HomeMy Public PortalAbout6123-6125 TEMPLE CITY BLVD_Plumbing__ ,BA997
Ba.,7,o.ss APPLICATION FOR PLUMBUNG PER IT
1
1
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING �/ «/� �,� /
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS /T• J
CASSATT D.GRIFFINS SUPT OF BUILDING
LOCALITY 'Pi�1li L+
FOR APPLICANT TO FILL INr NEAREST
CROSS
ST.
OWNER DISTRICT NO. GROUP�I ZONE I READY FOR INSPECTION
MAIL '7
ADDRESS ��. L•
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY - TEL.NO a
LICENSE NO. ( 34-6
NUMBER TYPE OF FIXTURE.OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $ nn� �'� fff /C��/�e
Ole BATH TUB @ $1.00 ('Q�/& -Q PYA &Inn 77-ff7/�+
SHOWER @ $1.00 �. 6� PMr � �/./1-- F.I.l�
LAVATORY (WASH BASIN) @ $1.00 I
KITCHEN SINK @ $1.00 6FC/ne
DISHWASHER @ $1.00 �� 5'�. C� '041LAUNDRY TUB.OR.TRAY @ $1.00. BVAiN,I"e:!ALt646k=VmG'-eli �
s . p w44l n
CLOTHES WASHER @ $1.00 ��q 7 s9. el/a/J_
WATER HEATER @ $1.00 f��i owag
GAS SYSTEM @ .St.00 '" � �""�"' � � , -3
!2_ i��- � j
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 OO ROUGH PLUMBING
i, GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION * HOT W�►TER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBNG. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST / A/
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF•;
CALIFORNIA OR. THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO..NOTIFIED
DESCRIBED RESIDENTIAL P OPER
SIGNATURE
OF PERMITTEE FINAL tJ
IOHN A.LAMBIE,COON ENGINEER /j,,,QYALIDATI0N' ROBERT A:WOOD,C141EF PLBG. INSPECTOR
C N.0. CASH
L&O S O ON OCT 3 5.0 O 0
7SA687 17 25M SETS 7-48 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING: 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN D S RI T N.O.' GR.0 ZONE S l .
READ FOR.` J
PLUMBER RECEIVE l/611 DATE ISSUED
® /,/ J FIRST INSPECTION /
ADDRESS
CITY TEL.No. JOB
ADDRESS a'
COUNTY - �
LICENSE NO. EXPIRES LOCALITY
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NOAREST
ANGELES COUNTY L_16ENSE. ���JJJ CROSS ST.
1-14 OWNER
P � - 'n MAIL
PLUPfBER •ADDRESS
PERMIT FEE IS $1.00 FOR THE FIRST FIXTURE OR CITY TEL. No.
ITEM LISTED BELOW, PLUS 5130 FOR EACH ADDITIONAL 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
ITEM. FOR EACH SEPTIC TANK.AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE.
$1.00. MINIMUM FEE FOR ANY PERMIT $1:00. EACH
GAS SYSTEM IS A SEPARATE ITEM.
OWNER
NUMBER TYPE OF FIXTURE OR ITEM
WATER CLOSET (TOILET) CORRECTIONS .
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
LAUNDRY TUB OR TRAY
GAS SYSTEM OUTLETS
WATER HEATER
SLOP SINK Q
FLOOR SINK _Z
FLOOR DRAIN 17
DISHWASHER
.O
DRINKING FOUNTAIN
URINAL
MISCELLANEOUS
APPROVALS
DATE INSPECTOR!8 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL
SEPTIC TANK - DRAIN ( )-PIT (. ) $ SEPTIC TANK
CESSPOOL $ SEWER
HOUSE SEWER $ GAS TEST
TOTAL FEE UTILITY CG.NOTIFIED
FINAL a l
BAPPLICATION FOR PL UG PER IT
X
)88.,,S-17,o.gg
DMSION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS /P• �S' �Q I/ ;:
CASSATT D..GRIFFIN,SUPT OF BUILDING
LOCALITY %11Z. le
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT NO. GROUP I ZONE I READY FON INSPECTION
MAIL ® j- ^ �_•y
ADDRESS
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER ,�✓,A e/ Jr. :7a--y, INSPECTION RECORD
ADDRESS ��-q
CITY 's - TEL.NO %—X
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM, FEE
WATER CLOSET (TOILET) @ $1.00 $ "-
1))f7Y ,
BATH TUB @ $1.00
SHOWER @ $1.00 RIV �A60-9OPF_.I,I
LAVATORY (WASHBASIN) @ $1.00 /
t KITCHEN SINK @ $1.00 9 f�T �lrFlCE.
DISHWASHER @ $1.00g7��
LAUNDRY TUB OR TRAY @ $i.00 �/ ry���1� i r �Grp
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00 ,
GAS SYSTEM @ .$1.00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK n A W
ROUGH PLUMBING
PERMIT $ I ] 00 .
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY pry
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. pLUMBINGFIXfIURES i
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 42 MbL
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL P PER
` SIGNATURE
OF PERMITTEE FINAL
IOHN A.LAMBIE,COUNT ENGINEER VALIDATION ROBERT A:WOOD, CHIEF PLBG. INSPECTOR
C-0-2 M.O. CASH
LAGOO 8 0 ON OCT 1 3 5.00 m
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS I 9701 LAS TUNAS PL 0508 1303210028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID I IBUILDING ADDRESS: I
ON FILE I 1 6123 TEMPLE CITY BL I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801748 I
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
15385-012-006 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI
I 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 I
ITT 117 FLOOR DRAIN(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: 1
TOTAL FEES 60.20 103/21/13 SR
(OWNER: TEL. NO: I IFINALr DATE FINAL BY: CODE:
IBUCHMAN, BEATRICE (626) 285-7360-
16123 TEMPLE CITY BL 1 1 I
ITEMP 917801748 I JDBSCRIPTION 1OF WORK 1
ISHOWRR FIXTURE AND SHOWER LIN 1
(APPLICANT: TEL. NO:
1PEDROZA, DAVID (626) 355-3496-
1
1140 E MONTECITO AVE i ISPEC�AL CONDITIONS: 1
ISIERRA MADRE 91024
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IG E M PLUMBING INC (626) 355-3496- I
1140 E MONTECITO AVE LIC. NO 1 IUNDEF SLAB WORK I I I
SIERRA MADRE CA 91024 111308
(WATER SERVICE I I I
I IPLASYIC Y/N METAL Y/N I I
(ARCHITECT OR ENGINEER: TEL. NO:
IROUGN PLUMBING
LIC. NO: 1
GAS RIPING I I I
IGAS VENT I I I
IIHOT DATER HEATER I I I
IPLUMBING FIXTURES I I I
ILAWN SPRINKLERS I I I
IGAS TEST I I I
(UTILITY COMPANY NOTIFIED( I I
I
ICWV I I I
1 IGRAY WATER SYSTEM I 1
I II I II I
I II i I I I
I I I I
I I
I* ADDITIONAL DATA ON FILE I I I I
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I I I I
:gEPORT ID: DPR263 ROUTE TO: BS0508 I I I I
II I I I I