HomeMy Public PortalAbout5026 DALEVIEW AVE_Plumbing__ D.H.S.17 25M SETH v-LY APPLICATION FOR PERMIT
OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WM. J. FOX, CRIER ENGINEER
NATURE OF INSTALLATION DISTRICT NO. Geo P /o E IF,
PERMIT
Off.
r
FIXTURES _I COMPLETE ( '/�•�� F/ jIn6 �/ ,
MEBCELOLOAN EOUB SEPTIC TANK 'RECEIVED BY ECTDATEISSUED
� FIRST INSPECTION / _ p_APPLICANT FILL IN HEAVILY OUTLINEDD PORTION ONNLY !/ADDRESS V 1 A,
XZ_ LOCALITY" CNEAREST . -/ .TEL.NO. CROSS ST. Y. EXPIRES '-�"� mNAME OF SEPTIC TANK, OR CESSPOOL 2 MAIL //�¢¢��/���ADDRESd%ONORTH OnnCCITY p V /. .NO.1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES'COUNTY CERTIFICATE O• q ALIFICATION.
LUMS1 AM THE LEGAL OWNER OF.THE ROPER DESCR[ED
ABOVE.
y OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK _Z
BATH TUB FURNACE
14-FLOOR
BHOWER O18HWA8HERLAVATORY REFRIGERATORKITCHEN BINK WATER SOFTENER BINK _ SANDTRAP
GLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS ,
WATER CLOSET DRINKING FOUNTAIN DATE V 1x8PeC.W R'9 MnM¢
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING KiI
METER ,�GAB SODA FOUNTAIN qA(1 PIPING
// Y
OUTIL
GAB VENT /r
CESSPOOL
TOTAL NUMBER OF FIXTURES - SEPTIC TANK
CEB6P001 SEPTIC TANK / � n SEWER
H
TOTAL FEE /1 UTILITY CO.NOTIFIED 411j�
76AG67 17 25M SETS 7.40 APPLICATION FOR PERMIT.
DEPARTMENT OF BUILDING AND SAFETY ��� �� � 4�
COUNTY OF LOS ANGELES H
Wm. J. FOX.CHIEF ENGINEER,
NATURE OF INSTALLATI DISTRICT NO. G OUPi O E PERMIT O.
�J rA�S
FIXTURES COMPLETE �+�0
ON
I� M®CBE�ANE IUg SEPTIC TANK RE`.7� _CE�VEG B FIRST INSPECTION DY FOR DATE 18gU ED r
I O / y
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY ry 7
JOB
ADDRESS (/S LOCALITY NEARESTELNoCROBB BT.NO. E%PIRES NAME W /OF SEPTIC TANK, OR CESSPOOL z MAIL I- P
NORTH O ADDRESS
CITY TEL.No. a
I AM THE LEGAL IP068ESBOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
A
s
?, y OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK i
BATH TUB FURNACE E3
Q
KNOWER DISHWASHER. D
r LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR SINK •SANDTRAP
GLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
WATER HEATER DENTALLAVATORY ROUGH PLUMBING I I
METER GAB RODA,FOUNTAIN GAB PIPING I I
OUTL I I I /
OAS VENT
CESSPOOL I Z
TOTAL NUMBE:LU
RES SEPTIC TANK I I
POOL TICTANK SEWER�EIESEEIES I I ,/rJ
S I UTILITY CO.NOTIFIED I / I' �I'
TOTAL FEE /
s FINAL
7SA667A.
CE 817[REV.6/78I R6�P�p ADY FOR ��"aia*4 11
C73 _ I .. LLL333
APPLICATION FOR PLUMBING PERMIT •
COUNTY OF LOS ANGELES I BUILDING AND SAFETY J
07498
FOR APPLICANT TO FILL IN(PRINT OR TYPE( ADDLD IRESNO
S 5026 Dalevleca
NUMBER, FIXTURE OR ITEM ® FEE LOCALITY Temple City
WATERCLOSET' P Y
NEAREST - - -•- '
BATHTUBI CROSS ST. a
SHOWER OWNER 'R SSB StET -
-MAILv
LAVATORY ADDRE1.% same as .above
SINK / CITY Qa1ne TET."Na 579-0666
DISHWASHER CONTRACTOR,general installation Co.
CLOTHES WASHER ADDRESS 653•8 17est. -81iid. -
SWIMMINGPOOLRECEPTOR CITY L. :-�':' ' iEL,NO.753=2541 _
LAWN SPRINKLER SYSTEM
} WATER HEATER 3 .00 CENSENo. C36-15'.1339 cusA
GAS SYSTEM - OUTT'TS APPROVALS oArE INSPECTOR'S` -TORE
•
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH,PLUMBING }
6
GAS PIPING O
- GAS VENT V
HOT WATER HEATER - O
1�
PLUMBING FIXTURES i W
GAS TEST �•'�s� ( d
N
Plan check fee unuivco.NorIF1ED Z
PLUMBING PERMIT ISSUING FEE$ 7 .00 FINAL �j .Qn����L L.
TOTAL FEE 10.00 -
Plan check applicant - PLAN•CHECK VALID TION
� ;56962A
Nome c�-8' •° e e e e 55
Address
2 - 1-E100
City - Tel.No. S
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE e e e LAO 0 O
THATTHE ABOVE 15 COflflECT ANDAGREE TO COMPLYWITH ALL COUNTY ORDINANCES .
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION. ' O ()'l -'79
I HEREBY CERTIFY THAT I AM'PROPERLY REGISTERED ANO/OR LICENSED AS a
REQUIRED BY LOS ANGELES COUNTY•AND STATE OF CALIFORNIA OR THAT I AM THE,
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED flESIDENTIAL
PROPERTY. 1
SIGNATURE ��
OFPERMITTNrrEE t
DISTRICTNO, PROCESSED BY -
INDUSTRIAL
WASTE AT
7SA667 DRS„ 11-50 APPLICATION FOR PERMIT
DEISARTT OF BUILDING AND SAFETY
COU B n n
COUNTY F LOS ANGELES,,- �f ^
WILLIAM J. FOX. CHIEF EN OINEE
FOR APPLICANT LL N DISTR p II. GRD ZO Ryt. , (�q�
PLUMBER / R IVE�.� FIRSTAINSPFOR
EfCCTIOO NN ATEISSUED
ADDRESS / 317/
CITY / BUILDING 110 r'
TEL NO. AD DRESfi - V�' 'J�
COUNTY LOCALITY �J�,/fiJ/�/ /`�
LICENSE NO. EXPIRES NEARE6T
PERMIT FEES CRO55 6T. r P Y /]
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER I / ,Tw� ��
MAIL
WATER CLOSET(TOILET) @ 0.50 S
ADDRESS ��4:2 ��V /
BATH TUB (0-0.5 D CITU / _ `T ND. O
SHOWER. @ 0.50 I HEREBY ACKNOWLEDGE NAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWB REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, M THEiLEGAL OWNER.41
OF THE RESIDENTIA PR P T D CRIB D ABOVE.
GAS SYSTEM OUTLETS @ 0.50 SIGNATURE O
WATER HEATER @ 0.50 PERMI.
SLOP SINK @ O.So INSPECTION RECORD
FLOOR SINK @ 0.50
I FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50 .
1 URINAL @ 0.50 -1
Q
HOUSE SEWER @ 0.50 _Z
MISCELLANEOUS
Q'
O
I
I
APPROVAL$
DATE INSPECTOR'S NAME
ROUGH PLUMBING
. GAS PIPING '
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.001 SEWER
PERMIT • 7.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE 5
FINAL j,.
76AB67 -GE#817 12-54 09635 CITY OF TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS 5026 Deleviem ve
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF RUILDINc', LOCALITY
Tole City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Jen Ven Der Kiede
WATER CLOSET $1.25 MAIL
BATH TUB 1,25 ADDRESS .Same
SHOWER 125 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR General Installation rn-
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY Los Angeles TEL. NO. PL 3-2541
CONTRACTOR'S STATE Fl-
LAUNDRY TUB 1.25 REGISTRATION NO. C-36 151839 78?COUNTY
CLOTHES WASHER 1.25 DISTRICTNO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL a
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD 0
w
Ready for Inspection Now w
0
r
w
W
o.
N
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 3 50 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE.TXAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
gES1OE IN,THE ABOVE DESCRIBED RESIDE qL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL V
DATION - ROBERT A. D
ME
" cK. M.O. CASH SUPERVISING MECHANICAL G'R
is u2 88 4W JA 18 5 D 3.50-
2
COUNTY OF LOS ANGELES TEMPLE CITY k 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS PL 0508 0509190021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 14020 IT: 16 5026 DALEVIEW AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803519
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8574-007-016 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
09/19/05 JK 03/18/06
i
OWNER: TEL. NO: .. FT D�1' �. PZNAli BY/ CODE:
GARRISON (626) 827-9810-
5026 DALEVIEW AV 5
TEMP 917803519 D RIP ON OF WORK
GAS LIMA FOR FURNANCE AND A/C
APPLICANT: TEL. NO:
R D SMITH HEATING AND AIR (626) 334-7847- -
850 W. FOOTHILL BE SPECIAL CONDITIONS:
AZUSA, CA 91702
CONTRACTOR: _ TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
R D SMITH HEATING AND A, C (626) 334-7847-
850 W. FOOTHILL BLVD. LIC. NO UNDER SLAB WORK
AZUSA, CA 91702 635348/C20
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
- ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST -
UTILITY COMPANY NOTIFIE
CWV
- GRAY WATER SYSTEM -
1
• REPORT ID: DPR263 ROUTE TO: BS0508