HomeMy Public PortalAbout10257 OLIVE ST_Plumbing__ 76A667-10RI•7-8=57 I
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF.COUNTY ENGINEER BUILDING.
BUILDING AND.SAFETY.DIVISION ADDRESS
JOHN A. LAMBIE', COUNTY ENGINEER
CASSATT D.GRIFFIN, SUPT OF BUILDING LOCALITY. .. LG .
FOR APPLICANT TO FILL IN Naos s: . ,fir
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET `, IL
BATH-TUB ADDRESS
.r✓
SHOWER CITY LL QZj�EL.NO.
LAVATORY CONTRACTOR
SINK ADDRESS/
DISHWASHER CITY (Y L. TEL..NO.
LAUNDRY TUB CO ACTO 'S p STA
r REGISTRATION NO. /./ 7_C? COUNTY ❑
CLOTHES WASHER
DISTRI.0 NO. GROUP ZONE READY FOR INSPECTION
WATER.HEATER:
GAS SYSTEM INDUSTRIAL.
WASTE APPROVAL
INSPECTION RECORD /
i
APPROVALS
$1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE $ UNDER SLAB WORK
ROUGH PLUMBING
PERMIT S 1 .00
GAS PIPING•
TOTAL.FEE _a GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS.ANGELES COUNTY AND STATE OF
CALIFORNIA OR TH I AM THE LEGA OWN OF TH ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDE AL PROPERTY.
SIGNATURE
OFPERMIT FINAL
ROBERT A. WOOD,
®s
„ VALIDATION SUPERVISING MECHANICAL ENG'R.
N.'0.. CASH
_ s
�::�}O
3.8 Q a,APR 2,9, . 3 A ..:�
76AE67 17 5-50 15 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
L���' N � 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRI T NO. GROUP ONE PERMIT NO.
-�-- Z
PLUMBER �
RECEIVED BY READY FOR DATE ISSU
4L
FIRSTANSRECTION �/ o
ADDRESS A o V
e��v/" '`� / BUILDING '
CITY /�TEL. NO.A�/f y (J/�(!J ADDRESS � _
COUNTY / U d/ / EXPIRES It; b 4*1 LOCALITY
LICENSE NO.
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER m *��A. W
MAIL ,s
WATER CLOSET (TOILET) @ 0.50 SADDRESS Ff /®�J.Y � 1
BATHTUB @ 0.50I CITY I-, 6Y-eV TEL. NO.
SHOWER Q 0.501 t HEREB/ ACKNOWLE GE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE SAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O.SO STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTI L PROPERTY DESCRIBEDOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK A 0.50 INSPECTION RECORD
FLOOR SINK @ 0.501
FLOOR DRAIN @ 0.50
DISHWASHER 0.50I
DRINKING FOUNTAIN @ 0.50
URINAL A 0.50 A
HOUSESEWER @ 0.50I Z
MISCELLANEOUS D
It
O
11
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL ® 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . I 1,pp GAS TEST
TOTAL FEE $
UTILITY CO. NOTIFIED
I
FINAL
rror..s v s•so s>aotMT=ON FOR MUM
DEPARTMEIT 1
coopT�r OF ros A�ffi.sa -
WILUAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN D19TRICT NO. GROUP ZONE PERMIT NO.
o
PLUMBER RIVED BY READY FOR DATE ISSUED
(Odd a - FIpfT INSPRCTION '�}i�
ADDR�
Ir
BUILDING
CITY TEL NO. ADDRESS
COUNTY LOCALITY
KXPIRXII
. NEAREST
PSuT FSS CROM ST. oil A
MUTTBEE TIDE or FINMM of ITEM FEE OWNER
Id Z"w
MAIL
WATER CLOSLT Touxr 0.00 S ADDRESS
BATHTUB 0.80 CITY TEL NO.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 1(AVE READ THIS
LAVATORY WASH BASIN 0.00 APPLICATION AND STATE THAT THE ABOVR IS IMANCKT MID
AGRRE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK a 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POESESS THE ABOVE VAUD LAS
LAUNDRY TUB OR THAT 0.00 'ANGELES COUNTY NSE. O 1 AM THE LEGAL OWNER
OF THE RESIDENT L P P ESE.
CRIBED ABOV
GAS S1(ST UTLETS 0.00 SIGNATURE OF
WATER HEATER 0.00 PERMTITAQF
LOP SINK 0.50 mm cc TV=
FLOOR SINK 0.80
FLOOR DRAIN 0.50
DISHWASHER O.BO
DRINKING FOUNTAIN 0.50
URINAL O.BO J
HOUSE SEWER 0.00 Z
MISCELLANEOUS U
O
AMMAN
DATE lmmigc No ISMS
ROUGH PLUMBING
OAS PIPING
GAS VENT 'If
CESSPOOL a 1.00 CESSPOOL' e r no v
SEPTIC TANKi SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1.00 SEWER
PERMIT . - 1,00 GAB TEST
TOTAL FEE !t UTH.ITY CO. NOTIFIED
FINAL
i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1410270017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEfiS PAID I BUILDING ADDRESS:
ITR: 14341 LT: 11 I 1 10257 OLIVE ST
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803347 1
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 1
18586-026-011 01 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI
1 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 I I
1TENANT: TOTAL FEES 44.00 11SSUED ON: PROCESSED BY: PLAN BY: 1
I 110/27/14 SR 1
(OWNER: TEL. NO: I IFI AL DATE FINAL BY: CODE: 1
IGOTTFRIED, KAREN (626) 452-1205- I I I
110257 OLIVE ST I I I
ITEMP 917803347 I IDES I TI N OF WORK I
I (GAS LINE FOR HVAC SYSTEM
(APPLICANT: TEL. NO: I I I
IWUKMIR, NICK (626) 442-2148- I 1 I
11500 RAMONA BLVD. I 1SPECIAL CONDITIONS: I
EL MONTE CA 91731
I
I I
(CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
IJAMES WUKMIR CO., INC. (626) 442-2148- 1 1 I
111500 RAMONA BLVD LIC. NO I (UNDER SLAB WORK I I I
IEL MONTE CA 91731 285626 1 1 I I I
I I IWATER SERVICE
I I IPLASTIC YIN METAL YIN I I I
(ARCHITECT OR ENGINEER: TEL. NO: I I I I I
I - I IROUGH PLUMBING I I I
1 LIC. NO: I I I I I
IGAS PIPING
I IGAS VENT
I IHOT WATER HEATER I I
I I (PLUMBING FIXTURES I I
I I I
I I ILAWN SPRINKLERS I I I
I I I
GAS TEST I I I
(UTILITY COMPANY NOTIFIED( I I
I I I� I I I
I IGRAY WATER SYSTEM I I
1 I I I I I
I I I I
I I I I I
I IREPORT ID: DPR263 ROUTE TO: BS0508 1 1 I I
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