HomeMy Public PortalAbout9416 LOWER AZUSA RD_Plumbing__ 78"67 17 25M Sere 7-49 r$AdCATIOl® F09 PERM ,.
DEPA$TMENT'OF BUMDI G q
COUNTY-OF LOQ AR GELES,
"> WM.J. FOX.CHIEF EN61HEER �� 4
® ST Da a o. ca ZONEPERMIT
`NO.
ROUGH FIXTURES COMPLETE �' J
;y RECEIVED By READY FOR TE-ISSU®
HEATER CESSPOOL SEPTIC TAAIK � FIRST INSPECTION ,�' `1'
AS MISCELL N US
9.
APPLICANTFILL ILL IIN HEAVILY' OUTLINEID PORTEON ONLY
-NAME Belvedere .Plumbing Co. •ADDRESS tp
10 ADDRESS 15.38 Soo Gerhart °-LOCALITY
JNEAREST
a 'CITY LA 2 2 TEL.NO.Un 168 CROSS ST.
COUNTY
LICENSE NO. Q `a"1 : EXPIRES !ti NAME Blake
LOCA77ON OIC',$EPMC TANJK, OR CE&qPO®L. X MAIL
NORTH .O ADDRESS
CITY TEL.NO.
1 AM THE LEGAL SS THB' AB LOS
—_ ___. ANGELES:C0_UNTY_CER
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBBD
ABOVE.
• OWNER -
CORRECTION3
A R-
SOUTH J
DESCRIPTION OF ®VOA z
BATH TUB FURNACE
1 �
HOWER DISHWASHER
2 VATORY REFRIGERATOR
- - ^---KITCHEN-BINK=""_:_�_._WATER-SOFTENER=—,, " "--•' - '" - - -- •• _ - -
V1 OCR SINK SAND TRAP.
SLOP SINK FLOOR DRAIN
1 WASH TRAY -. URINAL ,; APPk80VALs
��.
__WATER CLOSET- DRINKING FOUNTAIN'
DATE INSPECTOR'S NAME
�
WATER H TER DENTAL LAVATORY" -
— ROUGH PLU69BING I �' ". f I •
METER RIAS ODA FOUNTAIN GAS'PiPIPIG : I
OUTL _
GAS'V ENT
CESSPOOL
10 TOTAL NUMBER OF FIXTURES 5 00• • SEPTIC TANK I•
rE88P001 - QEPTICTANK ^^ SEWER
00
S - UTILITY CO..NOTIFIED /
TOTAL FEE 6 OO J
" RINAL
78AS67 17 8-49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
���g'
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILLa IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER ♦ ,s + RECEIVED BY READY FOR DATE ISSUED
• FIRST INSPECTION /
ADDRESS _ op �rf'�•l.�i�e V / �/
A ._ BUILDING �_
CITY z .� 16. �EL sib � ADDRESS
t�1. •it,
�•v �er�
OUNTY
CLOCALITY U S
LICENSE EXPIRES
NEAREST
PERMIT FEES CROSS ST. A
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER *
MAIL 5
WATER CLOSET (TOILET) @ 0.50 $ ADDRESS
BATH TUB 0.50 CITY TEL. NO.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 0 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTROPERTY DESC IBED ABOVE
GAS SYSTEM OUTLETS ® O.SO
SIGNATURE OF q
WATER HEATER ® 0.50 PERM,TTE •.� •" `A.r' _.
SLOP SINK o.so . INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN ® 0.50
DISHWASHER O.SO
DRINKING FOUNTAIN 0.50
URINAL @ 0.50 C.�- r. +%.�� �������� )p/JAl- a
HOUSESEWER @ 0.50 V �`
MISCELLANEOUS (�
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL ® 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . I 1:oo GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE $
_�Q FINAL %`7
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508LUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PIS o5D8-mimoo-13,
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
--LEGAL I • FEES PAID R DI G ADDR .
TR: 12998 LT: 1 BL: .001 9416 COAFR BZUSA
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-EA-,gm0qf9
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY
8592-003-023 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
_ _ 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
ILNANT: — TOTAL FEES 43.95 ISSUED ON: PRUCESSED BY: PLAN BY: EXPIRES ON:
- 12/03/99 UT 05/31/
OWNER: TEL. NO: FINAL DATE FINAL BY BODE:
BLAKEY NORMAN R;BELETHA J (626) 444-0442-
9416 LOWER AZUSA RD �/ c -
IEMP 917804219 DESCRIPTION OF WOR'n`
GAS LINE FOR HVAC SYSTEM
APPLICANT: TEL. 0:
SAME AS OWNER -
SPECIAL CONDITIONS:
ELES Co I
i'CORTR C-OR: - - - i I'£L. SIG ' �OcJ �/� � h?�i:Ov•".LA -- -- DAT INSPECTuR SIGNATURE -
SAME AS'OWNER -
1i LIC. NO UNDER SLAB QOR-K
14ATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0: - � IR011GH PLUi1BING
LIG. N 1111111 -- --
GAS PIPING
n n nom/ GAS VENT
vc v IJ p L�C W O�I�\ 3 HOT WATER HEATER
v u u u U PLUMBING FIXTURES
` ?�'F''�Oe� LAWN SPRINKLERS
rr«�
,��,���: GAS T ST / 2
,O O El1�®g TILITY COMPANY NOTIFIED ! ryV
11 t_n10 CWV
PVICe Th a GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
I
I '
COUNTY OF LOS ANGELES I TEMPLE CITY # 0508 I PLUMBING PERMIT
DEPARTMENT OF PUBLIC WOR& 9701 LAS TUNAS PL 0508 0002040001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
EGA ID: FEES PAID IBU LDING ADDRESS:
TR: 12998 LT: 1 BL: .001 ~9416 LOWER AZUSA RD
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ITEMP CA 917804219
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY
8592-003-023 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, C
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLA B XPIRES ON:
02/0000 VG 08/02/00
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
BLAKEY NORMAN R;BELETHA J (626) 444-0442- q
9416 LOWER AZUSA RD -0-Q Q
TEMP 917804219 DESCRIPTIOFTF WORK
RELOCATE WATER HEATER OUTSIDE
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
NGELES C�
CONTRACTOR: TEL. NO: �Gj P ®\ APPRO/'ALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - ! �, L
LIC. NO �,� �/�-' UNDER! SLAB WORK
WATER, SERVICE
^--r
ARCHITECT OR ENGINEER: PLASTIC Y/N METAL Y/N
EER: TEL. N0: � � �
ROUGHPLUMBING
LIC. N0: 'i ��IPING
II—_—Lr------ — __ GAS VENT
uL l l r 1�l l �l+ A11 },'�L I;� 0 WATER HEATER
v--u PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
�`�w+,.�i�e -� '-I 1 `ul �� c •`�p�
UTILITY COMPANY NOTIFIED
vicecWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508