HomeMy Public PortalAbout10626 KEY WEST ST_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of CD Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
DISTRICT NO. R PERMIT NLJ.
FOR APPLICANT TO FILL IN
PLUMBER VALLEY BOULEVARD PLUMBING CO. RE C I FED BY READY FOR T DATE ISSUED
FIRST INSPECTION
ADDRESS ��—
8300 EAST VALLEY BLVD, r �
.p
OSEMEAD7r� BUILO rC
CITY TEL NO. AT. 2-2719
COUNTYG
LICENSE NO. J P'� EXPIRES 6-30- LOCALITY
NEAREST
PERMIT FEES CROSS ST.
G
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER i
MAIL
WATER CLOSET(TOILET) @ O. `6 1.0/-e) ADDRESS
BATH TUB Q 0.5 CITY TEL. NO.
SHOWER 0 0.5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.5 y APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND A13REE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.40 AND STATE LAWS REGULATING PLUMBING.
0.50 ANGI CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
.d `� E
LAUNDRY TUB OR TRAY LES COUNTY LICENSE, OR I AM THE LEGAL, OWNER
GAS SYSTEM---;g---OUTLETS 0.50 070 OF THE RESIDENTIAL PROPERTY DESCRIBED A VE.
1 SIGNATURE OF t
WATER HEATER 0.50 / 07-0 PERMITTE
SLOP. BINK @ O.EO INSPECTION RECORD
FLOOR SINK D.BD
FLOOR DRAIN Q 0.50
DISHWASHER O.BO
DRINKING FOUNTAIN 0.60
URINAL 06 —1
a
HOUSE SEWER O. O Z_
MISCELLANEOUS
O.'
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING A A
GAS PIPING i /J
GAB VENT h �}
CESSPOOL (t71 1.00 CESSPOOL `1 r
SEPTIC TANK: SEPTIC TANK L
DRAIN ( ) PIT ( ) @ 1.00 SEWER -!� �f„qa
PERMIT 1.00 GAS TEST V py
0
UTILITY CO
TOTAL FEE .NOTIFIED
FINAL
76A667 DBS##17 6-52
7GA667 (CE-817( - 1/75
s APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: AILD
DDRESS eyL
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
G�
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
IM
CROSS ST. � an
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 2.00 OWNER
MAIL
BATH TUB 2.00 ADDRESS L
SHOWER 2.00 CITY Lp TEL. NO.
LAVATORY 2.00 CONTRACTOR
�41dR 2.00 ADDRESS V
DISHWASHER 2.00 CITY v TEL. NO.
CLOTHES WASHER 2.00 if , STATE ??3 {�'' CILASS
LICENSE NO. ! O
SWIMMING POOL RECEPTOR 2.00
DISTRICT NO.GROUP ONE ROC SED BY
LAWN SPRINKLER SYSTEM 2.00 IS, Y e �
WATER HEATER 2.00 INDUSTRIAL
WASTE APPROVAL i
GAS SYSTEM OUTLETS 2.00 J INSPECTION RECORD U
OUTLETS OVER .�.r�
5 PER SYSTEM 30 44 O
V
W
CL
C/7
Z
Pian check fee See Reverse s-0
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING r�
Address GAS PIPING
City Tel. NO. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ •THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS-TEST
PLUMBING.
I HEREBY CERTIFY THAT 1 P EGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY ANG S CO TY AND S ATE OF
CALIFORNIA OR THAT I AM E LE OF, AN
I �Nb TO /f
RESIDE IN.THE ABOVE DES IBED Si IAL PROPERTY. FINAL
SIGNATURE _
OF PERMITTEE
PERMIJVA ATl,0N CK0. CASH
PLAN CHECK VALIDATION CK .0. CASH �
07 7'r,-0FE8 6 5 0 1 6„5 0 m;ii
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1009220004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR- 19189 LT: 111 1 I 10626 KEY WEST ST
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803464
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: PAL MAL 1
18585-025-014 101 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
1 164 WATER PIPNG <= 1 1/2 1 00 LIN 16 30 1 1
(TENANT- 192 NO PERMIT OWNER-BLDR 257.00 DOL 257.00 (ISSUED ON: PROCESSED BY: PLAN BY 1
I TOTAL FEES 301.10 109/22/10 SR 1
I I I I
(OWNER: TEL NO: FT.NAL 1DATE FINn CODE: 1
IMILLONE JOHN (626) 575-8471- %�
110626 KEY WEST ST 1 1 1
(TEMP 917803464 DOCCRIPTION OF WORK y1
1 (REPLACE WATER MAIN 1
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(APPLICANT: TEL. NO: 1 I 1
(SAME AS OWNER - I
I I (SPECIAL CONDITIONS
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(CONTRACTOR TEL. N0- I 1APPROVALS DATE INSPECTOR SIGNATURE I
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I LIC NO 1UNDER SLAB WORK I I
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IWATER SERVIC-
I PLASTIC YIN META YIN (rl/JS/ 8
1P.RCriITECT OR ENGINEER TEL iQC
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1 1HOT WATER HEATER I I I
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I IPLUMBING FIXTURES I I I
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1 I (UTILITY COMPANY NOTIFIE51 I I
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IREPORT ID: DPR263 ROUTE TO: BS0508 I
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