HomeMy Public PortalAbout6415 TEMPLE CITY BLVD_Plumbing__ D R 9-17 15M 91ITB e-'le
DEPARTMENT OF BUILDING ASAFFff APPLICATION FOR PERMIT
ND
°°WNr°X MIN PLUMBING 2
IMAWRE OF INSTALLATION PZRMIFT NO.
ROUGH F17ITUpp COM O V
TION
HEATER CESSPOOL S�IIG TANK R IVKD BY READY FOR RATS ISSUED
FIRST INSPECTION
ZO
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
K NAM■ /E/V _ ADDRESS ZU
r Tom'
D ADD1166S LOCALITY
NEAREST
CITY TEL No CROSS BY
COUNTY
CERT No E(►IRKS C NAME
LOCATION OF SEPTIC TANK/ OR CESSPOOL Y MAIL
ADDRESS
' NORTH O
CITY TE_ No
1 AM THE LKOAL POSSESSOR OF THE ABOVE LOB
ANGELES C�ERTIFI T6 P QUALIF ATION
r
PLYY
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
owYrn
CORRECTIONS
1
SOUTH W
DESCRIPTION OF WORK
El
ATH TUB - FURNACE 1
ROWER DISHWASHER
LAVATORY REFRIGERATOR
-----KITCHEN SINK WATER SOFTENER
R SINK RANDTRAP
OP BINK w^^R DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE IMSPECT011•MAYE
WATER NEATER DENTAL LAVATORY ROUGH PLUMBING -
STIR OAK *DDA FOUNTAIN
OUTL OAS PIPING
OAS VENT
V L CESSPOOL
TOTAL NUMBER OF FIXTURES I SEPTIC TANK
CESSPOOL SEPTIC TANK SKWER
S UTILITY CO NOTIFIEO
TOTAL FEE FINAL
/iG 7A(CE 01")-11/9!
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN IPRINT OR TYPE) AWRf55 /- CUJA
NUMBER FIXTURE OR ITEM • FEE
WATER CLOSET LOCALITY
NEAREST
BATHTUB CROSS ST
SHOWER OWNER S 1
M'Rh
LAVATORY ADDRESS r
SINK CI TEL NO
DISHWASHER AV, CONTRACTORi5
CLOTHE WASHER ADDRESS -:2
SWIMMING POOL RECEPTOR TEL NO
CITY
LAWN SPRINKLER SYSTEM STATE LIC /1 -. 'S
WATER HEATER LICENSE NO SS CLAl� .J
GGAUSS SEYTSTEEMME OUTLETS wsTRIrG P ZOyE PROCESSED BY
S pER SySrE/AR INDUSTRIAL oibL �/ 0
WASTE APPROVAL V
INSPECTION RECORD
�G
LD
d
N
Plan check fee
PLUMBING PERMIT ISSUING FEE E
TOTAL FEE
Pion Check opplN:ant APPROVALS DATE INSPECTOR S SWNATURE
Name UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel No GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GASVENT
THAT THE ABOVE a CORRECT AND AGREE TO CONIMv WMA ALL CWNTY ORDINANCES HOT WATER HEATER
AND STATE LAWS REGULATING tWNBIND
I HENEV CERTIFY A I Ar PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REWIRED BY ANG! C UNIT AND STATE OF CALIFORNIA OR THAT I W THE GAS TEST
LEGAL OWNER F D I N TO El BONE DESCRIBED RESIDENTIAL UTILITY CO NOTIFIED
IROF[RTY
SIGNATURE
OFPERNI r FINAL
PLppL.CHECK.V
` L cAsx PERMIT VALIDATION c r 0 cASH
��u` : �I � 1 0.5 0 •
S_.. . �f DSR• � � mF
7000 6-6-
DEPARTDffiQT OF COUNTY ENGIIYEER. PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
WILLIAM J. FOX. COUNTY ENGINEER �OGeESSG
R AP I p p I LOCALITY C
BUILDING KEAREST
ADDRESS CRO888T _ O
C�
IMIT
DISTRO OR P I /E PERN
LOC ALITV r `R - �
MIT
NEAREST
CROSS ST RECEIVED BY Rudy f� IneowtMn DATEISSUED
OWNER _Z
NAIL INAUBT IAL
ADDRESS WASTE APPROVAL
CITY TEL 7 INSPECTION RECORD
PLUMBER
ADDRESSI!rvoz .06
CITY TEL NO1740, lj�
❑STATE
LICENS G- COUNTY
J
PERMIT FEES i
81MBER TY'[ Or FI%TIIR[ OR IT[M R[ O
WATER CLOSET(TOILET) 0 080 8 rc
O
BATHTUB 0 080
SHOWER 0 080
LAVATORY (WASH BASIN) 0 080
KITCHEN SINK ® ago
LAUNDRY TUB OR TRAY 0 080
SLOP BINK 0 080
FLOORBINK 0 080
FLOOR DRAIN a 0.80
DISHWASHER ® 080
DRINKING FOUNTAIN 0 080
URINAL 0 080
OA88Y8TEM _OUTLETS 0 I.00
WATER HEATER 0 100
YISCEL NEOUB
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLABWORK
PERMIT $ 1 00 ROUGH PLUMBING )
TOTAL FEE X
GAB PIPING
1 HEREBY ACKNOWLEDGE THAT 1 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS EOUIflED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFO IA THAT I AY THE LEGAL OWN-
ER OF THE ABOVE DWtRtp§ RESIDENTIAL PROPER UYftITYCO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL 'Z
TesenT DBS 1T Ob 12-53
` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 U(B G PERMIT
• DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS -0508-9806250041
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285-0488 EXT
LEGAL ID: FEES PAID BULILDING-JIDDRESS--90
ON FILE L6415 TEMPLE CITY
FEE DESCRIPTION QUANTITY UON AMOUNT TEMPICA-9t78OT05Y
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GAR19ALDI
5382-022-056 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE 596 GRID J1 LOCALITY TEMPLE CITY
51 LOU PRS GAS 5 OUTLET 1 00 SYS 16 20
TENANT TOTAL FEES 43 95 ISSUED DNI- PROCESSED BY PLAN BY EXRWM�
07/13/98 UT 07/13/
OWNER TEL NO FINAL DATE FINAL BY J&(:
DEL CASTILLO JUAN F,M ESTHER DEL (626) 351-8473-
6415 TEMPLE CITY BL
TEMP 917801435 -
GAS_UXE-UT NTIOILFOR NEN HEATING_ANDAIR SYSTEM
APPLICANT TEL NO
ADVANCED TECH AIR SYSTEMS (818) 363-6410-
17209 SAN FERNANDO _ SPECIAL CONDITIONS
GRANADA xlus, cnEIECONTRACTOR TEL NO OCJS CQ \
APPROVALS DATE INSPECTUff-MWATURr—
ADVANCED TECHNOLOGY AIR (818) 363-6410-
17209 SAM FERNANDO MISSION LIC. NO / !'�✓?{ LINDER SLAB WORK
GRANADA HIULLS CA 91344 581901 C20 r,, y�
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER TEL NO
ROUGH PLUMBINGuc No iGAS PIPING
GAS VENT
NOT WATER HEATFF—
n1
PLUMBING FIXTURES
LAWN SPRINKLERS
UTILITY COMPANY NOTIFIED
GAS TEST
L,
4oCWV
�L"j'vlcc jhas
GRAY WATER SYSTEM
\� REPORT ID DPR263 ROUTE TO BS0508