HomeMy Public PortalAbout9917 LAS TUNAS DR_Plumbing__ 76A667 - CW17 5/70
APPLICATION FOR PLUMBING PERMIT r
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUMDING
ADDRESS (f
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W.JENKINS. SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN PR NCROSS
T oR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM E H FEE OWNER 7
WATER CLOSET I 0
BATH TUB 150 ADDRESS Lc /4'�5 •� ♦IJ'
SHOWER 1 50 CITY ` TEL. NO.
LAVATORY ^ 150 Q CONTRACTOR /� 6p�
SINK 7 \ 150 ADDRESS -IC/77 -5/W & rr'
DISHWASHER s0, CITY~� �i TEL. NO-2.9,3'1
.CLOTHES WASHER 1.50 STATE LIC
LICENSE NO CLASS
SWIMMING.POOL RECEPTO 1.50 DISTRICT NO GROUP ZONE P OCESSED BY
LAWN SPRINKLER SYSTEM 2100 „p
WATER HEATER 1 0 INDUSTRIAL --/ 7 d.
WASTE APPROVAL /
GAS SYSTEM OUTLETS 1 0 INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM 30
9L.
z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 0
M
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
_.Name ROUGH PLUMBING S�
Address GAS'PIPING
GAS VENT
City Tel. No. - HOT'WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLYPLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST'
PLUMBING
I HEREBY CERTIFY THAT :I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED /g
.L'ICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF /
CALIFORNIA OR THAT I AM THE L�JTAL OWNER OF,AND INTEND TO J.A�
RESIDE IN,THE ABOVE B EBID IAL ERTY 557 FINAL 1/ -
SIGNATURE .LACK R. ALLEN, SUPERVISING HANICAL ENG'R
OF PERMITT
PERMIT VALIDATION CK M O CASH
PLAN CHECK VALIDATION CK M O .H
�4 6�nFr 29 5 0 1 6.5 0 ,&`':5
76A667C (CE-8179) 9/73 -
APPLICATION FOR ' 1'LUMBING PERMIT
BUILDING AND SAFETY DIVISION
I`
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING '
NUMBER FIXTURE OR ITEM @ FEE ADDRESS 9917 Les Tunas Dr.
WATER CLOSET LOCALITY Temple City, Ca .
NEAREST
BATH TUB CROSS ST
SHOWER OWNER Pacific Telephone Co.
LAVATORY MAIL `
ADDRESS 177 E Colorado Blvd.
SINK CITY Pasadena, Ca . TEL NO 578-4202
DISHWASHER CONTRACTOR
GEDDES COMPANY
CLOTHES WASHER
ADDRESS 5515 No. Peck Rd .
SWIMMING POOL RECEPTOR
CITY Arcadia, Ca . TEL NO 442-1233
LAWN SPRINKLER SYSTEMSTATE
1 WATER HEATER 3 00 LICENSE NO 202119 CILASS C36
DISTRICT NO. GROUP ZONE PR CESS D BY O
GAS SYSTEM OUTLETS ' d
OUTLETS OVERCD
J
5 PER SYSTEM INDUSTRIAL V
WASTE APPROVAL ly
INSPECTION RECORD chi!
' Z
Plan check fee
PLUMBING PERMIT ISSUING FEE $ 0
TOTAL FEE 00
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel NO GAS PIPING -0 4 y'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT I'D 0,0 O' 0 ,9
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER •_
PLUMBING
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �O 0 o In n 2
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DE CRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED _
SIGNATU RE U L- / v
OF PERMITTEE FINAL 1aQl,-16,lez—
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M.0 CASH
76A667-CE817-8-57 „ \
APPLICATION FOR -PLUMBING PERMIT 1
COUNTY OF LOS ANGELES - I •
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING,
_ _ ADDRESS" ! �
JOHN A LAMBIE COUNTY ENGINEER .
CASSATT D GRIFFIN, SUP T OF BUILDING LOCALITY �• ,
FOR APPLICANT TO FILL IN NEAREST
CROSS ST: � 0 +4/.
NUMBER FIXTURE OR ITEM _ �
ER,
v
WATER CLOSET L
MA
BATH TUB ADDRESS
SHOWER CITY TEL.N.O.
LAVATORY ` 'CONTRACTOR
SINS ADDRESS °)„
DISHWASHER CITY TEL.NO. �•�7 �,
LAUNDRY TUB CONTRACTOR'S- 1' t ' STATE
REGISTRATION NO. f' COUNTY
CLOTHES WASHER
`-,DISTRI GRO P ZONE
O READY FOR INSPECTION
0I�rWATER HEATER G 3
GAS SYSTEM INDUSTRIAL '
WASTE APPROVAL
4A INSPECTION RECORD
A`
�L d� �def/•• r��...b -� ✓
G
APPROVALS
@ $1.00 PER ITEM - � DATE INSPEC-TOR-S-SI ATURE
OR'FIXTURE $ / g W " UNDER SLAB WORK
ROUGH PLUMBING '
PERMIT S 1 00
GAS PIPING
TOTAL FEE'
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I' HEREBY CERTIFY THAT `I AM PROPERLY,REGISTERED AND/OR GAS TEST _
LICENSED AS REOUIR2`D BY LOS ANGELES COUNTY AND STATE OF P. f
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 5 UTILITY CO NOTIFIED ✓
DESCRIBLD RESIDENTIAL PROPERTY -
fr
SIGNATURE ��'--
OFPERM ITTEE
OROBERT A, WO6D
LID TIONr SUPERVISING,MECHANICAL ENG'R
` tI CN M O CASH
�r X0-1"4,8 - �JUN
4 3 A 1 9.0 0
ter'-. ,� . _ ' , - , , •
• 000NTY OF LOS ANGELES TEMPLE CITY # 0508 CLUMNG DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS 8 !0 0�32�OOOl7
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 v �+v
PHONE: (626) 285-0488 EXT:
GAL ID: FEES PAID D 9S
TR: 09285 �1�7 LA fful S Ri
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEM 'A 9®1780
ASSESSOR ORMATIO BER: NE.lS STREET: BALDWIN
8587-031-026 01 PERMIT ISSUANCE FEE 27.75 0 AS PAGE: GRID: LOCALITY: TEMPLE CITY
25 LAVATORIES/SINKS 2.00 FIX 32.40
TENANT: 45 WATER CLOSET/URINAL 2.00 FIX 32.40 1SS ED ON: PROCES D PLA BY: EXPIRES ON:
TOTAL FEES 92.55 03/22/00 UT 09/18/00
OWNER: TEL. N0: FINAL DATE FINAL BY: 9� CODE:
A AND G LTD LIABILITY CO - r
162 CONSTITUTION DR. K) oO
MENLO PARK, CA D SCRIP ON OF ORK
PLUMBING FOR TWO HANDICAP BATHROOMS
APPLICANT: TEL. .
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: /� APPROVALS DATE INSPECTOR SIGNATURE
�O� A�
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0:
ROUGH PLUMBING
LIC. N0:
L 1111111 GAS PIPING
U
n (� /7 (�K
GAS VENG - I I C \�I/\11/O I O< 3 HOT WATER HEATER
LLL�� V V 1111 1111
PrOff-BTNG FIXTURES
0
0 0 LAWN SPRINKLERS
Q Q � � GAS ES
,p ❑ ® ®s UTILITY COMPA NOTIF ED
EEIICWV
VICe�����tlOe GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508