HomeMy Public PortalAbout10650 KEY WEST ST_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
LUMB
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN I TRI. S O. R P
PLUMBER , 'RBY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS =y BUIEE:rING / s/� A.),A d �
ADDRESS /. ,o
CITY ROSE TE L.•No• ,�
COUNTY AT. 2-27i9 - LOCALITY �A `
LICENSE NO. EXPIRES 7
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER.
MAIL
WATER CLOSET(TOILET) 0.5 $ �Q ADDRESS
BATH TUB O. O / CITY TEL. No.
SHOWER ❑• D 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) ❑. OI APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK O. 0 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY O. ❑ b ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS 0.$13 e 00 12F THE REBIDENTI? PROPERTY DESCRIBED ABOVE.
SIGNATURE D'rMITTE �O� '/J
WATER HEATER 0.40 e� PER
SLOP SINK 0.40 INSPECTION RECORD
FLOOR SINK Q D. O
FLOOR DRAIN O. O
DISHWASHER Q O 50
DRINKING FOUNTAIN 50
URINAL .50 -I
Q
HOUSE SEWER .50 Z
MISCELLANEOUS E3
lZ
APPROVALS
DATE IN6PE0TOR'9 NAM5.'
ROUGH PLUMBING P A
GAS PIPING / ///�,!/"-
OAS VENT
CESSPOOL @ 1.00 CESSPOOL d [•I'
r�r
SEPTIC TANK: SEPTIC TANK ) C�
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST y� �v
-7npIo
UTILITY CO.NOTIFIED
TOTAL FEE dFFINAL
76A667 DBS.7#17 6-52
COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 PLUMBING PERMIT
` DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0406070020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL S PAID L G ADDRESS:
TR: 19189 LT: 108 10650 KEY WEST ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803466
ASSESSOR FORMATION NUMBER: NEAREST CROSS STREET: EL MONTE
8585-029-027 01 PERMIT ISSUANCE FEE' 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT- 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED PROCESSED BY: PLAN EXPIRES .
45 WATER CLOSET/URINAL 2.00 FIX 32.40 06/07/04 VG 12/04/04
TOTAL FEES 92.55
OWNER: TEL. NO: FINAL DATE FINAL-BY: CODE:
POLO MELINDA L TRUSTEE;UDT (626) 445-0533- "
427 ALSTER ST Ti
ARCD 910064818 DESCRIPTION OF WO
PLUMBING FOR BATH REMODEL
APPLICANT: L. N0:
L & W KITCHENS & BATHS (626) 287-1131-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
L AND W KITCHENS AND BATHS (626) 287-1131-
8812 LAS TUNAS DR. LIC. NO UNDER SLAB WORK
SAN GABRIEL, CA 91776 2053448
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL NO: _
LIC. N0: ROUGH PLUMBING
GAS PIPING
GAS VENT
HOT WA E ER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANYNOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: SS0508