HomeMy Public PortalAbout9104 OLEMA ST_Plumbing__ 7.6A667-CE#617 10-67 -
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMBUILDING
SION BUILDING /O
JOHN A. LAMBIE. COUNTY ENGINEER
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 CITY TEL.NO.
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL. NO.
CLOTHES WASHER 1..50 STATE LIC
LICENSE NO. CLASS 3 rp
SWIMMING POOL RECEPTOR 1.50 TRICT N GROUPT_Lal
NE CESSED BY-'
LAWN SPRINKLER SYSTEM 2.00 =AL C
WATER HEATER 1.50 INDUSTRIAL C 7
WASTE AP VAL -
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER 30 - d
PER SYSTEM
N
Plan check fee 2;5% of above. See reverse.
PLUMBING PERMIT ISSUING.FEE' S 2 00
TOTAL FEE "v
- 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 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:.
1 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 I AM THE LEGAL WNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RES, IAL OF,
FINAL +G
SIGNATURE .TACK R. ALLEN, SUPERVISING CH.ANICA G-R.
OF PERMITTEE
PERMIT VALIDATION ASH;
PLAN CHECK VALIDATION CK. M.0. CASH
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1303250026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
]LEGAL ID: FEES PAID BUILDING ADDRESS:
1TR: 12115 IT: 34 9104 OLEMA ST
[FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801339
[ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: ENCINITA [
15382-023-026 101 PERMIT ISSUANCE FEE 27.80 [ THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CA
1 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 [
ITENANT: [ TOTAL FEES 44.00 [ISSUED ON: PROCESSED BY: PLAN BY:
[ 103/25/13 SR [
(OWNER: TEL. NO: 1 IF NAL DATE F NAL Y: CODE: 1
[WANG, I-SEY (626) 379-8857-
11228 EL MONTE AVE
IARCADIA CA [ 15E'SCRIPT N OF WORK [
1 1 1GAS LINE FOR FAD 1
[APPLICANT: TEL. NO: [ [ [
ILIU, NORMAN (626) 579-1559- [ [ [
[10932 GRAND AVE [ ISPECIAL CONDITIONS: [
ITEMPLE CITY CA 91780 I I 1
ICONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE
INORMAN LIU SERVICE CORP (626) 579-1559- 1 1 1
110932 GRAND AVE LIC. NO I [UNDER SLAB WORK I I
[TEMPLE CITY CA 91780 559374 * I 1 1 1
I [ WATER SERVICE 1 1 I
1 JPLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO: 1 [ I I
I - I 1ROUGH PLUMBING I I
LIC. NO:
GAS PIPING
I I IGAS VENT I I I
I [ IHOT WATER HEATER
I I I
I IPLUMBING FIXTURES I I I
I � �
1 [ ILAWN SPRINKLERS 1 1
I I I
I [ 1GAS TEST I I I
I 1 UTILITY COMPANY NOTIFIED( I I
1 I ii I I I
1 1 GRAY WATER SYSTEM 1 1 1
I I I I I I
I I I I I 1
I I I I 1 1
I
I 1* ADDITIONAL DATA ON FILE 1 1
I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 I I
I I I I I
.0
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0905060013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 12115 IT: 34 I I 9104 OLEMA ST I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801339 I
1 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LIVIA I 5382-023-026 01 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C
I 64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 I
ITENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
I I 105106/09 SR 11/02/09 I
I I I I
(OWNER: TEL. NO: I iFINAL DAT$�p pD j j BY: CODE: 1
ISANGREN MYRTLE (626) 286-6585- I 1 IIIL`�i///\`n�\(\ �II 'I
9104 OLEMA ST 11
ITEMP 917801339 IDESCRIPTION OF WORK I
I ]NEW WATER LINE FROM THE STREET TO THE HOUSE (45 FT APPROX) I
I I ] ]
(APPLICANT: TEL. NO: I I ]
ISAME AS OWNER - I I I
I I ISPECIAL CONDITIONS: I
I I I I
I I I I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I
I LIC. NO I UNDER SLAB WORK I I I
I IWATER SERVICE I I I
I IPLASTIC YIN METAL YIN I I I
(ARCHITECT OR ENGINEER: TEL. NO: I I I 1 I
I - ] [ROUGH PLUMBING I 1 I
LIC. NO: I I I I I
I I
[GAS PIPING I I I
I I I I
GAS vsNT
I I I I I
I IHOT WATER HEATER ] I I
I I (PLUMBING FIXTURES I I1-1
]
ILAWN SPRINKLERS I I I
I I I I I I
I IGAS TEST I I I
I I I I ]
(UTILITY COMPANY NOTIFIED( I I
I I ICWV I ] I
I I I I ] I
I I GRAY WATER SYSTEM I I
1 I I I I
I I I I I I
I I I I I
I I I I ]
I I I I I 1
IREPORT ID: DPR263 ROUTE TO: BS0508 I I ] 1
I I I ] I I