HomeMy Public PortalAbout9520 WORKMAN AVE_Plumbing__ 78AG67-CE#617 12-64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS,SUPIT OF BUILDING, LOCALITY
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM EACH EES CROSS ST.
'OWNER
WATER CLOSET $1.25 5o MAIL
BATH TOB 1.25 ' ADDRESS
SHOWER 1.25 .i.r CITY TEL. NO.
3 LAVATORY 1.25 wis CONTRACTOR
SINS 1.25 " ADDRESS6
I DISHWASHER 1.25 ow CITYTEL. NO. 3-Q011?
REGISTRATION NO. d. 7 r STATE
LAUNDRY TUB 1.25 .� �+ C STATE ❑
CLOTHES WASHER 1.25 pC,7 DISTRICT NOj GROUP ZONE P=CES
WATER HEATER 1.50 .1 sonQ 25
GAS SYSTEM OUTLETS 1.50 (� INDUSTRIAL �
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD O
C3
W
IL
co
Z
4. APPROVALS IjATEj INSPECTO 'S SIGNS' Fsjj
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE f �� GAS PIPING
1 HEREBY ACKNOWLEDGE THAT t HAVE READ THIS APPLICATION GAS VENT
AND STATE,THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF• GAS TEST i
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THEA �DESD RESIDrAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE li,
FINAL Ff
K.,�ALIDATIONM.0. ROBERT A.WOOD
M.o. cases SUPERVISING MECHANICAL ENG'R
L, x 7 6 4 s!-No' NOV 3 0 5 D 17.50-, 9
76A867A �•lFj� i�6�k FJ� �1 R. ROOM
CE 817(REV.6/78) L I
®: APPLMATIO. F�R G RM IT fffiii
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
,ADDRESS
NUMBER. FIXTURE OR ITEM_ ® FEE
LOCALITY
WATERCLOSET
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY TEL.NO 1
DISHWASHER CONTRARACIFIC INSIALLtMi
q p' AVE.CLOTHES WASHER ADDRESS 1®92® E. GRAN® E,
SWIMMING POOL RECEPTOR
CITY CAU• AU TEMPLE CITY, C -127
LAWN SPRINKLER SYSTEM
STATE / LIC.
WATER HEATER ,90 LICENSE NO. {J CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER -UNDER.SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING 0
GAS VENT
HOT WATER HEATER p®
PLUMBING FIXTURES
GAS TEST f
uu�
Plan check fee UTILITY CO.NOTIFIED /
PLUMBING PERMIT ISSUING FEE$ Q49
TOTAL FEEFINAL.
lop
Plan check applicant PLAN CHECK VALIDATION
Name
Address
City Tel,No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE tt Z '] 4 fl
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES d J 6 . A
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION '
O O o O'O v
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSE AS
REQUIRED BY LOS LEGAL OWNER OF.ANDLES NT COU0_RESIDE I ATE OF CALIFORNIA OR E ABOVE DESCR BEDHAT I ESI A THE N IAL Z O O 1'0,00
PROPERT �/
SI ATURE O o O 1 u O O V
OFP
. 0419-79
fiTRf ESSED BY
O [JJ 1f ,
INDUSTRIAL
WASTE APPROVAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1206210030
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID I BUILDING ADDRESS:
TR: 6561 LT: 662 I 1 9520 WORKMAN AV 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802114
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18587-011-02801 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
I 107 BATHTUBS/SHOWERS 2.00 FIX 32.40 I I
TENANT: 125 LAVATORIES/SINKS 3.00 FIX 48.60 (ISSUED ON: PROCESSED BY: PLAN BY:
I 145 WATER CLOSET/URINAL 2.00 FIX 32.40 106/21/12 SR
47 WATER HEATER(S) 1.00 WTH 16.20 1
OWNER: TEL. NO: I TOTAL FEES 157.40 1FI PATE FINAL BY: CODE: I
CAU, RUJUM (626) 673-3105- 1 1
( � � I
9520 WORKMAN AV
ITEMP 917802114 1 IDESCRI TION OF WORK
I I IPLUMBING FOR KITCHEN, TWO BATHROOM REMODEL AND REPLACE
IWATER HEATER I
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER
I I (SPECIAL CONDITIONS:
I I
ICONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I [
1 LIC. NO 1 JUNDER SLAB WORK I I I
[ WATER SERVICE
I 11PLASTIC Y/N METAL Y/N I I I
ARCHITECT OR ENGINEER: TEL. NO:
LIC NO. 1 1RODGH PLUMBING [ I I
I GAS PIPING
I 1GAS VENT I I I
I 1HOT WATER HEATER I I I
I I [PLUMBING FIXTURES I I I
I [ 1LAW SPRINKLERS 1 1 1
I I 1GAS TEST
I 1UTILITY COMPANY NOTIFIEDI I 1
ICWV I I I
I 1GRAY WATER SYSTEM I I
I
I I I I I I
I I I I I I
I I I I I I
IMPORT ID: DPR263 ROUTE TO: BS0508 I [ I