Loading...
HomeMy Public PortalAbout10115 LANDSEER ST_Plumbing__ • ,� 3 76A667A CE 817(REV.6/78v �5 APPLICATION .FOR PLUMBING PERMIT COUNTY OF LOS,ANGELES- BUILDING AND'SAFETY FBATHTUB' OR APPLICANT TO FILL IN(PRINT OR TYPE)' BUILDING ' ' /� ' ADDRESS V ` ,FIXTURE OR ITEM ® . FEE LOCALITY `O` C ER CLOSET NEAREST- !T��� t". CROSS ST 1/ WEROWNERZJj, C, �p e v MAIL TORY t ADDRESS O I 1 S i--et n S E Q r CITY�Lrn' ' -�^<1 tEL NO DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS- ' SWIMMING POOL RECEPTOR ' CITY TEL NO t LAWN SPRINKLER SYSTEM-, STATE, LIC WATER HEATER LICENSE NO ° CLASS 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 c GAS'TEST' Plan check fee UTILITYCO NOTIFIED' PLUMBING PERMIT ISSUING FEE$ m TOTAL FEES 'FINAL ; /.� 79 /�yf�' .Z. . Plan check applicant PLAN CHECK VALIDATION Name Address o City Tel'No I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS'APPLICATION•'AND STATE•-„ y a�] /� ' 'THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES R 3 4.0,7 A AND STATE•LAWS REGULATING PLUMBING PERMIT VALIDATION - �}y , I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS " # O 0,0 0,0 5 " REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE , LEGAL OWNER OF,AND INTEND TO'RESIDE,IN THE ABOVE DESCRIBED RESIDENTIAL - 2 p,p 1; 0 0 O PROPERTY J' , (v��� v((�� SIGNATURE •. O O O V'O V C)- OF PERMITTEE�~ 1+ o i5 2'6—19 DISTRICT NO P OCES$EprBY INDUSTRIAL WASTE APPROVAL + CE 817(REV 6/78) y ©s - APPLICATIO,N FOR PLUMBING PERMIT COUNTY OF LOS ANGELES _ BUILDING AND SAFETY ' FOR APPLICANT TO FICC IN(PRINT OR TYPE). . BUILDING r� ]' c)3 ADDRESS NUMBER FIXTURE OR ITEM ® LOCALITYWATER CLOSET NEAREST BATH TUB CROSS ST SHOWER ,OWNERC,LAVATORY :MAIL 'ADDRESS SINK_ CITY TEL N %'DISHWASHER CONTRACTOR CLOTHES•WASHER DDRESS• O 6 SWIMMING POOL RECEPTOR CITYTEL N�QLAWN SPRINKLER SYSTEMWATER HEATER 5CENSE NO dTCS CL Gy APPROVALS DATE INSPECTOR'S SIGNATURE GAS SYSTEM , OUTLETS ' OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER 0 PLUMBING FIXTURES GAS TEST Les Plan Check fee UTILITY,CO NOTIFIED b PLUMBING PERMIT ISSUING FEE$ TOTAL FEE FINAL Plan check applicant PL'AN.CHECK VAL'IDATI N Nam AddressQ City LJl' Tel N�,"l I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS-APPLICATIOMAND STATE THAT-THE ABOVE IS CORRECT AND AGREE,TO COMPLY WITH ALL COUNTY ORDINANCES - AND STATE LAWS REGULATING PLUMBING ,PERMIT.VALIDATION' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOV EIDESCRIBED RESIDENTIAL . Q /''� PROPERTY 'I - ' ' 4 V 4.9 A n SIGNATURE • - _• # O O O A O 5- OFPERMITTEE-' DISTRI_g NO P CES Y i ° ° 1 G•,Q 0 . .o INDUSTRIAL _ WASTE APPROVAL �p ,76A607-CE817 10-60 . APPLICATION FOR PLUMBING_ PERMIT ' COUNTY OF LOS ANGELES DEPARTMENT•OF COUNTY ENGINEER _ BUILDING HN . LAE COUNTY DIVISION ADDRESS 10115 Landseer WILLIAM A. .JENSEN, SUPT OF BUILDING Lp� Y• . - Tempe •Cit FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM' OWNER" J B Weber C6hs.truction. Co 2 WATER MAIL .1 BATH TOB ADDRESS' CITY TEL;NO. �. SHOWER ' 2. LAVATORY CONTRACTOR �� Pg UII1biI1 co 1 SINS ADDRESS n F l e e•t w O O d P . DISHWASHEa _ CITY ra o TEL. NO. Ed Co CTOR• ATE LAUNDRY TOB REGISTRATION NO. COUNTY ], CLOTHES WASHER DISTRICT NO. GROUP ONE P SSED BY 1 WATER HEATER f (/ 1 GAS SYSTEM INDUSTRIAL WASTE APPROVAL } INSPECTION RECORD ! a V f� O Q. $1.00 PER ITEM 10 °S $ I, APPROVALS DATE 'INSPECTOR'1 SIGNATURE PERMIT $ 2 00 UNDER SGA,@ WORK TOTAL FEE ROUGH PLUMBING GAS PIPING I•HEREBY-ACKNOWLEDGE THAT I 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 - PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM_ PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �i✓� 7 ' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND'STATE OF GAS TEST �;�,t,.rr`>G �� ,I• , CALIFORNIA OR THAT• I AM THE LEGAL OWNER OF THE ABOVE ��++`�((^!•'� \� `� a�'_n-�••-� DESCRIBED RESIDENT I PROP TY. UTILITY CO. NOTIFIED SIGNATURE "fn OF.PERMI ALIDATION• ROBERT A. WOOD _ CK. M.0. CASH SUPERVISING MECHANICAL ENG•R ' • ; • • L�t,� �1 � 'a_ 1_•� CST,"� �.• - � D � G � I�- .�� � , • COUNTY'OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT . DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0808180005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT- ILEGAL ID: 1 FEES PAID I BUILDING-ADDRESS 1 ITR: 26522 LT: 4 1 1 10115 LANDSEER ST 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803339 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GLICKMAN 18585-002-004 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID B4 LOCALITY- TEMPLE CITY, CI I J 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 (TENANT: 125 LAVATORIES/SINKS 1.00 FIX. 16.20 11SSUED ON: PROCESSED BY: PLAN BY. EXPIRES ON: I 145 WATER CLOSET/URINAL 1.00 FIX 16 20 108/18/08 SR' 02/14/09 1 1 TOTAL FEES 76.35 1 1 10WNER: TEL. NO- IFTNAL FDA FINAL BY: CODE- 1 ING, DARWIN (626) 453-3600- I 110115 LANDSEER ST - ITEMP 917803339 1 IDESCRIPTI N OF WORK 1 I IPLUMBING FOR NEW BATHROOM 1 I I I I 1APPLICANT: TEL. NO: ING (626) 453-3600- 110115 LANDSEER ST. I ISPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 I _ I I I I I I I I ICONTRACTOR: TEL. NO: I - - (APPROVALS DATE INSPECTOR SIGNATURE I IJ H ENGINEERING AND CONSTRUCTION (626) 278-1846- 1 1424 S GARFIELD AVE #B LIC. NO (UNDER SLAB WORK IMONTEREY PARK CA 91754 767046 B I I I IWATER SERVICE 1 I I I IPLASTIC Y/N METAL Y/N (ARCHITECT OR ENGINEER: TEL. NO: I I I IJTC ARCHITECTS, INC. (626) 254-8884- I IROUGH PLUMBING 165 N FIRST AVENUE STE 201 LIC. NO: I � 1ARCADIA CA 91006 C8015 I IGAS PIPING 1 I I I I I I 1 I IGAS VENT I I I I I I I I IHOT WATER HEATER I IPLUMBING FIXTURES I I I I I I LAWN SPRINKLERS I I I I I I I I IGAS TEST I I I I I I I (UTILITY COMPANY NOTIFIEDI I I I I I IGWV I I I IGRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I f I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I