HomeMy Public PortalAbout9811 VAL ST_Plumbing__ VMSB" KE APPLICATION FOR .PLUMBING PERMIT 1
DIVISION OF BVILDING AND SAFETY
Department of Count! EngWJROA
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County of Lw Ang73 �1
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WM J FOX, COUNTY ENGINILI
EER ADDRESS
CASSATTD GRIFFIN SUPTOG
LOCALITY
FOR APPLICANT TO NEAREST
CROSS ST
OWNER DISTRICT NO GROUP O 6 RUBY FOR INSPECTION
MAIL �� i I _r Now
ADDRESSV
INDUSTRIAL
CITY TEL WASTE AP ROV
PLUMBER GENERA! INSTALLATION CO. INSPECTION RECORD
ADDRE63 6558 West Blvd.
CITY L.A. 4.1 TEL GRt 3-2541
LICENSE NO 787 CS83NUMBER TYPa OF�FI%TORE OR ITFEEWATER CLOSET (TOILET) E
BATHTUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
I WATER SOHEMER 1 IROUGH
TOTAL NO ® 080 APPROVALS
DATE INSPECTOR SSIGNATURE
OAS SYSTEM-OUTLETS 100UNDER SLAB WORK
WATER HEATER 100
PLUMBING
PERMIT t 1 AS PIPING
TOTAL FEE ZAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 1E CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEG4 OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE y
OFPERMITTEE FINAL �ZU
WILLIAM J FOX,COUNTY ENGINEER VALIDATION R A WOOD,CHIEF PLBG IN&PECFOR
3 2.00
_ T4602 = JM27
7eASe7-cc+617 6-65
APPLICATION
°APPLICATION FOR PLUMB�G PERMC Ir
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION A�DR)a9
.JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL. IN CROSS
NEAREST C.:r
NUMBER FIXTURE OR ITEM EACH FEE OWIfER
WATER CLOSET Ills SAID.
LATH TUB 115 ADDRESS
CITE NO
SHOWER I ab
LAVATORY 125 CONTRALTO
SINK I75 ADDHPd/
DISHWASHER 123 CITY
LAUNDRY TDB 115 STATE LIC
LICENSE NO d CLASS
CLOTHES WASHER 125 DIGTR;F7K OR BY
WATER HEAT® 150
OAS SYSTEM OUTLBTS 150 INDUSTRIAL 0-
WASTE APPROVAL 0
OUTLET'S OVER S PER SYSTEM Jq INSPECTION RECORD U
w
0
a
N
Z
APPROVALS DATE INSPECTOR a SIGNATURE
PERMIT J�AW
2 OO UNDER SLAB WORK
HOUGH PLUMBING
TOTAL FEEGAS PIPING
I N[R[er ACKNOWLEDGE THAT I XAv[ 11[AOIUTIOn GAS VENT
ANO [TAT[ THAT "K ASOV[ 1[ CORR[CT ANDCOMPLY
WITX
ALL COUNTY OROINANC[a AND STATE ULATING
PLUMBING HOT WATER HEATER
I N[ll®r CERTIFY THAT I AM FROP[NLY RANO/OR PLUMBING FIXTURES
uCENOEO AB IRGUIR[O Br LOS ANGELES COUAW OF GAS TEST
CALIFORNIA OR THAT I AM TN[ L[OAL OWN[R TOBCSIO[ IHTX[ABOva OESCBIS[O RmO[NTI UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEFINAL
ATION
K M O CASH
LACO7 8 7 0% APR 3 5 D 350-
DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
OOUNTY OF LOS ANGELES BU ILDINO
WILLIAM .L FOX, COUNTY ENm NEER AODRESe
FOR APPLICANT T FILL IN LOCALITY
A 19
ODRE188 J l NEAREST
J CROSS ST ,
DISTRICT NO GROUP I O PEBYIT NO
LOCALITY S f-�•
NEAREST
CROSS ST b'p d/ /C N .w'2 S R CE ED BY Rudy for lg0ogloo DATE ISSUED
OWNER C!�/il RS' � n � �J INDUSTRIAL I/P - 7-5
MAIL WASTE APPROVAL
ADDRESS
CITY ///���� TEL NO INSPECTION RECORD
PLUMBER I/ r' 7L 01 6.¢,
ADDRESS
CITY TEL NO
/ • V ATE
LICENSE NO ❑COUNTY J
PERMIT FEES i
.U..'R TYPE OF FlX URR OR IT[M F[[ 0
WATER CLOSET(TOIL 0 Oto t 6D 0
BATH TUB ® 090 sro
SHOWER ® 0-00 VIP
LAVATORY (WASH BASIN) 0 oto
KITCHEN BINK 0 080 O
LAUNDRY TUBORTRAY 0 080 O
SLOP SINK 0 80
FLOORSINK @ D80
FLOOR DRAIN ! 080
DISHWASHER 0 080
DRINKING FOUNTAIN 0 080
URINAL 0 080
OASSYSTEM OUTLETS 0 100 CO
WATER HEATER 0 100 D
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER BLAS WORK
PERMIT $ 1 00 ROUGH PLUMBING
O OAS PIPING
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI GASVENT
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER HEATER 8
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
!!L HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST/A��/A�� 3''j/�$ �IN Yf
AND STATE OF CALIFORNIA R THAT I AN THE LEGAL OWN
ER OF THE ABOVE DE I RES NTIAL ROP__ UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE _ _
FINAL I j
76A88T DB8 IT /-,b 1453
ANGELES
TEM
CRTMEN OP L09 PUBLIC
9701 L CITY II 0508 PLV0508 PRRMIT
DG AMD SAT OF PUBLIC DEVEL 9701 LAS TURAS PL 0508 0510180003
BUILDING AHD 8A1bTY / LAID DeVBLOP!®T TRMPLR CITY G 91780
PHONE (696) 985-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 19368 LT FOR BL 3 9611 VAI, BY E
FEE DESCRIPTION QUANTITY DOM AMOUNT TH" G 91780
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GOLDEN NEST
5383-095-018 01 PERMIT ISSUANCE FEE 97 75 THOMAS PAGE 597 GRID Al LOCALITY TEMPLE CITY C
07 BATHTUBS/SSONRRB 9 00 FIE 33 40
TENANT 13 DISHWASHER(S) 1 00 FII 16 10 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
95 LAVATORIES/SINKS 1 00 PIX 16 30 10/18/05 JK 04/16/06
45 NATER CLOSET/URINAL 1 00 FII 16 90
OWNER TEL NO TOTAL FEES 108 75 Frrx���eeerrr... FINAL BY
LEE, NAI H (696) 375-6694- j�j � ✓ (/'
9811 VAL STREET /L s
TRKPLR CITY 91780 DES ION OF WORK
DES
ING FOR NBW BATEROOM
APPLICANT TRL NO
SAME AS OWNER -
SPECIAL CONDITIONS
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNRR -
LIC NO UNDER SLAB WORK
V
WATER BERPICE
ARCHITECT OR ENGINEER TEL NO PLASTIC Y/N WETAL Y/N
LAURIE FAIR BANKS AND TAI MA, 69699 (676) 998-9863- ROUGH PLUMBING
1613 CSELSE ED #906 LIC NO Iezj_
SAN MARINO, G 91109 NONE GAS PIPING
GAS VENT
HOT NATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY NATER SYSTEM
REPORT ID DPU63 ROUTE TO BS0506