HomeMy Public PortalAbout10666 KEY WEST ST_Plumbing__ 76A667 (CE-817) - 5/73
APPLICATI N FOR'- PLUMBING -PERMIT,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION F
LDING n/ /!
MAKE CHECKS PAYABLE TO: D RESS''�G�CC7
HARVEY T. BRAN DT, COUNTY ENGINEER ALIY.Y .•FOR APPLICANT•TO FILL IN (PRINT OR TYPE) AREST
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NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
OWNER _
WATER CLOSET 1.75
MAIL /.^ -
' BATH TUB 1.75 ADDRESS ' /,J •
SHOWER '1,75 CITY TEL,NOZZL-14219.
LAVATORY 1,75 CONTRACTOR
SINK - 1.75 ADDRESS
DISHWASHER 1.75 CITYO��
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1,75 LICENSE NO. CLASS '
OISTRICT•NO GROUP AqNE ESSED BY
LAWN SPRINKLER SYSTEM 1.75 r0 Q ^yam �� .
WATER HEATER 1.75 INDUSTRIAL c� lam"
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER 30
5 PER SYSTEM
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a.
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
r
TOTAL FEE '
APPROVALS DATE INSPECTOR'$ SIGNATURE
Plan check applicant UNDER SLAB WORK
-Name ROUGH PLUMBING
Address GAS PIPING
City Tel.. NO. GAS VENT'
i
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE •ABOVE IS CORRECT AND AGREE TO'COMPLY PLUMBING FIXTURES
,WI,TH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I .
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/'OR UTILITY CO. NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY ND.STATE OF
CALI FORNIA OR THAT I AM 'THE LEGAL OWNER OF ND INTEND TO '
r RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PR ERTY. FINAL
SIGNATURE �
OF PERMITTEE
PERMIT VAL TION CK M.0. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
S � ' 4.,'7 -b e
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
NO. ROUP O
FOR APPLICANT TO FILL IN HS-Y'RICT
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PLUMBER VALLEY BOULEVARD PLUMBINGECEIVED BY READY FOR ✓DATE ISSUED
FIRST INSPECTION
ADDRESS 8300 EAST VALLEY BLVD. -
le
ROSEMEAD noILO&
CITY TEL No. AT. 2-2 �.
/J
COUNTY
LICENSE NO. EXPIRES 6-30' LOCALITY ��:.
NEAREST
PERMIT FEES CROSB ST.
e
NUMBER TYPE OF FIXTURE ON ITEM FEE OWNER
oo
MAIL
WATER CLOSET(TOILET) 0 O. $ ADDRESS
BATH TUB Q D•5 CITY TEL. No.
SHOWER O.5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WARN BASIN) ❑. �® APPLICATION'AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.413 �� AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSEBB THE ABOVE VALID LDS
.
LAUNDRY TUB OR TRAY @ O ❑ A14GELEB COUNTY LICENSE, OR I AM THE LEGAL OWNER
GA9 SYSTEM OUTLETS O. p Y '® OF THE RESIDENTIAL PROPERTY DESCRIBED BOVE.
SIGNATURE OF
WATER HEATER 0 0. 50 40 PERMITTE
c
SLOP SINK 13.511 INSPECTION RECORD
FLOOR BINK 0.10
FLOOR DRAIN C@ O. O
DISHWASHER O. O
DRINKING FOUNTAIN O. O
URINAL O. O -)
Q
HOUSE SEWER O. O _Z
MISCELLANEOUS L7
Ir
O
APPROVALS
DATE INBPEITIR•B NAMES
ROUGH PLUMBING ( i
GAS PIPING
GAS VENT y
(�rI
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT • 1.00 GAS TEST
Q D
TOTAL FEE UTILITY CO.NOTIFIED
$ a
FINAL
76A667 DBS$ 17 6-52
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1205070013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID FEES PAID BUILDING ADDRESS- 1
ITR: 19189 LT: 105 10666 KEY WEST ST 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803466 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-029-024 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID- C4 LOCALITY: TEMPLE CITY, Cl
I 121 HOSE 13IBB(S) 1.00 FIX 16.20 1
TENANT: I TOTAL FEES 44.00 JISSUED ON: PROCESSED BY: PLAN BY: 1
I 1 105/07/12 SR 1
(OWNER: TEL. NO: I IFINAL DATE F N BY: CODE: 1
ISLAVIN, JAN (530) 363-8803-
110666 KEY WEST ST
(TEMP 917803466 1 IDESCRIPT ON OF WORK 1
I I IREMOVE AND REPLACE BIB 1
APPLICANT: TEL. NO:
(PAUL DAVIS RESTORATION (714) 228-0895- 1 I
1 ISPECIAL CONDITIONS: 1
I I I I
I I I I
I I I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
(PAUL DAVIS RESTORATION (714) 228-0895- 1 1 1
114670 FIRESTONE BLVD SUITE 406 LIC. NO I (UNDER SLAB WORK I I 1
ILA MIRADA, CA 90638 510431 B I I I 1
I I (WATER SERVICE I I 1
1 I IPLASTIC YIN METAL YIN I 1 1
1ARCHITECT OR ENGINEER: TEL. NO: I I I I
- I (ROUGH PLUMBING I I
1 LIC. NO: I 1 11
I IGAS PIPING I
I 1 I I I I
1 I IGAS VENT I I 1
I I I I I
1 I IHOT WATER HEATER I 1 1
I I I I I
' I (PLUMBING FIXTURES I
I I I I I I
I 1 (LAWN SPRINKLERS 1
I I I I I I
1 IGAS TEST I I ' 1
I I 11 1
1 I (UTILITY COMPANY NOTIFIEDI I I
I I 1 11 1
I I ICWV I - I I
I I I I I
I I (GRAY WATER SYSTEM I I
I I I I I I
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I (REPORT ID: DPR263 ROUTE TO: BS0508 I I I I
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