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HomeMy Public PortalAbout10420 LIVE OAK AVE_Plumbing__ �i COUNTY OF LOS ANGELES Department of County Engineer APPLICATION FOR PERMIT DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer DISTRICT NO. R P ON PERRIT . FOR APPLIC NT TO FILL IN PLUMBER YW 11 40 I RECEIVED BY READY FOR DATE ISSUED ADDRESS /!p /a �' ✓� A,5 /� INSPECTION �� ��` r CITY l�� ss49 TEL No. $ ADDRESS / r J COONTY LICENSE NO. v 0/4 LOCALITY / A EXPIRES NEARESTfive PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) 0.50 0 ADDRESS BATHTUB @ 0.5D CITY TEL. NO. SHOWER @ O• IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTYCENBE. OR I AM THE LEGAL OWNER GAS SYSTEM OUTLETS O.SD Of' THE RESIDENT L PROPERTY DE RIBED ABOVE. �ey_ WATER HEATER @ 0.50 BIGNPERMRITTEF � I ^" SLOP SINK D.sD SP CTION RECORD FLOOR BINK O.SO 11 FLOOR DRAIN ® 0.50 J� r DISHWASHER 0.50 DRINKING FOUNTAIN 0.50 '- URINAL 0.30 Q HOUSE SEWER 0 0.90 Z MISCELLANEOUS V` R APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.00 GAS TEST TOTAL FEE 76v UTILITY CO. NOTIFIED � TOTAL FEE $ FINAL 761667 DBS#17 6-52 76AG67A (Cf 817Fi) -4/77 JI BUILDTY DIVIS1644 FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDING ��— r NUMBER FIXTURE OR ITEM ® FEE ADDRESS Q WATER CLOSET LOCALITY NEARESSST ` BATH TUB CROST ` O!✓ SHOWER OWNER LAVATORY MAIL ADDRESS JO 114'e 0,41< SINK CITY A TEL NO y -8 DISHWASHER CONTRACTOR 611rLI(J000 90Z-7-14-3 (- CLOTHES WASHER ADDRESS �1 i'L /,4S ju s �st SWIMMING POOL RECEPTOR CITY &jjQj TEL NO LJL�rs` /S LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO ©�l CLASS 153 GAS SYSTEM OUTLETS j DISTRICT NO UP NE CESSED Y OUTLETS OVER 5 PER SYSTEM INDUSTRIAL • V WASTE APPROVAL INSPECTION RECORD � Ii— C-') W a N Z Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Pian check applicant \ ,APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel No GAS PIPING IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT s THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS i; PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE A, GAS TEST (PQ IRS I LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED I SIGNATURE K(�/ OF PERMITTEE , FINAL PLA PERMIT VALIDATION cK M o CASH 0.0 0 POLICY HOLDER: _ POLICY NUMBER: T /G • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0711140008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE- (626) 285-0488 EXT ILEGAL ID. FEES PAID I BUILDING ADDRESS ON FILE 1 10420 LIVE OAK AV E 1 IFEE DESCRIPTION QUANTITY: UOM AMOUNT I ARCD CA 910078462 (ASSESSOR INFORMATION NUMBER- I I NEAREST CROSS STREET 18586-013-035 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID- D3 LOCALITY TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 2 00 FIX 32 40 I 1 (TENANT: 125 LAVATORIES/SINKS 3 00 FIX 48 60 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 145 WATER CLOSET/URINAL 2 00 FIX 32 40 111/14/07 SR 05/12/08 147 WATER HEATERS) 1 00 WTH 16 20 1 1 10WNER TEL. NO 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 IFINAL DATE FIN Y CODE- 1 IDU, VAN (626) 378-2140- 1 TOTAL FEES 173 55 1 ,/ 1714 PLYMOUTH ROAD I I / v I ISAN MARINO, CA 91108 1 ID SCRIPTION OF WORK 1 IPLUMBING FOR KITCHEN, BATHROOMS REMODEL AND GAS LINE 1 I I I I (APPLICANT TEL NO 1 I ISAME AS OWNER - 1 I I 1 ISPECIAL CONDITIONS 1 I I I I I I I I I I I I ICONTRACTOR TEL NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I I - LIC NO 1 1UNDER SLAB WORK I I I I I I I I I I I IWATER SERVICE I 1 1 1 I IPLASTIC Y/N METAL Y/N I 1 1 (ARCHITECT OR ENGINEER TEL. NO I I I 1 1 1 - I IROUGH PLUMBING I I 1 1 LIC NO 1 I 1 I IGAS PIPING I I I I I I GAS VENT � 1 I IHOT WATER HEATER I I I I I I I I I I IPLUMBING FIXTURES 1 1 1 I I I I I I ILAWN SPRINKLERS 1 I I I I I I 1 I IGAS TEST 1 I I I I I I 1 I 1UTILITY COMPANY NOTIFIED( I I I I 1CWV I I I I IGRAY WATER SYSTEM 1 1 1 I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I IREPORT ID- DPR263 ROUTE TO. 2S0508 I I I I I I I I I I