HomeMy Public PortalAbout9111 WOOLLEY ST_Plumbing__ o.e.e.-,9 a5M 6ET8 11"`6 . APPLICATION FOB PERMIT
bWA►kTMFNT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBINGWM.J.FOX.CH1EF ENGINEER
NATURE OF INSTALLATION -DISTRICT NO. G ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE
R VBD'BY READY FOR DATB ISSUED
HEATER CE88POOL H SEPTIC TANK FIRST INSPECTION _
GAS- HOUSSEES 1'7
APP CANT LL IN HEA LY OUTLINED PORTION ONLY
JOB
E NAME =y ADORE" / J1 _ 4
S ADDRESS/� . .A. LOCALITY L y3 C -
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CITY �' .. . _ TEL.N �V CR088T. ./J�� '
COUNTY `
CERT.-No. 4- ,�*I, xxP,Rmw6-3d4lm NAME t
LOCATION OF SEPTIC TANH, OR CusAP60i MAIL
3 ADDRESS
NORTH O
CITY w
1 AM THE LEGAL POB , OF THE 8
- ANGELES COUNTY GERTIR A F®Q ALIFICAT N.
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PI.uM®Es
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
.a OWNER
CORRECTIONS.
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SOUTH i .J
DESCRIPTION OF WORK z
AT TUB FURNACE..
.9-H,OWER DISHWASHER O
07® LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR SINK SAND TRAP.
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN .D/ATE INSP. R'9 NAME
WATER H TER DENTAL LAVATORY ROUGH'PLUMBING / y I �J
METE:EAS ------ --SODA FOUNTAIN' GAS PIPING I-J" Y I 'tet
:E AS ,
GAS_VENT.
CESSPOOL I
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL SEPTIC TANK gEWER I I\
S 6 UTILITY CO.NOTIFIED
TOTAL FEE FINAL I U0-9{11
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D.B.B.17 25M SETS 2-47 1 APPLICATION
PP3 IC A ASTON F.OR PERHM
DEPARTMENT OF BUILDING AND SAFETY ,
iIAVC1Ai lV !i Y/
COUNTY OF LOS ANGELESPLUMBING.
SWM.J.FOX.CHIEF ENGINEER
NATURE OF INSTAMATION DRUM NO. GROUP ZO E P R T NO.
ROUGH FIXTURES COMPLETE �— ������
HEATER CESSPOOL I—I SEPTIC TANK R IVED BY READY FOR DATE ISSUED
FIRST INSPECTION _
GAS- MISCELLA EOU zmimazziiiamm
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
E NAME'/ ADDRESS
ADDRESS y. .B !� _ _ � a LOCALITY
l T' NEAREST
d CITY o TEL.No.. CROSS ST.
COUNTY
CERT..No. EXPIRES NAME
LOCATION OF SEPTIC TANH, OR CESSPOOL z MAIL
3 ADDRESS
NORTH O
r•
CITY TEL.No.
I AM THE LEGAL. POSSESSOR OF THE ABOVE: LOS
RT
ANGELES COU{ITY CEICATE OF QUALIFICATION.
'P . . Sin
PLUMmirk
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORE- z
ATH TUB - FURNACE L7
ROWER DISHWASHER O
AVATORY -OEFRIGERATOR
KITCHEN SINK ..: WATER SOFTENER
-FLOOR SINK SAND TRAP
LOP SINK ' ,r»^OR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INerEetoa•6 NAws
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
METER ^AS aODA FOUNTAIN GAS PIPING I
OUTL
GAS VENT
CESSPOOL I
TOTAL NUMBER OF FIXTURES SEPTIC TANK
_ -CESBPOOL_____SEPTIC TANK SEWER I 1
UTILITY CO..NOTIFIED I
TOTAL FEE
7GA557 089:7 ;-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUmmmBin
FOR APPLICANT TO FILL IN DISTRICT rs R PERMIT
, /y
LAP,
UMBER V READY FOR
�- T RFEC�IVED BY FIRST INSPECTION DATE ISSUED
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CITY 11 EL.NO. ADDRESS o A
COUNTY - LOCALITY
SE NO. EXPIRES _
NEAREST
PERMIT FEES DROSS BT.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Zj VA._
howl
MAIL
WATER CLOSET(TOILET) a 0.50 111 ADDRESS
BATH TUB. 0 0:50 �. OITY ®• TEL Na.
SHOWER O.SO I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS
LAVATORY (WASH BASIN) 0:50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY O.BO ANGELES COUNTY LICENSEr OR 1 AM THE LEGAL OWNER
GAS SYSTEM ^UTLETS 13.30OF THE RESIDENTIAL.PROPERTY DESCRIBED AB VE.
WATER HEATER Q 0.50 SIGNATURE0.50
f
or
SLOP SINK 0.50 SPECTION RECORD
FLOOR BINK 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.$0
DRINKING FOUNTAIN 0.50
URINAL 0.50 J
Q
HOUSE BEWER 0.50 Z
MISCELLANEOUS '
19
' tY
O
APPROVALS
DATE. INEPEOTORP® NAME
ROUGH PLUMBING
BAB PIPING
GAB VENT.
CESSPOOL 1.00 J OO CESSPOOL Cl' _(D /[`�i\ IM
SEPTIC TANK: SEPTIC TANK r
DRAIN( ) PIT ( ) (S 7.00 SEWER
PERMIT UOO OA» TEST
-Tip
TOTAL FEE
UTILITY CO.NOTIFIED
' Q FINAL �-3 4 if
• • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1110200033
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FfiSS PAID I BUILDING ADDRESS: I
ITR: 12504 LT: 23 I 1 9111 WOOLLEY ST I
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( TEMP CA 917801350 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ROSEMEAD
15382-018-010 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 5.00 FIX 81.30 I 1
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY:
13 DISHWASHER(S) 1.00 FIX 16.30 110/20/11 SR
121 HOSE BIBB(S) 3.00 FIX 48.80 1 1
(OWNER: TEL. NO: 125 LAVATORIES/SINKS 6.00 FIX 97.60 1F AL S FI BY: CODE: I
IWANG, JIMMY/NASIM - 145 WATER CLOSET/URINAL 4.00 FIX 65.10 I
19111 WOOLLEY ST 147 WATER HEATER(S) 1.00 WTH 16.30 I
ITEMP 917801350 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 1D CRIP ION OF WORK mI
TOTAL FEES 385.80 IPLUMBING FOR KITCHEN, BATHROOMS, LAUNDRY ROOM, GAS LINE I
(AND WATER HEATER
(APPLICANT: TEL. NO: I I 1
[KENDALL, SCOTT (818) 314-9926- I I 1
16221 E. MONTEREY RD. I ISPECIAL CONDITIONS: I
(IAS ANGELES CA
I 1
'CONTRACTOR: TEL. N0: I IAPPROVAL3 DATE INSPECTOR SIGNATURB
1RUSSELL CONSTRUCTION (818) 720-5163- 1 1
11541 FAIRVIEW ST LIC. NO I 1UNDER SLAB WORK I 1 1
IBURBANK, CA 91505 885310 I 1
I 1 1wATER ICS
IPLAST Y N METAL Y/N �
(ARCHITECT OR ENGINEER: TEL. NO: I I '_ � I
IARKTECH ENG AND MANAGEMENT INC. (626) 275-4368- I IROUGH PLUMBING 1 I 1
LIC. NO: I I I
NONE 1 IGAS PIPING
I [GAS VENT 1 1
I I I I I I
IHOT WATER HEATER
I I I
IPLUMBING FIXTURES I 1 I
I I I
1 I ILAWN SPRINKLERS I 1 1
I I I
1 I IGAS TEST I 1 1
I I I I [ I
1 I (UTILITY COMPANY NOTIFIEDI I I
[ 1 I I I I
I I IGRAY WATER SYSTEM I I I
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I IREPORT ID: DPR263 ROUTE TO: BS0508 I 1 1
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