HomeMy Public PortalAbout6013 TEMPLE CITY BLVD_Plumbing__ 7SA66V 4)BB-17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OFATG AND SAFETY COUNTY COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DIST N 0. P PERMIT NLI.
FOR APPLICANT TO FILL IN - - �? 2�
PLUMBER REC D BY /READY FO DATE ISSUED
FIR 1 SPECTION
ADORE69 m b
BUILDING �q
CITY TEL.NO. p ADDRESS [/
COUNTY CALITY 0
LICENSE NO. EXPIRES NEAREST
PERMIT FEES 089 ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER co
MAIL
WATER CLOSET(TOILET) 0.50 Q ADDRESS
BATHTUB 0.50 ® CITY 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
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB DR TRAY 0.50 Q 0 ANOELEB COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE REBIDENTIA PROPERTY DESCRIBED ABOVE.
OAS SYSTEM OUTLETS. Ib O.50 U
WATER-HEATER 0.50 �( SIGNATURE DF
PERM ITTE
SLOP BINK 0.50 INSPECT40N RECO
FLOOR BINK @ 0.60 I
FLOOR DRAIN 0 0.50 `
DISHWASHER 0 0.1513 A?
DRINKING FOUNTAIN 0 0.50 v o�
URINAL 0.50 —p1, A
HOUSE SEWER 0.50 �I No T- " G`�� �O Z
MISCELLANEOUS
A A/
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APPROVALS
• DATE INSPECTOR-8 NAME II
ROUGH PLUMBING
OAS PIPING
GAB VENT i—
Tr
CESSPOOL 7:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN'( ) PIT ( ) 1.00 SEWER
PERMIT
GAS TEST
I 1.00 -i
GAS
CO.NOTIFIED i ELI
TOTAL FEE Q1 ® ( l1�
U FINAL
l
CDUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1501220025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: "
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 6561 LT: 214 UN: .002 I [ 6013 TEMPLE CITY BL I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802013 I
[ASSESSOR INFORMATION NUMBER. I NEAREST CROSS STREET: GARIBALDI [
15385-013-008 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1
(TENANT: 25 LAVATORIES/SINKS 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY:
I 145 WATER CLOSET/URINAL 1.00 FIX 16.2001/22/15 SR [
47 WATER HEATER(S) 1.00 WTH 16.20 I
1OWNER: TEL. NO: 1 TOTAL FEES 108.80 1FINAL DATFIN Y: CODE: 1
IWONG, MEL (626) 234-6527- tRl��
16013 TEMPLE CITY BL 1 1 I
ITEMP 917802013 1 DESCRIarION OF WORK [ ;
I IREPLACE BATHTUB/SHOWER, LAVATORIE, SINK, WATER CLOSET AND
I IGAS LINE
1APPLICANT: TEL. NO: iI
ISAME AS OWNER - I I
I ISPECIAL CONDITIONS: 1
I 1 I I
1CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
SAM AS OWNER - 1
LIC. NO I [UNDER SLAB WORK 1
I I I I I
[ I IWATER SERVICE I I I
IPLASTIC YIN METAL YIN
1ARCHITECT OR ENGINEER: TEL. NO: I I I I 1
1 - 1 [ROUGH PLUMBING 1 1 I
1 LIC. NO: 1GAS PIPING I 1
IGAS VENT 1 I
I I IHOT WATER HEATER [ I I
IPLUMBING FIXTURES [ I I
I 1 I I I I
LAWN SPRINKLERS 1
I 1 I
[ 1 r 1GAS TEST 1 1
I 1 1UTILITY COMPANY NOTIFIED[ I I
I 1 ICWV I I I
1 1 1GRAY WATER SYSTEM I 1 I
I I I 1 I I
I • I I - � I i -
I I I I I
1 f1 1 I 1
1 1REPORT ID: DPR263 ROUTE TO: BS0508 1 I I I