HomeMy Public PortalAbout10104 GREEN ST_Plumbing__ 78A887-CE0817 4-64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS _I "
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 31.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITYTEL. NO.
-.._,_�� _
LAVATORY 1.25 CONTRACTOR r
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY i `r) r'; i TEL. NO.CONTRACTOR S STATE
LAUNDRY TUB 1.25 REGISTRATION'
NO. !l COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. G.rP TNE PR C Y
WATER HEATER 1.50 115 ac '1
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL r
WASTE APPROVAL d
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD O
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W
CL
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Z
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE �(1 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
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 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE AB E DESCRIBED RESIDEXRO RTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMIT EE
FINAL
�/V!RLIDATION ROBERT A. WOOD
C�. M.O. CASH SUPERVISING MECHANICAL ENG'R
1_1+i�01 0 1 0- APR 5 5 A 350-
2
76A 667 .C E#817 1 2-64
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APPLICATION FOR PLUMBING LPERMIT
COtNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS 1010 E. Green St.
JOHN A. LAMBIE. COUNTY ENGINEER
C04EMAN W. JENKINS, SUPT DF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS ST. Bald'win Avenue
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Fred Jorgenson
WATER CLOSET $1.25 MAIL
1•
BATH TUB 1.25 ADDRESS 10104 E. Green St.
SHOWER 1.25 CITY Te 1e clty TEL. NO. 442-4217
LAVATORY 1.25 CONTRACTOR AnthonyPOo1S Inc*
SINK 1.25 ADDRESS 5871 E Firestone Blvd.
DISHWASHER 1.25 CITY south Gate TEL. NO.SP -2210
LAUNDRY TUB 1.25 REG STRA ION NO. 190179-cSTATE
COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. UP ZONE PR KISSED BY
WATER HEATER 1.50 C a C G
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL d
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD v
Water vi-ping 0:O
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W
a
r�
z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ -2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE �t GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP ATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
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 COU Y AND STATE OF GAS TEST
CALIFORNIA OR THAT I THE LEGAL OWJNE ,AND INTEND TO
RESIDE IN,THE ABOyE CRIBED RE EWI P PERTY. UTILITY CO. NOTIFIED
SIGNATURE ,2
OF PERM
FINAL -
LIDATION ROBERT Z WOOD
cK. M.O. CASH SUPERVISING MECHANICAL ENG'R
LhW O 5 6 51 MAR 17 5 0 3.b 0
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76A667 -CE#817 12-64 f
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APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS 1010 1,U--521
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. L- W!AI
NUMBER FIXTURE OR ITEM EACH FEE /45_10,�45`D
OWNER / G/v
WATER CLOSET $1.25 MAIL •/
BATH TUB 1.25 ADDRESS Q GXZZ/� 57
SHOWER 1.25 CITY � l G C„ TEL. NO.
v7 LAVATORY 1.25 CONTRACTOR O GuNC
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB 1.25 REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P�CE�S�di D BWATER HEATER 1.50 STQ
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL Oa
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
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W
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N
Z
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APP )J&S DATE INSPECTOR'S SIGNATU E
PERMIT $ 2 �� UNDER WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I 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 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE i - _
OF PERMITTEE F't. - " ,..J..n., t FINAL
VALIDATIO � ROBERT A. WOOD
CK. M.O. CASH )SUPERVISING MECHANICAL ENG'R
: 3
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76A667 DBS 17 11-50 APPLICATION FOR IZ-EPA1�TMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
DISTRICT NO. ROUP O P .
FOR APPLICANT TO FILL IN
PLUMBE .>C - R�,CEIVED {Y READY FOR DAT( ISSUED
FIRST INSPECTION
ADORE33 7 l
-- $UILDINO
CITY -�_ TEL No. 3 J Z ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE _O_WNER
MAIL �..• 4
WATER CLOSET(TOILET) @ 0.50 S I ADDRESS it y � '�e/iL,
BATH TUB @ 0.50 CITY /TTEL No. �-
SHOWER @ O.So 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 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 � fS
SIGNATURE
WATER HEATER @ 0.50 PERMITTEE E
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50 �.
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50 d-
U LNAL @ 0.50 mak. �-J
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS „2 _ O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . . . 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE ��--
FINAL L
7°k"7 DM" 11-90 APPLICATION FOR PERMIT
DEPARTMENT OF EII AND SAFETY P IC U 11A B 1 N G i
COUNTY OF LOS 08 AN ANGELES�•
WILLIAM J. FOX, OHI[>r ENGINEER
N PERM
FOR APPLICANT TO FILL I DISTRICT NO� � � wl
PLUMBERREADY FOR
RCO[IV[D OY DATE IMLJm
FIRST IH#F[OTION r
ADDREM
�'b BDDRUILDING
OITY TEL No. �S
OOU 8 G ALDDALITY
NFJViICIFF
PERMT FEES
0ROEO ST.
NLIMMLR TYTC OF FtXTIJ Rt OR ITEM FiIC OWNER
MAIL
WATER OLOYET(TOILET) a 0.60 # O ADDRESS
CATH TUS 0 0.60CITY TEL Na.
SHOWER a a60 I HKRKVY/AOKNMVLXDlrK THAT I HAV[ READ T-HIE
LAVATORY (WAMH RASIN) 0 0.60 APPLICATION AND STATIC THAT THE ABOVE In CORRICOT
AND AGRKK TO COMPLY WITH ALL COUNTY OROINANOm
KITOHEN SINK 0,60 AND STAT[ LAWS REaULATIMG PLUMBING.
I O[RT1FY THAT 1 rOSSESa THE ASQV[ VALID LOa
LAUNDRY TUB OR TRAY a 0.60 ANGLES COUNTY LIO[NSE, OR 1 AM THE LEGAL OWNoe
OF THE RMID[HTLAL RDr RI6[D ASDVE.
GAS SYOT[ UT'L.[Ts a 0.60 ,
OISNATUR[ OF � I
WATER HEATER 0 0.60 r[RMI
BLOP MINK O 0.60 INSPECTION RECO
FLOOR BINK 0 0.60
FLOOR DRAIN 0 0.60
DIBHWAEHER C.•!W
DRINKING FOUNTAIN 0.60
URINAL 0.60 .(J
HOUME ■EWER 0.60 `
M160ELLAN[OUB
O
APPROVALS
DAT[ I M SATO W S MAMI
ROUGH PLUMBING
OAS FIFING
GAH VENT
CI ESSP OO L 1.Cm O ESSP 0 0 L
jjjSEPTID
TANKI 9K-TIC TANK
DRAIN ( ) PIT ( ) 1.00 MLNVER
PERMIT MAS TEaT
UTILITY 00.NOTIFIED
TOTAL FEE #
FINAL
�C
r ,
COUNTY OF LOS ANGELES TEMPLE-CITY- f 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9608130003
�_- -BUILDING AND SAFETY / LAUD DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 E)(T:
LEGAL ID: FEES PAID BUILDING ADDRESS:
-OIN FILE 10104 GREEN ST
FEE DESCRIPTION: QUANTITY: LION: AM"T: TEMP CA 917803333
NEAREST CROSS STREET: BALDWIN
8585-007-027 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 94 LOCALITY: TEMPLE CITY
11 CLOTHESWASHER(S) 1.00 FIX 16.35 A
TOTAL FEES 4-4.10 IS PROCESSED
EX TRES ON:
08/13/96 . TC 08/13/97
OWNER: TEL FINAL DAIE - CODE:
JORGENSON FRED B;VIRGINIA E (818) �79-4347- .
10104 GREEN ST 1-5-0
TE)(P 917803333 DESCRIPTION OF-WORK
NEW LAUNDRY - DRAIN FOR CLOTHE8 HER
APPLICANT: TEL. W:
MILLSAP CONSTRUCTION (909) 949-2785-
SPECFAL CONDITIONS:
&SLES
WNTPACTOR: APPROVALS DATE INSPECTOR SIGN.ATURE
MILLSAP CONSTRUCTION (909) 949-2785-
1282 GRANADA ST. LIC. NO (� �� �jLINDER SLAB WORK
UPLAND, G 91784 129873ARCHITECT \�
ERVICEPLASTIC Y/N METAL Y/N
i
J
LIC. M0: ROUGHj'1GAS PIPING
GAS VENT
�+1
PUBLIC V V ORS HOT WATER HFATE]F
--�
PLUMBING FIXTURES
�j. El GAS TEST
�C, UTILITY COMP NOTIFIED
. .
CWV
o �
rviCe T GRAY UATER
REPORT ID: DPR263 ROUTE TO: BSD508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORM 9701 LAS TUNAS PL 0508 1202060017
BUILDING AND SAFETY / LAND DEVELAPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 10104 GREEN ST
FEE DESCRIPTION: QZuu? Y: DOM1: A34DUNT: TEMP CA 917803333
ASSESSOR INFORMATION NUMBER. NEAREST CROSS STREET: BAL,DW LN
8585-007-027 01 PERMIT ISSUANCE FEE 27.80 THOH S PACS;: 597 GRID: B4 LOCALITY: TEMPLE CI'T'Y, C
25 LAVATORZ&S/SZM 1.00 FII 16.30
T2VUgT: TOTAL FEES 44.10 LSSOED ON: PROCESSED BY: PIAN BY:
02/06/12 SR
OWNER: TEL. NO: FINAL DATE FZSAL BY: CODE:
PRAK, KONG (951) 567-6606-
10104 CH2EEH ST
T314P 917803333 DESCRIPTION OF WORK
REPLACE KITCERK SINK
APPLICANT: TEL. 190:
SAME AS OTRIER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS O)7 -
LIC. NO U� SLAB FORK
NATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENOINIEER: TEL. NO:
- ROUGH PLUMB 119G,
LIC. NO:
(AS PIPING
GAS VENT
BUT WATER HEATER
PLIlBING FIZTORCS
EXPIREU LAN.N SPRINKLERS
GAS TFSP
Urq,ITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 - RXTIE TO: BS0508