HomeMy Public PortalAbout10105 LANDSEER ST_Plumbing__ 76A607-CE817 10-60
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES -
DEPARTMENT OF COUNTY ENGINEER.
BUILDING
A. LAMB E COUNTTY ENNG NEEERI FBUILDiNGRE1010 Landseer
WILLIAM A. JENSEN, SUPT OF BUILDING ALITY Temple' City
FOR APPLICANT TO FILL IN RE T
NUMBER FIXTURE OR ITEM OWNER J B Weber Construction ,Co
2 WATER CLOSET MAM
ADDRESS
1
BATH TUB
CITY TEL NO.
1 SHOWER
coNraAcroH ba= y eY PIt Mbin Cd.
z LAVATORY �
1 SINX ADDRESS. 442 Wo Fgee%'wood Pi.
DISHWASHER CITY Glendora 'TEL. NO. Ed Jc_ �
ATE
LAUNDRY TU REGISTRATION NO. 160847 COUNrTYY
CLOTHES WASHER DISTRICT NO. GROUP Z NE P 9ED BY
C, .
1 WATER HEATER i ��/ 7rs`i /C�TJ'[/
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD CL
0
O
a
Z
® $1.00 PER TEEM
10 OR FIXTURE $ I' APPROVALS DATE INSPECTORS SIGNATURE
PERMIT . , $ 2 00 UNDER SLAB WORKD- ,( 14c,-
TOTAL FEE ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ,THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. -
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE GAS TEST
DESCRIBED RESIDENTIAL PROP RTY. UTILITY CO. NOTIFIED
SIGNATURE //
OF PERMI INAL Is�//.1
r ALIDATION ROBERT A.iWObD r
c j M.0. CASH SUPERVISING MECHANICAL ENG'R
i
LE0 3 2 ;i 12 D 1 2 .0 0 'C�
76A%67A �•''
C,T`81J IREV.6/781
APPLICATION FOR PLUM B.ING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT'TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS `
NUMBER FIXTURE OR ITEM ® FEE
LOCALITY
WATER CLOSET ,
NEAREST Z
BATH TUB CROSS ST
SHOWER OWNER
LAVATORY MAIL 1-^
ADDRESS ►7
SINK CITY TEL Os
DISHWASHER CONTRACTOR-
O
CLOTHES WASHER ADDRESS
i
SWIMMING POOL RECEPTOR
,CITY � TEL.N
LAWN SPRINKLER SYSTEM
STATE t7 U a LIC
WATER HEATER LICENSE NO c� CLASS .9"
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
r
GASTEST
Plan Check fee UTILITYCO NOTIFIED.
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL r 6,44
• Plan check,applicant PLAN CHECK VALIDAT N
Name
Address
City Tel No
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 93 9 4,8 A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS,REGULATING PLUMBING PERMIT VALIDATION •# a'O'O O O'5
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS i
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE '210 O 1 000
,
LEGAL OWNER OF,AND(NTE D TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY O�o O 1, a O O
SIGNATURE Z 3 9
OF PERMITTEE .0A 2 rd�('1
DISTRICT NO PR E ED BY
INDUSTRIAL
WASTE APPROVAL
COUNTY OF LOS ANGELES - TEMPLE CITY - # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1302120003
BUILDING AND SAFETY / LAND DEVELOPMENT - TEMPLE 'CITY-CA 91780
PHONE: (626) 285-0488 EXT
ILEGAL ID: - - I FEES PAID 1 BUILDING ADDRESS
ITR: 26522 LT:, 6 1 'a 1 10105 LANDSEER ST
I IFEE DESCRIPTION- _ QUANTITY. UOM: AMOUNT: I- - TEMP CA 917803339
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: OLIVE - -I
18585-002-006 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI
1 107 BATHTUBS/SHOWERS 2.00 FIX 32.40 1 1
(TENANT: Ill CLOTHESWASHER(S) 1.00 FIX' 16.20 11SSUED ON: PROCESSED BY: PLAN BY: 1'
113 DISHWASHER(S) 1.00 FIX 16.20 102/12/13 SR 1
I 121 HOSE BIBB(S) 1.00 FIX. 16.20 I I
1OWNER: TEL. NO: 125 LAVATORIES/SINKS 4.00 FIX 64.80 IFINAL DATE FINAL BY: CODE: 1
IHADDAD, SERGE M (323) 205-6236- 145 WATER CLOSET/URINAL 2.00 FIX 32.40 ,I , I
110105 LANDSEER,ST - 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 1 I�
I
ITEMP 917803339 - I TOTAL FEES 222.20 IDESCRIPTION OF WORK 1
I I IBATHTUB/SHOWER, CLOTHESWASHER, DISHWASHER, HOSE BIBB, SINK, 1
_ I _ 1 • - ILAVATORIES, WATER CLOSETS AND GAS LINE 1
(APPLICANT:• - TEL. NO: 1 -I I•
IWONG, YEUNG (323) 285-7931- '- 1 - •I
1611 E MISSION RD 1 - ISPECIAL CONDITIONS:
ISAN GABRIEL CA 91776 1 I
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE
IWAI TAK CONSTRUCTION INC (626) 285-7931- 1 1 I
1611 E MISSION ROAD LIC. NO 1 _ (UNDER SLAB WORK 1 1
ISAN GABRIEL CA 91776 586138 * 1 1 I I 1
IWATER SERVICE
PLASTIC Y/N METAL Y/N
I
(ARCHITECT OR ENGINEER: TEL NO. I
I I
I - i i ROUGH PLUMBING
I LIC. NO: C�
I I (GAS PIPING i 1
1GAS VENT I I I
• - IHOT WATER HEATER 1 1 I
1 i IPLUMBING FIXTURES i
I 1 ILAWN SPRINKLERS 1 I I
_ I I I
• _ IGAS TEST
1 1UTILITY COMPANY NOTIFIEDI I
1 1 ICWV I I
1 I
- IGRAY WATER SYSTEM I I
I I I I I I
I I I I I I
1 I
I I* ADDITIONAL DATA ON FILE
I I I
I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 1 I I
I I I I I I