HomeMy Public PortalAbout9522 GIDLEY ST_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS - `
ORP�ICA TQ FILL IN LOCALITY
NEAREST
BUILDING !�- CROSS ST.
ADDRESS
DISTRICT NO. GROUP I ZONE PERMIT NO.
LOCALITY
NEAREST
CROSS 3T. RECEIVED BY Ready for Inspection DATE ISSUED
OWNER
MAIL ✓' INDUSTRIAL L *;
ADDRESS Q WASTE APPROVAL
INSPECTION RECORD
CITY .�yy TEL.NO. 6
PLUMBER
ADDRESS45 fi •��.c. iKl
CITY ya. TEL.N0.6ZZ Z J f-/
O STATE
LICENSE NO. G:i7 ❑COUNTY J
PERMIT FEES a
_z
NUMBER TYPE OF FIXTURE OR ITEM FEE Eg
WATER CLOSET(TOILET) @ 0.80 $ m
BATH TUB C@ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80 f
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 GAS PIPING
IHEREBY ACKNOWLEDGE THAT 1 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 1 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 ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OFPERMITTEE...----.................................................................. ............ -
FINAL
76A661 DBS 17 1/53
76A687-Cf&S17 10-67 '
City Of Temple City
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DIiAHTMENT OF COUNTY ENGINEER F
UII.DING AND SAFETY DrVMON �2 (}idle
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. 15Ur•T. OF 13UIL61NG • Temple City
FOR APPLICANT TO FILL IN R O TYPE
NUMBER � f'IXTU RH OR ITEM EACH ]a I-
2 WATER CLOSET 1.50 Kav�.nah
BATH TUB 1.50 � aidle
SHOWER 1.50 le Ci na- mo. 4488479
LAVATORY 1.50 J & D P llm].b in Co
SINYI 1.50 ADDS= -c�o S
DIBHWASHER 1.50 Crf! S an rlabrlAl BlVh *o-
At:-70579-
CLOTHES HASHER 1.50 I TATE LI C
LICENISE NO.. CLASS
SWI]QUNO POOL RECEPTOR 1.50 DISTRICT NO G U11 E rR Y
LAWN SPRn"a ER SYSTEM 2.00
WATER HEATER 1.50 INDUIFTEIAL -
waara APPSOVAL
GAB SYSTEM OUTLET8 1.50 OX
OUTLETS OVER
5 PER SYSTEM .30
Plan check fee 25% of above. See reverse. -
PLUMBING PERMIT ISSUING,FEE S 2 Go
TOTAL FEE S OO
APPROVALS TE- IN oR•• a -
Plan check applicant UNDER BLAB WORK. Q
Name ROUGH PLUMBING
Addreas GAS PIPING
GAS VENT
City. Tel. No.
7iOT WATER HEATER - -
I HIISLY A-"OWL LDG[ TNAT 1 HAV[ ISLAD THIS APPLICATION
AMD /TAT[ THAT THK ABOVE IS WRIQCT AND Aa11Q TO COMPLY �PLUMDING FIXTUkEB
Wfr" ALL, COUNTY oSnINANCTI AND STAT[ LAWS ISIQULATINa DO
AB TEST
rLU MO1Ma.
I N""S7Y GOR7FY THAT 1 AM r ■IST[7QD AND/o>! UTILITY C .NOTIFIED'
LICKN� AS RiQUIMM BY LOS AN NrY AND STAT[ OF
CALIFORNIA Olt THAT I AM THN R OF,AND IMTKND TO
PWAIDS JN,TH[AROVIt. U rRory RrY. FINAL
SIGNATURE JACK R. ALLEN, ■UP11MVISING MHCHA.NICAL
OF rlRMl
PEBMTI' VALIDATION CK- M.O. cAaH
PLAN CMVALIDATION CK. MK. CASH .
�45 •4-a,R IR2$ 5 0 0-.00*
78Ae67-CE0e17 4-e7
APPLICATION FOR PLUMB NG PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ,
BUILDING AND SA�'F'TY DIVISION AD RM Z 6i
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDINGLj
LOCALR7
FOR APPLICANT TO FILL IN NE. REST '
CROSS ST. t IV�
NUMBER FIXTURE OR ITEM EACH FEE OWNla,
WATER CLOSET X135 HAIL
RATH TUB 1.75 ADDRF>36
CITY TET_ No.
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR
SINL 135 ADDRESS -P
DISHWASHER I35 TEL NO
LAUNDRY TUB 125 STATE LIC
LICENBE NO� CLASS
CLOTHffi wABFIElH 135 DI6TRICT�'P," GRQUr N[ PR
WATER HEATER 150 P Oy F
GAS SYBTEH2- OUTLETS— 1.50 INDUSTRIAL
WASTE APPROVAL
—/4OUTLSLE OVER 5 PER SYSTEM .30 EKEIPECTION RECORD
g
APPROVALS DATE INSFCGTOR18 SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING —
1 HERmY ACKNOWLEDOS THAT 1 HAV[ RSAD THIS APPLICATION
ANO STATI THAT THS ASOVS -IS CORRECT AND AGR" TO COMPLY GAS VENT
L-1..'N
L COUNTY 0RDINANCXG AND /TATE LAWS NEOULATING HOT WATER HEATER
.
Y CKRTIFY THAT I AM PROPERLY RRoIST[RtD AH DIOR PLUMBING FIXTURES
AS RSOUIRIrD ■Y LOS ANGILCS COUNTY AND STATE OF GAS TEST
A OR THAT 1 AM THE LIOAL O R OF,A 1 D TO
TH[A' RIM RLI-[ LR..-
F UTILITY CO. NOTIFIED
RE �
MITTE
FINAL
VALIDATION JACK JACK R. ALLEN
CK- M.O. (cA�r+ / SUPERVISING MECHANICAL ENG'R.
LACO2773�2 JU24 5 -D 3.30~
76A667 17 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY t
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT GROUP ONE PERM .
FOR APPLICANT TO FILL IN t. ,
PLUMBER - RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS Zl i^ � 9•t. -C41 1 3 - 13
BUILDING
CITYTEL. Na. ADDRESS �I,
COUNTY LOCALITY •--'7"`?"" [ C. /'
LICENSE NO. EXPIRES
� NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ O.SO $ ADDRESS
BATH TUS @ 0.50 CITY TEL. No.
SHOWER @ 0.50 I 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 @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE -
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ E3.SO
FLOOR DRAIN @ 0.50 F—
DISHWASHER @ O.SO
DRINKING FOUNTAIN @ 0.50
URINAL @ O.SO J
Q
HOUSE SEWER @ O.SO Z
_MISCELLANEOUS O
i O
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
y
GAS VENT
_ CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: L4—
EPTIC TANK ,
DRAIN ( ) PIT ( ) @ 7.00 IEWER �� ✓
PERMIT . . . . I 1.0As TEST
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
D.S.S.17 25M SETS 1-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
. COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
j NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT O.
ROUGH FIXTURES COMPLETE I y/
HEATER CESSPOOL —I SEPTIC TANK RECEIVED BY FIRSTEADY FOR DATE ISSUED
INSPECTION
GAS M18CELLANE US
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME L;,won F. Merry JOB
ADDRESS 2116 East Gidl,ey
W Rosemead
ADDRESS 825 E. Broadway, LOCALITY
San Gare AT 1-03 5 NEAREST
CITY TEL.No. CROSS ST. ,/'—
IL
COUNTY
CERT.No. 686 EXPIRES NAME e1 T• yyT"t
. Bannister '..
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 2116 Gidley,,
3 ADDRESS
NORTH p
CITY :iosemead TEL.No. 0-1614
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CBRTIFICATE OF q,U 1 CI1,�ION.
PLUMSER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
1p ABOVE.
W >
3 OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
z_
BATH TUB FURNACE O
_SHOWER DISHWASHER a
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
n
r
,p
WATER CLOSET DRINKING FOUNTAIN DATE IHSPSCTCR'S NAME _
WATER HEATER DENTALLAVATORY
ROUGH PLUMBING
METER � GAS SODA FOUNTAIN
OUTL CAS PIPING
f3A8 VENT
7 CESSPOOL i
TOTAL NUMBEROF FIXTURES
SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER
TOTAL FEE UTILITY CO.NOTIFIRD
FINAL
7BAe67 17 a-ao 1� APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �
COUNTY FO LOS ANGELES PLUMBING
WILLIAM J. FOX, CFj11EF ENGINEER
F0�2 PPLICA TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
[fADDRISSMBER RECEIVED BY READY FOR DATE ISSUED
/ FIRST INSPECTION
, BUILDING
�I� �l TEL. NO. ADDRESS `
COUNTY G LOCALIT y {
LICENSE NO. G1� EXPIRES
NEAREST
PERMIT FEES CROSS ss
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER.
MAIL
WATER CLOSET (TOILET) @ 0.50 $ ADDRESS
IBATH TUB @ 0.50 CITY TEL NO
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
ooe LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE -ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICE S OR IA HE LEGAL OWNER
OF THE RESIDENT P O RTY:/ D R ED ABOVE.
GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ O.50 I INSPECTION RECORD
FLOOR SINK @ 0.501 .
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 W
F
HOUSE SEW ER @ 0.50 Q
MISCELLANEOUS UJ
IL
D
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 I CESSPOOL
SEPTIC TANK: I SEPTIC TANK
DRAIN ( ) PIT ( @ 1,00 SEWER
PERMIT . . I 1.00 GAS TEST
�j� UTILITY CO. NOTIFIED
TOTAL FEE $ (�
FINAL