HomeMy Public PortalAbout6455 LOMA AVE_Plumbing__ D.I3,S.-1 i 25M SETS 12-45 i APPLICATION FOR PERMIT'
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ALU
Wm. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP
ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE f
HEATER CESSPOOL I—I SEPTIC TANK RECE.VED_BY READY FOR Z DATE ISSUED
1� FIRST INSPECTION —�7^
GAS MISCELLANEOUS / t4 ✓ ��
APPLICANT FILL.IN HEAVILY OUTLINED PORTION ONLY
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CERT.No. EXPIRES NAME'
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.NO.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE O QUALIE�CATION.
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PLUMBER
I AM THE LEGAL OWNE.F� OF THE PROPERTY DESCRIBED
ABOVE. (/
f a OWNER /
> CORRECTIONS /
SOUTH
a
DESCRIPTION.OF WORK.
BATH TUB FURNACE - (�
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SHOWER DISHWASHER 0
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN f
a
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE 'iNsv;EcroR•B NAME
WATER HEATER --DENTAL LAVATORY ROUGH PLUMBING i
METER GAS _____z-__SODA FOUNTAIN
OUTL GAS PIPING I .I
GAS VENT
CESSPOOL ( I
TOTAL NUMBER OF FIXTURES ' -SEPTIC TANK
�CESSPOOT SEPTIC TANK 4Crt�,O SEWER
II .
UTILITY CO.NOTIFIED
TOTAL FEE -I-
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FINAL !
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D.B.S.-17 25M SETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY.
COUNTY OF LOS ANGELES
Wm. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. I
ROUGH FIXTURES COMPLETE I�
"NEATER CESSPOOL I—I SEPTIC TANK RECEIVED BY ' R READY FOR DATE ISSUED
_ i� FIRST INSPECTION 7 ��
'GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION -ONLY
JOB
E NAME GENE Cl ARl4 o�ac9-Bfi, ADDRESS � ,�. _,/
W
m ADDRESS 1010 EAST GA.RVFY LOCALITY��J
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-1 CITY EL'MONTE, C/�kd,FN,. CROSS ST
COUNTY
CERT.No. EXPIRES W __NAME 'A.� ../,
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3' ADDRESS„2„22(
NORTH O -
CITY ,j�1-jl�� TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
iI OWNER
h '
CORRECTIONS
SOUTH
a
DESCRIPTION OF WORK
BATHTUB FURNACE 0
►.I
–SHOWER DISHWASHER C
LAVATORY "REFRIGERATOR -
KITCHEN-SINK WATER SOFTENER
FLOOR SINK SAND TRAP
_SLOP SINK FLOOR.DRAIN
WASH TRAY — URINAL •" , APPROVALS-'
_WATER CLOSET DRINKING FOUNTAIN
-DATE INBPECTOR':�S NAME
WATER HEATER � DENTAL LAVATORY ROUGH PLUMBING I �, d
METER, y' GAS - RODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
CESSPOOL i
/ TOTAL NUMBER OF FIXTURES SEPTIC TANK
� t
GES8P00I SEPTIC TANK $ SEWER I I
UTILITY CO.NOTIFIED I I A
I TOTAL FEE I AU.d �'�� � a► ��+°"
1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0301310006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
• PHONE: (626) 285-0488 EXT:
LEGAL ID:' FEES PAID BUILDING ADDRESS:
TR: 12504 LT: 33 6455 LOMA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801332
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: EMPEROR
5382-018-020 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
21 HOSE BIBB(S) 3.00 FIX 48.60 02/05/03 JK 08/04/03
25 LAVATORIES/SINKS 3.00 FIX 48.60
OWNER: TEL. NO: 45 WATER CLOSET/URINAL 2.00 FIX 32.40 FINAL DATE FINAL BY: CODE:
FERGUSON; DAN 8 MARCIE 47 WATER HEATER(S) 1.00 WTH 16.20 r
6455 IOMA AV 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TEMPLE CITY 91780 TOTAL FEES 238.35 DESCRIPTION OF WORK
PLUMBING FOR ADDITION
APPLICANT: TEL. NO:
TOM O'LEARY (626) 287-0927-
5823 AGNES AVENUE ECIAL CONDITIONS:
TEMPLE CITY 91780
vA-t>,--Q- A4 Z A-1-
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
TOM O'LEARY CONSTRUCTION (626) 287-0927-
5823 AGNES AVENUE LIC. NO UNDER 66AB WORK y y Q
TEMPLE CITY, CA 91780 489354 B-1
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING , Z/ S t/4✓
LIC. N0: �1
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST 1,415 C,A,& ,� •!oe orE D _
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508