HomeMy Public PortalAbout6345 TEMPLE CITY BLVD_Plumbing__ 78 A 887--CE 8174!8 _
APPLICATION FOR PLUM NG PERYTT
COIINTY Ogg LOS ANGELES
I DEPARTMENT OF COUNTY ENGMM
BUILDING AND SAFETY DIVISION DR>
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY /
FOR APPLICANT TO FILL IN PR NT OR TYPE NE
CB NEARESTT ^�
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 150
BATH TUB 150
ADDRCNR7 I
SHOWER 1 50 CITY /C TEL NO
LAVATORY 1 50 CONTRACTOR �L+L �Sd n,�
SINK 1 50 ADDRESS /
DISHWASHER 1 50 CITY TEL TATE MO ,3
CLOTHES WASHER 150 LICENSE NO �Q� Q CLASS em POOL RECEPTOR 150
DISTRICT NO GRO ZONE P • • SY
LAWN SPRINKLER SYSTEM 2 00 Z
WATER HEATER 1 50 INDDRIRI/1I.
W U uenovu
GAS SYSTEM OUTLETS 150 INSPECTION RECORD s
OUTLETS OVER 16VW�.
5 PER SYSTEM 30
N
Z
Plan check tee 21% 0I above See reverse
PLUMBING PERMI C ISSUING FEE S 2 00
TOTAL FEE O
APPROVALS DATg IN F[crOR[ nATUR6
Plan cht ek a PIICanI UNDER SLAB WORK
Name ROUGH PLUMBING —74Jzg
Address GAS PIPING
Cit} Tel No GAS VENT
HOT WATER HEATER
I HERESY ACKTHAT
TH ABOVE
THAT I HAVE SEND TNI• APPLICATION
AND STATE TNwr TN[ AOIN I• cAND S AND AGREE TO LATING PLUMBING FIXTURES
WITH
ALL cWmm 011DIN AND rtAr[ uw[ IKOuuTINO GAS TEST O
FLUM[IN6
1 HEREBY c[RrIrY r AT I A PROPERLY REGISTERED AND/ON UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOB ANGELES COUNTY AN RAT[ OF
CALIFORNIA OR THAT I M T "GAL OWNER A INTEND
REIID[ IN THE Awv 11[EIDENTI FINAL
-1111-7 tj
SIGNATURE JACK R ALLEN, SUPERv1 M HANICAL ENG R
OF PERMITT [
PERMIT VALH)ATIO cR M o CASH
PLAN CHECK VALIDATION CK MO CASH
(ACO 7 7 2 WE DEG 18 5 D 1 1.Q O FJ
w ler�
DErARTHENT OF BUILDING AND SAFM APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES �����f�� 1
' IdX' Wbi J. FOX.CHIEF ENGINED!
'NATURE
TI .
FIETURES COMPLETE #� • ��
CEBSIOOL SEPTIC TANK R[CRIV6Q,oY READY IDR OATS ICEURD
11413i' PIRRT INSPECTION
RC
APPLICANT FILL IN HEAVILY OUTLINED
2PORTION ONLY
Joe
C[��G EI �, 1��r ADDRESS �J O/1010 FIST GARVEY LOCALITY / T,ONr CALIF NEARER TEL No CROSSSTTY
Tv
Z 1"IRES . XNAMs OF SEPTIC TANK, OR CESSPOOL Z MAIL
NORTH j ADDRESS , V /ei AA
CITY TEL MGAr4 V
1 AM THE LEGAL POSR R OF THE ABOVE LOS
ANGEL®COUNTY CERTIFI OI OUALIP ION.
fir•
I AM THE LEGAL OWN®I OI THE PROPER CRIBS
AROYL
oMYq
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK i
ATH TUB FURNACE
HOWER - DISHWASHER C
0
-LAVATORY JUD'aIGERATOR
KITCHEN SINK WATER SOFTENER
R BINK - SAND TRAP
SINK F DDR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE 1 •MAYS
WATER X[/JTEN - DENTAL LAVATORY ROUGH PLUMBING I
STSG OUTL §^^A FOUNTAIN OAS PIPING
OAS VENT
`J CESSPOOI.
TOTAL NUMBER OP FIXTURES SEPTIC TANK
CESSPOOL @EPTIC TANK SEWER
S UTILITY CO MOTIPIm
TOTAL FEE FINAL
a
7BA667-CE817-8-58
APPLICATION FOR PLUMBING PERMIT L�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 7ADDRESS
IONN A. LAMBIE, County Engineer C SSATT D. GRIFFIN, SupIof Building FOR APPLICANT TO FILL IN NUMBERFIXTURE OR ITEMWATER CLOSET BATH TUB
SHOWER CITY TEL. NO. -
LAVATORY CONTRACTOR
SINR ADDRESS
DISHWASHER CITY TEL NO.
CONTRACTOR'S I
LAUNDRY TOB REGISTRATION NO.
CLOTHES WASHER OISTRICT�10. GROUP ZONE PRO�G
WATER HEATER �- '— ��L ✓ —
GAS SYSTEM INDUSTRIALWASTE APPROVAL
/ . ,4 t;` INSPECTION RECORD
"Al 'y f •..G i 0,
APPROVALS
@ OR FIXTURE S 1 DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT f 2100 ROUGH PLUMBING
TOTAL FEE - , GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GASVENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AN THE LEGAL, OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERM ITTE �I 1 FINAL
ROBERT A.WOOD.
®� VALIDATION r--SUPERVISING MECHANICAL ENG'R
CK. M.0. ( Wtl
I.I,O 9
o" IT E am 7- APPLICATION FOR PERWT
DEpARTNT OFLTY
AW NG AND SAFE
0O �������� '
COUNTY OFF LOB ANGELES
+ •, WM.J FOX.CHIEF ENGINEER
\ /may -7
ROUON NATURE OF llq&rAIJAnON
FDRURtS COMPLETE d�1 / /
XGTEIt CESSPOOL SEPTIC TAMK RECETVIM RVFIRST SUREADY FOR DATE ISED
r INSPECTION
1 -1 '3 - / V
APPLICANT FELL IN HEAVILY OUTLINED PORTION ONLY
Jos
NAM[ J ADDRESS
B ADDRESS LOCALITY
1 _
j NEAREST
CTTT TSL N0. CROSS BY
COUNTY ( _
CERT NO EIIPIRW�_ �' NAM[
LOCATION OF SEPTIC TAN$ OR CESSPOOL MAIL MB
NORTH
CRY NO
I AM TX[ POSE SOR THE ABOVE LOS
ANGELES COUNTY C[RTIF E O �ALIFICATION
PLurtra
1 AM THE LEGAL OOP THE PROPERTY DESCRIBEO
ABOVE
O
i
CORRECTIONS
/O
/D
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE
y/
HOWER oIBHwASH[Ii O
VATORY REFRIGERATOR
ITCHEN SINK WATER SOFTENER
R SINK RAND TRAP
OF SINK Jr'OOR DRAIN
/ ASH TRAY URINAL APPROVALS
WATER CLOSET OR INKING FOUNTAIN
DATE IraPE6TDt•MAYS
WATER HEATER ^ENTAL LAVATORY
i ROUGH PLUMBING
6T[O GM ^^A FOUNTAIN OAS PIPING
OUTL
OAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
_i__CESSPOO, SEPTICTANK / �� SEWER
S /TOTAL PEE may, UTILITY CO NOTIFIED
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1101270018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
M 14263 LT 2 1 6345 TEMPLE CITY BL
FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917801431
ASSESSOR INFORMATION NUMBER I NEAREST CROSSSTREET
15382-022-028 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY Cl
05 BACXFLOW DEVICES) 1 00 DEV 16 30
TENANT 07 BATHTUBS/SHOWERS 4 00 FIX 65 10 ISSUED ON PROCESSED BY PLAN BY
11 CLOTHESWASHER(S) 1 00 FIX 16 30 01/27/11 SR
113 DISHWASHERS) 1 00 FIX 16 30
TOWNERTEL NO 21 HOSE BIBB(S) 3 00 FIX 48 80 FINAL DATE FINAL. BY CODE
ILAU STANLEY (626) 309-1162- 25 LAVATORIES/SINKS 5 00 FIX 81 30
16345 TEMPLE CITY BL 45 WATER CLOSET/URINAL 4 00 FIX 65 10
ITEMP 917801431 147 WATER HEATERS) 1 00 WTH 16 30 D 9CRYPTION OF FORK
151 LOW PRS GAS 5 OUTLET 4 00 SYS 65 10 PLUMBING FOR ADDITION REMODEL, AND GAS LINE FOR HVAC SYSTEM(
155 GAS METER (PRIVATE) 1 00 MET 16 30
APPLICANT TEL NO I TOTAL FEES 434 70
LAI, KAMEN (626) 288-2651- 1
18748 VALLEY BLVD #K SPECIAL CONDITIONS
IROSEMEAD, CA 91770
CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE
IX Y M CONSTRUCTION INC (626) 575-0843-
DRA TAI HEATING 6 A C LIC NO i (UNDER SLAB WORK
19625 ALPACA STREET 506659
SOUTH EL MONTE CA 91733 WATER SERVICE
I PLASTIC Y/N METAL Y/N 1
(ARCHITECT OR ENGINEER TEL NO
T AND W CONSULTING ENGINEERS (626) 288-0708- TROUGH PLUMING
1168 N SAN GABRIEL BLVD #N LIC NO
IROSEMEAD CA 91770 35693 C GAS PIPING
I
GAS VENT
I
IHOT WATER HEATER
I IPLUMBING FIXTURES I
I
(LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
(GRAY WATER SYSTEM
VWL
I I I I
IREPORT ID DPR263 ROUTE TO BS0508