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HomeMy Public PortalAbout5828 TEMPLE CITY BLVD_Plumbing__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUMBING NATURE OFINSTALLATION DISTRICT NO. GROUP No PERMIT No. ROUGH PLUMBING ' FIXTURES _MPLETE BEPTICTANK READY FOR R IV BY DAT 1SSU D HEATER CESSPOOL I FIRST INSPECTION �, � 7,:313 GAS MISCELLANEOUS APPLICANT FILL IN,HEAVILY OUTLINED PORTION ONLY , JOB NAME ADDRESS _ III ADDRESS i LOCALITY N REST ,, A CITYXglud TEL.NO. R Z` CROSS ST. STATE r' COUNTY LICENSE NO.- ! REG.NO. �^ W NAME (� LOCATION OF 99PTIC TANK,OR CESSPOO 116 z "'AIL ADDRESS NORTH CITY TEL.NO.. CORRECTIONS 1% V P .X^^ a r SOUTH DESCRIPTION OF WORK ' BATH TUB ____FURNACE APPROVALS SHOWER DISHWASHER DATE INSPECTOR'S NAME LAVATORY REFRIGERATOR ROUGH PLUMBING KITCHEN SINK WATER SOFTENER GAS PIPING, FLOOR SINK SAND TRAP GAS.VENT SLOP SINK FLOOR DRAIN CESSPOOL n WASH TRAY URINAL SEPTIC TANK WATER CLOSET DRINKING:FOUNTAIN SEWER WATER HEATER' DENTAL LAVATORY ' UTILITY CO.NOTIFIED METER .' OUTL SODA FOUNTAIN - FINAL 1 AM THE LEGAL OWNER OF THE ABOVE LOS ANGE ES COUNTY REGISTRATION N BORA TOTAL NUMBER OF FIXTURES 7.t PLUMBER SEPTIC TANK 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED CESSPOOL` ABOVE. PERMIT FEE 1 TOTAL FEE OWNER D.B. 17 SSM SETS 12-43 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY 1 COUNTY OF LOS ANGELES WM.J. FOX.CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION DISTRICT N . GROUP O O PERMIT IT N . FIXTURES COMPLETE _ 7f 0 ROUGH HEATER CESSPOOL I—I SEPTIC TANK RECByIVED BY READY FOR DATE Issulm FIRST INSPECTION _ OAS HMISCE LLANEOU `� �'" ^ 'APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB cc NAME ADDRESS !1� "L m ADDRESS `� y I.n LOCALITY ^sly K v — J NEAREST p- CITY /'eGar�' �uC.�7 �f✓� TEL.No. pp CROSS S9'. CERT.NO. / f EXPIRES t. J7NAl#m >311-4 LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL ADDRESS - �l NORTH O CITY TEL.NO. I AM THE LEGAL POSSESSOR OF THE9ABOVE LOS ANGELES COUNTY CERTIF E OF UALIF DATION. a PLUNDUR I AM THE LEGAL OWNER OR THE PROPERTY DESCRIBED ABOVE. 3 i OWNER CORRECTIONS SOUTH • J DESCRIPTION OF WORK z BATH TUB FURNACE 0 SHOWER DISHWASHER p LAVATORY REFRIGERATOR Ksw@HEIE•SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSED DRINKING FOUNTAIN DATE INSPECTOR-B,NANE WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER�J—GA8 SODA FOUNTAIN OAS PIPING OUTL GAS VENT CESSPOOL /� TOTAL NUMBER OR FIXTURES SEPTIC TANK I i CESSPOOL SEPTIC TANK SEWER AFT6 UTILITY CO.NOTIFIED �/TOTAL FEE �t.3 FINAL �� '�',�e moi/.-s''7 f' D.B.G.17 29M SETS 12.44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING WM.J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROU ZONE PERMIT NO. ROUGH FIXTURES COMPLETE �' HEATER CESSPOOL I—I SEPTIC TANKREADY FOR 22, F[RST INSPECTION DATB ISSU®GAS MISCELLANEOUS , P —� T APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY q� �T p�y�y A 7�p A y r 1C NAME o Q 111 O J1 ! YLIrrFe$All r(� ADDRESS Id v g ADDRESS 123 No*C!Gyeriy A�__ LOCALITY gp��y7�rr�n, 8 Jj a ' NEAREST 1 y CITY TL J19.11YII Ir xx1. t�ri'Fcwwso.c 1 � v,ro CROSS ST. COUNTY a-.p 9 h n CERT.No. EXPIRES C NAME 11 LOCATION OF SEPTIC TANK, OR CESSPOOL ' Z MAIL 3 ADDRESS /.;•: ^- NORTH O CITY TEL.No. IAN THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QIJALIFICATION.P1.dwe� I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH DESCRIPTION OF WORK ATH TUB 'FURNACE a O MOWER DISHWASHER LAVATORY REFRIGERATOR ITCHEN SINK WATER SOFTENER 'FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN Ll—C-ESSPOOt- TRAY URINAL APPROVALS R CLOSET DRINKING FOUNTAIN DATE 1N9P[GT0R•0 NAME R HEATER DENTAL LAVATORY ROUGH PLUMBING I QAS SODA FOUNTAIN GAS PIPING I I OUTL GAS VENT CESSPOOL I NUMBER OF FIXTURES yy��gg SEPTIC TANK 0EPTIC TANK Iz (y V SEWER I TOTAL FEE UTILITY CO.NOTIFIED � Q I / FINAL �� 3 57c 76A667-CE#817 2-62 TEMPLE I„( 'R 1+ Y APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUIL BUILDING-AND SAFETY DIVISION ADDRESS P ' JOHN A. LAMBIE. COUNTY ENGINEER , WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY. FOR APPLICANT TO FILL IN NEAR SSP . U �� NUMBER FIXTURE'OR ITEM EACH FEE CROSSOWNER WATER CLOSET $1,25 MAIL .�''� BATH TUB 1,25 ADDRESS . j SHOWER 1.25 CITY n/ , TEL, r T LAVATORY 1.25 CONTRACTOR SINS 1.25 ADDRESS (.„ . • DISHWASHER 1.25 CITY TEL. NO" LAUNDRY TUB 1.25 CONTRA OR'S STATE REGISTRATION NO. p . COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. UP ZONE88 BY WATER HEATER 1.50 ,5ci GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD A 67 O H ue a APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING• TOTAL FEE t GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH PLUMBING. COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS LES COUNTY AND STATE OF GAS TEST `- CALIFORNIA OR THAT 1DA THGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE E RIB ED RESIDENT AL PRO ERTY UTILITY CO.NOTIFIED SIGNATURE /� A OF PERMITTEE v FINAL VALIDATIROBERT A.WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R lfO 3 5 4 3% SEP 8 5D 4.50- COUNTY OF LOS ANGELES T%i'PLE CITY # 0508 PLUMBING -- -•'••I DEPARTMENT OF PUBLIC WORKS 9i0' LAS TUNAS PL 0508 f14—,"'rvr•7 BUILDING AND SAFETY / LAND DEVELOPMENT 7,:MPLE CITY CA 91780 v4NE: (626) 285-04-0i. LXT. LEGAL —'- FCCS—FnID EMOTE ADDRESS: TR: 6561 LT: 585 BL: .001 5828 TEMPLE CITY BL FEE DESCRIPTION: QUANTITY: U,0'.-J: AMOUNT: T=MP CA 917802112 ASSESSOR INFORMATION NEAREST CROSS STREET: Li:= OAK 8587-018-022 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID. J3 LOCALITY: TEMPLE CITY, CI 47 WATER HEAIER(S) 1.00 WTH 16.20 _) TENANT:-- TOTAL FEES 43.95 ISSUE O PROCESSED BY: PIAN 8 PIR S O 10/14/C4 JK 04/12/05 OWNER: -fEL. NO: FINAL DATE L Y: coDE: KILBAS RICHARD E (626) 287-0566- R- F- 5828 TEMPIE CITY BL i TEMP 9178u2112 DES::4IPTION OF WORK ---'-' WATER HEATER CHANGE OUT i APPLICANT: TEL. NO: TEKANA {310) 515-1311- 17111 5 D.,OADWAY SPtCfAL CONDIIIONS- ___ I GARDENA. CA 90248 i UONTRtiC�^ :— - --- 7:'L. NO: a:F��•^.val.s ISG-.:-` Ii:SPECTOR SIGNATL��E----� ACTION C0"NTRACTORS %1310) 515-1311- _ 1711 a---jiH BROADWAY LIC. NO u�.J �LAb ii'Rti I - GARDEHA, CA 90248 6525356036 nTr —� W:,.:R SERVICE A''CFT'="- UTR T.61 -ER: EL. NO: PLA51•IC Y/N METAL Y/N PLUMCING --!-- - -- HOT WATER HEATER — PLU:iol G FI .TURET �! LnWN SPRi iKLERS - - i Git'o 7WS ----I — �_-_I li-f 17- Cm-IPANY NOTIFIE { -- --� CpV (ER!l Ui�.A'-fCR SYSTEM -- REPCRT ID: DPR263 ROUTE TO: SS0508 _ I COUNTY OF LOS ANGELES TEMPLE CITY 'Ir' 0508 PLUMBING DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 050.9 06" '1fir.P7 BUILDING AND SAFETY / LAND DEVELOPMENT T-14PLE CITY CA 91780 vdOWE: (626) 285-048;: LXT; LEGAL ID: —" FEES PAID BUILDING ADDRESS: TR: 6561 LT: 585 BL: .001 5328 TEMPLE CITY SL FEE Dt_SCRICTION: QUANTITY: Uol%I: AMOUNT: TP-MP CA 917802112 ASSESSOR I FURt.I' ON NUMBER: NEAREST CROSS STREET: LIVE OAK 8587-018-022 01 PE.R`:IT 74SUANCE FEE 27.75 THOMAS PAGE: 596 GRID. J3 LOCALITY: TEMPLE CITY, C� 47 WATER HEATERS) 1.00 WTH 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PAN EXPIRES ON: 10/14/04 JK 04/12/05 OWNER: SEL. N0: FINAL L+A7E� CODE: - KILBAS RICHARD E (626) 287-0566- 5828 TEHPi E CITY BL L Y: TEMP -- 9178u2112 DES::RIVTICN OF WORK HEATER CHANGE OUT APPLICANT: TEL. NO: TEKANA ;310) 515-1311- 17111 S udUADWAY SPtCIAL CONDITIONS: --i GARDENA. CA 90248 I I ta:SPECTOR SIGNATUI{E--- j ACTION Ct,NTRACTORS (310) 515-1311- _ 1 1711 a,rulii BROADWAY LIC. NO U%Jrr: SLAb Mme— — GARDENA, CA 90248 652535SC36 WWff SERVICE _ TEL. NO: PLASTIC Y/N METAL Y/N - V. — --- - ----- -• LIC. riv: rLUMCING' ICm i'IY-NG — TIERAFTE-ER — —I -- PLUiBING FIXT09ES LAIti'N SPRINKLERS --I GAA T'-ST ----� - U i T i i Y C0�•1pAN NOT 1 F IED { -— ---- C:dV G.AA WAimTE SYSTEM REPC:RT ID:-DPR263 ROUTE TO: BS0508 —� —