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HomeMy Public PortalAbout6210 TEMPLE CITY BLVD_Plumbing__ i 78A687.-CE48'17 4-87 �s+ APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENG;FEE BUILDING AND SAFETY DIVISBUILDING JOHN A. LAMBIE. COUNTY ENGINADDRESS COLEMAN W. JEN'KINS. SUPT. OF BULOCALITY FOR APPLICANT TO FILL INNEAT' CROSS ST. NUMBER FIXTURE OR ITEM EACH OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS CITY TEL;ZO. SHOWER 1.25 LAVATORY 1,25 CONTRACTOR SINS 1.25 ADDRESS DISHWASHER 1.25 CITYSTATE = r LAUNDRY TUB 1.25 LICENSE N.O. 417 CLASS CLOTHES WASHER 1.25 DISTRICT NQI, GROUP ZgNE P ESSED BY' WATER HEA �50:� 0 GAS-SYS OUTLETS WSTS P CD OUTLETS OVER 5 PER"SYSTEM .90 INSPECTION RECORD O . F- W D-. y APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT, $ 2 00 UNDER SLAB WORK ROUGH.PLUMBING TOTAL FEE GAS PIPING 1 HEREBY,ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT • AND STATE THAT THE ABOVEAS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE .LAWS REGULATING HOT WATER.HEATER PLUMBING. I HEREBY CERTIFYr THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY 'LOS ANGELES COUNTY AND'STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNE OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDE PROPERT UTILITY CO.NOTIFIED SIGNATURE OF PERMITTE FINAL ALIDATION JACK R. ALLEN CK. M.0. CASH SUPERVISING MECHANICAL ENG'R. 4 0 x-.61 . 4 5 D: 3.;5 0.� �.. . D.B.S.17 25M SETS 12.44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING �r 1 Wm. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE PERMIT NO. — r — ROUGH I FIXTURES COMPLETE �� � - HEATER �I CESSPOOL I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED MISCELLANEOUS GAS I FIRST INSPECTION - ' PPLICANT FILL IN HEAVILY OUTLINED PORTION ON Y 00, 01,r t ,r JOB NAME 't %, L/^�7i ADDRESS 4J m ADDRESS DZWl, _.� LOCALITY O ' NEAREST S CITY TEL.,N D' CROSS ST. COUN Y /J CERT.NO: >/lv EXPIRES,'---2!'7 K I NAMEla ' LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL NORTH O AD 9W 72 1 elf CITY ` TEL.NO. 1 APA THE EGAL POSSESSOR OF THE ABOVE LOS ANGLLES COUNTY CE^TIF"ICATE OF QUALIF!CATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPEP.TY DESCRIBED mABOVE. > W -S{ OWNER CORRECTIONS SOUTH a C DESCRIPTION OF WORK —— -- z c� BASH TUB _FURNACE � 0 SHOWER D1.=H`NASHER LAVATORY _ _REFRIGERATOR ly KITCHEN SINK _ WATER SOFTENER FLOOR SINK _SAND TRAP .SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET —__DRINKING FOUNTAIN _ DATE INSPECTOR'S NAME '._. —WATER HEATER DENTAL LAVATORY ROUGH PLUMBING _ _ PAETFR CAS 500A FOUNTAIN OUTL CTAS PIPING CAS VENT CESSPOOL _._..,� �. OTOTALNUINI R SEPTIC TANK CESSPOOL._—-----SEPTIC HEWER UTILITY CO.NOTIFIED TOTAL FEE I I Y it I FINAL 7BA567 17 85M SETS 7-48 APPLICATION FOR PE1WYi DEPAR OF,BUILDING AND SAFETY LINTY OF LOS ANGELES PLUMBING WM.J.FOX.CHIEF ENGINEER „lOTATi~J E OF INSTALLATION DISTRICT NO. G. OUP ZONE PERMIT tO. ROUGH FIXTURESH COMPLwm e" y 5p HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED //���� //��� FIRST INSPECTION /D' �' AS• MI C LANEOU YaFr�+Y�` APPI_.IC FIL IN HEAVILY OUTLINED PORTION ONLYJOB NAME ADDRESS hh a m R ADDRESS / .� � LOCALITY JNEAREST L CITY TEL.-NO. CROSS BT. COUNTY LICENSE NO. V EXPIRES 0�' NAME Iff LOCATION OF SEPTIC TANK, OR CESSPOOL.- $ MAILNORTH ADDRESSCITY TEL.No1 AM THE LEGAL. POSSESSOR OF THEANGELEG COUNTY CERTIFICA F �UALIF,)PLumiI AM THE LEGAL OWNER OF THE PROPERABOVE. owN CORRECTIONS SOUTH J DESCRIPTION OF WORK _z BATH TUB FURNACE ROWER DISHWASHER: D —LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER _FLJOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS klAATER CLOSET DRINKING FOUNTAIN. DATE INSPMVMR'S HAMA. .. ATER HEATER DENTAL LAVATORY ROUGH'PLUMBING I ETER ^A9 SODA.FOUNTAIN OUR GAS PIPING I. I GAS VENT CESSPOOL OTAL NUMBER OF FIXTURES SEPTIC TANK I i ESSPOOI SEPTIC TANK SEWER UTILITY CO.NOTIFIED I TOTAL FEE FINAL 76A667p177 25M SETS;17-48 APPLICATION FOR DEPART=XT OF BUILDING AND �Jt6FS 0DUNTY OF LM ANGELES PLumBING. WM.J..FOX.CHIEF ENGINEER a v A�'[J O INSTALLATI DISTRIT G O PFj_APER(�MIT O. ROUGH FIXTURES COMPLETE i HEATER CESSPOOL -ISEPTIC TANK RECEI �DATE ISSUED _ READY FOR:.FIRST'INSPECTION � � �y As• _ M1 LA us APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY K JOB NAME • U. p Ave. DDRESS[I* I ADDRESS 1 0. jaTEMP !overly ��$� �jLOCALITY yI N REST CITY � � ITTE�[.9(�1D�.L�A.dI o , CROBBST. COUNTY LICENSE NC. ]EXPIRES NAM LOCATION OF SEPTIC TANS, bR CESSPOOL a MAIL ADDRESS NORTH O CITY TEL.No. 1 AM THE LEGAL POSSESSOR PF THE ABOVE LOS ANGELES COUNTY CERT R R. MaION. umem THE LEGAL OWNER OF THE PROPERTY DEBCRI9ED r ,= OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z ATH TUB FURNACE O Q' SHOWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE IN9PECTOR•8 NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I ETER GAS SODA FOUNTAIN GAS PIPING I I OUTL p GAS VENT I CESSPOOL _ TOTAL NUMBER OF FIXTURES SEPTIC TANK I CESSPOOI 01EPTIC TANK S&VER S / &-'I\ "UTILITY CO.NOTIFIED I AV FINAL FEE ✓ _ 3 �� O D.B.B.17 a5M BETS 10=47 APPLICATION FOR PERMIT DEPARTMENT OF BUILIDYNG AND SAFETY CUx'TY OF LOS ANGELES �LU�A�I.IV WM.J..FOX.CHIEF mrsiNEER `'NATURE, OF INSTALLATION SINK NO. asmu ZONEPERMIT ROUGH FIXTURESCOMPLETE _ HEATER CESSPOOL SEPTIC TANK _ R EI w SY READY POR DATE ISSUED FIRST 1NSP6CTION AS- MIB ELLANEOUS '� APPLICANT FILL IN 'IIEAVIL OUTLINED�J PORTIONJOB O Y 6 NAME ADDRESSId m ADDRESS s I�O�,rd.ami% •' LOCALITY a .ar O s .� NEAREST VF d CITY&d::! TEL.No ROSS ST. COUNTYCERT.No. C� BXPIRES NAME LOCATION OF SEPTIC TANK, OR r-wjfspj60L z MAIL 3 ADDRESS NORTH O CITY TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY'CERTI 6 ATE F QU 11 CI%Tzqp. PL LASER I AM THE LEGAL ER OF THE PROPERTY DESCRIBED ABOVE. 3 OWNER CORRECTIONS SOUTH ,j DESCRIPTION OF WORK z_ BATH TUB FURNACE m ROWER DISHWASHER O —.AVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER QLOORBINK - aANDT.RAP LOP SINK F OOR DRAIN WASH TRAY q URINAL APPROVALS W/�TER CLOSET .—S�L_DRINKINd FOUNTAIN DATE INBP 'B NAME WATER HEATED DENTAL LAVATORY ROUGH PLUMBING -METE AS SODA FOUNTAIN OUdp8 PIPING I Sn. GAS VERT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOO7 BEPTICTANK SEWER � G TOTAL FEE. UTILITY CO.NOTIFIED •I /1 �._. FINAL I WELS. 1.7 25M$ETB-12.45 APPLICATION FOR .PERMIT DEPARTMENT OF BUILDING AND SAFETY CWT -OF LOS ANGELES PLl MBIN, G 1 .I.FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP,SNE PERMIT NO. ROUEN _• FIXTURES I COMPLETE d _ NEATER CE88POOL -`SEPTIC TANK,_ R2CEWgp,,�..ggY READY FOR DATE ISSUED FIRST INSPECTION GAS MISCELLANEOUS SENSES APPLICANT FILL IN HEAVILY OUTLINED PORTION 9� ( ��ONLY LYJOB �� W NAME ° C. NOTTINGHAAL M. ADDRESB�/-Z /V t1 P/1/•J.rJ�G1 41-- m ADDRESS 123 .No. nd' 1y ��ten.. LOCALITY �{.IGYi4P g j TEMPLE PPE T NEARESTD 6 CITY. T�J1., �� NO CROSS ST. L ! COUNTY a I. CERT.No. EXPIRES CN NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL NORTH O ADDRESS CITY TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTNn== � � `J,lz II. 1 �� �f PPERT R O�,AM THE LEGAL OWNER OR THE PROPERTY DESCRIBED 'AB VE. OWNER CORRECTIONS SOUTH DESCRIPTION OF WORK ATH TUB FURNACE MOWER DISHWASHER LAVATORY REFRIGERATOR —KITCHEN SINK WATEWSOFTENER -FLOOR.SINK SAND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAYS WATER NEATER DENTAL LAVATORY I I ROUGH PLUMBING METER GAS SODA FOUNTAIN GAS PIPING I I OUTL GAB VENT CESSPOOL TOTAL NUMBER OR FIXTURES r SEPTIC TANK CESSPOOL-------SEPTIC TANK SEWER I s UTILITY CO.NOTIFIED �+ TOTAL FEE 9 FINAL DMA.11 SSM BETBtY;�gB APPLICATION FOR PERM DEPARTMENT,OF.BUILDING AND SAPZ"" COUNTY OF LOS ANGELES . PLUMBING1N1t1.J. FOX.CHIEF ENGINEER . NATURE OF INSTALLATION DISTRICT O r P /y� ROUGH FIXTURES COMPLETE C5 . 1,1� ! �95,5C_.J HEATER CESSPOOL I�SEPTIC TANK RRCEI ED 8Y FIRST READY FOR T6 ISSUED ��.� 1NBPECTION. MISCELLANEOUS BOOM BEE /4 AP/PLICANT FILL �.W13EAVILY OUTLINED PORTION�QNLY JOB d. NAME- (I ��jYG�`.. /Gvr/: ADDRESS 46 1 J ® ADDRESS D [) 1✓ (�f� / B i �//��✓Y(�(�G•�-�`� LOCALITY W ��•� EST CITY /`,� .N,�-�S/�r' CROSS ST. CCU NTY • CERT:NO. U/�' �— EXPIRES A,TP-f f6� NAM n LOCATION`OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 B NORTH ADDR_ - O � CI .NO. i I AM THE190881188 OP 'THE ABOVE. .LOS ANGELES COUNTY ERTIIFIwig 'PLUMBER ABO�THE LMAL OWNER OF THE PROPERTY DEOCRIBED OWNER 0 CORRECTIONS Av. I SOUTH a , DESCRIPTION OF WORK Z BATH TUB FURNACE L7 ROWER AVATORY REFRIGERATOR ITCHEN.OINKS .FLOOR OINK BAND TRAP _ ALOP OINK FLOOR DRAIN WASH TRAY URINAL APPROVALS' WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING . .. / ,/.• i la Vii' ." ETER SAS SODA FOUNTAIN " I OUTL GA9.PIPING GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK. I CESSPOOL BEPTICTANK //�j` SEWER BEEEBI i f,�! TOTAL.FEE UTILITY CO.NOITIFIED_ I � "FINAL �3I��! D.�•'L�"�`n` 76MG7 DBS 17 7-51 APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY COUNTY OFF LOS LOS ANGELES ' WILLIAM J. FOXY CHIEF ENGINEER FOR APPLICANT TO FILL IN IS R GROUPW ONE I— PERMIT� � �� PLUMB READY'FOR ECEIVED BY DATE ISSUED ,,�J� FIRST INSPECTION � o APDRES13 Flu o BUILDING / CITY TEL No. ADDRESS 6 COUNTY LOCALITY ID SE NO. EXPIRES V C REST PERMIT FESS cRDss NUMBERFTUB F FIXTURE OR ITEM FEE OWNER MAIL (TOILET) 0 0.50 G � ADDRESS �rG. 0.50 CITY �,/�' TEL No. T6 " /S� 0 0:50 �® 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SH BASIN) 0 0.50 O APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT .I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 D ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER �Q SI THE RESIDENTIAL PRO IBED BAB SYSTEM .� OUTLETS a 0.50 � WATER HEATER 0 0.50 B1GNA�R�OF ✓h;� SLOP SINK Q 0.60 IASPECPION RECORD FLOOR BINK 0 0.50 FLOOR DRAIN Q 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN 0.80 URINAL 0.60 Q P HOUSE BEWER a 11.50 _Z MISCELLANEOUS L7 O APPROVALS DATE INBPECTORIB,NAME ROUBN PLUMBING BAS PIPINB BAS VENT CESSPOOL Q 1:00 CESSPOOL SEPTIC TANKI SEPTIC TANK DRAIN ( ) PIT ( ) Q 1.00 SEWER PERMIT 1.00 GAB TEST FXR1,60S UTILITY CO.NOTIFIED TOTAL FEE q- Q O � ._..• S FINAL � 7-( /,•bl/J COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DepartmeF BUILDINof CountLDIN Engineer FETY - DIVYSION OF G gi SAF WILLIAM J. FOX, County Engineer FEIR PPPLIMA,NT TO FIL IN DIST KO. GROUP I ZON P RIT N PLUMBER RECEITED Y READY FOR DATE/ IBBU D $ ��v✓ FIRST INSPECTION � ADDRESS �� BUIL��NO y/b CITY TEL.N ADDRESS . .P> C COUNTY / LOCALITY LICENS EXPIRE dv PE IT FEES NEAREST ST . ,/ d NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER WATER CLOSET(TOILET) @ 0.50 $ ADI RE. ( r ! / /f BATH TUB @ 0.50 CITY EL SHOWER 0.50 I HER Y ACKN DGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) C� 0.50 APPLI ON AND 8 E THAT THE ABOVE 19 CORRECT AND EE TO COMPLY WITH ALL COUNTY ORDINANCES -KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I P 9SES9 THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICEI2SE,,%QQR I AM THE¢'EGAL OWNER f OF THE RESIDENTIAL R ERTY D C 8-ED' OVE, GAS SYSTEM OUTLETS 0 0.50 SIGNATURE OF WATER HEATER @ 0.50 PERMITTE SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN @ 0.50 �"' URINAL @ 0.50 f Q HOUSE SEWER @ 0.50 r a MISCELLANEOUS Q' �J- F O i • I QC/�'I�, /Z�fr/l1,G1, APPROVALS M17jfl11-Ll. DATE INSPECTOR'S NAME ROUGH PLUMBING GAB PIPING fG ` GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK • r DRAIN ( ) PIT ( ) @ 1.00 SEWER p��9J A7 PERMIT � 1.00 GAS TEST VIV/'Tj 6 TOTAL FEE Z UTILITY CO.•NOTIFIED FINAL V � r,; j'L✓.G1-�(f 76A667 DBS##17 6-52 EILTARTBE rT''' OF COUNTY ENGINEER PLUMBING DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING // � WILLIAM J. FOX, COUNTY ENGINEER ADDRESS (OgI Z) FOR APPLICANT TO,FILL IN LOCALITY �,• ,� / BUILDING t{ ` NEAREST ADDRESS :�,�� _ � A . CROSS ST. LOCALITY �� / /0' DISTRICT N0. Lo'-'GROUP ZONE PERMIT NO. NEAREST ii H V CROSS ST. RECEIVED BY Ready for Inspectlon DAT ISSNUUEE9 OWNER v //� �� �4c-t'soG-a-�— J! MAIL ` INOUSTRIAIL ADDRESS Q WASTE APPROVAL CITY TEL.N0. INSPECTION RECORD PLUMBE , _-.1 ADDRESS / �� .r� y CITY �,�,/Z.I; d TEL.NO, ��',�� LICENSE N0. / L* ❑COUNTY J PERMIT FEES z VUMDER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) 0.80 $ O BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOORSINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM.,;2–..._OUTLETS @ 1.00 0 WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE 400 GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT 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 HEREBY CERTIFY THAT I By PROPERLY EECNr AND/OR LICENSEDAEQUIRED YLOS ALS COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDE IAL PROPEPTY. UTILITY CO.NOTIFIED URE OF PE OF PERMITTE ....---- �y L-..::.c:..i_.:.:•:'.'=..�:._..... ,eta r' FINAL 76A667 DBS 17 1/53 APPLICATION I=®R PLUIVISING PERMIT 1 oBs. �a.ss DIVISION OF BUILDING AND SAFETY Depaztment of County. Engineer, • , A. C. FO of Y kNGB BUILDING ' W.M.J. FOX, COUNTY ENGINEER' ;• {Q r CAADDRESS SSATT D.GRIFFIN,SUP•T•OF BUILDINq ` 'LOCALITY ,q FOIL APPLICANT TO FILL IN NEAREST 1 p CROSS ST. OWNER f DIS• ICT NO. GR Rr!'OUP ZONE READY FOR 11dPECTION MAIL ADDRESS D • ) ; CITYTP' (1-1% TEL.NO. 1 4-03.7'/ WASTE APPROVAL PLUMBER F. INSPECTION RECORD ADDRESS L 4 e.. CITY LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET'(TOILET) $ .. ), /j/� BATH TUB SHOWER LAVATORY (WASH BASIN') KITCHEN SINK g DISHWASHER " LAUNDRY TUB OR TRAY CLOTHES WASHER "014- TOTAL NO. @ 0.80 APPROVALS DATE INSPECTOR'S SIGNATURE GAS SYSTEM OUTLETS @f..00 UNDER SLAB WORK WATER HEATER @ 1.00 ROUGH PLUMBING PERMIT S 7 100 GAS PIPING._ TOTAL FEE ®m GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION- HOT WATER HE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/.OR GAS TEST// �J� !� :C•�. fl.E�l�l LICpP"L ENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UIILITYCO.WCTIFIED CALIFORNIA OR,THAT 1 AM THE. LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAI.�ROP TY. SIGNATURE Al! ( w f i� OF PERMITTEE � V�/ FINAL 1 a JCI- lv !zal •. WILLIAM J.,rFOCOUNTY ENGINEER VALIDATION R.A.WOOD,.CHIEF'PL'BG.INSPECTOR i! .4 2 61 SEP 2 7 3 2.0.0 � . : . 76A667 (CE-6171-4/72 - :; ; = -APPLICATION FOR• PLU B1NG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: 7ADDRESS /^�/e1 7MA0 G r49XK9 f! /G/ „ f him HARVEY T. BRANDY, COUNTY ENGINEER �/ LOCALITY ,Q�Q Q� FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEARE �J/��/e�T�s� NUMBER FIXTURE OR ITEM @ FEE ,¢ljf�fWATER CLOSET 1.75 !Jc—/Q /Giv/f'L��` A iBATH TUB 1.75 SHOWER 1.75 � �9 TEL�NO. ��-�j�� LAVATORY 1.75 C O NTRAC T SINK 1.75 ADDRE 1 DISHWASHER 1.75 CLOTHES WASHER 1.75 TATE JFK`LIC (•(� iLICENSE � � CLASS SWIMMING POOL RECEPTOR 1.75 LAWN SPRINKLER SYSTEM 1.75 DISTRI;TpNO. GROUP N PROCESSED BY ,JsWATER HEATER 1.75 INDUSTRIAL pp 3 WASTE APPROVAL at GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v OUTLETS OVER 30 5 PER SYSTEM V W a h Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE Plan check applicant APPROVALS AT,(: I ECTO 'S SIGNATURE UNDER SLAB WORK "10 Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICEN SEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO ,e RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PR ERTY. FINAL �O6` r e' `"Ear SIGNATURE OF PERMFTT PERMIT VALIDATION cK. I M.O. CASH :•PLAN CHECK VALIDATION CK. M.O. CASH 11 � 2 4 9 073 JUL 3 0 5 D 4.75- 6A847 (CE-817) - 175 Y APPLICATION F R PLUM NG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY` FOR APPLICANT TO FILL IN (PRINT OR TYPE)' NEAREST NUMBER FIXTURE OR ITEM @ FEE CROSS ST. 2.00 OWNER r a WATER CLOSET MAIL t BATH TUB 2.00 ADDRESS SHOWER 2.00 CITY T . NO. LAVATORY 2.00 CONTRACT i SINK 2.00 ADDRESS DISHWASHER 2.00 O g/1r e ��l j CLOTHES WASHER 2.00TATE LIC I SWIMMING POOL RECEPTOR 2.00 LICEN NO. CLASS DISTRICT NO.GROUP7—, ON PRO ESS D BY LAWN SPRINKLER SYSTEM2.00 �i e - \ ! WATER HEATdleta 2.00 3 WASTE APPROVAL GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD v I OUTLETS OVER 5 PER SYSTEM .30 CD C~.1 e W CL N E � f Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE � APPROVALS DATE INSPECTOR'S 91GNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST ` I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOFIED LICTI ENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ANS Myrtw TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIA P PERTY. FINAL SIGNATURE OF PERMI rTE PERMIT VALIDATION cK. M,o: CASH PLAN CHECK VALIDATION CK. M.O. CASH 16 7 1L"';ICT 16 5 0 7.5 00'L,8 . WORKfFS'COMPENSATION DECLARATION APPLICATION FOR PL�UMBINC PERMIT 1' heresy'affirm that I have a certificate of. consent to self 76A667A I I insure, or a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) J or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ; Certified copy is hereby furnished. BUILDING ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) . Certified copy is filed with the county building inspec- ADDRESS 4"210 PP'1ri el-t 131• tion department. NUMBER FIXTURE OR ITEM Q FEE If LOCALITY�`p m 112- n Date Appli4anf WATER CLOSET NEAREST (rf� 7o d CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TU CROSS ST. eeLn Prue+ COMPENSATION INSURANCE OWNER MAIL (� Vt� _� y, (This section need not be completed If the work involveAlf SHOWER ' -lie °L F-+WO Y l h ScCQ the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS ! 0+ 1 I certify that ih the performance of the work for.which this �+ permit is issued,I shall not employ any person in any manner SINK CITY, J C.YyI 1e �� TEL.NO. 2S' so as to become subject to the Workers'Compensation Laws. DISHWASHE CONTRACTOReT-(/D Date Applicanv ' �"`� CLOTHES ASHER NOTICE O APPLICANT: If; aft �maki this Certificate of ADDRESS �. �� -r�1. d_1 Exemption, you should become subject to the Workers' SWI ING POOL RECEPTOCompensation provisions of the Labor Code, you must forth- N SPRINKLER SCITY TEL. NO. pYSTEM ������ '�' �-I -`C� with comply with such .provisions. or this permit shall be STATE LIC. deemed revoked. ATER HEATER LICENSE NO. g0 9 1 CLASS LICENSED CONTRACTORS DECLARATION JiDIST NQ�/ CESSED OUTL ", a by I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM L (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM! FINAL !� 6� iQ� s Q DATE —�� VA ATION License Number •Ltc. Class. : FI C Contractor Datery S 96084 -2�lt (/9 Q ❑ I am exempt under Sec.. F Z @4625•A c B.&P.C. for this reason. Iu Plan check fee ® # 0,0,o 0 0 5 u Date: PLUMBING PERMIT ISSUING FEE$ ) ° °2 4,5 = L Signature .0 ¢ Q TOTAL FEE u Q I SINGLE FAMILY Plan check applicant ' HOME OWNER=BUILDER DECLARATION Name 1 hereby affirm that I am exempt from the Contractor's Licensis Address I Law for the following reason,(Section 7031.5, Business and Professions Code): City Tel. No. I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section 7044, Business and Professions Code). t CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency'.,for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and state that`the above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signatu .of Permitfe f Date . i ° o ° V: + ��' •'�`: . ' AiPLICAT'ION•FOK PERMIT I,DEPAItTBIENV OF BUILDING 'AND SAF 04"".) r, COUNTY OF 1.05 ANGELES ' Y a' 1WM. J. FOX, CHITF CNo:Nal:w L U M 154'114p("io NATURE OF INSTALLATION 1 RIG'S` NO. cR ZONQ MIT ,N( '•` ROUGH �+ PLUMOINO PIXTURIM COMPt6Tti - ' _ HRAT9�R CE113POOL OWPTICTAHX t i7(36tiiV 1 y®� PIROTIN PCGTION OATS IQf1LJfIS; CAM APPLICANT FILL IN IIEA Y,Y OUT . NEIL PORTION ONLY °' k^ HALM 0%` G ADD. RflR ADDR o atlCAtiTV CITt &', TEct,w7Y& 5 •e f t. COUNTY v�yRORSB ''. � WA1:9Q ' r LOCATION OF SEPTIC TANKS OR CESSI'OOF. °ARILLL t ADDRBIB �d Norm" CITY ' 1 AM THR LROAL POS9'. POR OR THS AbOV6 LOO ti ANG91.58 COUNTY CIERTIVICATq ORS.AUALIPICATION. I Aid THS LROAL OWHZR OF THS PROPIENTY D118CRIDWO r o'# AE,)CVtL ' CORRECTIONS a , OOUTH t DESCRIPTION OF WORKr x BATH TUR FURNACR ^HOWELR DIGHWAGHBR AVATORY 119FR1OffRATOR " -+•.Yi'} :'�.•.' ?. E;' ; L`. .m::T..::tTCH1iN DIRKWATff Pi1CNItFt :°'. '-t; �•,t?^r.;;.;<`^;j, ;.: '6 :. :._..;: v`�1l 'n; MOOR OINK ae s, ...._.i..,._ •vr' •, ,. .:%: °•..,y4 �`��+���:a ��..,,,/,,,t.,� � AND TRAP '' .�:i:�.hfa:ii; �.l:+.•+".::!i"1. °`a,,:'7..:: �' tw�. . In OP OINK -----....PLOOFi DRAIN '�` i "+r ''e•i�}?+ �` M'H'i ';ut ji:'`iSC:d:st';v :_t;. ,�,,; ;�� i� t�• 1y'A_ .. .:_ r t" `` :".' '',+ *A 'FROVAEHTRAY URINAL, +ltd' '•'fir^' fr°.-o'0. ,s� ...•:•r, ►fli{�. • WATMR CLoeirr •'^KINKING ROUNTAIN {' DATR I�eoracsoEi+e Naaict, "A :; X WAT= ^•---•••--14MATER DkNTAL LAVATCR �i'a .• •-: .:,..•,. Y ROUGH PLUMldINO ',..` • , •.:;. 'Mlrr i ., ._CAO f+ODA N'OUNTAIN 'r' GAB PIPING OUTL v. . ��.�•..•.r1�•,t. 4;�. - , r GAO V9NT • ,�:• t.: ":i �'.r f~#t..ri��"�� 1'C''{ ibR`•1t' s _; F•%y r '?r CMVSPOOL = •ti:•`�', e/ ,t`rr •:. .a tl '�wse°+�7� s, v P .`w ...TOtA ECR r' 'f3$PT9C YAN '� {: raw.."•;�.Jr'4 "F '' 'i1:8Y"tiy;Z�tl�j�� f ' L NUMR OR FIXTURIsi7 ;, .� K' :�•r+•: e` ers":x. ..� :' ;tett .t V. i., ..+ :' •.' .; '.,..E: .S s."�."'�foxwmrt :y``1, �• .�y ri; s '� 1fl-SARi•t•; A CII88F+OG O6PTECYANK ^: �,�.. . '° Nem AN, v UTILITY c& NOTIP9EID �..r : r 2-Al it +: ' •"4�+,•.'e'•q�jj'!�t'•'� (i %'C�'�,Ci� "' r"•{'� ` 4i•`9 ji,' �,.�1:La/.+ L �" + .�QY(•�L'1�1•.I:s j�.�.��i�� ��+!��.'es.4`'.�` .y•�r•�:{fit ''��'�j s,p'�oy��:ir` •��.•iijt�A�i^•si.i�'� '•��•W., .A'�.�� d'�r• b •"M: Y6 • Iii'M NL_ a n n °no o C3M C 1+.0.IT 8.41 so" ►/ 1�PPLIC.TIQN FOR PERMIT RMIT DEPARTMENT OF BUILDING ANI) SAFETY COt N"rYM- J- OF LOSCHIS ANGELES INKICR 1 PLUM Wh1, J, FOX, CHIEF CNGINSER BNk's NATURE OF INSTALLATION DISTRICT NO. caROUf� xonls I G�RIWIa N `_"' �I ► Roua►1 � IrlxvuRao _.._. FIROT INOPZCT1ONis co�1PL � Pi%ATISR CBSQPOt?L 0QPT1 TAptIP RM�CCMIV�MDyyBy RZADY VOR DATIZ 108111 ®A � IwIAc Acraauo AITLICANT FILL IN HEAVILY OUTIAN rR-VORTIO ON_L_Y J00 NAIdQ �--=°=sem`--_A..DDPC00 Q ADDRT2 II ��6.•0,0• o♦ a$OCAf.FTV CITY TI�4. ewe F1GiARFPD4 COUNTY CROO OT ,g CtRT.MO,® �,(� @RPt t3�o•0 4 `� ��t- L f3 IVAAIQ .@r LMATION OF SEPTIC TANK, OR OFMPOOT. � MAIL A DR �dQiiTN C'TY TtRUO Ldo 8 AM 'VHCI LUGAL 1100,09099 Or THwXbovg ANGIZL¢O COUNTY CSATIPItA zr Qp QUAL TION. MUI4tO= 1 AM THR LEGAL OWNMA OR T'HQ PROPQRTY DQ'OCRID ADOY$. CORREC71ONS 1 LOUTH DESCRIPTION OF WORK q SATH TUs + FUANACII I GHOWIR 0I8NWA0HI:R LAVATORY bCFRIGIIRATOR --KITCHEN SINK --- - WATKR OOFTl NMR --- FLOOR OINK "AND TRAP SLOP SINK - Ir'LOOR DRAIN ;r yY '•N}. ";: --R-•.�.WA1;H TRAY -- �� .URINAL r,•,• ° ;•a.'::,.':r 1,, APPROVALS .rr?;4'I• �� ..d,t.. "' WA7¢R CLOSET —DRINKING FOUNTAIN i M `' ' r' r. .r ATI:' ` INOPICCTpRT NAUft WATER HSATER —DKNTAL LAVATOR Y ' RbUGH PLUMSING' l r r' L n'°'+•• GAS'• BOLA t'OU+ :y` ;',.> .•c i,t ' .....•.;,: :cp• :at^...`�k 17w4ti 4:+,.'. •STAIN;'... rn. METIR a",•. -� =•.' f 1S s,quTL ,l . GA8 PIP N 1 G' r aAe VENT a r . ., :tai•. , .c'.,.�' •.i' :sem CESSPOOL ,. 6w•', ": ..' TOTAL NUMBER OF FIXTURES. $EPTiR TANKa� �' :° :• "M"'i ;� :"� , MOWf^r1 .,��:" �yyavA',: .. ..• ,r ,I` .:i :.. ", ...s. f ., •' ,.'.,-!jJ'''}"+F�rP;j'. .:2.';�L :'+M."y,:'aij� '7!:•,SI;;t• '�. r•} iS%lr��" r' CEeSPOd SMT ICTANK }c;.'lr'. 8El"!SR r;k, � k�,r+%y a : 5 :• :T:'�?�i. ...yr.�;e"bxdYi° +r r R :y Y.,;;e r. ���n :1 r s'•'. s•.:r.r. ,. UTILt !Y CO. Pl0T1FI� ;��Ja�L..�����, ••rw�}r.'.;h...;�S.iz;...�.•.,t�• r. . r�, ..�+,,a;�{` Zr �'. F�. % QW. '„,.r r' +�'•. r �l �q w • M , COUNTY OF LOS ANGELES TEMPLE CITY # 0508 '••PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS -PL 0508 9704240008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEESP r—BUILDING DRESS: ON FILE -•-6210 TEMPLE CITY BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801749 ASSESSOR INFR 0 BER: NEAREST CROSS STREET: 5385-016-022 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 EN TOTAL FEES 44.10 IS ED . PROCESSEDBY: PL B EXPIRES ON: 04/24/97TC 04/24/98 OWNER: TEL. NO: FINAL DATE FINAL B PACIFIC ACKWORTH FOUNDATION (818) 287-6880- 1020 EL SUR AV -6,-e ARCD 910064529 ESC I TIO OF WORK GAS LINE FOR CLASSROOM-NEW HEATING AND AIR SYSTEM APPLICANT: 0' WUKMIR HEATING 8 AIR/COND. (818) 442-2148- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: ;�� :_ APPROVALS DATE INSPECTOR SIGNATURE JAMES WUKMIR CO., INC. (818) 442-2148- 11500 RAMONA BLVD LIC. NO _ `: ®a= =/ , UNDER SLAB WORK EL MONTE, CA 91731 285626 CIO WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT0 G E R: TEL. NO: ROUGH PLUB G LIC. NO: S PIPING -- GAS VENT if0I IATERER �• PLUMiING T R S j S R K ERS GAS S =fUTILITY COMPANY OTI ED ; - CWV URA VATERSYiTEM I ' REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9610090019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 6210 TEMPLE CITY BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801749 SSESSOR INFORMAT ONNUMBER: NEAREST CROSS STREET: 5385-016-022 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 TENANT: TOTAL FEES 44.10 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 10/09/96 TC 10/09/97 OWNER: TEL. NO: FINAL AT FINAL B CODE: PACIFIC ACKWORTH FOUNDATION 1020 EL SUR AV 10 op f ARCD 910064529 DESCRIPTIO OF WORK gp APPLICANT: TEL. 0: REMOVE SPACE HEATING-INSTALLING NEW CENTRAL HEAT/A/C JAMES WUKMIR (818) 442-2148- 11500 RAMONA 'O� �® SPECIAL CONDITIONS: EL MONTE, CA 91731eL r] •� CONTRACTOR: TEL. NO: 8 {�• U U ",APPROVALS DATE INSPECTOR SIGNATURE JAMES WUKMIR CO INC (818) 442-2148- 191a 11500EL RONA BLVD LIC. 91731 285626 C00 __�';u 1 j N ER SLAB WORK �P WATER SERVICE ARCHITECT OR GINEER: TEL. N0: V O�cV PLASTIC Y/N METAL Y/N n(d ROUGH PLUMBING LIC. NO: -- �' L GAS PIPING 6'GAS VENT 110T WATER ENTER- PLUMBING ERPLUMBING FIXTURES ® � LAWN SPRINKLERS 00 � � GAS S UTILIT CO PAY OTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0106260014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: -LEGAL ID: FEES PAID BUILDING S: ON FILE 6210 TEMPLE CITY BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801749 ASSESSOR 0 NEAREST CROSS STREET: LONGDEN 5385-016-034 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TOTAL FEES 43.95 ISSUED ON: PROCESSED : PLAN BY: EXPIRES-ON: 06/26/01 UT12/23/01 OWNER: TEL. 0: FINAL ATEB CODE: PACIFIC ACKWORTH FOUNDATION (818) 287-6880- v � 6210 TEMPLE CITY BL TEMP 917801749 DESIlow vv GAS METER APPLICANT: O: VAN ALLEN (818) 358-7753- 10264 TUJUNGA CANYON SPECIAL CONDITIONS: TUJUNGA, CA 91042 CONTRACTOR: TEL. 0: APPROVALS DATE INSPECTOR SIGNATURE VAN ALLEN PLUMBING (818) 352-7753- 10264 TUJUNGA CYN BLVD LIC. NO UN05R SLAB WOR TUJUNGA, CA 91042 620656C36 + WATER SERVICE ARCHITECT OR PLASTIC Y/N METAL Y/N ROUGH M G LIC. NO: S PIPING GAS VENT HOT WATER RENTER PLUMBING RES LAWN S IN S GASES UTILITYCOMPANY cWV GRAY ZTER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: 9SO508 C0NTY OF LJ)S ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 'PL 0508 9703180005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL I S PAID BUILDING ADDRESS: ON FILE 6210 TEMPLE CITY BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801749 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5385-016-022 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY < 13 DISHWASHER(S) 1.00 FIX 16.35 TENANT: 15 DRINKING FOUNTAIN(S) 4.00 FIX 65.40 ISSUED ON: PROCESSED BY: PLAN BY: -EXPIRES ON: 125 LAVATORIES/SINKS 10.00 FIX 163.50 03/18/97 TC 03/18/98 45 WATER CLOSET/URINAL 9.00 FIX 147.15 OWNER: TEL. NO: TOTAL FEES 420.15 FINAL DATE FINAL BY: CODE: PACIFIC ACKWORTH FOUNDATION (818) 449-3855- 1020 EL SUR AV ARCD 910064529 D SCRIPTIO 0 R CHANGE OUT OF PLUMBING FIXTURES APPLICANT: TE 0: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTO SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT 0 NG TEL. 0: ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT HOATFR -- -- P BI G FI TUR S LAWN SPRINKLERS S TEST UTILrTY COMPANY NOTIFIED CWV GRAY WATER SYSTEM i REPORT ID: DPR263 ROUTE TO: BS0508 J y COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PL-UMB-I-NG-PERM3-T�� DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 000803003.00 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES AIDB I•L-D-I G-ADDRESS: ON FILE 06210 TEMPLE CITYjBL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA 917801.749 ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: LONGDEN 5385-016-034 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY 25 LAVATORIES/SINKS 3.00 FIX 48.60 TENANT: 45 WATER CLOSET/URINAL 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES 0 : TOTAL FEES 108.75 08/03/00 UT 01/31/01 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: PACIFIC WFOUNDATION (818) 287-6880- 6210TEMPLECITY /O 7-7—L901 TEMP 917801749 DESCRIPTION OF WORK HANDICAP BATHROOMS IN EXISTING SQUARE FOOTAGE FOR KINDER- GARTEN AND PRESCHOOL STUDENTS APPLICANT: TEL. 0: SAME AS OWNER - SPECIAL CONDITIONS: 63 E L E S Co CONTRACTOR: TEL. N0: 5 p,N �� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO UNDER SLAB WORK WATER SERVICE e ARCHITECT OR ENGINEER: TEL. N0: PLASTIC Y/N METAL Y/N ROUGH PL MB G LIC. N0: c 1111111 GAS ��� PIPI NG G S VENT ��� VW010-1w 0 WATER HEATERDDU p LLLLLLJJJ PLUMBING FIXTURES 1l 6F 11 ❑ S.1"El HA, LAWNSPRINKLERS QI fi,• GAS ES iQ ❑ © ' - gUTILITY COMPANY NOTIFIEU SerVIC��ha GRAY WATER SYS EM REPORT ID: DPR263 ROUTE TO: BS0508