HomeMy Public PortalAbout5807 TEMPLE CITY BLVD_Plumbing__ 78AS07 V 6-49. @ APPLICATION.FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
PLUMBER REC VEP BY READY FOR DATE ISSUED
FIRST INSPECTION -
ADDRE33v3is
k BUILDING
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CITY TEL. NO. ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS T.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 IB ADDRESS
BATH TUB @ 0.50 I CITY ae TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO. COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ .0.50' STATE LAWS REGULATING PLUMBING.
1 CERTIFY. THAT- 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O:SO ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL OPE ESORIBED ABOVE.
GAS SYSTEM-OUTLETS @. 50 •
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTE.
SLOP SINK @ 0.50 INSPECTION RECO
FLOOR SINK @_ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER Q 0.501
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
I. HOUSESEWER @ 0.50 Ko 4
Z
MISCELLANEOUS (_
Imo— o
_ I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT b
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1:00 SEWER 6 A_ J9i
PERMIT . 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE
FINAL V r I?I /cy" •__._
GOU3im OF 'i'OS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1201170021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID I BUILDING ADDRESS:
TR: 6561 LT: 612 BL: .001 1 5807 TEMPLE CITY BL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802113
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: TEMPLE CITY
18587-015-002 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
103 BACKWATER VALVE(S) 3.00 VAL 141.00 I 1
TENANT: 105 BACKFLOW DEVICE(S) 1.00 DEV 16.30 ISSUED ON: PROCESSED BY: PLAN BY:
107 BATHTUBS/SHOWERS 1.00 FIX 16.3001/17/12 SR
I 113 DISHWASHERS) 1.00 FIX 16.30 1
10WNER: TEL. NO: 121 HOSE BIBB(S) 3.00 FIX 48.80 FINAL JST F N Y: CODE: 1
ARETE FAMILY MEDICINE (626) 975-7457- 125 LAVATORIES/SINKS 8.00 FIX 130.10 ,/ 1
15807 TEMPLE CITY BL. 126 MISCELLANEOUS FIXTUR 1.00 FIX 16.30
ITEMPLE CITY CA 91780 129 ROOF DRAIN(S) 6.00 FIX 97.60 IDESCRIPTION OF WORK 1
1 145 WATER CLOSET/URINAL 2.00 FIX 32.50 ITENANT IMPROVEMENT PLUMBING 1
1 147 WATER HEATER(S) 1.00 WTH 16.30 I 1
[APPLICANT: TEL. NO: 149 WATER TREATING EQUIP 1.00 SYS 16.30 1
IMOK-5 AND ASSOCIATES (909) 910-1088- 163 WATER PIPING BR/FIX 8.00 FIX 53.70 1
12537 SEGOVIA I TOTAL FEES 629.30 SPECIAL CONDITIONS: I
LA VERNE, CA 91750
I I I I
ICONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE 1
IMOK5 AND ASSOCIATES BUILDER (909) 910-1088- 1 1
12537 SEGOVIA LIC. NO 1 [UNDER SLAB WORK I I I
ILA VERNE, CA 91750 961125 B 1 I I I 1
1 WATER SERVICE [ I 1
I 1 (PLASTIC YIN METAL YIN I I [
[ARCHITECT OR ENGINEER: TEL. NO: I I 1 I I
ILEE, PETER (626) 280-9000- 1 IROUGH PLUMBING 1
18748 E. VALLEY BLVD. SUITE L LIC. NO: I 1 ZI v \y 1
IROSEMEAD, CA 91770 961125 B * I (GAS PIPING J
(GAS VENT
I [ IHOT WATER HEATER I I
I 1 1PLUMBING FIXTURES I I I
I I I I I I
I 1 ILAWN SPRINKLERS I I I
[ I IGAS TEST I I 1
I I II I I
I I JUT_LITY COMPANY NOTIFIEDi J J
I I 1CWV I I I
I I I I I I
I I IGRAY WATER SYSTEM I I 1
I I 1 I I
I I I I I I
I I I I I
`* ADDITIONAL DATA ON FILE
I [REPORT ID: DPR263 ROUTE TO: BS0508 1 [ I I
[__ I
70+MM 17 9-49 ® APPLICATION FOR PERMIT
DEPARTB ENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT O. GRO ZONE PERMIT NO.
PLUMBE rT A.-; � ` RECEIVED BY READY FOR PL ISSUED
r Wld/// FIRST INSPECTION.09
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BUILDING
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CIT. �/J�+f�1 L��L(_ TEL. NO.+J ���� i
LICENSE NO. -40/3 EXPIREs�'�a"vJ O pe
COUNTYLOCALITY -7-Zoi tf,,4+�R
' NEAREST- f I/
PERNIIT FEES "CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
' MAIL
ADDRESS r �WATER CLOSET (TOILET) O.SO5
!
BATH TUB ® 0.50 I CITY .r -on..)A—A& TEL. NO.
SHOWER Q 0.50 i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
) Li APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY MAW BASIN) CSD O.SOI d b AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
/ KITCHEN SINK lift rl,-' @ O.SO y1 d STATE LAWS REGULATING PLUMBING.
/ I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY I @ 0.50 / Q f! ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I GAS SYSTEM-Z"—OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER' ([� 0.50 PERMITTEE� r'YI
=�fo�•.'•-3_-.° 7 '%'
SLOP SINK / @ 0.501 INSPECTION RECORD
/ FLOOR SINK Y @ O.SO I
. FLOOR DRAIN Q 0.501 ,
DISHWASHER ® O:$O
DRINKING FOUNTAIN 0.50 1 <9 2/� !.� A<l� 'la 1 er
URINAL 0.50 I d/,69 ,J
HOUSESEWER ® 0.50I /C� z
MISCELLANEOUS � C9
APPROVALS
PATE INSRECTOR•S NAME
I ROUGH PLUMBING
GAS PIPING'
GAS VENT
1. CESSPOOL ® 1.001 I CESSPOOL
SEPTIC TANK- I SEPTIC TANK
I DRAIN ( ) PIT ( ) . @ 1.00 SEWER
PERMIT . 1.00 GASTEST i AI
UTILITY CO. NOTIFIED
TOTAL FEE
FINAL
75x807 17 5-50 'i® APPLICATION FOR PERMIT
DEPARTMENT�OF BUILDING,AND SAFETY. F '
COUNTY OF LOS ANGELESPLUMBING I
WILLIAM J. FOX. CHIEF ENGINEER
FOR.APPLICANT TO FILL'IN ;. DISTRICTO. GROUP I ZONE AERMNIT- O
PLUMBER-�1 _'??) RE 1 D BY READY FOOR DAT�E IISSSU D
FIRST INSPECTION
ADDRESS / !I sJ!. Jl /� ��r e ..0
,,.�/'"��� f, BUILDING
CITY TEL. NO
''f^ .� ADDRESS + ! J�il.<Jr! �l✓�°
l�r.�7: 2 sc
COUNTY p�j/ y LCCALITIC / ..� ✓fv! �Ia�/�
LICENSE NO. /J' J EXPIRES " '_5'7/
' •NEAREST ! Se'
PERMIT FEES
CROSS Sr. ,.
!!}�P g X /
NUMBER' TYPE'OF FIXTURE OR,ITEM •: FEE •OWNER _ 7'+-w
MAIL
WATER CLOSET (TOILET) Q 0.50 S T-ADDRESS
"BATH TUB` Q 0.50 CITY 'TEL. NO.
SHOWER Q 0.50 1 .HEREBY ACKNOWLEDGE THAT' I. 'HAVE READ' THIS
LAVATORY (WASH BASIN) Q '0.50' •APPLICATION•AND STATE.THAT THE ABOVE IS CORRECT AND '
AGREE' TO COMPLY WITH ALL. COUNTY ORDINANCES AND
:'STATE LAWS REGULATING PLUMBING.
KITCHEN SINK 0.50. : _ I CERTIFY THAT 1 POSSESS. THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q' 0.50 ANGEi:ES. COUNTY LICENSE. OR 1 AM. THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM ' OUTLETS Q. 0.50. . ' '. tD I
SIGNATURE OFJ� f .
WATER HEATER Q '0.5.0'' PER MI , ✓ ��
SLOP SINK" Q 0.50 INSPECTION RECORD_
FLOOR SINK Q 0.50
FLOOR DRAIN Q 0.56
DISHWASHER Q 0.50
DRINKING FOUNTAIN Q 0.50
URINAL Q 0:.50 J
HOUSE SEWER Q O.50 a
Z.
MISCELLANEOUS G
O
- •a
APPROVALS
- DATE" INSPECTP . NAME
ROUGH PLUMBING
•GAS PIPING ' "
:GAS VENT .
CESSPOOL Q 1.001 CESSPOOL
SEPTIC.TANK: SEPTIC TANK
DRAIN ( ) PIT .1.00 SEWER
PERMIT 1.DO GAS TEST.
UTILITY.CO. NOTIFIED
TOTAL FEE S ��
T FINALJAJ
- _.-• �.,�,�n✓Jr