HomeMy Public PortalAbout5476 TEMPLE CITY BLVD_Plumbing__ °J0 m APPLICATION FOR PERM
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO G R7 UP I ZON j I PERMIT NO
PLUMBER P rY I EIVED BY READY FOR DATE ISSUED
C r r ♦ 1 /� FIRST INSPECTION ` /
ADDRESS 14 10 r/ Q ,\ r Q Irl/ Ail—' Z
I� T NO Z�/ BUILDING i 1 S G
CITY 7 //.. ADDRESS j a� /
COUNTY NO EXPIRES �3 V.�� LOCALITY P 1 6G T�
PERMIT Sr O W NEAR -0 1 1
PERT FEES �+
NUMBER "M0FnXMRK0RI"N FEE OWNER tV0 f5L L. SHE Cp
MAIL
WATER CLOSET (TOILET) O EO ADDRESS
BATHTUB 050 CITY TEL NO
SHOWER O 801 EBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN) O EO APPLICATHERION AND STATE THAT THE ABOVE 19 CORRECT AND
AGREE TO COMPLY WITH, ALL COUNTY ORDINANCES AND
KITCHENSINK O DO STATE LAWS REGULATING PLUMBING
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUBO TRAY a O EO ANGELES COUNTY LIC BI OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL OPER D RIBED ABOVE
GAS SYSTE OUTLETS a Goo SIGNATURE OF
WATER HEATER O EO PERMITTEE
SLOP BINK o Eo I I*SP CTION RECORD
FLOOR BINK O EO
FLOOR DRAIN O EO
DISHWASHER O EO
DRINKING FOUNTAIN O 50
URINAL O 50 J
HOUSE SEWER O SOI Z
MISCELLANEOUS (�
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APPROVALS
DATE tNN[CfOR[ YAY[
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL 100 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) ® 100 I SEWER
PERMIT 100 GAB TEST
UTILITY CO NOTIFIED
TOTAL PEES
FINAL
DEPARTNEENT OF COUNTY ENGEgEER PLUMBING 1
DMSION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF TAS ANGELES BUILDING
WILLIAM J FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT T LL I LOCALITY '
BUILDING N
ADDRESS CROSS
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LICENSE NO l �CO�UNT' J
PERMIT FEES =
NUMBER TYr[ OF FIXTURK OR IT[M r[[ 0
WATER CLOSET(TOILM Q 0.80 i 0
BATHTUB 0 080
SHOWER @ Coo
LAVATORY(WASH BASIN) 0 0 SO
KITCHEN SINK 0 0 Be
LAUNDRY TUB OR TRAY 0 0S0
SLOP SINK 0 030
FLOOR BINK ® 080
FLOOR DRAIN 0 coo
DISHWASHER 0 OLD
DRINKING FOUNTAIN ® OW
URINAL M OFD
GASSYSTEM _OUTLETS 0 IAO
WATER HEATER f 100
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT Z I 00 ROUGH PLUMBING
TOTAL FEE z BAS PIPI NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI GASVENT
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 Z/
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED
AMD/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY OAS TEST
AND STATE OF CALIFORNIA OR TH111�TT I AN THE E N-
ER OF THE ABOVE DESQp�q�D IDF,�IAL UTILITY CO NOTIFIED
SIGNATURE (YrJ /_AJ-FJ/�
OF PERMITTEE _ _ __
FINAL 1 S
TOASST DBS 1T 1/SS
COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0412130004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXTLEGAL 10 tftS PAID BUILDING ADDRESS
f
ON FILE 5476 TEMPLE CITY BL
ASSESSOR INFORMATION NUMBER FEE DESCRIPTION QUANTITY- LION AMOUNT TEMP CA 917803150 - _
NEAREST CROSS STREET BROADWAY
8588-023-020 - 01 PERMIT ISSUANCE FEE - 27 75 THOMAS PAGE: 597 GRID A4 LOCALITY TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1 00 FIX 16 20
25 LAVATORIES/SINKS 1 00 FIX 16 20 ISSUED ON PROCESSED DY PLAN BY EXPIRES ON
45 WATER CLOSET/URINAL 1 00 FIX 16 20 12/13/04 JK 06/11/05
TOTAL FEES - 76 35 -
OWNER: TEL. NO: FI W,DATE FINAL BY CODE--
GARCIA 2JIMUDIO ALBERTO 0626) 443-5882- T r
5476 TEMPLE CHY _ - I
TEMP 917803113 6E5CRiRTTBif 6
PLUMBING FOR THE ADDITION
APPLICANT- TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS
CONTRACTOR. TEL -NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC- NO UNDER SLAB WORK
WATER SERVICE
ARCHI]FL;l OR ENGINEER. TEE-96'- PLASTIC Y/N METAL Y/N
ROUGH PLUMBING
LIC NO.
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIPM
CWV
GRAY WATER SYSTEM
REPORT ID DPR263 -ROUTE TO SS0508
• C9UNTY OF LOS ANGELES TEMPLE CITY 0 0508 PLUMBING PERMIT
DEPART14;NT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0709110033
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAIDBUILDING ADDRESS
ON FILE I 5476 TEMPLE CITY SL
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803150
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET BROADWAY
18588-023-020 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl
07 BATHTUBS/SHOWERS 2 00 FIX 32 40 1 1
TENANT 25 fAVATORIES/SINKS 2 00 FIX 32 40 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
45 WATER CLOSET/URINAL 2 00 FIX 32 40 109/11/07 SR 03/09/08
47 WATER HEATERS) 1 00 NCH 16 20
OWNRR TEL NO 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 FINAL. DATE MY CODE
GONZALEZ, EDWIN R (626) 285-8740- TOTAL FEES 157 35
5476 TEMPLE CITY BL
TEMP 917803113 1 1251 ON OF WORK
PLUMBING MR FOR NEW 2 BATHROOMS AND WATER HEATER 1
(APPLICANT TEL NO I
SCHRECKENGOST (626) 524-2283- I
514 W NORMAN AVE SPECIAL CONDITIONS
ARCADIA, CA 91007
I
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
MARCOS CONSTRUCTION INC (323) 256-6535-
P O BOX 411323 LIC NO UNDER SLAB WORK
LOS ANGELES, CA 90041 686859 B • I I
WATER SERVICE 1
PLASTIC YIN METAL YIN 1
ARCHITECT OR ENGINEER TEL NO I I
INING LA STRUCTURAL CONTRACTOR (626) 795-1250- ROUGH PLUMBING 71,
2500 E FOOTHILL BLVD 0211 LIC NO ^\
PASADENA, CA 91107 3042 GAS PIPING 1
GAS VENT
HOT WATER HEATER I
PLUMBING FIXTURES
LAWN SPRINKLERS
I
GAS TEST 1 I 1
UTILITY COMPANY NOTIFIED(
ICWV I I
IGRAY WATER SYSTEM I -
I I I
I I
I I
I I I I
I
• ADDITIONAL DATA ON FILE I
IREPORT ID DPR263 ROUTE TO BS0508 I
I I