HomeMy Public PortalAbout10243 GREEN ST_Plumbing__ D.B.S.-17 25M SETS 6-46 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURCS _I COMPLETE
HEATER CESSPOOL SEPTIC TANK _-
RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
(=A3 M ISCF-LLANEOU
APPLICANT FILL INH AVILY OUTLINED PORTION ONLY
JOB
NAME ADDRESS
0 ADDRESS �' i LOCALITY � r7
D - NEAREST
.1 CITY _.;qti, TEL.No. ,, CROSS ST.
COUNTY �—
Ce RT.No. EXPIRES NAME 'r
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.
IY D
3 i OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK Q
a
BATH TUB FURNACE 17
SHOWER DISHWASHER I�
"W 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 3A3 PIPING
GAS VENT �
CESSPOOL
TOTAL NUMBER OF FIXTURESTK7
SEPTIC TANK
L
CESSPOOSEPTIC TANI SEWER
( UTILITY CO.NOTIFIED
! TOTAL FEE �
FINAL ✓� �+
II 1 I
76A667-CE*817 5/63 .�
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER �^
G-
BUILDING AND SAFETY DIVISION ADDRESS 3 E &R4 3-r
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUP•'r OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER /l
WATER CLOSET $1.25 ZS MAIL
BATH TUB 1.25 ADDRESS �CE4ON
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.2S , Z,S CONTRACTOR ' Q ro
SINK 1.25 ADDRESS re) L Z(J$� n/ D/✓ G`
DISHWASHER 1.25 CITY!II/ ATEL. NO.L'
CTOR'S STATE
LAUNDRY TUB 1.2S R GINS AAT ON NO. 3 COUNTY 0
CLOTHES WASHER 1.25 DISTRICT NO. CZ P ZO EPROCESSED BY
WATER HEATER 1.50 R t{(qLtt
GAS SYSTEM_OUTLETS 1.50 INDUSTRIAL d
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 V
INSPECTION RECORD
w
LuCLN
Z
L t` r 't' �f UT r;-" T-n Lf'Z
APPROVALS DATE INSPECTOR'S SIGNA URE9j)/
Y
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING S--
TOTAL FEE L
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 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.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFA
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST r�'�" •tQj..-
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL -L.--Z� 4- �R,>,�._•
V LIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
Lilo 5 3 9 5 OGT 2 9 5 Q '�. 5-
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G���;
COUNTY OF LOS AWDna9 TE34PLE CITY # 0508 PLZMBINO PERMIT
DEAXRTMENT OF PUBLIC WORKS - 9701 LAS TUNAS PL 0508 1302250007
BU=ING AND SAFTIT / LAND DEVELAPMENP TEMPLE CITY CA 91780
PHONE: (626) 2Q5-0488 ETT:
LJDGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 10243 GREEN ST
FEE DESCRIPTION: QUANTIL'Y: UOM: AMOUNT: TEMP CA 917803337
ASSE,990R INFORMATION NUMBER: NEARR4T CROSS STREET: BAID%-IN
8585-005-023 01 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LACA-=: TE24PLE CITY CA
05 BACKFLOW DEVICE(S) 5.00 DEV 81.00
TENANT: 07 HATB•ISTBS/SHOWKRS 5.00 FII 81.00 ISSUED ON: PROCESSED BY: PLAN-BY:
11 C OTHESW]%SHER(S) 1.00 FYZ 16.20 02/25/13 SR .
21 H09E BIBB(S) 4.00 FII 64.80
.OWNER: TEL. NO: 25 LAVATORSE9/S7NR.9 7.00 FII 113.40 FINAL BATE BY: CODE:
QUEZADA, HERAN (626) 419-0091- 45 WATER CLOSET/IIRI24AL 5.00 FIX 81.00
2246 ROYAL OAKS DR 47 WATER HEATER(9) 2.00 WTH 32.40 .7
DUARTE CA 91010 51 LOW PRS GAS 5 OUTLET _ 1.00 979 16.20 D&SCRIPTION OF WORL
TOTAL FEES 513.00 PLumING FOR NEN aATFGMcKg, LSTC=, BATHROOMS REMDEL,
2 WATER HEATERS AND GAS LINE
APPLICANT: TEL. NO: -
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEi b. NO: - APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LSC. NO - UNDER SLAB WORK
SERVICE
PLASTIC YIN METAL 7/N
ARCHITECT OR ENGINEER: TEL. NO: -
ROUGH PLUMBING
LSC. NO:
GAS PIPING
- GAS VENT
HOT WATER HEATER
PLDMBING F•IZTOR�9
LAi4N 9PRHarr ERS
GAS TEST
UT TrY COMPANY NOTIFIED
Cwv
GRAY WATER SY
REPORT ID: DPR263 ROUTE TO: BS0508