HomeMy Public PortalAbout9578 PENTLAND ST_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS �� / //� L \ (��S'•�' fl
LOCALITY
FOR APPLICANT TOLIN NEAREST
BUILDING �i Q CROSSST..�'
ADDRESS / a
i DISTRICT N0. GROUP � PERMIT N0.
LOCALITY 14zdi;/ /�Kj-/
CR03S ST. 1 BE BY Ready for Inspection 'D&E ISSUED
OWNER
e/-
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY
INSPECTION RECORD
TEL.NO. ) r. �f ,+�
PLUMBER L,V0
ADDRESS 7
CITY TEL.NO. � � '�� (./.Js'✓/.� �`-�s� �'/Sr �'i�if9��1 �V'�-t'ti
El STATE tl'1p
LICENSE NO. e ❑COUNTY
PERMIT FEES z
NUMBER TYPE OF FIXTURE OR ITEM FEE
` WATER CLOSET(TOILET) 0.80
BATH TUB @ 0.80 (3 1Ja C r'a'.e1�. lda �e...�_ O
SHOWER @ 0.80 C G,A,n_
LAVATORY(WASH BASIN) @ 0.80 !p�C� e-.7�,.p1�a, re rt Ps
KITCHEN SINK @ 0.80 2��
d LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80 --
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM..... _..._OUTLETS @ 1.00 p Q
WATER HEATER @ 1.00 / Od
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE q d/d GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES „
1 HEREBY CERTIFY THATRI AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST �p 22-
A
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- i�� /u
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE �� l'/.n 14
OF PERMITTEE... ._ .._......_.._.._.._._.._.. 4ti1,, I
FINAL21
7BA667 DBS 17 1/63
7A6APPLICATION FOR �,PLUMBINd ,.PERMIT
DBe-f79.36 1
DIVISION OF BUILDING AND'SAFETY
Department of County Engineer
County of Los Angeles
WM.J. FOX. COUNTY ENGINEER BUILDING -
ADDRESS
' CASSATT D.GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST.
CROSS ST.
OWNER DISTRICT NO. GROUP
MAIL O gREADY FOR'INSPECTIOR
C�� . f
ADDRESS �I
INDU IAL
CITY �W' TEL.NO. WASTE APPROVAL
PLUMBE INSPECTION RECORD
c
ADDRESS
CIT TEL.}N .�p g
LICENSE NO. w �L/ G7„L
NUMBER Tipi OF FIXTURE OR ITEM- FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER .
TOTAL NO. A 0.80 APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS .0 1.00 IyO
WATER HEATER op 1.00 UNDER SLAB WORK
PERMIT 1 00 ROUGH PLUMBING
S
GAS PIPING
TOTAL FEE p� O O GAS VENT
1. HEREBY ACKNOWLEDGE THAT I 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.
1 HEREBY CERTIFY THAT I AM PROPERLY. REGISTERED AND/OR •GAS TEST 13 S P✓V-
LICENSED AS REQUIRED. OS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I T LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL OP TY.
SIGNATURE
OF PERy11TTE FINAL 1 I
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION R.A.WOOD,CHIEF PLBG.INSPECTOR
LACDJL s 19 AN 13 3. 2,00
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1105240021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FfifiS PAID I BUILDING ADDRESS: I
ITR: 19316 LT: 18 BL: .001 I I 9573 PENTLAND ST 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I TEMP CA 917803845 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18590-007-008 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY CAI
I 147 WATER HEATER(S) 1.00 WTH 16.30 I I
(TENANT: 1 TOTAL FEES 44.10 (ISSUED ON: PROCESSED BY: PLAN BY: 1
I 105/24/11 SR
(OWNER: TEL. NO: I IF iAL DATE FIN Y: CODE: [
19573YANG PENTSHIRLAN (626) 291-5931-
9573 PENTLAND ST
ITEMP 917803845 I 1MSCIrPTIOS OF WORK
I I 1REPLACE HOT WATER HEATER 40 GALLON 1
(APPLICANT: TEL. NO: I I I
(ERIC, JACOBY (818) 735-7876- I [-
15858 DOVETAIL DR I ISPECIAL CONDITIONS: 1
AGOURA HILLS 91301 1
I
(CONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE
]PAYLESS WATER HEATER AND PLUMBING (661) 775-2944- 1 1-
124895 AVE. ROCKEFELLER LIC. NO [ (UNDER SLAB WORK I I I
IVALENCIA CA 91355 836216 C36 I I I I I
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I I IPLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO: I I I I I
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I I IGAS VENT
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IHOT WATER HEATER I I I
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IPLU14BING FIXTURES 1
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IUTI:,ITY COMPANY NOTIFIED( [ I
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IREPORT ID: DPR263 ROUTE TO: BS0508 1 I I I
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