HomeMy Public PortalAbout6262 TEMPLE CITY BLVD_Plumbing__ Will. -
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer PLUMBING 1
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX, Caupp Englow
FOR APPLI TO FILL IN '71006
PLUNGER READY FOR
aC0[IV[D MY DATE IMBUED
FIRST INSPECTION
BUILDING �J
CITY TEL N
ADDRESS
(—
OOUNTY1
I EN 1 LOCALITY
NEAREHT
PERMIT FEES CROSS ST
NYM�E11 TY►[OF IIKTIR!OK REM FEL- OWNER
WATER 13L08CT(TOILET) @ 050 • MAILAODREBB
BATH TUB @ 050 CITY TEL No
SHOWER @ 050 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.60 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ 050 AND STAT! LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ 050 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE REHIDlNTIA ROPERTY pC[�CR [DJg ASOVL
GAB SVSTCM—_OUTLETS @ 0.60 BIONATU q! OI_ �"
WATER HEATER @ O SO PER`�CC _
SLOP BINK @ D sG INSPECTION RECORD
FLOOR BINK @ O SO
FLOOR DRAIN @ 050
DISHWASHER @ OBD
DRINKING FOUNTAIN @ 050
URINAL @ 050 J
a
HOUSE etwcR @ 050 =_
MISCELLANEOUS 0
C
APPROVALS
DATE INY[CTOR•R HANE
ROUGH PLUMBING
OAS PIPING
DAB VENT
CESSPOOL @ loo CESSPOOL
BEPTID TANKI SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 OO BEWER
PERMIT 1.130 GAB TEST
UTILITY CO NOTIFIED
TOTAL FEE • O
IdMT DH8#1T 10/02 0414,
76'A X67 (CE-617)-8-71
- APPLICATION FOR PLUMB NG PER T n
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 7ADDRESS
( - �lyl,`
1GL G/V✓eA ��FOR APPLICANT TO FILL IN (PRINT OR TY PEI T/ L If
NUMBER FIXTURE OR ITEM 0 FEES AL /NOWATEfl CLOSET 1 ]6Z3BATH TUB 1 75 LO
SHOWER 1 75 CITY (-Jyy/(� TEL NO
LAVATORY 1 75 CONTRACTOR /f'�� p�� mq
SINK 1 75 ADDRESS 3S G c /(�T//V 6�� �/
DISHWASHER 1 75 CITY /Z�p�p, TEL NO¢�nn�/�
CLOTHES WASHER 1 76 STATE LILICENSE NO 2&l-�CJ CLASS `�
SWIMMING POOL RECEPTOR 1 75
o1s�CT,LQ(i UP ;ONE ES BY
LAWN SPRINKLER SYSTEM 1 75 `Jr Cly C�
ff G
WATER HEATER 1 75 IND RPNLOV
USTAIi' _
GAS SYSTEM Z OUTLETS 1 75 IN ION RE ORD V
OUTLETS OVER 70 L O
5 PER SYSTEM
-¢ �zuo2 A/K
/r n /A) _ d
z
Plan check fee See reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS QAT1&%PECT.. a IGNATURE
Plan check applicant UNDER SLAB WORK $ L1 t
Name ROUGH PLUMBING �O
Address GAS PIPING
City Tel NO GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ASO VE la CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMIIING
1 HCRESY CERT( TNAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS RCO RE SY LOS AN OCLES COUNTY A STATE 01
CAL(POR NIA OR TMA 1 M THC LEpAL OWRC OI INTEND TO
R[S IDE Ix THE
o SCRIeCo o N IA PITY FINAL
81
GNATU
OF PE ITTEE
PERMIT VALIDATION CASH
PLAN CHEC IDATION CR M 0 CASH
X71 2 4;3 Ja21 5 D 0.50-
_ C
D B R-IT 25M BETS $40 APPLICATION FOR P=M
DEPARTMENT OFNG AND $AFS1
COUNTY OX.F IR
LOS LOB ANGELES
WY J. FOX,CNIV OIGINt01 PLUMBING
TI
ROUGH FUTTURES COMPLETE 4S^ �� C, 1L
HEATER CESSPOOL BEPTICTANK RECEIVED B� -READY FOR DAT[ ISSUED
FIRST INSPECTION
cy� i v
APPLICANT FILL IN HEAVILY OUTLINEDJPORTION ONLY
NAM[ // IOJ JOB
f ADDRESS ve� dA LOCALITY
D, r NEAREST
S CITY T0. No CROSS BT
COUNTY
CERT No EXPIRES p! NAM[
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL /
3.1 ADDRESS A4 O
NORTH O
CITY ITEL No
1 AM THE L POSSSBSO OF THE ABOVE LOB
ANGELES COUNTY C[RTIPIC�A7 UALIP A ION
....(J/AJ! RL W 0
I AM THE LEGAL OWNER OF THE PROPERTY fCR1EED
ABOVE.
OMNO
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK _Z
[TrOTALTFEE
H TUB FURNACE
wER DlexwwexER o
ATORY REFRIGERATOR
CHEN SINK WATERSOFTENER
OR SINK ZANDTRAP
P SINK ^^R DRAIN
SH TRAY URINAL APPROVALS
TER CLOSET DRINKING FOUNTAIN DAT[ INN�ECIDR•NARE
TE]I HEATER DENTAL LAVATORY ROUGH PLUMBING
RR�GAS SODA FOUNTAIN GAB PIPING
OUTL
GAB VENT
CESSPOOL I
AL NUMBER OP FIXTURES SEPTIC TANK
SPOOI NEPTICTANK SEWER
UTILITY CO NOTIFIED
•COUNTY OF LOS ANGELES TEMPLE CITY # 0508 P1lIl11BING PERMhTr
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PLfO508j981D200054
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (818) 285-0488 EXT
LEGAL ID FEES PAID TR 5904 LT 89 BL 001 6261i A ROSEMAD S
FEE DESCRIPTION QUANTITY LION AMOUNT TEN
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LONGDEN
5384-005-002 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID' H2 LOCALITY TEMPLE CITY
D5 BACKFLOW DEVICE(S) 1 00 DEV 16 20
TENANT 17 FLOOR DRAINS) 1 00 FIX 16 20
ISSUED ON PROCESSED BY PLAN BY EZFrffE9-6W—
WATERMILL EXPRESS 21 HOSE BIBB(S) 1 00 FIX 16 20 10/29/98 UT 10/29/99
25 LAVATORIES/SINKS 2 00 FIX 32 40
OWNER TEL NO 27 PRESS REG DEVICE(S) 1.00 DEV 16 20 FINAL DATE FINAL BY
SMALDINO LOUIS P,DOROTHY A - TOTAL FEES 124 95 _
13583 WHITTIER BL 17-41 ,
WHIT 906051935s
LAMBING FOR WATER VENDING
APPLICANT TEL. NO
JOE GARRETT (949) 222-0058-
4500 CAMPUS DRIVE SPECIAL CONDITIONS
NEWPORT BEACH, CA
05 P<\1GELES cGCONTRACTOR TEL. NO- ��T
APPROVALS DATE I NSFn75FflMU0FF—
G 8 J DEVELOPMENT (520) 670-9336-
7329 S. PISTOL HILL ROAD LIC NO LINDER SLAB WORK
VAIL, A2 746522 B -
ARCHITECT OR ENGINEER: TEL NO PLASTIC Y/N METAL Y/N
DEBCO ENGINEERING (307) 637-4022- ROUGH
� �/
P 0 BOX 884 LIC NO 1111111
CHEYENNE, WY NONE iGAS PIPING
GAS VENT
PUBLIC WORKS HOT WATER HEATER
PLUMBING FIXTURES
3 q(HLAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
A � �5
vb//O Service Tha��o`
REPORT ID DPR263 ROUTE TO BS0508