HomeMy Public PortalAbout9022 LAS TUNAS DR_Plumbing__ 76A667A
CE 817(REV 11/78) LLLbbb
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDRESS
LOCALITY
WATER CLOSET
NEAREST
BATH TUB CROSS ST 1-0
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY76�z �t TEL NO -�
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR CITY TEL NO ��
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 d
GAS PIPING ,Z(f-gD u
GAS VENT pp
HOT WATER HEATER 0
PLUMBING FIXTURES
GAS TEST dl1/1�
Plan check fee UTILITY CO NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
Plan check applicant PLAN CHECK VALIDATION
Name
Address
City Tel No ;2 0 41 0.3 A
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE -
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES # O 010 O o5
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 2 O O 1 0.00
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CAL RNIA OR TH AM THE
LEGAL OWNER OF AND INTEND T SIDE IN THE AB E DES IBED IDENTIAL O O O 1 a 0 0 U
PROPERTY �j
SIGNATURE 9 , 1 "R
0
OF PERMITTEE
DISTRICT NO
!JOCE SE9 BY
INDUSTRIAL
WASTE APPROVAL
D.B.9.,7 2SM BETE 1-48 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY � ����
COUNTY OF LOS ANGELES
Wm.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONEPERMIT NO.
ROUGH FIXTURES COMPLETE
HBATER CESSPOOL SEPTIC TANK RB I oY READY FOR DATE ISSUED
FIRST INSPECTION 1l
AS M CEL ANH US
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB /
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NAME ADDRESS b
M
Y ADDRESS LOCALITY
DNEAREST
L CITY TEL.No. ��� CROSS ST.
L
COUNTY
CERT.No. I V EXPIRES(a - 30-&-O m NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL (1
ADDRfiSS L�,J
NORTH O
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CBRTIFI OFIFI 10
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I AM THE LEGAL OWNER OF THU PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
l c ►JC. TV OLE75
SOUTH G J
DESCRIPTION OF WORK z
ATH TUB FURNACE o
/ lz
HOWER DISHWASHER j O
1 .LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
-FLOOR SINK SANDTRAP „
LOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPHCTOR'0 NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
METER-GAS SODA FOUNTAIN GAS PIPING
oun
GAS VENT I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER I
$
TOTAL FEE UTILITY CO.NOTIFIED
� ��
FINAL
f D B 17 10-41 25M f APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I XONE I NO. _
ROUGH FIXTURESHSEPTICTANKCOMPLETE
Fad - //
HEATER CESSPOOL RECEIVED BY RTINSPEOR DATE ISSUED /
GAS MISCELLANEOUS �
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
/► .Ios
1% NAME L `- ADDRESS
mADDRESS / �
I .✓ , ! LOCALITY
D � NEAREST ct
A CITY ��P 11 T�� TEL.No. CROSS ST.
COUNTY
CERT.No. EXPIRES NAME
W
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL
ADDRESS
NORTH O
CITY j ff TEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFI4 T,6 OF QUALIFICATIO
A
�' P uMeER�
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
I-
3 m OWNER
CORRECTIONS
J
SOUTH Q
Z
DESCRIPTION OF WORK
ATH TUB FURNACE Q
SHOWER DISHWASHER -
_LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER -
FLOOR SINK SAND TRAP -
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER CTAS -------SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
�.� CESSPOOL
TOTAL NUMBER OF FIXTURES / SEPTIC TANK
CESSPOOV SEPTICTANK d SEWER
UTILITY CO. NOTIFIED �K _/�✓`'
TOTAL FEE FINAL �� 7 � ' ,
D.BAL 17 23M BETS 1-413 APPLICATION FOR P$RYIT
DEPARTMENT OF BUILDING AND SAFETY
COU PLUMBING
COUNTY OF LOS ANGELES
WM.J. FOX.CHIEF ENGINEER '
NATURE OF INSTALLATION DISTRICT
pU o PERMIT O.
ROUGH FIXTURES L9811
MPLETE !
HEATER CESSPOOL TIC TANK �R$CEIVED-BY READY FOR DATH ISSUED
FIRST INSPECTION J I
A8 C LANE U8 1� `� )� J ` ®
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
CNAMEP(L ADDRESS (. I
n
m ADDRESS LOCALITY
NEARESTf
J _ CITY��yy. L TEL.No ,D 7S��� CROSS ST. _
COUNTY
CERT.NO. EXPIRES 3d IdNAME
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 ADDRESS
NORTH O
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBEFt
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
D
OWNER
CORRECTIONS
SOUTH J
DESCRIPTION of WORK z
ATH TUB FURNACE O
ROWER DISHWASHER Q
LAVATORY REFRIGERATOR
KITCHEN SINK ` WATER SOFTENER
FLOOR SINK BAND TRAP
PLOP SINK FLOOR DRAIN '
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
_WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
6TER—GAB —SODA FOUNTAIN GAS PIPING I
OUTL
GAS VENT I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK_
CE88POOL__fSEPTIC TANK SEWER I
B UTILITY CO.NOTIFIED
TOTAL FEE / �� FINAI—At �-v
BOUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
'DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1102140028
,.�BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID- I FEES PAID I BUILDING ADDRESS. 1
ITR 12157 LT 5 I I 9022 LAS TUNAS DR I
1 IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801834 I
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET:
15387-029-004 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE- 596 GRID H3 LOCALITY: TEMPLE CITY, Cl
1 117 FLOOR DRAIN(S) 2 00 FIX 32 50 I 1
(TENANT: 125 LAVATORIES/SINKS 3 00 FIX 48 80 JISSUED ON PROCESSED BY PLAN BY I
IVUONG AARON 145 WATER CLOSET/URINAL 2 00 FIX 32 50 105/09/11 SR - I
1 160 DWV REPAIR OR ALTER 1.00 SYS 16 30 1 1
10WNER- TEL NO TOTAL FEES 157 90 IFINAL DATE FINAL AY CODE.
1VUONG, AARON (626) 918-8906- 1 I I
11139 GLENVIEW RD
IWEST COVINA CA 91791 I JDESCRIIPTION OF WORK I
I I ITENANT IMPROVEMENT PLUMBING I
I I I I
(APPLICANT TEL NO
INGUYEN, LAP (626) 674-3014- 1 1 1
11139 GLENVIEW RD I ISPECIAL CONDITIONS- I
IWEST COVINE CA 91791 1 I 1
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I I I I
(CONTRACTOR TEL. NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1
ICM DESIGN AND CONSTRUCTION, INC (951) 760-8138- 1 1 1
131805 HIGHWAY 79 SOUTH #164 LIC NO 1 (UNDER SLAB WORK I I
1TEMECULA, CA 92592 795191 B 1 I 1
I I IWATER SERVICE
I _I IPLASTIC Y/N METAL Y/N I 1 1
(ARCHITECT OR ENGINEER TEL NO 1 I
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