HomeMy Public PortalAbout9138 OLIVE ST_Plumbing__ ;"b"Os, n B-SO ® APPLICATION FOR PERMIT
DEPARTMENT O�iUiDl G-ANI) SAFETY
"• COUNTY OF LOS ANGELES:. . L U I G
3 WILLIAM J. FOX. CHIEF ENGINEER'��:_
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
U A119— 10
PLUMBER Revere Service Corp. RECEIVED BYY READY FOR DATE ISSUED
-l�'v - FIRST If 'ACTION q
ADDRESS 11811, Teale 3t. nl��
ADDRESS 9158 0lema •St•
71 iLDiNG
BU
CITY Culver City TEL. NO.EX 72-151 ,
LICENSE NO. 4JCOUNTY EXPIRES 6-3041 LOCALITY -Temple City
NEAREST
PERMIT FEES
CROSS ST. Eneinita Ave
- - p
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERV 0 Reitan '
MAIL G.
WATER CLOSET (TOILET) 0.50 S ADDRESS Same as above
BATH TUB @,0.50 CITY TEL. NO.
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT 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
ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
LAUNDRY TUB OR TRAY @ O.50 f
'OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50 �"�-
SIGNATURE OF /�f�1
WATER HEATER @ 0.50I PERMITTEE t �'~ �� � +�°��
SLOP SINK @ 0:50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 „J
HOUSE SEWER @'0.50 a
Z
MISCELLANEOUSWat r. RrIftener so-
Q'
o
APPROVALS
DATE INSPECTOR'S MAME
ROUGH PLUMBING.
GAS PIPING
GAS VENT
CESSPOOL @ 1.00I
CESSPOOL
SEPTIC TANK: SEPTIC TANK
Fill
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . ,1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE I $ 1 Ao '; FINAL
_!�
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 " PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS � 9071 LAS TUNAS "PL 0508"9807060009
• r BUILDING AND SAFETY ( LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING-ADDRESS:
ON FILE 9138 OLEMA ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: - TEMP CA 917801339
ASSESSOR INFORMATION NU B R: I NEAREST CROSS STREET:
5382-023-037 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
13 DISHWASHERS) 1.00 FIX 16.20 07/3V98 UT 07/31/99
21 HOSE BIBB(S) 1.00 FIX 16.20
OWNER: TEL. NO: I 25 LAVATORIES/SINKS 1.00 FIX 16.20 FINAL DATE FINAL BY• ODE:
YANG KEVIN (626) 281-6220- 45 WATER CLOSET/URINAL 1.00 FIX 16.20
9138 OLEMA ST 47 WATER HEATER(S) 1.00 WTH 16.20
TEMP 917801339 49 WATER TREATING EQUIP 1.00 SYS 0.00" DESCRIPTION OF WORK
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20. PLUMBING FOR NEW BATHROOM
TOTAL FEES 157.35
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
ANGELES CO
CONTRACTOR: TEL. NO: - I �O�J ��/A�- APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO I UNDER SLAB WORK
WATPR SERVICE
I PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0: )I � c-_ z
LIC. NO:l'
ROUGH PLUMBING
r
J 111111 GAS(PIPING l
_- GAS E
P�' L �A/ O �1 �� OTS R
Log') H A ER
i
PLUMBING FIXTURES
O 0, A__N I
u IIIA _LA_9N SPRINKLERS
0 El _ "' r t + GAS TEST
fJ4 n� UTILITY COMPANY NOTIF ED
U
Service 7tial�° cu i
GRA WATER SYSTEM
I
V I
REPORT ID: DPR263 ROUTE TO: BS0508
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