HomeMy Public PortalAbout10541 OLIVE ST_Plumbing__ s
y, 7 .9562.(CE-817)- 5/73
APPLICATION FOR LUMBING -PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
WATER CLOSET 1,75 OWNER ju hA 0-
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY �~ f'�/ ��" (',fey TEL. NO. �124
LAVATORY 1,75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY -NO.
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLASS •
DISTFICT NO Ga,QuP ZOWFR:Oa'ESS BY
LAWN SPRINKLER SYSTEM 1.75 JVD
WATER HEATER 1.75 INDUSTRIAL
. / ?. WASTE APPROVAL
l� GAS SYSTEM OUTLETS 1.75 1 Z INSPECTION RECORD A 0
OUTLETS OVER �y 7 �! v
5 PER SYSTEM 30 ! 47 /�_ 4/
w
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE rep �50
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING_
�:74pd1 SP7
City Tel. No. GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST 40:2t/
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS_REQUIRED BY ANGELES DUNTY AND STATE OF
CALIFORNIA OR THAT I AM LE L ER ND INTEND TO
RESIDE IN THE ABOVE DES SID L P OP T� FINAL -yJ.C � ,ASA d
SIGNATURE
OF PERMITTEE
;.d !
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. VASH
6 5 i2 it AUG 26 5 D 6.5 0 x6_8
•78A 667-C 1817 5/63 - C-A4P4,67 3 .
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ,
BUILDING AND SAFETY DIVISION BUILDING .9®6' E ®�•8
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IId Naos ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
r WATER CLOSET $1.25 ':3e:) =MAIL
lqa
BATH TUB 1.25 �� ADDRESS
l SHOWER 1.25 1 � CITY TEL. NO.
g LAVATORY 1.25 ;L. CONTRACTOR J
SINS 1,25 ADDRESS
P DISHWASHER 1.25 Z5CITY TEL. NO.
LAUNDRY TUB 1,25 CO CTOR'S STATE
REGISTRATION NO. �� &'(® COUNTY
CLOTHES WASHER L25 d 2 DISTRICT NO. GROUP ZQN� P OCESSED BY
l WATER HEATER 1.50 60 Jr of ' >-
CL
GAS SYSTEM--4—OUTLETS- 1.50 S� ASINDUSTRIAL OYAL O
OUTLETS OVER 5 PER SYSTEM .30
INSPECTION RECORD V
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V
r,4
Ilc&lf at
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING (p ��(�
TOTAL FEE
yy
nZb GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTEREb AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF y
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO GAS TEST Z J/ E �
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE f_
OF PERMITTEE w FINAL
AMATION ROBERT A.WOOD
K. M.0. CASH SUPERVISING MECHANICAL ENG'R
Ltj;o 4 29 8 SEP 2 8 5 D 16.25—
cm
76 A 667—CE 817 8/68
APPLICATION FOR PLUMBING PERIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ��
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN(PR:NT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM EACH FEE CROSS ST.
WATER CLOSET 1.10 OWNER
HAM
BATH TUB 1.10 ADDRESS
SHOWER I.ho CITY TEL. NO
LAVATORY 1150 CONTRACTOR
SINK1 50 ADDRESS C�.
DISHWASHER 150 CITY TEL,N
CLOTHES WASHER 150 STATE LIC
LICENSE NO. 'CLASS C�
SWEMII7ING POOL RECEPTOR 150
Tr
DIST ICT
ZO PRY ..
LAWN SPRINKLER SYSTEM 2 00 O
WATER HEATER 1150 INDUSTRIAL v
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 0 jj INSPECTION RECORD 2
OUTLETS OVER v
5 PER SYSTEM 0 w
D_
V)
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8
TOTAL FEE
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
I 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 ANWOR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
+. CALIFORNIA OR THAT 1 AM THE LEGAL O�WAE OF,A INTEND TO .r
RESIDE IN,THE ABOVE DESCRIBED RESI R;7 OP FINAL Z
SIGNATURE
OF PERMITTEE JACK R. ALLEN, SUPERVISING ECH ANICAL ENG'R.
d
PERMIT VALIDATION CK. M.O. CASH
(PLAN CHECK VALIDATION CK. M.O. CASH
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0903180006
BUILDING AND SAFETY / LAND DEVELOPMENT - TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: [
ITR: 7690 LT: 9 UN: .005 1 10541 OLIVE ST
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802865 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN 1
18586-029-039 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 2.00 FIX 32.40 1 1
ITENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: [
[ 13 DISHWASHER(S) 1.00 FIX 16.20 103/18/09 SR 09/14/09 [
[ 119 FLOOR SINK(S) 2.00 FIX 32.40 1 I
(OWNER: TEL. NO: 125 LAVATORIES/SINKS 3.00 FIX 48.60 [FINAL DA FIN BY: CODE: 1
ICHUNG, JIAN PING (626) 755-7846- 145 WATER CLOSET/URINAL 2.00 FIX 32.40 1 [
110541 OLIVE ST. 147 WATER HEATER(S) 1.00 WTH 16.20 1, [
ITEMPLE CITY CA 91780 I TOTAL FEES 222.15 IDESCRIPTION OF WORK 1
I [ IPLUMBING FOR KITCHEN, 2 BATHROOMS, LAUNDRY ROOM REMODEL
[APPLICANT: TEL. NO: [ [ I
IBUI (626) 277-8841- [ [ 1
1686 E. 9TH ST. [ ISPECIAL CONDITIONS:
POMONA, CA 91766
I I I I
ICONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE [
IT B CONSTRUCTION (626) 277-8841- 1 1 [
1686 E. 9TH STREET LIC. NO 1 [UNDER SLAB WORK I I
IPOMONA, CA 91766 746963 B 1 I 1 [
I [ IWATER SERVICE
I I IPLASTIC Y/N METAL Y/N [ [
[ARCHITECT OR ENGINEER: TEL. NO: I [ I [ I
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ROUGH PLUMBING I
[ LIC. NO: [ I
I I IGAS PIPING I I I
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I IHOT WATER HEATER I I
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I I IPLUMBING FIXTURES 1 I 1
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1 [ ILAWN SPRINKLERS I [ I
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[ I IGAS TEST I I I
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1 I [UTILITY COMPANY NOTIFIED( 1 I
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IREPORT ID: DPR263 ROUTE TO: BS0508 [ 1 I [
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