HomeMy Public PortalAbout10133 OLIVE ST_Plumbing__ FO
A667
Io.ss APPLICATION FOR PLUMBING PERMIT.
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DIVISION OF BUILDING AND SAFETY
Department of-County Engineer
Ciou&y of LOS Angeles BUILDING. nn-
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS 33 dgyL�J
CASSATT D.GRIFFIN.SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST'
�n • �'�'1f. CROSS ST.
OWNER / 1/ �( Ml'� DISTRICT NO. GROUP Z NE READY FOR INSPECTION
MAIL � I I
ADDRESS d
TINDUSTRIAL
CI TIE-L.N�OO. 9-3717 WASTEAPPROVAL I /
PLUMBER ` kAL
fT �� / �itl' INSPECTION RECORD
ADDRESS
QQ�� y j
CITY fiL e/(/ IlTEL.NO. �Jl-17 /rt'/P�✓ a �/ o
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM. FEE �J
ov WATER CLOSET (TOILET) Q. $1.00 $
I BATH TUB @ $1.00
^I SHOWER Q $1.00 .a
-V LAVATORY (WASH BASIN) @ $1.00
I
KITCHEN-SINK @ $1.00
DISHWASHER @ $1:00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
'GAS SYSTEM @ $1.00
APPROVALS
DATE' INSPECTOR'S SS�ATURE
UNDER EkAB WORK Y.�[A
ROUGH PLUMBING i 7
PERMIT •- $ 1 00
!,y GAS PIPING Qw
TOTAL FEE GAB 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 v
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR' GAS TEST
LICENSED AS REQUIRED BY LO$ ANGELES COUNTY AND 'STATE OF i
CALIFORNIA OR THAT 1 AM THE. LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL OPERTY.
SIGNATURE
OF PERMITTEE �' �- �� FINAL
IOHN A.LAMBIE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
Y. R.O. GSH
A 0,8 2'3A OCT 3 1 2.0 b .
1 '
` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 I PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1405070004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: ]
ITR: 22438 IT: 4 I [ 10133 OLIVE ST
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803345 [
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN
18586-025-005 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI
I 121 HOSE BIBB(S) 1.00 FIX 16.20 I I
TENANT: 25 LAVATORIES/SINKS 3.00 FIX 48.60 ISSUED ON: PROCESSED BY: PLAN BY:
I 127 PRESS REG DEVICES) 1.00 DEV 16.20 105/07/14 SR 1
I 145 WATER CLOSET/URINAL 2.00 FIX 32.40 1 1
(OWNER: TEL. NO: 164 WATER PIPNG c= 1 1/2 1.00 LIN 16.20 FINAL DATE F AL Y: CODE:
IJORGE AND ZULLY PENA (626) 447-4343- 92 NO PERMIT OWNER-BLDR 344.00 DOL 344.00 I I
1324 SHARON RD TOTAL FEES 501.40 [
[ARCADIA CA 91007 S IPTIO OF WORK ]
I [ IHOSE BIBB, LAVATORIES, SINK, PRESSURE REGULATOR, WATER
I I ICLOSETS AND WATER MAIN [
APPLICANT: TEL. NO:
SAME AS OWNER
_ I
I I ISPECIAL CONDITIONS: [
I
I 1
(CONTRACTOR: TEL. NO: [ (APPROVALS DATE INSPECTOR SIGNATURE ]
ISAME AS OWNER -
] LIC. NO ] IUNDER SLAB WORK ] I I
I 1 WATER SERVICE
PLASTIC Y/ /N
[ARCHITECT OR ENGINEER: TEL. NO: 1 I I
IROUGH PLUMBING I I I
1 LIC. NO:
] ] I GAS, PIPING
I ] 1 GAS'VENT I I I
I
I I 1HOT WATER HEATER
I I I
]PLUMBING FIXTURES I I I
I [LAWN SPRINKLERS I I I
I 1 ]GAS TEST I I I
1 ] ]UTILITY COMPANY NOTIFIED] I ]
I I ICWV I I I
[ IGRAY WATER SYSTEM [ [ [
I I I I I
I I I I I I
I I I I I I
I I I
I I 1 I I
I IREPORT ID: DPR263 ROUTE TO: BS0508
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