HomeMy Public PortalAbout10653 LOWER AZUSA RD_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County-Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer Ku
15TRICT.N•O. GROUP ONEPERMIT
FOR,-APPLICANT TO 'FILL IN
PLUMBER VALLEY Up/�QULEVARDPLUMBING CO, • READY'FOR DATE ISSUED
CEIVEDBY FIRST INSPECTION
ADDRESS. 8300 EAST VALLEY BLVD.
n .BUILDING / -
CITY ROSEMEAD TEL '
AT. 2-271 ADDRESS 1E++ -
'COUNTY LOCALITY
.LICENSE NO. EXPIRES _6"30`
NEAREST -
PERMIT FEES CROSS ST. _
NUMBER TYPE OF FIXTURE OR ITEM - FEE ,OWNER.
_ .MAIL
WATER CLOSET(TOILET), .0.50 111 .ADDRESS -
BATH TUB 0.50 'CITY TEL NO. -
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
,2 LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
:AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
.KITCHEN'SINK n 0,50 AND STATE LAWS' REGULATING PLUMBING. - -
I CERTfFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q .0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED AB E.
GAS SYSTEM OUTLETS @ 0.50
BIG-NATURE OF ///� /f� .
WATER HEATER @ .0.50. PERMITTE I;;; e
SLOP SINK @ D.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER - @ 0.50 - -
DRINKING FOUNTAIN 0.50 -
URINAL 0.50
HOUSE SEWER 0.50 - _Z
MISCELLANEOUS - C7
O
APPROVALS
.
DATE INSPECTOR121 NAME
ROUGH PLUMBING
OAS PIPING y'.013
GAS VENT,
CESSPOOL CSI! 1.00 CESSPOOL - -
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) CR 1.00 SEWER
PERMIT1 DD GAS TEST
•
T
UTILIY CO.NOTIFIED /Z 1
TOTAL. FEE �. �'�'�"T 7 'F�
FINAL
76A667 DBS#17 6-52 s
76'A 667 CE 817 7-69 :.
:,APPLI'CA'T'I'Ot4- FOR PLU:M:BING ERMI,T
COUNTY OF-LOS ANGELES
„ DEPARTMENT' OF,COUNTY-ENGINEER
BUILDING AND,SAFETY DIVISION BUILDING," _
JOHN A. LAM:BIE. COUNTY ENGINEER ADDRESS, Q S ZGe
COLEMAN W,. JENKINS.'SuP n of BUILDING ' LOCALITY
•FOR,APPLICF.NT. TO FILL (PR NT OR TYPE) - .NEARESY
CROSS ST. '
NUMBER FIX,TURE'SOR ITEM• EACH FEE
- OWNER
..WATERrtCLOSET,. t' ,` +' 15.50 ' � " .
BATH TUB : 1:50 ;~ O oS_ �c:( w -
MAIL
ADDRESS 6f
e: CITY TEL. NO.�
SHOWER 1.,50 'y' - -
LAVATORY 1,50
CONTRACTOR
' SINK: 1.50 ADDRESS
I
. DISHWASHER- " - 1.50 CITY , .•: TEL.,NO; ,.
CLOTHES WASHER'. .1.50 STATE ., •.LIC.. : -y_
- LICENSE NO... - =t CLASS'
:SWIMMING POOL RECEPTOR -1.50 '� DISTRICT NO., GROUP ONE P SSED BY. '
LAWN SPRINKLER SYSTEM 2.00
WATER'HEATER ' 1.50 ; ,.� 5.. INDUSTRIAL" ..
n
WASTE APPROVAL
'• GAS SYSTEM ;,OUTLETS ,1:50 INSPECTIO CO
OUTLETS OVER. n -
SPER SYSTEM'' .` -•30 V U , :O
n.
6
Plan.check fee T5% of.above: See-reverse. -
PLUMBING PERMIT ISSUING FEE S 2 00
L 'APPROVALS, '
OVALS. •� �DATE, -, INSPECTOR'S'SIGNATU RE
'Plan check-applicant-` UNDER SLAB woRK'
Name _ - ROUGH PLUMBING' '
Address
GAS PIPING
City Tel No. y ar
GAS'VENT
HOT.,WATER.HEATER -'. '.
L
EBY ACKNOWLEDGE:THAT"'-I 'HAVE -READ THIS•APPLICATION FATE THAT THE ABOVE 1IS,CORRECT AND AGREE TO COMPLY.' PLUMBING FIXTURES -LL' COUNTY,„+,ORDINANCES-AND STATE-. LAWS, REGULATING.No. GASTESTEBY CERTI FY� THATrI' AM PROPERLY REGISTERED AND/OR UTILITY CO..NOTIF.IED
ED-AS REQUIRED•BY'LOS ANGELES COUNTY AND STATE OF - y (j[{y -RNIA OR THAT I,AMTHE-LEGAL OWNER,OF,AND INTEND TO�I NTHE ABOVEDE IBED RESIDENTIALRTYFINALTURE '” ,JACKR.'A'L LENSUMPERVISING MECHANICAL-'ENG'R.
ERMITTEES
PERMIT VALIDATION C'K. M.o c S
PLAN CHECK:,VALIDATION
M O: CASH-
;D 3.5,0
,
F
76 A,667 CE 817 7-69 '
. "
APPLICAT10WFORPLUIVIBIN MIT" �j
-COUNTY.OFLOSANGELES . ;
-
DEPARTMENT`OF 'COUNTY ENGINEER
BUILDING AND SAFETY DIVISION F
JOHN.A: LAMBIE, COUNTY ENGINEER
COLEMAN W.-J'ENKINS. SUF'T.'OF,'BUILDING` '';..'
FOR APPLICANT TO FILL IN (PR NT OR TYPE)
.
NUMBER ,FIXTO. E.OR ITEM , "•' EACH F,EE -_
' WATER CLOSET 1:50" _
MAIL
. _. ,BATH TUB •.:. 1:$0. _ ADDRESS `,.
SHOWER 1.50 CITY- TEL. NO. _6 .
LAVATORY'- 1.50' '`CONTRACTOR
SINK 1:50 ADDRESS
DISHWASHER- - i'.50' CITY - 'TEL. NO.
r-,CLOTHES WASHER 4.50 STAT ,
E LIC
_. - LICENSE NO. ,. CLASS
SWIMMING POOL RECEPTOR 1':50 D ST.RLCT NO. GgQ14P NE ESSED BY. '
LAWN,SPRINKLER SY.STEM 2.00
WATER HEATER 4'. 1.50• INDUSTRIAL
WASTE APPROVAL
r GAS SYSTEM- .' OUTLETS 1:50 / INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM - - •30. - _ �.-
,
Plan check fee-25%-of above. See reverse.
PLUMBING PE MIT ISSUING FEE:,'S 2 00,
TOTAL FEE 'J�a
' - APPROVALS � - DATE, INSPECTOR'S SIGNATURE
Plan check applicant' i UNDER SLAB WORK' y� ' -
Name ROUGH PLUMBING
A'd'dress. -
GAS PIPING
GAS VENT
City. tel.*Noi
HOT,WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READy•THIS APPLICATION' N
AND STATE'THAT THE ,ABOVE^IS CORRECT,AND-AGREE•TO COMPLY 'PLUMBING FIXTUF2ES '
WITH ALL. COUNTY ORDINANCES AND STATE LAWS- REGULATING GAS TE
PLUMBING. � '-. ' _ ' '•'
-.i HEREBY CERTIFY-,THAT','I AM'.PROPERLY-�REGISTERED AND�OR UTI.L'ITY CO. NOTIFIED ^' 7", ��
LICENSED.AS REQUIRED.BY'LOS ANGELES COUNTY AND STATE OF �( V
CALIFORNIA OR THAT I 'AM THE LEGAL OWNER OF,AND-INTEND.TO_ / v
- RESIDE IN;THE ABOVE i RISE D.RE[R'e'PRO,,7FINAL SIGNATURE JACKR. ALLEN, SUPER V is H-ANI CAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION cK M.0.' CASH
PLAN CHECK'VALIDATION, ck M o.,`' CASH
4 'O 5 3 F tIAR1 2 . 5. .D 3.5Q' rw
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1312160038
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE .CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID:* - FEES PAID BUILDING ADDRESS: 1
ITR: 19189 - LT: 6 - 1 10653 LOWER AZUSA RD 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I . TEMP'CA 917804128 1
(ASSESSOR INFORMATION NUMBER.: I I NEAREST CROSS STREET: PAL MAL 1
18585-027-001 101 PERMIT ISSUANCE FEE - '27.80 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY CAI
1 107 BATHTUBS/SHOWERS 2.00 FIX 32.40 1 I
(TENANT: - Ill CLOTHESWASHER(S) _ 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: 1
1 113 DISHWASHER(S) 1.00 FIX 16.20 112/16/13 SR 1
I 125 LAVATORIES/SINKS 3.00 FIX 48.60 1 1
10WNER: - TEL. NO: 145 WATER CLOSET/URINAL 2.00 FIX 32.40 IF AL DATE FINAL Y: CODE: 1
I'YANG, YU HUI (626) 636-5867- 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 -1
15218 VILLAGE CIRCLE 163 WATER PIPING BR/FIX 5.00 FIX 34.00 s 1
ITEMPLE CITY CA 91780 1 TOTAL FEES 223.80 I ASCRIPTION OF WORK 1
I IBATHTUB/SHOWER, CLOTHESWASHER, DISHWASHER, LAVATORIES, SINK 1
IWATER CLOSETS, GAS LINE AND REPIPE 5 FIXTURES
1APPLICANT: TEL. NO: 1
IYANG, YU HUI (626) 636-5867- 1 I
15218 VILLAGE CIRCLE 1 ISPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780
I I I
(CONTRACTOR: TEL. NO: I I-APPROVALS DATE INSPECTOR SIGNATURE
IP T ANCHOR CONSTRUCTION (626) 636-5867- 1 1 - 1
15218 VILLAGE CIRCLE DR. LIC. NO 1 1UNDER SLAB WORK1. .1 1
ITEMPLE CITY, CA 91780 940947 -
IWATER SERVICE I I I
I -1 IPLASTIC YIN METAL YIN
1ARCHITECT OR ENGINEER: TEL. ,NO: 1 I I I I
1 IROUGH PLUMBING
LIC. NO: ) 1 1
IGAS PIPING 1
_I IGAS VENT
IHOT WATER HEATER
1 I IPLUMBING FIXTURES 1 I 1
I I I
1 ILAWN SPRINKLERS I I
IGAS TEST 1
i I I
1 I 1UTILITY COMPANY NOTIFIEDI I I
1 1 ICWV I I
_ 1 I I
1 GRAY WATER SYSTEM I
1 1 I
I I I I I I
1 IREPORT ID: DPR263 ROUTE TO: BS0508 1 I 1 1
I I I I I I