HomeMy Public PortalAbout9626 LEMON AVE_Plumbing__ 0 B.S.17, 2511.SETS ,.na APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY , L � It COUNTY OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER
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,,NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NOS_
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL I-I SEPTIC TANK RICIIVFXI BY READY FOR
D 6 IBS
FIRST INSPECTION h d
AS MISCELLANEOUSd.V
APPLICANT FIL�}L�J IN HE`A'VILYOPTLINED PORTION ONLY
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NAME � /JSP�.� A'F ��w P ADDRES8
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ADDRESS /y � � i� (�7a Y /�La S` LOCALITY �
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IL CITY „� gym/ (�?[►e�vg TEL.No. /fig OA�Fzp(] cRoss sr. \
COUNTY
CERT.NO. FV Y,< q EXPIRES 4 �`7'`3' m NAME O6i��'-�1:� �� �G�-7 rid�`'� a L�'L_
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL f
3 ADDRESS *'�.9
NORTH O
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK z
r BATH TUB FURNACE
*SHOWER DISHWASHER Q
.LAVATORY REFRIGERATOR
-KITCHEN SINK WATER SOFTENER
FLOOR SINK SANDTRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSETDRINKING FOUNTAIN DATE )INSPECTOR:9 NANK
-WATER
ETE RHEATER R GASbv4 "��[1 ODA F,dOUNNRY ROUGH PLUMBING _ ICJ I �1 I/ �V/
OUTL 6A8 PIPING
HAS VENT
I v
yt� CESSPOOL
TOTAL NUMBER OF Firm RES rj C! SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER
S UTILITY CO.NOTIFIED
TOTAL FEE S�
FINAL
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY j
WILLIAM J. FOX, County Engineer
F❑ CANT TO FILL IN Dl�J sfR -T N I GROUP I ZONE PER
MIT NO.
LI
PLUMBE REOeIVED BY READY FOR DATE ED
FIRST INSPECTION
'�
ADDRESS , 6 C
BUILDING
CITY TEL:No "'u,//✓ ADDRESS
1
COU TY/ LOCALITY 7
LICENSE ❑. EXPIRE 67 / v
NEAREST
PERMIT FEES CROSS ST.
,40 oi-
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER /0%.'A"/// '
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY / TEL. No.
SHOWER @ 0.50 1 HEIIf�� BY ACKN LEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICAVTION AND STATE THAT THE ABOVE IS CORRECT
AND A`BREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 O SS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LI N� OR I AM THE LEGAL OWNER
OF THE RESIDENTIA PROPERTYi,J=8 B�EO ABOVE.
GAS SYSTEM OUTLETS @ 0.50 //,//J
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
az
SLOP SINK @ D.SO INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
Q
HOUSE SEWER @ 0.50 _Z
MISCELLANEOUS la
0
APPROVALS
DATE IN9PYGT��O••R'B NAME
ROUGH PLUMBING ,� �S �// /N
GAS PIPING
GAS VENT
CESSFOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
LIQ UTILITY CO.NOTIFIED i
TOTAL FEE $ CJ
FINAL
76A667 DBS#17 6-52
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0803270012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY•CA 91780
PHONE (626) 285-0488 EXT-
ILEGAL ID: 1 FEES PAID I BUILDING ADDRESS I
ON FILE I i 9626 LEMON AV E 1
IFEE DESCRIPTION- QUANTITY- UOM AMOUNT 1 ARCD CA 910077866
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET- TEMPLE CITY
15383-013-031 101 PERMIT ISSUANCE FEE 27-75 THOMAS PAGE 596 GRID J1 LOCALITY- TEMPLE CITY, Cl
1 147 WATER HEATER(S) 1 00 WTH 16 20 I 1
ITENANT I TOTAL FEES 43-95 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I
I 1 103/27/08 SR 09/23/08 1
I 1 1 I
(OWNER TEL NO I IFI AL DATE FINP�L CODE
IPHILLIP, REED (626) 446-7998- 1
19626 LEMON AVE 1 I
IARCADIA, CA 91007 I IDESCRIP ION OF WORK 1
I 140 GALLON WATER HEATER REPLACEMENT I
I I I I
(APPLICANT TEL NO I I
IBRUCE SMYTHE (310) 838-0408- I
13801 LENAWEE AVE ! ISPECIAL CONDITIONS: 1
I I I I
I I I I
I I I I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I
IMIKE DIAMOND PLUMBING AND HEATING (310) 253-5229- I 1
13801 LENAWEE AVE LIC NO I 1UNDER SLAB WORK I I
ICULVER CITY CA 90232 C20 / C16 * I I I I
1 I IWATER SERVICE I I I
I IPLASTIC Y/N METAL Y/N I I
(ARCHITECT OR ENGINEER TEL NO I I -1-1 I
I - I IROUGH PLUMBING I I I
LIC NO II I I �.-
1 1 IGAS PIPING I I I
I I I I I I
I I 1GA8 VENT 1
I IHOT WATER HEATER I I
I I
I-
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I IPLUMBING FIXTURES I
I I I I I I
I I (LAWN SPRINKLERS I
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I IGAS TEST I I I
I I 1 11 I
I I (UTILITY COMPANY NOTIFIED( I
I I ICWV, I I I
I I I I I I
IGRAY WATER SYSTEM I I I
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1 I* ADDITIONAL DATA ON FILE I I I
IREPORT ID DPR263 ROUTE TO BS0508 1 I I
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