HomeMy Public PortalAbout9501 OLEMA ST_Plumbing__ 7SA887-CE#817 12-54 /� '
4. APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERflA
UILDING
BUILDING AND E c �1'�Y� DMSEON ER aaREss Q
COI,EMAN W. JENKINS,SUPT OF BUILDING, OCALITY
FOR APPLICANT TO FILL IN EARES T.NUMBER FIXTURE OR ITEM EACH FEEWNER
WATER CLOSET $1.25 AIL
BATH TUB 1.25 DDRESS
SHOWER 1.25ITY TEL.NO.
LAVATORY 1.25 CONTRACTOR r
SINS 1.25
ADDRESS 4
DISHWASHER 1.25 / CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR' STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL ®.
OUTLETS OVER 5 PER SYSTEM .30
INSPECTION RECORD v
ZJ
%•_��: % ,i `�.- zo,�i/i,)-1 r 3 --A-
APPROVALS
%APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING a
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICA ION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST .�a•Y(" ` / �� I
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RE91DE IN,THE ABOVE DE6 RIBED RE91D N L ROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL f! '
uALIDATION ROBERT A.WOOD
CM.O. CASH SUPERVISING MECHANICAL ENG'R
i_r:,0 01 0 `° �AR 1 5 D 4.75-
78A887-CE#817 12'-84 1 � 7_�o 7:g; /
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COL.'EMAN W. JENKINS,SUPT OF'BUILDING, �`,��
FOR APPLICANT TO FILL IN NEAREST.
CROSS ST..
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET '$1.25MAIL v.
BATH TUB 1.25 ADDRESS
SNOWEA 1.25 CITY TEL. NO.
LAVATORY 1,25 CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY Allo TEL.BTO:
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO.
COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCIVIIIIED BY
WATER HEATER .1.50 °
INDUSTRIAL
GAS SYSTEM OUTLETS 1.50 WASTE APPROVAL d
OUTLETS OVER S PER SYSTEM .90 CTION RECORD ,/ v
�� Y640
t
co)
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK 40
ROUGH PLUMBING p�
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICA ION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. _
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUM B'ING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST .abe
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DEB RIBED RESID N 'L ROPERTr. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE /
FINAL
ALIDATION ROBERT.A.WOOD v r
C M.0. CASH SUPERVISING MECHANICAL ENG'R
L CO 0 1 0 SN FAR 1 5 0 4.7 5 Mcu
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1306240014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 93.780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 14533 LT: 23 BL: .001 I I 9501 OLEMA ST 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801344 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: [
5382-014-047 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI
151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 I I
ITT: TOTAL FEES 44.00 (ISSUED ON: PROCESSED BY: PLAN BY: I
106/24/13 SR
(OWNER: TEL. NO: I IF AL DATE FINAL BY: CODE: I
IHALE BENJAMIN D;SIMONE J TRUSTEES (626) 446-1305- I
19501 OLEMA ST I
I
ITEMP 917801344 I IDESCRIPTION OF WORK li
IGAS LINE EXTENSION I
APPLICANT: TEL. NO:
IBERRY, KEVIN (626) 357-3535- I I
11630 S MYRTLE 1
MONROVIA CA 91016 (SPECIAL CONDITIONS: [
(
I I I
I I I I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
[AIR TRO, INC. (626) 357-5311- I 1
11630 S MYRTLE AVE LIC. NO I I
MONROVIA CA 91016 258228 C20 I IUNDER SLAB WORK 1 1 [
WATER SERVICE I 1
IPLASTIC YIN METAL YIN I I
(ARCHITECT OR ENGINEER: TEL. NO: 1
I - I TROUGH PLUMBING I [ I
LIC. N0:
(GAS PIPING
IIGAS VENT I I I
IHOT WATER HEATER I I I
I I
IPLUMBING FIXTURES I I
ILAWN SPRINKLERS I I I
I I I
IGAS TEST [ I [
(UTILITY COMPANY NOTIFIED[ I I
I
ICWV I I I
IGRAY WATER SYSTEM I I
I I I I I
1 I I
I I
I I I I [
1 I I I I I
REPORT ID: DPR263 ROUTE TO: BS0508
I