HomeMy Public PortalAbout9653 WOOLLEY ST_Plumbing__ 'BASE'
DBS-17 12.34 APPLICATION FOR PLUMBING ' PERMIT
DMSION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
WM.J. FOX, COUNTY ENGINEER ADDRESS 9653 W06167 St.,
CASSATT D.GRIFFIN,SUPT OF BUILDING
LOCALITY Temple City
FOR APPLICANT TO FALL IN NEAR
CROSTES a2zeia e
MAILOWNER Earl M. Clark DISTRICT NO. I GROUP I ONE READY FOR INSPECTION
ADDRESS 8381 Clarence r
INDURIAL
CITY San Gabriel TEL. NO.AT 6-7681 WA TE APPROVAL
PLUMBER Z, .1, HQUIDAT WSPECTION RECORD
ADDRESS 5003 N Camellia Ave
CITY TM3A City TEL. NO.AT 6.1754
LICENSE NO. State C-36 92754
NUMBER TYPE OF FIXTURE OR ITEM FEE ,
2 WATER CLOSET (TOILET) $ 1 60
BATH TUB 8Q
IL SHOWER 80
LAVATORY (WASH BASIN) 1 60 _ ff // �
KITCHEN SINK 80 �3 5 s %i1-11-1 G,^i '
DISHWASHER
LAUNDRY TUB OR TRAY 8 0
CLOTHES WASHER
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-/x S S rJ- -rte r Aq r r ; A
O fes'
_ /NfiIL CPS - (r
8 TOTAL NO. @ 0.80 6 40 APPROVALS bFFECgf c--Q p U
1 GAS SYSTEM-AL-oUTLETS @ 1.00 1 QQ � DATE Iq '
-_ TOR'S SIGNATURE
v WORK / I !�Y{
WATER HEATER @ 1.00 1 OO UNDER SZ -• �`�
ROUGH PLUMBING . /A
PERMIT S I 1 00 GAS PIPING
TOTAL FEE 9 GAS VENT /
LDESCRIBED
BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER -�
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
L COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
G. GAS TEST //lTL - Jr
BY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED
IA OR THAT I AN THE LEGAL OWNER OF THE ABOVE
D RESIDENTIAL PROPERTY.
TU
MITTEE ' FINAL -ZO'
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WILLIAM J.FOX,Cou Y ENGINEER VALIDATION
,.:ri 2 9 ® 51S APR 21 3 9.4 0
BY
'� !q� DEPUTY
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0810280001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ON FILE [ 9653 WOOLLEY ST [
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801444
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: VAL
15383-013-021 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 2.00 FIX 32.40 1 1
TENANT: 111 CLOTHESWASHER(S) 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
113 DISHWASHER(S) 1.00 FIX 16.20 10/28/08 SR 04/26/09
125 LAVATORIES/SINKS 3.00 FIX 48.60 I
(OWNER: TEL. NO: 145 WATER CLOSET/URINAL 2.00 FIX 32.40 FINAL DATE FINA BY: CODE: [
ISMITH CHARLENE J (626) 446-4187- 147 WATER HEATER(S) 1.00 WTH 16.20 1
19653 WOOLLEY ST I TOTAL FEES 189.75 1
ITEMP 917801444 I IDESCRIPTION OF WORK II
I I 1PLUMBING FOR KITCHEN, BATHROOMS AND LAUNDRY REMODEL
I I I I
(APPLICANT: TEL. NO: I I I
IL & W KITCHENS & BATHS (626) 287-1131- I I 1
18812 LAS TUNAS DR. I ISPECIAL CONDITIONS:
ISAN GABRIEL CA 91775 I I
� I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IL AND W KITCHENS AND BATHS (626) 287-1131- I 1 I
18812 LAS TUNAS DRIVE LIC. NO I (UNDER SLAB WORK
SAN GABRIEL CA 91776 205344 B
I
I (WATER SERVICE I 1
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
1 - I IROIIGH PLUMBING I
I LIC. NO: � I�
I 1 IGAS PIPING I
I 1 (GAS VENT [ I 1
IHOTWATERHEATER
HOT WATER
1 I IPLUMBING FIXTURES 1 1 1
1 1 ILAWN SPRINKLERS I I 1
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I I IGAS TEST I I 1
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1 I (UTILITY COMPANY NOTIFIED( 1 I
I I 1CWV I I
I I IGRAY WATER SYSTEM
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[REPORT ID: DPR263 ROUTE TO: BS0508 I I I 1
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