HomeMy Public PortalAbout9812 LONGDEN AVE_Plumbing__ 76A667 DBS 17 11-50 - - - - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN '3 j R P O _ R T� Ov,
PLUMBER READY FOR E ISSUED
RE BY DATE
..� /) FIRST INSPECTION
ADDRESS (+�� }� / BUILDING
CITY m4e+�, T L.No. f ADDRESS
COUNTY P LOCALITY
LICENSE NO. EXPIRES NEAREST �{
PERMIT FEES CROSS ST. l
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 $ ;ADDRESgS[ �f�t �'1'�1
BATH TUB @ 0.50 CITY / isc V TEL. No,
SHOWER 0.50 1 HigiFtEevUrKNOWLE E THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION-AND STATE HAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
. f CERTIFY THAT 1 POSSESS THE ABOVE VALID L138
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS @ 0.50
OF THE RESIDENTTL0lFROPZRTY DESCRIBE ABOVE.
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTE "
SLOP SINK @ 0.50 INSPEMON RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50
HOUSE SEWER @ 0.50 U Z
MISCELLANEOUS
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 re-j CESSPOOLr
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1,00 GAS TEST
TOTAL FEE It) UTILITY co.NOTIFIED
FINAL
APPLICATION. FOR PERMIT
DEPARTMENTOF BUILDING:AND SAFETY
COUNTY OF LOS' ANGELES PLUMBING 1
WILLIAM J. FOX. CHIEF ENGINEER
FOR.-APPLICANT TO•FILL IN DIST•RIgV NO. GROUP I ZONIPERMIT NO. .
PLUMBER �d �' IF�✓. !�'/Z�.�C/�N 4 RECEIVED BY _ READY FOR DATE IS UED
FIRST INSPECTION // �dS1
(tea
ADDRESS
BUILDING
CITY til%-�t� t /�r E�•/�Y g/! / L ADDRESS
J Ci r. TEL. NOa/- .L }/Jc� 1
COUNTY / �""��.s , S � �a �� ! LOCALITY ��/ / / � � � •'rte
.LICENSE NO. f E7CPIRES iJ /' ,
NEAREST f 1
PERMIT FEES CROSS
ST. J
NUMBERTYPB OF FIXTURE OR ITEM •FEE. OWNER r i/"� F • .
MAIL,. .
WATER CLOSET (TOILET) @ 0.50 $ `.�` ADDRESS
BATH TUB @ 0.-So ^� Y,; CITY TEL. NO.
SHOWER. @ 0.50 I. HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH'BASIN)'- @' O.SO''I J .. + AGREE TO 'COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK ® 0.50 v►/ 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS._
f LAUNDRY TUB OR TRAY @ 0.50 . ANGELES COUN •.CENSE, OR I• AM THE LEGAL OWNER
OF THE RESIDE IAL PROPER•FY^DESC IBED ABOVE.
GAS SYSTEM�OUTLETS. @ 0.50 Sv
SIGNATURE OF
WATER HEATER. @ 0.50 I L PERMITTE
SLOP SINK @- 0.50 SPECTION RECO '
FLOOR SINK• @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ O.SOI �•
DRINKING FOUNTAIN @ 0.50
URINAL. @ 0.50
HOUSESEWER @ 0.50 Q
Z
MISCELLANEOUS U�
p
APPROVALS
• •,1 DATE INSPECTOR'S NAME
:
.� ROUGH PLUMBING
j .GAS PIPING
-GAS VENT � 'SJ /TO
-
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ). @ i.Co SEINER ,/ ~
PERMIT 1.00 GA9.TEST 7� .
UTILITY CO. NOTIFIED I i •�.(�I,,
TOTAL FEE I. $ I c qy/� - „
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0804290008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
1
ON FILE 9812 LONGDEN AV I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801424 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GOLDEN WEST I
15385-022-025 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, CI
107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 I
BY: EXPIRES ON:
TENANT: Ill CLOTHESWASHER(S) 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN 1
145 WATER CLOSET/URINAL 1.00 FIX 16.20 104/29/08 SR 10/26/08
TOTAL FEES 76.35 1
I1OWNER: TEL. NO: I IF DATEFINAL CODE: 1
TRINH, KHIEM (626) 756-9168- 1 I -a
19812 LONGDEN AV I 6.
ITEMP 917801424 I D IOF WORK
REPLACEMENT OF SHOWER STALL, WATER HEATER, WASHER & DRYER
I
(APPLICANT: TEL. NO:
1SAME AS OWNER - I ISPECIAL CONDITIONS:
I 1
ICONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER LIC. NO 1 1UNDER SLAB WORK I 1
IWATER SERVICE I I I
IPLASTIC YIN METAL YIN I I I
1ARCHITECT OR ENGINEER: TEL. NO: I [ROUGH PLDNIDING I I 1
LIC. N0: I (GAS PIPING I I I
I I
1GAS
VENT I I 1
IHOT WATER HEATER I I
IPLUA7BING FIXTURES I I I
ILAWN SPRINKLERS I I I
IGAS TEST I I I
I 1
1 I iUTILZTY COMPANY NOTIFIED(
CWV I I 1
1 I 1 I
1GRAY WATER SYSTEM
I 1 1 I I 1
I
I 1
I
IREPORT ID: DPR263 ROUTE TO: BS0508
I I