HomeMy Public PortalAbout9556 LIVE OAK AVE_Plumbing__ APPLICATION FOR PLUMBING PERMIT 1
DBS-177 10-56
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING -
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING `
LOCALITY
FOR PLI TO VILL IN NEAREST
CROSS ST w
OWNER r s a
DISTRICT NO GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS
o INDUSTRIAL
CIT TEL. N 9 WASTE APPROVAL
PLU �. INSPECTION RECORD
s ,
ADDRESS
CITY• TEL. NO
L I C E N N
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $100
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1 00 fJ�
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ L 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS__&NGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I M LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIA R ER7Y
SIGNATURE
OF PERMITTEE FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF'PLBG INSPECTOR
CK. M 0. SH
L jG,3 ? 0 7 QEC 2 7 3 2.00 9'
76A667 —LE817 5/7O `
APPLICATION FOR PLUM PERIVII,-, ,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION- BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUP T OF BUILDINGOCALITY
FOR APPLICANT TO FILL IN PR NT OR TYPE) ROSS SiNUMBER FIXTURE OR ITEM EACH FEWNER 17 V.0—
WATER CLOSET 1. OyAIL
BATH TUB 1. 0 ADDRESS-
SHOWER
DDRESS-SHOWER 1. 0 CITY TEL.
LAVATORY I.J0 CONTRACTOR
SINK 1. 0a ADDRESS
DISHWASHER 1. 0 CITY TEL. NO.
CLOTHES WASHER 1 0 STATE - LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 0 DISTRICT NO. G ZONE PROC D B -
LAWN SPRINKLER SYSTEM 2 0 if_
WATER•HEATER1 0 INDUSTRIAL _ -WO
WASTE APPROVAL
GAS SYSTEM OUTLETS 1. 0 INSPECTION RECORD V
OUTLETS OVER 30 Q
S PER SYSTEM r
z
Plan check fee 25% of above. See reverse.
PLUMBING•PERMIT ISSUING FEE 8 00
TOTAL FE
' APPROVALS DATE IN)irECTOR 5 SIGNATURE
Plan check applicant . UNDER SLAB WORK -
Name ROUGH PLUMBING A �-
Address 1 &zt W40
GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
1 C
HEREBY ACKNO LEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT T E ABOVE IS ORRECT AND AGREE TO COMPLY PLUMBING FIXTURESWITH ALL' COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLU_MBING'
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROP RTY FINAL-
SIGNATURE 171 4JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R
OF PERMITTEEA oloopugs3p� 4—dQ— I
PERMIT VALIDATION K ' M o CASH
c
PLAN CHECK VALIDATION CK M o CASH
Afig 2 5 5 D
76A667 (CE-8.17)-8-71•
APPLICATION FOR PLUMBI G PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS - j
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75 MAIL'
BATH TUB 4 1 75 ADDRESS qIli,4 r .,.
SHOWER 1 75 CITY TEL. NO.
LAVATORY 1 75 CONTRAC
SINK 1 75 ADDR S
DISHWASHER 1 75 CITY TEL-NO
CLOTHES WASHER 1 75 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO GROUP ZONE P Ej�BY
LAWN SPRINKLER SYSTEM 1 75 !\/J
WATER HEATER 1 75 INDUSTRIAL �.
WASTE APPROVAL C
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD
OUTLETS OVER 30
5 PER SYSTEM O
u
Lu
A.
w
z
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 y ROUGH PLUMBING
Address ` GAS PIPING
dQ City Tel O. GAS VENT
I HEREBY ACK WLEDGE T HAVE READ HIS APPLICATION HOT WATER HEATER.
AND STATE THAT THE ABOVE I CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINAN ES AND STATE LAWS REGULATING
PLUMBING GAS TEST '
I 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 'AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL G'
SIGNATURE "W1,L�h��67ag4j
/
OF PERMITTEE
PERMIT VALIDATI CK M O CASH
PLAN CHECK VALIDATION CK M D CASH
L11�0 `' 7 4 /�:3v AF►� D 8.2 5
r
• COUNTY OF LOS ANGELES _ TEMPLE CITY # 0508 PLUMBING PERMIT ,
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1207170028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS _
I ON FILE I 9556 LIVE OAK AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802513 -
(ASSESSOR INFORMATION NUMBER I - I NEAREST CROSS STREET TEMPLE CITY
18588-007-007 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE .596 GRID J3 LOCALITY TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1 00 FIX 16 20 I I
ITENANT 125 LAVATORIES/SINKS 1 00 FIX 16 20 (ISSUED ON. PROCESSED BY PLAN BY 1
_ 145 WATER�CLOSET/URINAL 1 00 FIX 16 20 107/17/12 SR I
TOTAL FEES 76 40 1 -
(OWNER TEL NO I IFINAL DATE FINAL BY CODE- I
IROWLAND DORIS,ROWLAND ANN M (510) 908-1281- I 1
19556 LIVE OAK AV I
ITEMP 917802513 I - IDESCRIPTION OF WORK -
I I IREPLACE TUB WITH SHOWER, LAVATORIE AND WATER CLOSET FOR
I .1BATHROOM REMODEL I
(APPLICANT TEL NO
IVELASQUEZ, DANNY W (626) 482-1037-
1151 PURPLE - I ISPECIAL CONDITIONS I
IALTADENA, CA 91001 I I
I I I I
ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE I
1HUNTINGTON HEATIN AND A, C (626) 482-1037- I - 1
114136 E SANDSTONE ST LIC NO _ (UNDER SLAB WORK
1BALDWIN PARK CA 91706 885634 I 1
(WATER SERVICE 1
I (PLASTIC Y/N METAL Y/N I I I
(ARCHITECT OR ENGINEER TEL NO I ®�j� I 1
IE }'�VIRE® IROUGH PLUMBING 1
LIC NO 1 ,6'l�9 1 � v I
I IGAS PIPING I I
I1 11
I q IGAS VENT 1 1
I I I I I
I I IHOT WATER HEATER I I I
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i I IPLUMBING FIXTURES I I I
I I I I I I
' ILAWN SPRINKLERS I I
I I I I I I
IGAS TEST I II
I (UTILITY COMPANY NOTIFIED( I
I I I I I I
I I ICWV I I
I I I I I I
I I (GRAY WATER SYSTEM I I I
I I I I I I
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IREPORT ID. DPR263 ROUTE TO- BS0508 I I I I
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