HomeMy Public PortalAbout5271 1/2-23-23 1/4-23 1/2-25-25 1/2 TEMPLE CITY BLVD_Plumbing__ TEAG[T (CU-917) - 1/75 /L
APPLICATIO FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �J
MAKE CHECKS PAYABLE TO ADORES f�
HARVEY T BRANDT, COUNTY ENGINEER LOCAL(
FOR APPLICANT TO FILL IN (PRINT OR,TYPE) NEAREST
NUMBER FIXTURE OR ITEM 0 FEE CROSS ST
WATER CLOSET 200 OWNER Li
MAIL
BATHTUB 200 ADDRESS'
SHOWER 200 CITY TEL NO
LAVATORY 200 CONTRA
SINK - 200 ADDRE E�
DISHWASHER 200 I TEL NO
CLOTHES WASHER 200 STATE LIC
SWIMMING POOL RECEPTOR 20 LICEN NO Q4e44 CLA
DISTRICT NO GROUP ONE PRO SSE BY
LAWN SPRINKLE SYSTEM 200 ^O O
WA E 2 00 O U I1 WASSTRIALOVAL
GAS S EM OUTLETS 200 TE APPP INSPECTION RECORD U
OUTLET OVER
5 PER SYSTEM SO
O
W
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H
Z
Plan check fee Se[ R".,.R
PLUMBING PERMIT ISSUING FEE S
TOTAL FEE '
APPROVALS DATE INSPECTOR [ Ewxerunc .
Plan check applicant ' UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel No GAS VENT
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE in CORRECT AND AGR[[ io COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING
PLUM91NO GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REOUIR[D BY LOS ANGELES COUNTY AND STAT[ OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND IN TO
R[t10[ IN THE ABOVE DESCRIBED RE[iDENTiA P P[RTY FINAL
BIONATU RE
OF PERMITT
PERMIT VALIDATION CK w o cAEN
PLAN CHECK VALIDATION CK M o CAS A Lf�
670 5 u 7SOa
Tu[cT n w��m APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANTZ2 FILL IN DISTRICTNO GROUP ZONE PERMIT NO
PLUMBER RffCEjVqD BY READY FOR DA ISSUE
FIRr INSPECTION
ADDRESS
BUILDING
CITY 4.9 ,T ADDRESS ao
COUNTY LOCALITY
LICENSER
NEAREST '
PERM CROGSBY
NYMp[w T m OF FI[TUB[OR ITE" FEE O E
MAIL
WATER C TOILET O p0 0 ADDRESS
BATHTUB @ 050 CITY TEL N
H WER O p0 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
VA WASH BASIN O SO APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK O 50 STATE LAWS REGULATING PLUMBING
I CERTIFY THAT I POSSESS E ABOVE VALID LOB
LA NORYTUSORTRAY 050 ANGEL® COUNTY LICEN IL OR T E GAL OWN
OF THE REHIDENTIAL P TY OVL
GAS SYSTEM OUTL O
SIGNATURE OF
AT R HEATER O SO PERMITTER
L Pe1NK O SO, INSPECTION BI:C• ORD
FLOORSINK a O p
7
FLOOR GRAIN a O 50
DISHWASHER a O S
DRIN KING FOUNTAIN 06
URINAL O SO _J
HOUSES11WER o O S
MISCELLANEOUS b
a
' o
APPROVALS
DATE IN[P[CTOp HAIIE
ROUGH PLUMBING
OAS PIPING
GAB V
CESSPOOL 1 00 CESSPOOL id. 4 H1
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1 OO SEWER
PERMIT 1 DO G TEST
TOTAL FEE B O UTILITY CO NOTIFIED w
010
FINAL /
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APPLICATION FOR PERM
DEPARTMENT OF RUII.DING AND SAFETY PLUMBING 7
COUNTY OF LOS ANGELES
WILLIAM J FOX. CHIEF ENGINEER
FOR APPLICANT 79 FILL W DISTRICT NO GROUP ZONE PERMITNO
2-
PLUMBER ROC / BY EADY FF0lrATG ISSUED
FIRST I PECTION
ADDRESS `1D r ZZ
BU IL
NO
CITY ADDR " 11f3
COUNTYTY
WCONSE NO EXPIRES r
NEAREST
PERMIT FEES 5r
Nu"mm TSP[or 1,1 R t OR ITCK FEE OW
pHffR
MAIL
WATER CLOS (TOILET) 050 ADDRESS/ ^M �J
DA TUB EL O 5 CITY TNO W 7-
ROWER O 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY WASH BASIN O 5 APPLICATION AND STATE THAT THE ABOVE IG CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN BINK O ED STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESSdoo�!O�W�
ABOE VALID LOS
LAUNDRY TUB OR TRAY O 6 ANGEL, COUNTY LIC S
OR THE REBIDEMIAL P
GAS SVSTRM OUTLETS 5 SIGNATURE OF
WATER HEATER O 50 PERMITTG
GLO BINK 050 INSPECTION RECORD
FLOOR OINK O 50
FLOOR DRAIN 050
DISHWASHER 050
RINKING FOUNTAIN 030
URINAL O 50 ,J
HOUSESEWER O 50 I
MISCELLANEOUS 13
re
0
APPROVALS
DATE INaPE R• KAKE
ROUGH PLUMBING
GAO PIPING
GAO VENT
CESSPOOL loo CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN f ) PIT ( ) ® 1 00 SEWER
PERMIT 1 Oo GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE
-2- ,viD FINAL
moo' +Y *wn m APPLIOATION FOR PERIW
DEPARTMENT OF DING AND SAFETY PLUMBING
COIIJ OFF L LOS ANGELES
WILLIAM FOX CHIiP EN0INEER
FOR APPLICANT TO FILL IN DISTRICTPCOGR P ZO E MTV
PLUMBER VALLEYBOUIEVARD PLUMBING CO R!ClIVi READ FOR DATHISSUED
FIRSTINSPECTION
ADDRESS AS Y BLVD ,IJ
CITY ROSEMEAD TEL No AT 2.2719 ADD)RDE�SS
C U cc No 93VI 630-5/ LOCALITY
EXPIRES
NEAREST
PERMIT FEES CROSS BT
NUMBER TY 01 NXTURR OR ITEM FEE OWNER 2G//
MAIL
WATER CLOSET TOILET O 00 0 ADDRESS
BATHTUB O 00 CITY TEL NO
SHOWER @ O 00 1 HEREBY ACKNOWL®GE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN) O 00 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK O ED STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRYTUBORTRAY 4t O 00 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
GAS SYSTEM OUTLCTS ® O EO PERMITTEE
SIGNATURE OF
WATER HEATER ® O EO I 1
SLOP SINK qp O 00 INFECTION RECORD
FLOORSINK ® O 801 1
7 Ot�u✓
FLOOR DRAIN a O BO
DISHWASHER O EO
V
DRINKING FOUNTAIN O EO
URINAL O EOI ,J
HOUSES"ER O EOI
MISCELLANEOUS I �_
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I O
I
I
I
APPROVALS
DATE INBP[CTORa NAM{
ROUGH PLUMBING Ap
GAS PIPING ivp O�
GAS VENT v
CESSPOOL 1 OOI CESSPOOL
SEPTIC TANK I SEPTIC TANK
DRAIN I ) PIT I ) ® 1 00 SEWER
PERMIT 1 00 GAB TEST b^'
TOTAL FEE B UTILITYco NOTIFIED
/ °Q FINAL Ile
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0905110008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID I BUILDING ADDRESS
ITR 6561 LT 606 UN 002 - 5721 1/2 TEMPLE CITY BL
IAS SESSOR INFORMATION NUMBER IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802510
NEAREST CROSS STREET LIVE OAK
18587-016-005 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY, CI
111 CLOTHESWASHER(S) 2 00 FIX 32 40 I
TENANT 47 WATER HEATERS) 1 00 WPH 16 20 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
151 IOW PRS GAS 5 OUTLET 1 00 SYS - - -16 20 05/11/09 - SR _ - 11/07/09 -
155 GAS METER (PRIVATE) 1 00 MET 16 20 1
OWNER TEL NO 160 OWV REPAIR OR ALTER 1 00 SYS 16 20 iFZIIAL /'1� FINAL BY. CODE
PUERTAS ANOfiIO (626) 319-3406- 163 TATER PIPING BR/FIX 2 00 FIX 13 50 /V/1'�^/ _'I
1129 WINNIE WA TOTAL FEES 138 45
ARCD 910064672 1 lT S✓�CRIPTIO! OF WORK
INSTALL PIPING FOR (2) CLOTH WASHERS, INSTALL GAS LINE FOR
(2) CLOTH DRYERS INSTALL (1) GAS WATER HEATER I
1APPLICANT TEL NO
IBARROSA - (909) 593-6850- 1
1436 WARREN PL I ISPECr CONDITIONS 1
POMONA CA 91768 -
I I I
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
PETER J BARBOSA (909) 593-8850-
1436 WARREN PL LIC NO UNDER SLAB WORK
FOMONA CA 91768 NONE
WATER SERVICE
(ARCHITECT OR ENGINEER TEL NO (PLASTIC Y/N METAL Y/N
- I TROUGH PLUMBING
LIC NO
GAS PIPING
GAS VENT
I HOT MATER HEATER
I I
PLUMBING FIXTURES
' ILAWN SPRINKLERS
I I
GAS TEST
(UTILITY COMPANY NOTIFIED
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