HomeMy Public PortalAbout9554 PENTLAND ST_Plumbing__ 7117 APPL9CATION FOR PLUMBING PERMIT .1
CE BIS B-BUILDING AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN.SUPT of BUILDING
LOCALITY
FOR APPLICANT TO FILL IN CROSS s r.
OWNMAILER DISTRIO. I GR '/ I READY FOR INSPECTION
ADDRESS
INDUSTRIAL
• CITY TEL.NO. WASTE APPROVAL
PLUMBER �_ •INSPECTION RECORD
ADDRESS 7
CITY I TEL.NO �• !�3
LICENSE NO. / �•
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $ Dd
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSP,EOTOR;�$IGfFATURE
UNDER SLAB WORK to n
PERMIT $ Z 00 ROUGH PLUMBING �].�X54 j�„d
GAS PIPING
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROP RTY.
SIGNATURE r/J�
OF PERMITTEE r.4 FINAL aS
ROBERT A.WOOD,
IOHN A. LAMBIE,COuN0rY ENGINEER V ATION SUPERVISING MECHANICAL ENG'R
CK. -.10. CASH
�. 1-4 aoR FEB 20 3 A 4.00 M
7GA667A ICE 8 1781-11/76 �"••' �
APPLICATION FOR PLUMBING PERMIT
I
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING g?� � )4 & )�
rNUMBER FIXTURE OR ITEM ® FEE ADDRESS JLJ L f-/IPJ
WATER CLOSET LOCALITY // em //�
NEAREST
BATH TUB CROSS ST. `O V C�C
SHOWER OWNER e�l�-� .(
rA Jre-s
LAVATORY ADDRESS O5J /?)e
SINK CITY /J7,p9jejftJa TEL.NO.
07W-
DISHWASHER CONTRACTOR O eA�. 1 L
CLOTHES WASHER ADDRESS
S SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETSDISTRICT NO. GROUP ZONE P ESSED BY
a
OUTLETS OVER B U
5 PER SYSTEM INDUSTRIAL
} WASTE APPROVAL
,• INSPECTION RECORD
in
�c o� 42
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
. Plan check applicant
Names P�' �� �� APPROVALS DATE• INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address 3 � 1�U P ROUGH PLUMBING
f C' JA)U Tel.No. _ GAS PIPING
'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ,
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER '
:e I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
t REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESC IBED RESIDENTIAL GAS TEST
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE ,
OF PERMITTEE FINALI)r!
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION OCK. M.O., CASH
9 8 3 P APR 28
10-5-0 ass
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9806050001 ,
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
GAL ID: FEES PAID B I DI G DDR S :
TR: 14572 LT: 21 9554 PENTLAND ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803844
ASSESSOR INFORMATIO ER: NEAREST CROSS STREET: CLOVERLY
8590-013-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.35
TENANT: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 60.45 06/05/98 UT 0!/W/99
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
GONZALEZ GERMAN E;SARVIA - / ,:A"l
9554 PENTLAND ST �P
TEMP 917803844 DESCRIPTION OF WOR
RELOCATING WATER HEATER OUTSIDE
APPLICANT: TEL. 0:
SAME AS OWNER -
- SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: `
SAME AS OWNER _ ,s'���•:-� r -`'.�. APPROVALS DATE INSPECTOR SIGNATURE
LIC. NO ,/°'- . r� \ UNDER SLB WORK
' —
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: T 0: + I �� - � '
ROUGH PLUMBING
LIC. NO: -- - ,
-- GAS-PIPING
GAS VENT
OT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
TILITY COMPANY NOTIFIED
C V
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508