HomeMy Public PortalAbout4923 WILLMONTE AVE_Plumbing__ 76AS67A ICF. 8178)-11/76
' APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT R I FILL IN(PRINT OR TYPE) BUILDADDRING
ESS 492 3 Willmonte (2u-A— ,
FIXTURE OR ITEM ® FEE
WATER CLOSET LOCALITY Temple City
BATH TUB NEAREST
CROSS ST.
SHOWER OWNER Steven A. Maier
LAVATORY MAIL
ADDRESS 4923 Willmonte
SINK CITY Temple City TEL.NO. 579-7947
DISHWASHER CONTRACTOR Bryant Heat & Air Cond Inc
CLOTHES WASHER ADDRESS 1350 E. Las Tunas Drive
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY San Gabriel TEL.NO. 286-1141
STATE LIC.
WATER HEATER LICENSE NO. 221751 CLASS C 2 0
1 GAS SYSTEM OUTLETS3 00 DISTRICT NO. GROUP ZONE ROC ED BY
OUTLETS OVER 6
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD w ,
pe
!4A
$A
Plan check fee
PLUMBING PERMIT ISSUING FEE$ 4 50
TOTAL FEE 7150
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES _,,•J
REQUIRED BY LOS GE ANS COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE 1'" �'- -
LEGAL OWNER OF.AN IN END TO RESIDE IN THE ABOVE CRIBED RESIDENTIAL GAS TEST. / �d t y ,� d,-•.� -
PROPERTY. UTILITY UTILITY CO.NOTIFIED
SIGNATURE -�
OFPERMITT FINAL
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATI CK. M.O. CASH
�. o oti;:ov �4 705 O a=
es
DEPARTMENT OF COUNTY ENGINEER PLUMBING— 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS a CELE$ r (�
"T BUILDING G( / 2 3 , 1 // ,-
WILLIAM J. FOX. COUNTY ENGINEER ADDRESS ! �_ - !!//((�jy7 d,A �.i•9I Z!
FOR APPLICANT TO_FILL IN LOCALITY
BUILDING .y -g �� NEAREST /
ADDRESS �� .,L_.7 I� L.F�,'ry ' ,r 4,' CROSS ST. )�C✓ �L ti'`'`` !,
DISTRICT NO. GROUP TYONE PERMIT N0.
LOCALITY
NEAREST �/ �•+J
CROSS ST..�-_ :" %�C-�-=%_/ �s���R_+ _s 1.� �`.y af'l RECEIVED BY Ready for Inspection DATE ISSUED
OWNER ���� (/�'✓Z� j°`�.�
INDUSTRIAL
MAIL
ADDRESS WASTE APPROVAL
CITY TEL.NO. INSPECTION RECORD
PLUMBER /Y�a1i.71�� i1 %l ov
ADDRESS,;„-? ,f�!/_7 �I �-, �F_
e
CITY d'7 TEL.NO..e,—.i 76e93f.1 r
❑STATE �`-
LICENSE NO. RIAOUNTV
PERMIT FEES
Z
NUMBER TYPE OF FIXTURE OR ITEM FEE
5
WATER CLOSET(TOILET) @ 0.80 5 r / ,.y
BATH TUB @ 0.80 ,j' 7 1VQ v0^e-017 M6t,+ ./'wn/`+ .—*'-A
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80 �2
KITCHEN SINK @ 0.80
® LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
4 URINAL @ 0.80
p GAS SYSTEM.... ....OUTLETS @ 1.00 /;;oll
WATER HEATER @ I.00 / fr-o
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK \ff/1
PERMIT ; 1 00 ROUGH PLUMBING ) /fr Q-4,; r• f
GAS PIPING
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI. GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE NOT WATER NEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES I " 1„
AND%OR LICENEREBY ED CERTIFY S REQUIRED AM
YPLLOS EANGEL S RLY REGISTERED
GAS TEST 1"yD AY,
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN. v
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE S s '�7 i° `�9� ° i 7,A of
OF PERMITTEE... _ "`: _ F, •� �� ��_ i ` se+
FINAL
7GA667 DBS 17 1/63
COUNTY OF LOS•ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1203050002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
[LEGAL ID: I FEES PAID BUILDING ADDRESS:
I I
[TR: 9848 LT: 5 UN: .003 [ 4923 WILLMONTE AV [
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804045 [
[ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LOWER AZUSA
18589-023-025 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, C
I 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 [ [
[TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 60.20 03/05/12 SR
[OWNER: TEL. NO: IFI DATE FINAL Y: CODE:
IABEYTA, KRISTOPHER R (626) 203-2523- [
14923 WILLMONTE AV [ [ v y
[TEMP 917804045 [ IDINCOPTION OF WORK [
I I ��ESREPLACEMENT AND NEW FIXTURES AND NEW LAVATORIE WITH
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(APPLICANT: TEL. NO: I [
SAME AS OWNER - I I
[ [ [SPECIAL CONDITIONS: [
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[ IREPORT ID: DPR263 ROUTE TO: BS0508 [ [ [ [
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