HomeMy Public PortalAbout9015 HERMOSA DR_Plumbing__ 96A669 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��
COUNTY F LOS ANGELES
WILLIAM .1.. FOX. CHIEF ENGINEER
DISTRICT GRD P ZON RMT NO.
FOR APPLICANT TO FILL IN '
PLUMBER •� Y� ' RECEIVED FIRSTADY FOR INSPECTION DATE ISSUED
v - F /6J S
ADDRESS �,,j�'
�/„E�1 .//)Lwr/ _ ITEL.N4:.f .S��IQ 7 BUILDING 50 (�
CITY BUILD 8 J
COUNTY _
LICENSE NO. -��U/ E%PIKES LOCALITY
NEAREST � d
' PERMIT FEES cwoss ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.501$ ADDRESS
BATH TUB @ 0.50 CITY TEL. NO.
fiHOWERt4p@ 0.50 O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 19 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 RESIDENT AA PROPER DESCRIB ABOVE.
OAS SYSTEM nUTLET9 @ 0.50
SIGNATURE OF
WATER HEATER @ 0.50 PERM).TTE
SLOP BINK @ 0.5a INSPECTION RLICORD
FLOOR SINK @ a.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50 '
DRINKING FOUNTAIN - @
URINAL @ LSD
Q
HOUSE SEWER @ 0.5a ?
MISCELLANEOUS
D
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ l.Da CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN (- ) PIT (_ ) @1.00' SEWER
PERMIT • t.00 GAS TEST
UTFINALILITY CO. NOTIFIED
TOTAL FEE $ -/ Q.
C O
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0309220017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LE EES PAID BUILDING
TR: 5904 LT: 169 UN: .002 9015 HERMOSA DR
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917801836
ASSESSOR INFORM TIONBER: NEAREST CROSS STREET: ROSEMEAD
5384-016-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: % N:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 09/22/03 JK 03/20/04
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
OWNER: TEL. NO: TOTAL FEES 92.55 FINAL ATE NAL BY: CODE:
0115 HERMOSA DRAGNES H (626) 286-8754- ���/ /
TEMPLE CITY 91780 ULb i SOF O� —�
PLU BING FOR ADDITION
APPLICANT: EL. 0:
SAME AS OWNER SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - •' / .`� / i
LIC. NO �" �' _ - , UWffgFW WORK
WATER SERVICE -
1/.' PLASTIC Y/N METAL Y/N
ARCHITECT OR NGIN ER:
ROUGH LUM N
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
�A a� �� „ , J� U COMP NOTUM
16 jl �`,o . .r Cu
GRAY WATER S 5 M
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0201150003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: -
LEGAL D: FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 169 - UN: .002 - 9015 HERMOSA DR -
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801836
ASSESSOR N A N NUMBER: NEAREST CROSS STREET: ROSEMEAD
5384-016-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
25 LAVATORIES/SINKS 1.00 FIX 16.20
TENANT: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 ISSUED ON: PROCESSED : PLA BY: EXP I S
TOTAL FEES 60.15 01/15/02 JK 07/14/02
OWNER: TEL. N0: FINAL DATE FINAL BY: CODE:
CHENFEI H - (626) 309-9782-
8254 KIN r.�
8254 HURST RD ✓•-vy
SAN GABRIEL 91775 S RIPTION OF WORK
CONVERT UTILITY RM TO HALF BATH
APPLICANT: TEL. N0:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - -
LIC. NO UNDER-SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
LIC. NO:
ROUGH PLUMBING
✓ "< ��—�.
GAS PIPING
M- EFT
HOT WATER HEATER
PLUM81MG FIXTURES
LAWN srRTNTLERS
GAS TEST
TIL TY COMP N OTIFIED
CWV
GRAY WATER SYSTEM
-
REPORT ID: DPR263 ROUTE TO: SS0508 y,l
• COUNTY OF LOS ANGELES TEMPLE CITY q 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1210240024
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 5904 LT: 169 ON: .002 1 9015 HERMOSA DR
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917801836
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ROSEMEAD
15384-016-021 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY 1
1 109 BATHTUBS/SHOWERS 1.00 FIX 16.20 1
ITENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY:
1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 110/24/12 SR 1
I I TOTAL FEES 76.40 1
TOWNER: TEL. NO: 1 1 B' T� FINAL BY: CODE:
WONG BRING M d AGNES H (626) 286-8754- Ih�/JryJI � Y`/
9015 HERMOSA DR
ITEMPLE CITY 91960 1 B68CRIPTION OF WORK
INSTALL NEW CYGWBR, LAVATORIE AND WATER CLOSET
1 -tub
(APPLICANT: TEL. NO:
SAME AS OWNER -
(SPECIAL CONDITIONS:
1CONTRACTOR: TEL. NO: 1 (APPROVALS PATE INSPECTOR SIGNATURE I
(SAME AS OWNER - I
LIC. NO i (UNDER SLAB WORK A D-
IWATER SERVICE 1
(PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
I IROUGH PLUMBING
LIC. N0:
[GAS PIPING
I IGAS VENT I I 1
I I
[ I IHOT WATER HEATER
I I
I (PLUMBING FIXTURES
I 1 (LAWN SPRINKLERS 1 1 1
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1 I (GAS TEST I 1 1
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I (UTILITY COMPANY NOTIFIED(
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GRAY WATER SYSTEM
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1 (REPORT Ip: pPR263 ROUTE TO: BS 0508 1 1 1 I
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