HomeMy Public PortalAbout9738 WOOLLEY ST_Plumbing__ DEPARTMENT OF COUNTY ENGINEER P L U M B I N G 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS -77
I
FOR AP LICANT TO FILL IN LOCALITY
BUILDING ( CROSS ST.
NEAREST
ADDRESS I1 C��.,(i j
�J DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY �E/YJ/(7 L;(: �/f y l_H L ' `� � ��
NEAREST ,1-
CROSS ST. ��/-T �} CL-�E RECEIVED QY Ready for Inspection DAT ISS D
OWNER /P/3'0 C.N.L '44
MAIL / I�FTtfUS�RIAT'/
ADDRESS ��{0 f1�e A p/ !� I/L' , WASTE APPROVAL
CITY /_?CH A/A I.ALTEL.N0. D.0-4 /8,36 INSPECTION RECORD
PLUMBER
ADDRESS
CITY TEL NO.
❑STATE
LICENSE NO. ❑COUNTY J
PERMIT FEES z
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 0.80 $ O
/ D
BATH TUB @ 0.80 S/
f SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80 D
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOOR'SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL y @ 0.80
GAS SYSTEM...-Z...—OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLAB WORK
PERMIT $ I 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ T I5 APPLI- GAS VENT A
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER VF9
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED,
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- i
ER OF THE ABOVE D C I:,IESFIDTIALED PRrOPERTY. UTILITY CO.NOTIFIED .a r ; Fs�f
SIGNATURE FPERM ITTEE..._..L..� IL
. ..._. ._.....�..�_.... FINAL
i.�f i�•.TP�.\lii.!��
7"667 DBS 17 1/53
76A867-C E#81 7 10-67
APPLICATION FOR PLUMBING PERM T -
COUNTY OF LOS ANGELES
DEPARTNIEriT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING 3
JOHN A. LAMBIE, .COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEA ST.
NUMBER FIXTURE OR ITEM EACH FEE '
OWNER
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY TEL.NO.
LAVATORY 1.50 CONTRACTOR K ry4(,/m 5144
(...
SINK .1.50 S� ADDRESS (7(
DISHWASHER 1.50 CITY TEL.NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO.,,_9 CLASS
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. GROUP ZONE P ESSED BY
LAWN SPRINKLER SYSTEM 2.00Q f /?�/ G
_ O
WATER HEATER 1.50 INDUSTRIAL. O
WASTE APPROVAL
0
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD V
W
OUTLETS OVER .30 O_
5 PER SYSTEM y
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00l
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 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED '
LICENSED AS REQUIRE BY\-LOS. ANGELES COUNTYA 'STATE: OF
CALIFORNIA OR THAT 1 M THE 'EGAL OWNER C. D'INTEND TO .{�'�
RESIDE IN.THE ABOV.0 CRIBRESIDENTIAL.PROFINAL f1-"7� V G
r
SIGNATURE,
IGNATURE P RTr./ JACK R. ALLEN, SUPERVISI CHANICAL 'R.
OF PERMITTEE
PERMIT VALIDATION cx M.O. CASH
PLAN CHEZIDATION CK. M.O. CASH -. _
.6: 9 6 : �' DCf2 5 D j .� . 4..
' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9809140006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGA D: FEES PAID BUILDING NADDRESS:
ON FILE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801445
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BARELA/GOLDEN WEST
5383-017-014 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.35 /
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.35 ISSUED ON: PROCESSED BY: PLA BY: E IR S ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.35 09/14/98 UT /14/99
47 WATER HEATER(S) 1.00 WTH 16.35
OWNER: TEL. NO: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 FINAL DATE INAL BY CODE:
TSE'PO CHOI (626) 233-6626- TOTAL FEES 109.50 `
9738 WOOLLEY ST
TEMP 917801445 15ESCRIPTtfON OF WOR
PLUMBING FOR FULL BATHROOM AND OCATE WATER HEATER
APPLICANT: TEL. 0:
SAME AS OWNER -
SPECIAL CONDITIONS:
ANGELES CO
CONTRACTOR: TEL. NO: ���J vn�/�.� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO � UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR E G R: TE 0:
- ROUGH LUMBING
LIC. N0: I '1�I�i' 1
GAS PIPING
L C T\ Oo GAS OT VE ER R
P U-08)) NT
UMBING FIXTURES
ki"li LAWN SPRINKLERS
GAS TEST
UTILIlY COMPANY NOTIFIED
CW
Service Thi
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508