HomeMy Public PortalAbout9659 WOOLLEY ST_Plumbing__ 76 A 6-67—CE 817 8/68 e
APPLICATION FOR PLUM ING PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER RVILDINc
BUILDING AND SAFETY DIVISION xDOREss 6 WoolleySt
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BuILDINO' LOCALITY City,
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM: EACH FEE CROSS ST.
OWNER O O
WATER CLOSET 1.50
hn
IL
BATH TUB 1.50 ADDRESS 'gas above
SHOWER 1.50 cITY Temple City TEL. No- —3 56 4
LAVATORY 1.50 CONTRACTOR r�W.Las
Graham
SINK 1.50 ADDRESS 12 La.,s Tunas Drive
DISHWASHER 1.50 CITY Temple City TEL.Not 9293
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. 104466 CLASS C-36
SWIMI1fING POOL RECEPTOR 1.50 DISTRI5 N GR IVP ZONE P D B
LAWN SPRINKLER SYSTEM 2.00 v
WATER HEATEweplaCe 1.50 1 INDUSTRIAL Z
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER 30 ti
5 PER SYSTEM Cn
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AMC STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY 'THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO 1 17Y
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE .TACK R. ALLEN, SUPERVI IN CHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATIO CK.. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
[ prr 4 .1 4 3E2 WLR 18 5 D 3.5 0
DBS-17 12.54 APPLICATION FOR PLUMBING PERMIT
B5.17
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County Of LOB Angeles BUILDING
WM.J. FOX. COUNTY ENGINEER ADDRESS 9659 T801e7 S'E i
CASSATT D.GRIFFIN.SUPT OF BUILDING d
LOCALITY TA14 IS City
FOR APPLICANT TO FILL IN NEAREST
7 A L CROSS ST.
OWNER Earl T19 C1ar$ DISTRICT NO. GROUP /ZONE READY FOR INSPECTION
MAIL ADDRESS 8381 Clarence S I I !�
INDUSTRIAL
CITY H&B Gabriel TEL. NO. AT* 6-r 681 WASTE APPROVAL
PLUMBER T J HOMDAY INSPECTION RECORD
ADDRESS 5003 No Cmellia AVeo
CITY T61918
..,,iC1ftf TEL. NO. AT* 6e*1754
LICENSE NO. Sytate GSS36 92754
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) S1j 60
1 BATHTUB 80
SHOWER 80 ~ -
LAVATORY (WASH BASIN)
' Al"- f /'��- ?/2F ��// F
KITCHEN SINK 80
DISHWASHER
1 LAUNDRY TUB OR TRAY (,i
CLOTHES WASHER
TOTAL NO. @ o.so 6 40 APPROVALS
GAS SYSTEM.3w, _OUTLETS @ 1.00 '1 00 teL DATE INSPECTOR'S SIGNATURE
1 WATER HEATER @ 1.00 OO UNDER AB WORK �G6$11*.•/ 17
ROUGH PLUMBING
PERMIT S I 1 00 GAS PIPING
TOTAL FEE 9 40 GAS VENT
I HEREBT
Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -HOT WATER HEAER 'a
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GASTESTI�fRI�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED ( fr•
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PRO RTY.
v
SIGNATURE
OF PERMITTEE n FINAL � U0
WILLIAM J.FOX.Count ENGINEER IDATION
, 1029 ® 4n At21 3 9.40
BY
PUTY
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0002150003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 9659 WOOLLEY ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801444
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: VAL
5383-013-024 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 -ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
02/15/00 UT 08/13/00
OWNER: TEL. N0: FINAL DATE CODE:
MORRIS JOHN;HELEN TRS (626) 446-3564-
9659 WOOLLEY ST
TEMP 917801444 DESCRIPTION OF WORK
CHANGE OUT OF WATER HEATER
P ICANT: TEL. NO:
LAP ASSOCIATES (818) 407-1247-
229 VARNA ST. _ SPECIAL CONDITIONS:
. HOLLYWOOD, CA
P�.GE:LE,Q
IALAPCONTRACTOCIATES EL. N407-1247- �n�A APPROVALS DATE INSPECTOR SIGNATURE
7229 VARNA ST LIC. NO / ,�%� UNDER SLAB WORK
NORTH HOLLYWOOD CA 771905 C36 '
WATER SERVICE
OENGINEER:
PLAiTIC Y/N M
ETAL Y/N
ARCHITECT -Nr / ROUGH PLUMBING
LIC.
I ' i GAS PIPING
I.-- --- -- -- — --- — GAS VENT
OT WATER ER
------ -- - — --- -- ------- PLUTABING FIXTURES
/7 Q , �',, � q� LAWN SPRINKLERS
/ GAS TEST
UTILITY COMPANY-NOTIFIED
,ta V
4 I \ ¢
rvLl� � v�a cwv
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508