HomeMy Public PortalAbout10610 KEY WEST ST_Plumbing__ 76A667y a.,
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APPLICATIO FOR PL BING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
'ADDRESSS i
NUMBER FIXTURE OR ITEM ® FEE
LOCALITY
WATER CLOSET
NEAREST
BATH TUB
CROSSST
SHOWER OWNER
LAVATORY MAIL' .�
ADDRESS 'A0 61D S
SINK CITY TEL NO
DISHWASHE CONTRACTOR
CLOTHES WASHER ADDRESS
C�. c►k
SWIMMING POOL RECEPTOR
CITY TEL NO
LAWN SPRINKLER SYSTEM STATE LIC
WATER HEATER LICENSE NO 7 CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING 0
GAS VENT w
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST
Plan check fee UTILITY CO NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
Plan check applicant
PLAN CHECK VALIDATION
�
Name '
Address L✓ U ��
City Tel No
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE , 7 '1 R
A
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES -9,72
1
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION
# o o�o'o 0 5
I HEREBY CERTIFY THAT I A PROPERLY REGIS t-414 D/OR LICENSED AS
REQUIRED BY LOS AN ES COU AND STATE OF CAL?E_,...?
R THAT I AM THE q [� ('�
LEGAL OWNER OF A I TEN RESIDE THE ABOVE CRI D RESIDENTIAL , O O'I 7�Q t,J
PROPERTY
/ ,00019,606
SIGNATURE
OFPERMITT [ T, —7 9
T CT NO ) P SS D BY U Y
INDUSTRI L
WASTE APPROVAL
76'A 667—CE'817 8/68
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING �y f� '
JOHN A LAMBIE. COUNTY ENGINEER ADDRESS I��.�C� �'i'
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY '��77�G�
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1 50 KAIL
BATH TUB 1 50 ADDRESS 18Z,0
SHOWER 1 50 CITY� TEL. NO.
LAVATORY 1 50 CONTRACTOR
SINK 1 50 ADDRESS
DISHWASHER 1 50 CITY TEL. NO.
/ CLOTHES WASHER 1 50 s(� STATE LIC
LICENSE NO CLASS
SWIM1v1ING POOL RECEPTOR 1 50 DISTRICT NO GROUP ZONE 9;z
BY a
s LAWN SPRINKLER SYSTEM 2 00 (�� U
WATER HEATER 1 50 �() INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 50U
S!J INSPECTION REC AD W
OUTLETS OVER o_
5 PER SYSTEM 30 ((� is Z
` r
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 8 2 00
I OTgL FEL �� APPROVALS DATE INSPECTOR S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING ( 02�r e_�
Address GAS PIPING
GAS VENT
City Tel No
HOT WATER HEATER IZ7 0 a ..
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES Z ��70
WITHALL 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 I AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL
SIGNATURE • JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R
OF PERMITTEE
PERMIT VALIDATION cK M o CASH
PLAN CHECK VALIDATION CK M O CASH
9 2 80N 2'2 5 a 6.50M ,Q
L _ �� � �
• app p��p■p ppr�q PLUMBING
76A667 APPLICATION FOR 9 LUMBING i ERMIT 1 '
CE 617,8_56
BUILDING AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles I
BUILDING
JOHN A LAMBIE,COUNTY ENGINEER ADDRESS -e_t
CASSATTD GRIFFIM,SUPT OF BUILDING
volgiM LOCALITY
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST
OWNER DISTRICT NO GROUP JI I READY FOR INSPECTION
ADDRESS
MAIL I �
�� �ONE
�Q Q
INDUSTRIAL
CITY TEL&Z0 WASTE APPROVAL
PLUMBER $� INSPECTION RECORD
ADDRESS B' of O .!t•--f=---- _ V g ®jp,I-.,I }�/b' ]�!d•►.kil-
1
CITY 'aaL TEL NO
r
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE [5 2,-
di WATER CLOSET (TOILET) @ $1 00 $ I
y BATH TUB @ $1 00 Gs>
SHOWER @ $1 00 tlfGY �
LAVATORY (WASH BASIN) @ $100
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $100
L WATER HEATER @ $1 00
GAS SYSTEM @ $1 00
r +i
I
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK p } T/-
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE B GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION j7>`"
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED Pf (JI fI/�.riztiC+� f
DESCRIBED RESIDENTIAL PROP RTY.
SIGNATURE 7 / F
OF PERMITTEE FINAL �� / �.r
ROBERT A.WOOD,
JOHN A LAMBIE, COUNTY ENGINEER VALIDATION SUPERVISING MECHANICALENG'R
CK H O CASH
jjuo0854 AUB 1 3 8. 0
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1201230001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID 1 FEES PAID I BUILDING ADDRESS 1
ITR 11290 LT 1 BL 001 1 10610 KEY WEST ST 1
I IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917803464
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET DOREEN
18585-025-017 101 PERMIT ISSUANCE FEE 27 80 1 THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY, Cl
1 103 BACKWATER VALVE(S) 1 00 VAL 47 00 1
(TENANT 107 BATHTUBS/SHOWERS 1 00 FIX 16 30 11SSUED ON PROCESSED BY PLAN BY 1
I .125 LAVATORIES/SINKS 1 00 FIX 16 30 101/23/12 SR 1
I 145 WATER CLOSET/URINAL 1 00 FIX 1630 1 1
(OWNER TEL NO 160 DWV REPAIR OR ALTER 1 00 SYS 16 30 IFTNAI,DATE FIISAL BY CODE
IREYES JR , RAMIRO _ (626) 827-5605- 1 TOTAL FEES 140 00 1 7 I
110610 KEY WEST ST II •/ I
1TEMP 917803464 I IDES RIPTION OF WORK
IPLUMBING FOR BATHROOM REMODEL
(APPLICANT TEL NO I
ISAME AS OWNER
I ISPECIAL CONDITIONS
I
CONTRACTOR' TEL TEL NO JAPPROVALS DATE INSPECTOR SIGNATURE
I SAME AS OWNER -
ILIC NO I (UNDER SLAB WORK
_ I I 1
I 1 IWATER SERVICE I I I
1PLASTIC YIN METAL YIN I
(ARCHITECT OR ENGINEER TEL NO 1 I I I
I - IROUGH PLUMBING I 1
1-I LIC NO I 1GAS PIPING II I
I 1
GAS VENT I I
I I I
I I IHOT WATER HEATER 1
IPLUMBING FIXTURES I I I
I I I
I (LAWN SPRINKLERS I I
I I I
I GAS TEST
I I \ I
1UTILITY COMPANY NOTIFIED( I I
I ICwv I
IGRAY ATER SYSTEM
I 'II I
14
I I I I I I
I
I I I I I I
1 IREPORT ID DPR263 ROUTE TO BS0508
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0603300023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 11290 LT 1 BL 001 10610 KEY WEST ST
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803464
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
8585-025-017 .01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY, C
07 BATHTUBS/SHOWERS 2 00 FIX 32 40
TENANT 11 CLOTHESWASHER(S) 1 00 FIX 16 20 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
13 DISHWASHER(S) 1 00 FIX 16 20 03/30/06 VG 09/26/06
25 LAVATORIES/SINKS 2 00 FIX 32 40
OWNER TEL NO 45 WATER CLOSET/URINAL 1 00 FIX 16 20 FIN DATE FINAL BY CODE
REYES, RAMIRO (626) 448-8038- 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20
10610 KEY WEST ST TOTAL FEES 157 35
TEMP 917803464 DESCRIPTION OF WORK
PLUMBING FOR BATHROOM
APPLICANT TEL NO
PABLO (562) 631-6361-
SPECIAL CONDITIONS
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
GREAT LAKES CONSTRUCTION (800) 755-7909-
5563 SEPULVEDA BLVD , SUITE C LIC NO UNDER SLAB WORK
CULVER CITY, CA 90230 788623B
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER TEL NO
ROUGH PLUMBING �O
LIC NO
GAS PIPING
GAS VENT
r
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BS0508
--COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9706040002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
FEES PAID IN DD
TR: 11290 LT: 1 BL: .001 10610 KEY WEST ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803464
ASSESSORNEAREST CROSS STREET: DOREEN
8585-025-017 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CTIY
21 HOSE BIBB(S) 1.00 FIX 16.35
TENANT: TOTAL FEES 44.10 ISS 0 PROCESSED-BY: EXPIRES .
06/04/97 TC 06/04/98
OWNER: TEL. 0: FINAL DATE FINAL BY CODE:
GOGOS,CHRIS;KIM (818) 453-0643-
10610 KEY WEST ST `
TEMP 917803464 DESCRIPTION OF WORK
MOVE HOSE BIBB FOR NEW FILY ROOM ADDITI
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO � � UNDER SLAB WORK
- WATER SERVICE
PLASTIC Y/N METAL Y/N
RC . N0: Ile, ROUGH
BING
LIC. N0: / �`tGAS PIPING
NT
{l JU ,L O( Rll S S WA TER HEATEIF-
PLUMBING
d FIXTURES
SPIZINKLEW9--
GAS TEST
UTILITY OMPANY NOTIFIED
cWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508