HomeMy Public PortalAbout10721 LORA ST_Plumbing__ ` COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1203080001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
TR: 17867 IT: 10 I I 10721 LORA ST 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803412 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18574-001-010 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, CI
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 I
IT T: Ill CLATHESWASHER(S) 1.00 FIX 16.20 IISSUED ON: PROCESSED BY: PLAN BY: I
I 125 LAVATORIES/SINKS 1.00 FIX 16.20 103/08/12 SR I
1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 1 I
(OWNER: TEL. NO: 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 IFINAL DATE FINAL BY: CODE: I
IHILLARY GREENE PAE (818) 321-1044- 1 TOTAL FEES 108.80 I I
110721 (ARA ST I
ITEMP 917803412 1 IDESCRIPTION OF WORK 1
I I IPLUMBING FOR BATHROOM, KITCHEN AND GAS LINE I
(APPLICANT: TEL. NO: I I I
IRABBANI DESIGN (818) 609-8480- I I I
IPO BOX 573022 1 ISPECIAL CONDITIONS:
ITARZANA, CA 91357 I i
I
1CONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE 1
IBILINSKI, THOMAS (818) 613-2456- 1 I 1
111944 I)ARBY AVENUE LIC. NO 1 (UNDER SLAB WORK I I I
IPORTE RANCH, CA 91326 721959 B 1 I I I
I 1 IWATER SERVICE
I I IPLASTIC YIN METAL YIN I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 I I I 1
I - I IROUGH PLUMBING 7I 1
LIC. NO: LI'
I (GAS PIPING
[GAS VENT
I I IHOT WATER HEATER I I I
1 1 [PLUMBING FIXTURES I I I
I I [LAWN SPRINKLERS I I I
IGAS TEST I I I
1UTILITY COMPANY NOTIFIED [ [
I I 1
CWV I 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 1 1
I I
I I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 I I I
I I I I I
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COUNTY OF Los ANGELES APPLICATION FOR PERMIT
,Department of County Engineer
DIVISION OF BUILDING & SAFETY i
WILLIAM J. FOX, County Engineer PLUMBING
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE )
PLUMBER VALLEY BOULE1T 30 Pff'.1BING CO.
RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 8300 EA0 :'.'.L'__'r
CITY ROSEPv:�. .:) _ BUILDING
TEL.NO. AT. 2-27 19 ADDRESS
COUNTY93iYi E.�,�. LOCALITY
LICENSE_ NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST. yy
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER �.y
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
BATH TUB Q 0.50 CITY TEL. NO.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASHBASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 13.513 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIA P OPERTY DESCRIBED ABOVE
GAS SYSTEMOUTLETS @ 0.50
SIGNATURE O
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN @ 0.50
DISHWASHER Q 0.50
DRINKING FOUNTAIN O.SO
URINAL @ 0.50 J
d
HOUSE SEWER Q 0.50 _Z
MISCELLANEOUS w
O
APPROVALS
?DA/TE INSPECTaOR`'SS NAME
ROUGH PLUMBING 7 /mob f�iV
GAS PIPING
GAS VENT
CESSPOOL 62 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAB TEST 2�'r
TOTAL FEE
UTILITY CO.NOTIFIED Y'
S
® FINAL
76A667 DBS#17 6-58
\ y�
76 A 667.= C E 817_ 7-69 f� -
• 3-
7
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDINGLOCALITY `��
FOR APPLICANT TO FILL IN PR NT OR TYPE) CROSSS T. s7 4/ A
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1.50 OWNER
MAIL
BATH TUB 1.50 ADDRESS + Y
SHOWER 1.50 CITY s ' TEL. NO.-41 r 91 /'
LAVATORY 1.50 CONTRACTOR —�
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL.NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50. DISTRICT NO. GR ZO E PR SS BY
LAWN SPRINKLER SYSTEM 2.00 Q
Iff
.WATER HEATER 1.56 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM .30
O_
Om
• dA.
Z.
Plan check fee 25%'of.above:See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEEj
APPROVALS PATE INS2 CTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name z— ROUGH PLUMBING
Address/,Q 7 OR . GAS PIPING
GAS VENT
City.' ).S Tel. N 11 HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT HAVE 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. _
I HEREBY CERTIFY THAT '1 .AM PROPERLY REGISTERED AND/OR -UTILITY CO.NOTIFIED I
LICENSED AS REQUIRED BY LOS ANGELES.COUNTY AND STATE OF t
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO, /
RESIDE IN,THE ABOVE DEOCRIT RESID TIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTE c— v l JACK R. ALLEN, SUPERVISING M HANICAL ENG'R.
PERMIT VALIDATIONaj,,If M.O. CASH..
PLAN CHECK VALIDATION CFC. M.O. CASH
'�-0 0 -10 �1 APR 2 9 5 D 3.5 0