
5385-008-014 01 PERMIT ISSIIANCE FEE 27.80 THOMM PAGE: 596 GRID: J2 'LOCALITY: T12 IIT,E CITY, C
_ 07 BATHTUBS/SHOWERS 1.00 FII 16.20
Tfi2Ud*T: 25 L.7AVATOR-ITS/SINM.9 1.00 FIS 16.20 ISSUED ON: PROCESSED BY: PLAN BY:
45 WATER CLOSET/URINAL 1.00 FIS 16.20 05/02/12 SR
TOTAL FENS 76.40 '
OWNER: TEL. NO: DATE F BY: CODE:
YEN, GLIBFAT' (626) 203-9554-
9519 GARIBALDI AV - - F I-
TEMP 9-17801650 DES ON OF WORK V
PLUN BIVG FOR BATHROOM
APPLICANT: TEL. NO:
CHAN, TERENCE (626) 379-4900- -
560 W. MAIN STREET SPECIAL CONDITIONS:
ALHAMBRA C\ 918Q1
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
LiunRIK INC. (626) 379-4900-
560 W. MASH SZREFiT #C278 LIC. NO UNDER SLAB WORK
ALHAMBRA, CA-91801 668443-B
YNATER SERVICE
PLASTIC 7/N MET)IL YIN
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LSC. N0:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLgMBING FIXTURES
LAIN SPRINrL S
. GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY ►NATER SYSTEM
REPORT ID: DPP-263 RDUTE TO: BS0508