HomeMy Public PortalAbout9540 LIVE OAK AVE_Plumbing__ 76AG67-CEB17 3-59 ,
APPLICATION FOR PLU4'BING' PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
ADDRESS S-S� s "
JOHN A. LAMBIE, Count' Engineer
CASSATT D. GRIFFIN, Sup't of Buildingwm LOCALITY
44 ot? 40
FOR APPLICANT TO FILL IN NEAREST Jf
CROSS ST. '.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
ADDRESS
BATH TUB
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTOR
SINK ADDRESS Q p S 6(
DISHWASHER CITY TEL NO.
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRIC NO. �GROUP /AONE P CESSED BY
WATER HEATER r 1, V
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
ff 0 $1.00 PER ITEM
OR FDCTURE $ !ur V APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ Q OO UNDER SLAB WORK ey*D�A&
TOTAL FEE-H / ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER A�
PLUMBING. - -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIIX�TU�RRES I/
OF
CALIFORNIA LICENSED ASORETHAT DI AML GELES THE OS N LEGAL OWNER OF THE COUNTY ANDATE ABOVE GAS TEST
DESCRIBED RESIDENTIAL PR PERT UTILITY CO NOTIFIED -
SIGNATURE
OF PERMIT �p
FINAL
OF oVALMATION ROBERT A. WOOD,
■.o. CASH SUPERVISING MECHANICAL.ENG'R
LPi(�3 6 5 7 0J JUL 15 5 D 1 2.0 O N
7BA667 (CE-817) - 5/73
,APPLIC TION OR PLUMBING' PERMIT`
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO
F
ILDING O DRESSHARVEY T. •BRANDT, COUNTY ENGINEERCALITYFOR APPLICANT TO FILL IN (PRINT OR TYPE) ARESTOSS ST
NUMBER FIXTURE OR ITEM @ FEE
-OWNER
WATER CLOSET 1.75
MAIL„
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY TEL. NO
LAVATORY 1,75 CONTRACTOR 'p
N C-
SINK 1.75 ADDRESSAE-
DISHWASHER 1.75 CITY .n TEL NO
,
C LOTH1ES WASHER 1.75 STATE LIC
. SWIMMING POOL RECEPTOR 1.75 LICENSE NO CLASS
DISTRICT NO GROUP ONE ESSE 'B V.
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 1 INDUSTRIAL
WASTE APPROVAL a}
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
OUTLETS OVER. v
5 PER SYSTEM .30
CD
W
G.
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
.Name ROUGH PLUMBING
Address. GAS PIPING
City Tel No GAS VENT •
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST '
I HEREBY CERTIFY THAT I AM PROPERLY,REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LO
5 ANGELES COUNTY AND STATE OF
CALIFORNIA 0R THAT I AM THE LEGAL OWNER OF, AND INTEND TO ry' ,y
RESIDE IN THE ABOVE DESCRIBED RE SI DENNTIAL PROPERTY FINAL 7-4779'
/�iJd ,/ P
SIGNATURE ��•� - _ws / c
OF PERMITTEE .
PERMIT VALIDATION cK M.0 CASH
_ PLAN CHECK VALIDATION CK M.O CASH
2 7 i5-JUN ' 5 501 4.'7 5 ®'d'
76A887-C E#817 10-67 552(}n38B3
APPLICATION FOR PLUMBI G PER T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION AUILDING
DDRESS L 0 LTV 0
JOHN A. LAMBIE, COUNTY ENGINEER
AK
COLEMAN W JENKINS. SUP T OF BUILDING LOCALITY MTLF CITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST c.T s�VE
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER D1�.�UdI___
WATER CLOSET 1.50 CK
MAIL
BATH TUB 1 50 ADDRESS 9540 Lr� 01W
I SHOWER 1.50 1 ,50 CITY TEIi'YPIY CITY TEL. NO. 286�78
f�`�Y
LAVATORY 1.50 CONTRACTOR i'I
rr'� �y! }c�r f �
SINK 150 ADDRESS '5200 200 Yi., AS411IC 1 UN 13T��.
DISHWASHER 1.50 CITY LOS A1VCT�+I.,ES TEL- NO. YI +�l�,If3Cj
CLOTHES WASHER 1 50 STATE / LIC
LICENSE NO 105264 CLASS
SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GRO ZO E PROLE B D B
LAWN SPRINKLER SYSTEM 2.00 5 f0� � �
INDUSTRIkL U
CD
WATER HEATER 1.50 WASTE APPROVAL 0
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD V
OUTLETS OVER W
5 PER SYSTEM 30 N
Plan check fee 25% of above See reverse.
PLUMBING PERMIT ISSUING FEE $ 2' 00
TOTAL FEE q. 50
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES -WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I TME LEGAL OWNER OF,AN INTEND TO
RESIDE IN, THE ABOVE G ISED IDENTIA ROPE Y FINAL
SIGNATURE •lj� ' JACK R. ALLEN, SUPERV ISIN �HANIC L NG'R
OF PERMITTEE iPERMIT VALIDATIONM o CASH
PLAN CHECK VALIDATION CK Mo CASH
1.1 SEA 13 -'5-. a 3.50--
1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0110240017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE .9540 LIVE OAK AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802513
ASSESSOR INFORMATION NUMBER: NEAREST,CROSS STREET: TEMPLE CITY BLVD
8588-006-020 01 PERMIT ISSUANCE FEE 27.75 -THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 NTH 16.20
TOTAL FEES 43.95 P .
10/2,4/01 JK 04/22/02
OWNER: TEL. NO: FINAL DATE FINAL BY. .
DELNICK BARBARA F (626) 286-7819-
9540 LIVE OAK AV a a
TEMP 917802513 D�fYPTION OF WORK
WATER HEATER C/O
z
APPLICANT:
ACTION CONTRACTORS (310) 515-1311-
17111 S. BROADWAY SPECIAL CONDITIONS:
GARDENA 90248
CONTRACTONTACTORS, INC. TEL. NO: 1311 y®� � APPROVALS DATE INSPECTOR SIGNATURE
ACTION C17111 BROADWAY LIC. NO UNDER SLAB WORK
GARDENA, CA 90248 HIC
d WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGIER: L. :
ROUGH PLUMBING
LIC. N0: 1111111
GAS iPIPING
J
�f�� G S
USO L0 V V OO �� Ho uo � �
XTURES
0 LAWN SPRINKLERS
O Cl GAS TEST
A ® CwV
®as T COMPANY NOTIFIED
Vtl�c service Y9��� - .°�
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508
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