HomeMy Public PortalAbout9368 LOWER AZUSA RD_Plumbing__ 9010TY OF LOS ANGELES APPLICATION FOR PERMIT
D�p'iirtment of County Engineer
-DYVISION OF BUILDING & SAFETY
c WILLIAM J. FOX, County Engineer PLUMBING 1
DISTRICT NO. G O P
F R APPLICANT TO FILL IN �s�
S -6x
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADORE!
.� BUILDING
CITYTEL No. ADDRESS
COUNTY 7 LOCALITY
LICEN5E NO. 1916 EXPIRES .J %1 drdiu
N"AREST IV
PERMIT FEES CROBB ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) G) 0.50 M ADDRESS
BATH TUB a 0.50 CITY TEL. No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 b APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 Q AND STATE LAWS REGULATIN BIND.
0.50 1 CERTIFY THAT IO THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY
�c) ANGELES COUNTY R 1 AM THE LEGAL OWNER
DES
GA9 BYBTEMOUTLET9 OF THE RESIDE CRIBED ABOV 0.50 f(/ SIGNATURE f ��
WATER HEATER @ 0.50 Vel PERMI
SLOP SINK ® 0.50 IIAPECTION RECO
FLOOR SINK Q 0.50
FLOOR DRAIN Q 13.50
DISHWASHER 0.50
DRINKING FOUNTAIN Q 0.50
✓
URINAL @ 0.50 JQ
HOUBE SEWER 0.50 Z
MISCELLANEOUS 9
F4O
,� --:5,r--V/c.%PPROVALS
D E INSPEOTOR•S NAME
ROUGH PLUMBING /Kid ft "eo-'
GAS PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK. SEPTIC TANK.
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT 1.OD GAS TEST
TOTAL FEE
UTILITY CO.NOTIFIED o _
S
FINAL /✓ ��
70A007 DBS#17 10/58
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76A88'7-C E#S 17 10-57 +
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APPLICATION FOR PLUMBING P MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BURIDING
JOHN A. LAMBIE. COUNTY'ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50 MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 TEL. N
LAVATORY 1.50 CONTRA R
SINK 1.50 ADDRESS.
DISHWASHER 1.50 C s L.NO
CLOTHES WASHER 1.50 STATE LIC
LICENSE CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO GROUP ZONE PRO 6 Y.
LAWN SPRINKLER SYSTEM 2.00 r
COQ
WATER HEATER 1.50 U TRULLOVAL �
O
GAS SYSTEM OUTLETS 1.50 ))MSPECTI CORD ofv
OUTLETS OVER .30
5 PER SYSTEM C
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE $ 1 2 100
TOTAL FEE
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
1 HEREBY ACKNOWLEDGE THAT I 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 '
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL 6
SIGNATURE JACK R. ALLEN., SU .ERVISI HANICAL EN-G-R.
OF PERMITTEE
moms PERMIT VALIDATION CK,
M.O. CASH
PLAN CHECK VALIDATION CK. M.0. CASH -
L,4 5.0 IS, .W 3X50-
�.
'COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1212200014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
9368 LOWER AZUSA RD
ON FILE IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917804217
ASSESSOR1INFORMATION NUMBER: I NEAREST CROSS STREET: TEMPLE CITY 8592-003-039 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: JS LOCALITY: TEMPLE CITY CAI
107 BATHTUBS/SHOWERS 2.00 FIX 32.40 I
TENANT: Ill CLOTHESWASHER(S) 1.00 FIX 16.20 IISSUED ON: PROCESSED BY: PLAN BY:
I
113 DISHWASHERS) 1.00 FIX 16.20 12/20/12 SR
I 121 HOSE BIBB(S) 2.00 FIX 32.40 I
OWNER: TEL. NO: 125 LAVATORIES/SINKS 2.00 FIX 32.40 IF1,NAL DATE FI yAL BY: CODE:
IKUSHELL, JOEL (714) 523-7151- 145 WATER CLOSET/URINAL 1.00 FIX 16.20 I
115058 ROSECRANS AVE I TOTAL FEES 173.1IAf
ILA MIRADA CA 90638 I IDESC PTION OF WORK
BATHTUB/SHOWER, CLOTHESWASHER, DISHWASHER, HOSE BIBBS, SINK,I
ILAVATORIE, AND WATER CLOSET
[APPLICANT: TEL. NO:
ILOPEZ, JOSE M (323) 425-5493-
I11676 FIRST AVE SPECIAL CONDITIONS:
ILYNDWOOD CA 90262
CONTRACTOR: TEL. NO: I APPROVALS DATE INSPECTOR SIGNATURE
I
IFIERO DEVELOPMENT (310) 291-7097- I
11676 FIRST AVE LIC. NO JUNDER SLAB WORK
ILYNWOOD CA 90262 806761
WATER SERVICE
(PLASTIC Y/N METAL Y/N I I
IARCHITECT OR ENGINEER: TEL. NO: I I I---------���--���I [
TROUGH PLUMBING
LIC. N0: I
GAS?PIPING [
[GAS VENT I I [
HOT WATER HEATER
IPLUMBING FIXTURES I I [
LAWN SPRINKLERS
(GAS TEST
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UTILITY COMPANY NOTIFIED( I
ICWV [ I I
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GRAY WATER SYSTEM I [
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I* ADDITIONAL DATA ON FILE [ I I [
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[ I I
B30508
IREPORT ID: DPR263 ROUTE TO:
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