HomeMy Public PortalAbout9611 LAS TUNAS DR_Plumbing__ 76A667-CE#817 6-65 ?
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONBUILDING!,
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAARESCROSS ST. r -�
NUMBER FIXTURE OR ITEM EACH FEE
OWNER , t/
WATER CLOSET $1.25 MAIL /�
BATH TUB 1.25
ADDRESS P(�
SHOWER 1.25 CI TEL. NO.
LAVATORY 1.25 CONTRACTO �, 1
SINK 1.25 ADDRESS , % a �Ls ♦� ��
DISHWASHER 1.25 CITY , TEL. NO. S
STATE _ LIC
LAUNDRY TUB 1.25 LICENSE NO./s CLASS l U
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PRO7E¢STY
WATER HEATER 1.50 r /l//j
�G
GAS SYSTEM ZOUTLETS I'M (� INDUSTRIAL d
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
0
F-
V
Lu
0-
Lo Lo
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE C GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DECCRIBRESIDE IAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE �
OF PERMITTEE-'
FINAL
V,IkIlDATION
CK. M.O. CASH
AG01 7 0 1 ti P,AY 2 5 D 3.5 U
o.S.n SM S"9-43 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 ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE �r '
HEATER CESSPOOL I-I SEPTIC TANK RECEIVED BY READY FOR . DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
E NAME L'r�o e a e r ADDRESS z�" ( �) �Q S y. (.L V) CL S
ADDRESS S3"'aS S O EG�I�'e Y��nnvv0cka LOCALITY -Te W4 /e 1 1
6J. NEAREST
CITY O, s q p,4,e le gy TEL.No.Ro 2- /9 CROSS ST. CS n S
COUNTY u I I LI
CERT.No. I'I EXPIRES �y I 70 E NAMEA .
Q ✓N S O Vl
W
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
I AM THE LEGAL POSSESS R F T E ABOVE LOS
ANGELES COUNTY CERTIFI TE F A FICATION.
L
/
PLUMBER
I AM THE LEGAL OW R OF THE PROPERTY DESCRIBED
F ABOVE.
A
i OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
/ KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
V
WASH TRAY URINAL APPROVALS
y WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
WATER/HEATER DENTAL LAVATORY ROUGH PLUMBING I / ` I
METER)-GAS SODA FOUNTAIN
OUTL 6A9 PIPING
GAS VENT I I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL SEPTIC TANK n� SEWER
UTILITY CO.NOTIFIED I I o
TOTAL FEE
FINAL '� J
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1209250008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 6561 LT: 182 BL: .001 9611 LAS TUNAS DR
I (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802109 1
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: TEMPLE CITY 1
18587-019-017 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
1 _125 LAVATORIES/SINKS 4.00 FIX 64.80 1
(TENANT: 145 WATER CLOSET/URINAL 4.00 FIX 64.80 JISSUED ON: PROCESSED BY: PLAN BY:
147 WATER HEATER(S) 1.00 WTH 16.20 109/25/12 SR
I I TOTAL FEES 173.60 1
OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE:
CENTRAL MATRIX INC. (626) 780-5704- 1 1
19611 LAS TUNAS DR.
TEMPLE CITY CA 91780 1 ID'ESCRIVTION OF WORK
IPLUMBING FOR TENANT IMPROVEMENT
I
(APPLICANT: TEL. NO: I I I
ICENTRAL MATRIX INC. (626) 780-5704- _
19611 LAS TUNAS DR. I ISPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780
I I I I
(CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE I
ICENTRAL AIR SYSTEM (909) 985-9542- 1 1
12105 N 2ND LIC. NO 1UNDER SLAB WORK
I I I
(UPLAND, CA 91784 445225 * 1 I 1
IWATER SERVICE
IPLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO: I I I I I
- I (ROUGH PLUMBING I
LIC. NO:
IGAS PIPING
I I
IGAS VENT
IHOT WATER HEATER
I I I
IPLUMBING FIXTURES
I I I
ILAWN SPRINKLERS
I I I
IGAS TEST
I I I
(UTILITY COMPANY NOTIFIEDI
I ICWV I I
IGRAY WATER SYSTEM
I I I
I I I I I I
I I I I I I
I I I I I I
I 1* ADDITIONAL DATA ON FILE I I 1 1
IREPORT ID: DPR263 ROUTE TO: BS0508