HomeMy Public PortalAbout10118 LIVE OAK AVE_Plumbing__ I I'YaAee7 17 5-80 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
e FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE � PERMIT NO.
'1
PLUMBERVAI RECEIVED BY
BOULEVARD PLUMBING CO.
READY FOR DATE ISSUED
FIRST INSPECTION U
ADDRESS 8300 EAST VALLEY BLVD. 7 j 3
CITY ROSEMEAD TEL. NO. AT. 2.2719 BUILDING
nn C pp ADDRESS
COUNTY
LICENSE NO. 73M EXPIRES6-30 SI LOCALITY f
NEAREST
PERMIT FEES CROSS ST.✓�j��//�
.-
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER �' s�-
MAIL
WATER CLOSET (TOILET) @ 0.50 S �� ADDRESS �� Y
BATH TUB@ 0.50 a C.ITy %� TEL NO
SHOWER Q 0.50 1. D 1 HEREBY 7ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASHBASIN) Q 0.50 t)O AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q 0.50 I STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
1 OF THE RESIDENTIAL P OPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS Q 0.50 �"�
SIGNATURE OF � A
WATER HEATER @ 0.50 PERMITTE_
SLOPSINK Q 0.501 INSPECTION RECORD
FLOOR SINK Q 0.50 1
FLOOR DRAIN Q 050
DISHWASHER @ O.SO
DRINKING FOUNTAIN @ 0.501
URINAL @ 0.501
J
HOUSE SEWER @ 0.50 Q
Z
MISCELLANEOUS I (�
O
1
1
1
1 APPROVALS
1
1 DATE INSPECTOR'S NAME
1 ROUGH PLUMBING
1 GAS PIPING /. ftce
1 1 GAS VENT
1 CESSPOOL Q 1.001 CESSPOOL
1 SEPTIC TANK: 1 SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . I 1.00 GAS TEST
UTILITY CO. NOTIFIED _
TOTAL FEE I $ 0 r G Y
FINAL �!�'
+ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0609080010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 16957 LT: 33 10118 LIVE OAK AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802712
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
8586-020-004 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
09/08/06 JK 03/07/07
OWNER: TEL. NO: FINAL DATE FINAL-BY: CODE:
VIEYRA LORETTA C (626) 574-2028- //a/�j
10118 LIVE OAK AV ✓� 4
TEMP 917802712 IMSCRIPTION OF WORK
REPLACE WATER HEATER
APPLICANT: TEL. NO:
STEVEN Q. TOM
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
WATER HEATERS ONLY, INC. (530) 274-3001-218
970 E MAIN ST LIC. NO UNDER SLAB WORK
#200 374573 C36
GRASS VALLEY, CA 95845 WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. N0:
GAS, PIPING
GAS VENT
HOT WATER HEATER �
PLUMBING FIXTURES
LAWN SPRINKLERS
SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
(REPORT ID: DPR263 ROUTE TO: BS0508