HomeMy Public PortalAbout9411 LOWER AZUSA RD_Plumbing__ 76A667-CE817-8-57
COUNTY OF LOS APPLICATION FO R' P LU M B�I N G PERMIT 1
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 9403 e Sa Road
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY TemRis City, Calif ornia
FOR APPLICANT TO FILL IN NEAREST
4 CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER P
WATER CLOSET
BATH TUB ADDRESS 9403
SHOWER cLT'Temple City., TEL.NoAT677425
'LAVATORY CONTRACTORpUGF, PLUMING p& HEATING
SINK ADDRESS 3232 No San Gabriel Blvdo
DISHWASHER CITY Se San Gabriel TEL.NO. AT-04931
LAUNDRY TUB CONTRACTOR'S STATE
REGISTRATION NO. 104978 COUNTY
CLOTHES WASHER
DISTRIT NO. I G ONE READY R INSPECTION
WATER HEATER bJ - J
GAS SYSTEM INDUSTRIAL
1 Garb WASTE APPROVAL a Disposal 1®0Q INSPECTION-RECORD
.4_v_*'
o - -
APPROVALS
$1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE $ UNDER SLAB WORK
ROUGH PLUMBING
PERMIT $ 1100
GAS PIPING
1. TOTAL FEE 1 2100 GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL. OWNER OF THE ABOVE UTILITY CO. NOTIFIED.
DESCR;6bB�RBSipfit13�6AitORTINGs
1JUVL' i-JJabM
SIGNATURE IZ
OF PERMITT it FINAL
es ROBERT A. 06D.
SUPERVISING MECHANICAL ENG'R
,3ALIDATION
M.0. CASH
-
L&2 9 6-0 OR JUL 1 7 5 A 2.00- 4
76 A s67—CE 817 8/68
APPLICATION F PLUMBING PER11 T
'COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
A4, in
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
,
WATER CLOSET 1.50 OWNER Alf
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY TEL. NO. R�,W
LAVATORY 1.50' CONTRACTO
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL.NO
CLOTHES WASHER 1.50 STATE / LIC
LICENSE N �/ CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PRO ESSED BY
LAWN SPRINKLER SYSTEM 2.00
O
WATER HEATER 1.50 INDUSTRIAL C2
WASTE APPROVAL Z
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD 0
OUTLETS OVER
5 PER SYSTEM .30 LLj
rn
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Naive ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 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.
IED
CERTIFY THAT I 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 ,AND INTEND TO
RESIDE IN,THE ABOVE DE6CgIENTIA Rr,
. FINAL
SIGNATURE JACK R. ALLEN, SU PERVISIN HANICAL EN'G'R.
OF PERMITTEE
PERMIT VALIDATION CK M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
TIP- 1 0 f 8 .101-23- 5 D 3.5u
• r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0412020004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: ES PAID BUILDING ADDRESS:
TR: 13329 LT: 20 BL: .001 9403 LOWER AZUSA RD
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804220
ASSESSOR-INFORMATION UMBER: NEAREST CROSS STREET: HELEO
8590-021-011 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 12/02/04 JK 05/31/05
TOTAL FEES 76.35
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
LUONG, CAY (626) 673-6336-
9411 LOWER AZUSA
TEMP 917803040 DESCR PTION OF WORK
PLUMBING FOR NEW BATHROOM.
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGHPLUMBING
Q
LIC. NO:
GAS PIPING 10
GS VET
HOT-WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
C V
GAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508