HomeMy Public PortalAbout9714 VAL ST_Plumbing__ 7"tU67 OMIT n-eD APPLICATION FOR PERbIIT
DEPARTN3MT OFTG AND SAFETY
COUNTY OFF LOS LOS ANGELESPLUMBING 1
WILLIAM J. FOX. OWIK ENGINEER i
ZONE P&MMIT NO.
FOR APPLICANT TO FILL IN Y 3
P��G E R PLUM B N G READY FOR DATE UNWEDRECEIVED •Y FIRST res LexingtonAve. ,j 3
ADDRESS VC
ElMonte,
BUILDING S'r
Or" TtL.No ADDRESS
COUNTY LOCALITY E
—LUIENNK Mo.—9&-Am;c EXPIRES NEAREBT
PERblIT FEES ORCBB BT.
NUNE[R TIT[Df FIXTIIIR OP IiOI r[[ OWNER
MAIL
WATER CLOSET(TOILET) @ O 60 • ADDRESS
BATH TUB @ 0.60 CITY
SHOWER @ 0.60 I HEREBY CKN IDIOM 1 HAVE READ THIS
LAVATORY (WARN BASIN) @ 050 APPLICATION AND eT TE TWAT [ ABOVE IS CORRECT
AND ACRE[ TO CON Y WITH COUNTY ORDINANCES
KITCHEN BINK @ 0.60 Q AND STATE LAWS R[ ULATIN PLUMBING
I CERTIFY THAT 1 P TN VALID LOB
LAUNDRY TUB OR TRAY @ O e0 ANGELES COUNTY LIC B R 1 [ L[OAL OWNER
OF THE RESIDENTIAL P RIB[D ABOVE.
OM SYSTEM cLr L[Te @ coo
SIGNATURE OF
WATER HEATER @ 0.60 P[RNrrTE
SLOP BINK @ 060 N RD
FLOOR BINK @ O.SC \ /
FLOOR DRAIN @ 0.60 �
DISHWASHER @ O eC
DRINKING FOUNTAIN @ 060
URINAL @ 0.60 J
a
HOUSE SEWER @ coo Z-
MISCELLANEOUS
0
_ C
O
G�
W C AI AIAC
/3LD6/>/V r
APPROVALS
DATE INE.EOTCR•1 MAN[
ROUGH PLUMBING — 7—
a"
ZOAS PIPING
GAB VENT
CESSPOOL @ 7,00 CESSPOOL
SEPTIC TANK GEPTIO TANK
DRAIN ( ) PIT ( I @ I oaI I SEWER
PERMIT 1.00 AS TEST
• �I UTIA
LITY Do NOTIr1ED
TTAL FEE • L
rI M
O
COUNTY OF LOB ANGELES APPLICATION FOR PERMIT
DOf cD EngineerPLUMBING 1
DIVISIONSION OFF BUILDING & SAFETY
WILLIAM J FOX. County En01Ewr
FOU(ADRLICANT TO FILL INMI
I PLUMBEREC[IV'CD READY FOR DATE ISSUED
FIRST INSPECTION C
ADDRESS
TY TEL ND
p/ -O� i BUILDING
OIs 1 ADORERS
COUNTY
I NB p PIR _ 0 LOCALITY
NEAREST
PERbIIT FEES CROSS ST.
HUNGER T/K OF FIl(TUR[OR ITEM FEE
OWNER
MAIL
WATER CLOSET(TOILET) @ 050 O AGGRESS
BATH TUB @ 050 CITY TEL N (per
SHOWER ® Oso 1 HE ACKN [ THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O SD O APPLIC N AND THAT THE ABOVE IS CORRECT
AND A EC TO COM L TTM ALL COUNTY ORDINANCES
KITCHEN SINK @ p 30 ANO STAT[ LAWS R LATINp PLUMBING
I CERTIFY THAT 1 O BB THE ABOVE VALID LDS
LAUNDRY TUB OR TRAY @ 050 ANGELES COUNTY LIC NB OR I AM=�E7t
OF THE RESICCNTI R ERTY D
OAS SYSTEM-OUTLETS @ 050 SIGNATURE OF
WATER HEATER @ Oso P[RMITTE
SLOP BINK @ DBD INSPECTION RECORD
FLOOR BINK @ 050
FLOOR DRAIN @ 050
DISHWASHER @ ago
DRINKING FOUNTAIN @ 030
URINAL @ M517 a
HOUSE SEWER @ 050 Z
MISCELLANEOUS 0
13
O
l �
APPROVALS
DATE INGPECTDR'0 NAME
ROUGH PLUMBING 1L.�
a GAB PIPING
GAB VENT
C[BBPOOL @ too CESSPOOL
S[PTIC TANK• SEPTIC TANK
DRAIN ( ) PIT ( ) @ loc. SEWER
PERMIT 1 W
GAB TEST
.TOTAL FEE • / a uTILITMco NOTIFIED19 INAL /
7"N7 DB8#17 10/62
75A417 (C6-[V) ' 1/70
: '0 APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING OP .CESSEDBY
MAKE CHECKS PAYABLE TO ADDRESS
HARVEY T BRANDT, COUNTY ENGINEER LOCALITY 1FOR APPLICANT TO FILL IN (PRINT OR TYPE( CROSS 5T DQN NUMBER FIXTURE OR ITEM ® FEE
WATER CLOSET 200 OWNER YMAIL
BATH TUB 200 ADDRESS oLSHOWER 200 CITY -109 1, TEL NO
LAVATORY 200 CONTRACTOR SINK � ADDRESS DISHWASHER � 6QCITY TEL NOCLOTHES WASHER 200 STATE LIC
LICENSE NO, CLASWIMMING POOL RECEPTOR 200
Q
LAWN SPRINKLER SYSTEM 2 p0 �OLI
WATER HEATER 200 WADSTETAPPROVAL
GAS SYSTEM OUTLETS 200 TE AFPR INSPECTION RECORD U
OUTLETS OVER b
5 PER SYSTEM 30 LF C O/ 3
W
d
• y
- Z
Plan Check fee Set Rwar.1
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE SO
APPROVALS DATE IHaPmroR a SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I XAV! READ THIS ARRLICATION
AMO NATE THAT THE ABOVE 13 CORRECT AND AOR[[ To COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCE! ANO STATE LAWS R[GULATIN[
PLUMBINI GAS TEST
I HERESY C[RTI THA A1..
PERLY R OISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REOU D a OS LE CO TY AND STAT[ 01
CAL(IOR nA OR T T A [ M[ OP AI(0 INTEND TO
RESIDE IN THE Aa E [S IB[D TIA PROPER TY FINAL - �,��
SIONATU RE
OF PERMITT
PERMIT VALIDATION CK M o OCA..
PLAN CHECK VA (DATION cX M o cAaX
2 2 7JAU 1y 5 0 1 0.5 0A nd
a
76A667•C ENSTT 5163
City of Temple City H3199 1
APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Bo¢DINa !
BUgoG n SAFETY PIVLSION ADnBrsa 1 L�. Val 3t.
JOH A LAM IE COUNTY ENGINEER
WILLIAM A JENSEN BDP T OF BUILDING LOCALITY Temple it
FOR APPLICANT TO FILL IN citosssT Temple City & Longden
NUMBER FIXTURE OR ITEM EACH FEE
WATER closer BI u OWNER David H. Lawrence
55&M
BATH TUB 125 ADDRESS same
SHOWER 125 CITY TEL NO
LAVATORY 143 CONTRACTOR General Installation Co
SDTR 125 ADDRESS
6558 West BlvA-
DEHWASHER 145 CITY Los Angeles TEL NO PL 3-2541
LAUNDRY Tan 145 g80�TRAATIONBNO C-36 151839 787 COUNTTYY
CLOTHES WARM 113 DI ICT NO GR UP I ZONE P BUSED BY
WATER HEATER ISO L
GAS SYSTEM OUTLETS ISO INDUSTRIAL - a
WASTE AFMOVAL 0
OUTLETS OVER 5 PER BYBTEN .30 INSPECTION RECORD V
oftener 1 Ready for Inspection Now o
o_
N
Z
APPROVALS DATE INSPECTOR 8 SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
-} O ROUGH PLUMBING
TOJ
TAL FEE GAS PIPING
I HEUEpY ACKNOWLEDGE THAT 1 HAV[ READ THIS APPLICATION GAS VENT
ANO STATE TNAT THE AEOYE IS CONVECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REOULATING
PLUMBINGI HOT WATER HEATER
I HEI®Y CERTIFY THAT 1 AM PROPERLY REGISTERED AND/on PLUMBING FIXTURES
LNCEN= A6 REQUIRED BY LOB ANGELES COUNTY AND STATE of GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OV.CR OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED w LLEpyTTy UTILITY CO NOTIFIED
BIGNATURE (�(/l�/�j�H/T�'E-►✓
OF PERMITTEE
FINAL i
VALIDATION ROBERT A WOOD
CK M o CASH SUPERVISING MECHANICAL ENG R
LACp 2 2 0 2 to NGV 4 5 D 3-50—
a
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0807300004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS 1
ON FILE 9714 VAL ST
IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917800000
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
5383-018-020 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE GRID LOCALITY TEMPLE CITY Cl
107 BATHTUBS/SHOWERS 2 00 FIX 32 40 1
(TENANT 125 LAVATORIES/SINKS 3 00 FIX 48 60 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
145 WATER CLOSET'/URINAL 2 00 FIX 32 40 07/30/08 SR 01/26/09
51 IOW PRS GAS 5 OUTLET 1 00 SYS 16 20 1 1
IOWNER TEL NO 160 DW REPAIR OR ALTER 1 00 SYS 16 20 FINAL. DATED Y CODE
ICHODOS, MARK (626) 614-0801- 1 TOTAL FEES 173 55 1 I I 1
�
19714 VALLEY ST 1 I
TEMP 917800000 DESCRIPTION OF FORK 1
PLUMBING FOR KITCHEN BATHROOMS REMODEL AND RELOCATE GAS
ILINE
1APPLICANT TEL NO 1
IZEEVI ASSOCIATES (818) 831-8414-
P 0 BOX 280702 iSPECIAL CONDITIONS
NORTHRIDGE CA 91328 1
CONTRACTOR TEL NO IAPPROVAIS DATE INSPECTOR SIGNATURE
1ACT DEVELOPERS INC (818) 831-8414- I
IP O BOX 280702 LIC NO UNDER SLAB WORK
NORTHRIODE CA 91328 843065 B I
WATER SERVICE
PLASTIC Y/N METAL YIN
(ARCHITECT OR ENGINEER TEL NO
I RGDGH PLUmSiw
LIC NO I
IGAS PIPING
GAS VENT
IHOT MATER HEATER
I
IPLUM9ING FIXTURES
I I
LAWN SPRINKLERS
1GAS TEST
(UTILITY COMPANY NOTIFIED 1
I IcWv 1 I
(GRAY MATER SYSTEM
I I I I 1
I
I
I I
I
1 _ REPORT ID DPR263 ROUTE TO BS0508 I 1
I I I I