HomeMy Public PortalAbout10617 KEY WEST ST_Plumbing__ 76AG67 CBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLu mi BIN G6 1
DISTRICTGROUP E
FOR APPLICANT TO FILL IN
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PLUMBER �4 RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRE,168�3P� A�
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CITY 9)CbS r lv 10 i� �, TEL No: �i�JE�6� ADDREBUILDSS
COUNQQ LOCALITY
1 EN9ETY '71 NO. �� EXPIRES J�
NEAREST
PERMIT FEES CROSS ST. q 0�1�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER W
_ /7 �61 7X p
1
MAIL
WATER CL09ET(TOILET) @ 0.50 $ I ADDRESS
BATH TUB @ 0.50 CITY __ TEL. No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 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 L09
0
LAUNDRY TUB OR TRAY @ .50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
OAS SYSTEMS OUTLETS @ O.SO
SIGNATURE OF
��. WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ O.SD INSPECTION RECORD.
FLOOR SINK @ 0.50
VSA
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.'50
DRINKING FOUNTAIN @ 0.50
URINAL 0.50
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS - L7
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL @ 1.013 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN, ( ) PIT ( ) @ 1.00 SEWER _
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED
DOTAL FEE y FINAL I '_�
.7GA607 17 9-50 '® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS'ANGELES
WILLIAM J. FOX:, CHIEF- ENGINEER
FOR AP LICANT TO FILL l�
DIST RI NO. GRO P I ZQNE E/MIT�NO.
PLUMBER - >',I ` d RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS / e /'l�.f�-.moo• '�
A2 , 7 BUILDING
CITY 4/ �/' yTEL „ ADDRESS A C
�
COUNTY LOCALIT�
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES' CROSS sr.
NUMBER• TYPE OF FIXTURE OR ITEM FEE OWNER
[-$ MAIL
WATER CLOSET (TOILET) @ 0.501$ ADDRESS
1 BATH TUB @ O 501 I CITY TEL. NO. -
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q 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 LICENSE. ORIF AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPE2TY DESCRIBED ABOVE.?
GAS SYSTEM OUTLETS @ 0.50 F
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTE '✓ jj��1�-4—" g
SLOP SINK Q o.5o I INSP CTION RECORD
FLOOR SINK Q 0.50
FLOOR DRAIN Q 0.50
DISHWASHER Q 0.50I
DRINKING FOUNTAIN Q 0.50
I URINAL @ 0.501 ,j „J
I HOUSESEWER Q 0.501 b a
Z
MISCELLANEOUS
0
Imo_
Il
1 APPROVALS 1
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 00 I -� CESSPOOL �� YS 1 -.—••.
SEPTIC TANK: 1 SEPTIC TANK
DRAIN ( )'PIT ( ) @ 1.001 1 SEWER
PERMIT . I 1.00 GAS TEST
TOTAL FEE $ a I, UTILITY CO. NOTIFIED
f�9. Ifr}
FINAL
76A667A ICE 81715)- 11/76 �w�v G� C (T 7�
APPLICATION FOR PLUMBING .PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
O
NUMB R FIXTURE OR ITEM @' FEE ADDRESS / / C
WATER CLOSET 3 Ba LOCALITY
NEAREST
BATH TUB CROSS ST
SHOWER 3 OWNER / `p
MAIL
LAVATORY 3 Q7jr,) • ADDRESS / e A�
SINK CITY •E v �r TEL.NO 2JS,62
DISHWASHER CONTRACTOR f'
CLOTHES WASHER
ADDRESS p`J Z <f41t 4' b�
SWIMMING POOL RECEPTOR
CITY NV TEL.NO
LAWN SPRINKLER SYSTEM
STATET� LIC-
WATER HEATER 3 LICENSE NO 7 7,J CLASS C
GAS SYSTEM OUTLETS DIST ICT NO. GROUP ZONE PROCESSED BY
OUTLETS OVER — O
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL V
INSPECTION RECORD of
JQ LAG . .� fcJ �✓�' Y'� e'a���1 �
Z
Plan check fee ' "`'✓S-77,
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applicant ) `�i'�'•r'1 _`
APPROVALS :_DATE _ INSPECTOR'S SIGNATURE
Name UNDER SLAB WORK
Address ROUGH PLUMBING /
City Tel No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY H ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM OP Y REGI RED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COON A ST O CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF,AND INTEND I IN ABOVE DESCRIB RESIDENTIAL
PROPERTY UTILITYCO NOTIFIED
SIGNATURE qq
OF PERMITTEE FINAL "!
PLAN CHECK VALIDATION K M CASH PERMIT VALIDATION M O CASH
1 2 8 !4DU 1.5 -5 D 1 9;5
Its
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS -PL 0508 9808210015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGI
AL ID: FEES PAID BUILDING ADDRESS:
TR: 11290 LT: 12 BL: D 10617 KEY WEST ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803465
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: EL MONTE
8585-022-037 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS _16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESS : PLA EXPIRES ON:
08/21/98. UT 08/21/99_
OWNER: TEL. NO: FINAL DATE FINAL BY CO
BARTHEL VERNA;CAROL JEAN -
10617 KEY WEST ST Q
TEMP-917803465 5ETCRIPTION OF WORK
GAS LINE FOR HEATING AIR/COND. _
APPLICANT: L. NO:
AIR TRO INC. (626) 357-5311-
1630 S. MYRTLE AVE. SPECIAL CONDITIONS:
MONROVIA, CA,
CONTRACTOR: TEL. NO: ®� APPROVALS DATE INSPECTOR SIGNATURE
AIR TRO, INC. (626) 357-5311-
1630 S MYRTLE AVE LIC. NO UNDER SLAB WORK
MONROVIA, CA. 258288C-20
® A WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGI TEL. N0:
ROUGH PLUMBING
LIC. N0: (I
GAS PIP IN
GAS VENT
pUED`L�C W01)"Fo---la HOT WATER HEATER
p fl
PLUMBING IXTURES
Oin �co LAWN SPRINKLERS
GAS TEST
Z' UTILITY COMPANY NOTIFIED
r� CWV
r p�� A WATER SYSTEM
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* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508