HomeMy Public PortalAbout9806 OLIVE ST_Plumbing__ "GA667A(ICE 617131 -4/77
APPLICATION FOR PLUMBING PERMIT
M
BUILDING SAFETY DIVISIO
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDINDLOL
ADDRESS
NUMBER FIXTURE OR ITEM ® FEE
WATER CLOSET LOCALITY G/T
BATH TUB NEAREST
CROSS ST.
SHOWER OWNER OSI
MAIL
LAVATORY ADDRESS
SINK CITY-7X,-q,,4/,,g 1///ryl TEL.NOc2
DISHWASHER CONTRACTOR
al%WAf r/W
CLOTHES WASHER ADDRESS y 3 t'Nl dZ(flJ
SWIMMING POOL RECEPTORl
CIN V YS f/VO.5—TEL.NO. 73-SJ O3.
LAWN SPRINKLER SYSTEM
STATE LIC. /� ,
WATER HEATER LICENSE NO. 7 Q CLASS Elk
GAS SYSTEM OUTLETS ISjXq NO. GAUP _E P ESSED B�
OUTLETS OVER c
5 PER SYSTEM INDUSTRIAL c
WASTE APPROVAL c
INSPECTION RECORD
u
o
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTALFEE
Plan check applicant
NameIV J � APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address LJ .3(, /f SOS" ROUGH PLUMBING W
City _AWV/ S. j OS—Tel.No. f7a_S3-f)3 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE r GAS VENT
THATTHEA BOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. '+ HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE GAS TEST
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
27 3f*-JAI 25 5 D 1 0.55 U An,'
i .
COUNTY OF16S ANGELZS TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0804280009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 12830 IT: 1 BL: .001 I 1 9806 OLIVE ST I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] TEMP CA 917803236 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GOLDEN WEST I
18589-004-002 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 2.00 FIX 32.40 I 1
(TENANT: 113 DISHWASHER(S) 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
I 125 LAVATORIES/SINKS 3.00 FIX 48.60 104/28/08 SR 10/25/08 I
I 126 MISCELLANEOUS FIXTUR 1.00 FIX 16.20 1 I
(OWNER: TEL. NO: 127 PRESS REG DEVICE(S) 1.00 DEV 16.20 IFINAL DATE FIINE
Y: CODE: I
ILAI, THEODORE/TRANG (626) 614-9519- 145 WATER CLOSET/URINAL 2.00 FIX 32.40 1 I
19806 OLIVE ST 147 WATER HEATER(S) 1.00 WTH 16.20 1 i I
ITEMP 917803236 160 DWV REPAIR OR ALTER 3.00 SYS 48.60 ID19SCRIPTION OF WORK I
I 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 IPLUMBING FOR ADDITION AND REMODEL I
I 1 TOTAL FEES 270.75 1 I
(APPLICANT: TEL. NO: 1 I I
IDORAZIO RLD & ASSOCIATES (626) 447-7419- 1 I
16710 BRENTMEAD AVE I ISPECIAL CONDITIONS:
IARCADIA, CA 91006
]CONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE 1
IHELP U BUILD INC. (818) 207-1692- 1 1 I
113133 SATICOY STREET. LIC. NO I (UNDER SLAB WORK I
INO HOLLYWOOD, CA 907389 ] 1 I I
I (WATER SERVICE 1 I
(PLASTIC YIN METAL YIN I 1
]ARCHITECT OR ENGINEER: TEL. NO: 1
1DORAZIO RLD AND ASSOCIATES (626) 447-7419- 1 IROUGH PLUMBING I
16710 BRENTMEAD AVENUE LIC. NO: I I I
ARCADIA, CA 91006 C26610 1 GAS PIPING
l i IGAS VENT I I
IHOT WATER HEATER I I I
1 I IPLUMBING FIXTURES I I I
I ]LAWN SPRINKLERS I I I
IGAS TEST I 1
I I UTILITY COMPANY NOTIFIEDI I
I I ICWV I I I
IGRAY WATER SYSTEM I I I
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IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I
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