HomeMy Public PortalAbout6102 MUSCATEL AVE_Plumbing__ 7MW7-CE817&60
APPLICATION FOR PLUMMNG PERMRT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER '
B AND SAFETY DIVISION BU nNG i l2'
JOHN A. L.AMBIE. COUNTY ENGINEER ADDRESS
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WILLIAM A.JENSEN. SUPT of BUILDING LOCALITY �` I
44,
FOR APPLICANT TO FILL IN XR E �.
NUMBER FIXTURE OR ITEM
OWNER �1
WATER CLOSET
ADDRESS 7 j
BATH TOB
SHOCITY TEL O
W88
LAVATORY CONTRACTOR
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ADD
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DR3HWASH6R CITY V NO.
CO 'BrATUH
LAUNDRY TOB REGISTRATION NO. COIINTY
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r CLOS WASIM DISTRICT NO. w GROUP ZONE PROCES BY
WATER HEATER
GAS SYSTEM IlpDII3TRL!LL
WASTE APPROVAL
IIRSPECTION RECORD
0
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a
G.
4.
C0 PER ITEM
/ "R HE $ / Ti APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 = UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER - �' �• �,A w;
PLUMBING. "—
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
" DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERM ITTE FINAL .9f :� i;r
®r VAMATIO ROBERT A.WOOD,
�qews ) SUPERVISING MECHANICAL ENG'R
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?� A 3.UG
76,1687 (CE-817) -"1175
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r'r All 6 9.. ICATI®N 6eRPwasUYV B V PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY'DIVISION
MAKE CHECKS PAYABLE TO: ADDRESS 169110 2- N. H T�' L ,�✓�
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY r,,ppN F+&'4 l L 'C A
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.Gal!'e T i.�! ?" i�V Cs ATr`z—
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 2.00 OWNER AL.&X f tVAL T?AU7- I &Wrrjj1Ai
MAIL
BATH TUB 2.00 �� ADDRESS $906 &A-k I Q Ai, E
SHOWER 2.00 CITY ,� (. CATEL. NO. .28 y ff12—
LAVATORY 2.00 360 CONTRACTOR
SINK 2.00 ADDRESS
DISHWASHER 2.00 CITY TEL. NO.
CLOTHES WASHER 2.00 STATE V LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 2.00
DISTRICT NO.JGROUPJ ZONE CESSED BY
LAWN SPRINKLER SYSTEM 2.00
6s �! ��
`.6.—
WATER HEATER 2.00 INDUSTRIAL
WASTE APPROVAL or.
GAS SYSTEM OUTLETS 2.00INSPECTION RECORD v
OUTLETS OVER 30 p
5 PER SYSTEM
N
a=
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE vv APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check ap 'cant UNDER SLAB WORK
Name ROUGH PLUMBING
GAS PIPING
Address -,.
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION -
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL ,COUNTY ORDINANCES AND STATE LAWS REGULATINGGAS TEST .s
PLUMBING.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICEN SEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND fRYEND TO •m ,gyp
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
a.1 ��" �'� FINAL
S I G NA'TU RE
OF PERMIT 1E
PERMIT VALIDATION0A - -K-. - ,o: CASH
PLAN.-CHECK VALIDATION CK. M.O. CASH
1.
76A667A i
CE 817(REV.1�JJ4
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
�p I V n/ {/S C H I L= •, v�
NUMBER FIXTURE OR ITEM @ FEE ADDRESSJ
LOCALITY 5' N G-H r3 I1 ' C L C� Cl/
WATER CLOSET
NEAREST
BATH TUB ,+�
CROSS ST.' /�R I D A C D 1{ -4 APPS CA% L
SHOWER OWNER AIt—� L — ,S��.g � ��/V
LAVATORY ADDRESS J rl I 11 S [.�V•'rJ—V
SINK CITY N 64Ij' rCL C/.1- TEL.NO.,�f 7,, 7 Z
DISHWASHER CONTRACTOR
'V1iCy�r /
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER e� LICENSE NO. CLASS
I GAS SYSTEM ,� OUTLETS vT/ APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT at
`.HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST tX
Plan Check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
Plan check applicant
PLAN CHECK VALIDATION
Name
Address 0,4 9.8 A
City Tel.No. # o o'o-o o 5
I HEREBY ACKNOWLEDG AT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRE ND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES Z
AND STATE LAWS REG ING PLUMBING. PERMIT VALIDATION
2 o o .A
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS O o 0 1 •.C O r
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE '
LEGAL OWNER OF.AND INTEND TO RESIDE IN JW ABOVED SCRIBED RESIDENTIAL I
PROPERTY. \ 0527-80
SIGNATURE w(
OF PERMITT 1 =
DNO O SSED BY
INDUSTRIAL
WASTE APPROVAL
COUNTY OF LOS ANGEUZS'' " TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS S 9701 LAS TUNAS PL 0508 1108230036 '
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
` PHONE: (626) 285-0488 EXT: .
ILEGAL ID: I FEES PAID I BUILDING
AADDRESS: I
ITR: 5904 LT: 15 UN. .004 I I6102
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752625 I
(ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: GARIBALDI I
15386-010-053 101 PERMIT ISSUANCE•FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 2.00 FIX 32.50 L f I
ITENANT: 125 LAVATORIES/SINKS 3.00 FIX 48.80 ISSUED ON: PROCESSED BY: PLAN BY:
145 WATER CLOSET/URINAL 2.00 FIX 32.50 108/24/11 SR 1
1 147 WATER HEATER(S) 1.00 WTH 16.30 1 I
10WNER: TEL. NO: 164 WATER PIPNG <- 1 1/2 1.00 LIN 16.30 IFINAL DATE FINAL BY: CODE: I
IKAR-FAI YAN (626) 378-0452- I TOTAL FEES 174.20 1 r I
16102 N. MUSCATEL AV I I IU 1(
ISAN GABRIEL CA 917751 ID SCRRIPTIO -OF WORK
IPLUMBING FOR KITCHEN, TWO BATHROOMS REMODEL, REPLACE WATER I
I , 1HEATER AND WATER MAIN I
APPLICANT: TEL. NO: I I
ILUI, KENNY (626) 379-3109- I I
SPECIAL CONDITIONS: I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
IA AND K CONSTRUCTION AND REALTY (626) 379-3109- 1, 1 I
1135 E. LIVE OAK AVE #206 LIC. NO I (UNDER SLAB WORK I I I
IARCADIA, CA 91006 960446 I I I I I
I I WATER SERVICE I I
1PLASTIC Y/N
1 METAL Y/N
IARCHITECT OR ENGINEER: TEL. NO: IROUGH PLUMBING
LIC. I III' III
N0: 1 1GAS PIPING 1
I i IGAS VENT I I I
I I IHOT WATER HEATER I 1 I
1 1 1PLUMBING FIXTURES I 1 1
I 1 ILAWN,SPRINKLERS 1 I I
IGAS.TEST I I I
I I I I I I
I I 1UTILITY COMPANY NOTIFIED( 1 I
I 1CWV I I I
I IGRAY WATER-SYSTEM I I
I I • I I I I
I [REPORT ID: DPR263 ROUTE TO: BS0508 I I I
I I •1 I II