HomeMy Public PortalAbout9837 KEY WEST ST_Plumbing__ 7GA664MAPPLICATION FOR PLUMBING PERMIT 1
'DBS-17(S.IDIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUPT OF BUILDING w G
LOCALITY
FOR APPLICANT TO FILL. IN NEAREST
i
CROSS ST
OWNER DISTRICT NO I GRO'!�F IZONE I READY FOR INSPECTION
MAIL
ADDRESS .
INDUSTRIAL
CITY
EL NO WASTE APPROVAL
PLUMBERPLuMBER ^R INSP TION RECORD
ADDRESS
CITY TEL NO
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE l
WATER CLOSET (TOILET) @ $1 00 S
BATH TUB @ $1 00
SHOWER @ $1 00
LAVATORY (WASH BASIN) @ $100 +
KITCHEN SINK @ $1 00
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $100
GAS SYSTEM @ $1 00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK /
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL 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 TH I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDEN IA PROPERTY 1
SIGNATURE
OF PERMITTE FINAL
JOHN A LA BI COUNTY ENGINEER VALIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR
CK J;0 8 0 9A2,-, -JUL12 3 4.0 0 U)
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1007260026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID BUILDING ADDRESS 1
ITR 13986 LT 22 BL 001 1 _ 9837 KEY WEST ST
(FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803919
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET AGNES 1
18589-022-027 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl
1 121 HOSE BIBB(S) 3 00 FIX 48 80 1 _
ITENANT 127 PRESS REG DEVICE(S) 1 00 DEV 16 30 11SSUED ON PROCESSED BY PLAN BY 1
1 147 WATER HEATERS) 1 00 WTH 16 30 107/26/10 SR I
I 163 WATER PIPING BR/FIX 9 00 FIX 60 40 1 1
10WNER TEL NO .164 WATER PIPNG <= 1 1/2 1 00 LIN 16 30IFINAL D E FY CODE 1
IWONG DANIEL (818) 952-4907- 1 TOTAL FEES 185 90 1 i1 1
19837 KEY WEST ST
ITEMPLE CITY CA 91780 1 ID2SCRIFIrION OF WORK 1
ICOPPER REPIPE HOUSE TO NINE FIXTURES + MAIN WATER SERVICE
I
(APPLICANT TEL NO I I I
IMASTERSERV (818) 408-4150- 1 1 1
1560 LIBRARY ST I ISPECIAL CONDITIONS
ISAN FERNANDO I I I
ICONTRACTOR TEL NO I (APPROVALS _ DATE INSPECTOR SIGNATURE I
IMASTERSERV INC (818) 408-4100- 1 1 I
1560 LIBRARY ST LIC NO I (UNDER SLAB WORK
ISAN FERNANDO, CA 91340 580017 C36
I I IWATER SERVI
I I IPLASSIC Yld, METAL /N / 1
1ARCHITECT OR ENGINEER TEL NO
- IROUGH PLUMBING
LIC NO
I IGAS PIPING I 1 1
I I I
I GAS ,VENT I I
I I I
IHOT WATER HEATERI
1 I I
I I'PLUMBING FIXTURES I 1
I I
1 ILAWN SPRINKLERS I I 1
I I I
1 I IGAS TEST I
I I I
I r (UTILITY COMPANY NOTIFIED( II
I ICWv I I
I I, IGRAY WATER SYSTEM 1 I 1
I I I I I I
I I I I I I
I I I I I I
1 IREPORT ID DPR263 ROUTE TO BSO508
I I I I