HomeMy Public PortalAbout9721 VAL ST_Plumbing__ IT LM ll T lt-4T APPLICATION FOR PERMIT
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COUNTY OF L09 ANGELES
WM J FOX.exly ENGINEER
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FIRST INSPECTION
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DESCRIPTION OF WORK _i
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OWER DISHWASHERVATORY REFRIGERATOR
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SH TRAY URINAL APPROVALS
TER CLOGZT DRINKING FOUNTAIN DATE IMV[CTOR•NAME
TER HEATER DENTAL LAVATORY ROUGH PLUMBING
EN ^AB - G^^A FOUNTAIN GAS PIPING
OUTL
OAS VENT P
CESSPOOL
AL NUMBER OF FIXTURES BEPfIC TANKSPOOLMEPTIC TANK SEWER
UTILITY CO NOTIFIEDE
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TSASST CE#8172 B: TEMPLE COTY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER M
BUIDINGL SAFETY IVISION I
JO N A IE COUNTY ENGINEER
WILLIAM A JENSEN BUP T OF BUILOIMB LOCLLLRT
FOSE APPLICANT TO FILL IN
NCROEAREST eY
NUMBER FIXTURE OR ITEM EACH FEE /
OWNER
WATER CLARET 91 25 MAEL
RATH TOR 125 ADDRESS
SHOWER 125 CITT TEL NO �
LAVATORY 1,25 CO OR
SINK 195 ADDRESSA,
DISHWASHER 125 CRT TEL NVr m-jo
LAUNDRY 7LJR 125 COHE STATE
REGM� ON NO COONTT
CLOTHES WASHER 1 25 DISTRICT NO I G110UP ZONE I PR Q Y
WATER HEATER 1 soT 6,71
OAS SYSTEM OUTLETS I so is O
WASTE APPROVAL
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APPROVALS DATE INSPECTOR B SIGNATURE
PERMIT S 2 OO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HERESY ACKNOWLSDOL THAT 1 HAVE READ THIS A I ION GAS VENT
AND STAT[ THAT THE ASOVS IS CORRECT AND ACRES TO COMPLY
WITH ALL COUNTY ORDINANCE, AND SLATE LAWS REGULATING
HOT WATER HEATER
PLUMBING
1 HEREBY RB
CERTIFY THAT I AM PROPERLY OIST[REO AND/OR PLUMBING FIXTURES
LICENSED AS IISOUIR[D BY LOS AMOSLES COUNTY AND STAT[ OF GAS TEST
GL11011NIA OR THAT I AM THS LEGAL OWNER OF ANO INTEND TO
READ! IN THE A" BE I RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
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WATER CLOSET DRINKING FOUNTAIN DATE smw=TOR t NAME
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APPLICATION FOR PLUMBING PERMIT
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LAVATORY CONTRACTOa / �a1/ k"Sm ADDRESS > / 7G gDISHWA8ffi crTT ffl B 4, TEL ROCONTRACTOR a / .+�� ZLAITNDRY TITS REGISTRATION NO 4'CLOTRaR WASHER DISTRICTNOGROUP ZONE
WATER DATER B b
GAS BTSTEK INDUSTRIAL.
WASTE APPROVAL
INSPECTION RECORD
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APPROVALS DATE i INSPECTOR S SIGNATURE
PERMIT S E 00 UNDER SLAB WORK ! L 7_ I ��
TOTAL FEE ROUGH PLUMBING %Jli IsYi'/r
GAS PIPING v
1 HEREBY ACENOWLEDGE THAT 1 HAVE BRAD THIS APPDGTIOR
AND STATE THAT THE ABOVE 16 CORRECT AND AGREE TO COMPLY GAS ANT
117TH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING NOT WATER HEATER
1 HIRESY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES /7
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST J i
CALIFORNIA OR THAT 1 AN THE LE OWNER OF TNS ARM _
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DESCRIBED RESIDER PROPERTY UTI LITY CO NOT] ED f
SIGNATUR
OP PERM
FINAL
m. rl VALMATIOI ROBERT A WOOD
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1005050001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FESS PAIDBUILDING ADDRESS
ON FILE 9721 VAL ST
FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917800000
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LONGDEN
5383-017-010 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE GRID LOCALITY TEMPLE CITY C
07 BATHTUBS/SHOWERS 1 00 FIX 16 20
[TENANT 25 LAVATORIES/SINKS 1 00 FIX 16 20 ISSUED ON PROCESSED BY PLAN BY
TOTAL FEES 60 15 05/05/10 SR
om� TEL NO FINAL DATE FINAL BY CODE
CANCI
ICANCINO, MAMA (626) 462-0033-
19721 VALLEY ST
(TEMP 917800000 [DESCRIPTION OF YORK
I REPLACE BATHTUB AND LAVATORIE
APPLICANT TEL NO
SAME AS OWNER _
SPECIAL CONDITIONS
I
ICONTRACTOR
TEL NO I APPROVALS DATE INSPECTOR SIGNATORe
[SAME AS OWNER _ [
LIC NO [ UNDER SLAB YORK
I w.TSR ssRvxce
(ARCHITECT OR ENGINEER TEL NO PLASTIC Y/N METAL Y/N
- (ROUGH PLUMBING
LIC NO I [ [
GAS PIPING
OAS VENT I I
IHOT WATER HEATER [
]PLUMBING FIXTURES
EIXPrgED
[LAWN SPRINKLERS
IGAS TEST
[UTILITY COMPANY NOTIFIED
CWV
iGRAY WATER SYSTEM
[ I I 1 I
I I
I
I I
I
I
I I I I
I
(REPORT ID DPR263 ROUTE TO BS0508
I I I [
COUNTY OF LOS ANGELES TEMPLE CITY E 0508 PLUMBING PERMIT
DERARTKENT OF PUBLIC *ORIS 9701 LAS TUNAS PL 0508 0513140004
BUILDING AND SAFETY / LAND DEVELOPIUDTT TEM@LS CITY CA 91780
PHONE (636) 285-0488 EXT
I
LEGAL ID VERB PAID BUILDING ADDRESS
ON FILE 9771 VAL ST
FEE DESCRIPTION QUANTITY UOM AMOUNT TS" CA 917800000
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GOLDEN *EST
5383-017-010 01 PERMIT ISSUANCE FEE 27 75 TROMAS PAGE ARID LOCALITY TEMPLB CITY, C
07 BATHTUBS/SHOWERS 1 00 PIX 16 70
TENANT 35 LAVATORIES/SIMS 2 00 FII 33 40 ISSUED ON PROCESS® BY PLAN BY EMPIRES ON
45 MATER CLOSYP/URINAL 7 00 FII 32 40 12/14/05 JI 06/12/06
92 EO PERMIT OWMER-BLDR 257 00 DOL 257 00
OWNER TEL NO TOTAL FEES 365 75 FINAL DATE FINAL BY CODE
CANCINO, MARIA (626) 579-5610-
9721 VAL ST J -
IBMm 917800000 DESCRIPTION OF NOEI
REPLACE 1 BATHTUB 2 LAVATORIES, 2 NAT
ER CLOSET
APPLICART TEL NO
SAME AS OWNER
SPECIAL CONDITIONS
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC NO UNDER SLAB WORT
WATER SERVICE
PLASTIC YIN METAL Y/M
ARCHITECT OR ENGINEER TEL NO
ROUGH PLUMBING
LIC NO
GAS PIPING
GAS VELA
HOT WATER HEATER
PLUMBING FIXTURES
LAIN SPRINXLERS
GAS aEST
UTIL_TY COMPANY NOTIFIED
CRY
GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BSOSOB