HomeMy Public PortalAbout5230 DEGAS AVE_Plumbing__ 70A667C ICE-617BI 9/75 �
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APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDINGNUMBER FIXTURE OR ITEM @ FEE ADDRESS 5230 EGAS AVE .VE
WATER CLOSET LOCALITY TE LE CITY
BATH TUB NEAREST
CROSS ST.
SHOWER OWNER WELLOCK, THOMAS
LAVATORY MAIL
ADDRESS SAME
SINK CITY TEMPLECITY TEL. NO 448-4245
DISHWASHER CONTRACTOR TRANE HCC nnnn
CLOTHES WASHER ADDRESS 2034 N. PECK RD.
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY S . EL MONTE TEL. N 0.579-7982
STATE LIC
WATER HEATER LICENSE NO. 265094 'CLASS C-20 a
O
DISTRICT NO. GROUP IyZ^o NE gF�OCESSED BY
U
1 GAS SYSTEM 1 OUTLETS 3 00 I R I / . ) m
OUTLETS OVER .5 U IV/fl/� (\lY
5 PER SYSTEM INDUSTRIAL w
WASTE APPROVAL
INSPECTION RECORD z
Plan check fee
PLUMBING PERMIT ISSUING FEE $ 4 50
TOTAL FEE Bin
Plan check applicant
Name APPROVALS DATE INSPECTOR'S sIGNATURF
UNDER SLAB WORK
Address
ROUGH PLUMBING
City Tel. No. GAS PIPING
1HEREBY ACKNOWLEDGE THAT I 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 I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OW R OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBEDSIDE PR PERTV. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE NAL ••,•,�(,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION (:----7c
ALIDATIONM.D. CASH
7021=Ct8 16 5 D cK. 750
Of? ko
TB1 1. " '. T a' ` l
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION rAI
ILDING
JOHN A. LAMBIE, COUNTY ENGINEER DRESS 7 D.
WILLIAM A. JENSEN. SUPT OF BUILDING
_ OCALITY Temple City
FOR APPLICANT TO FILL IN NEARECROSS ST. Randwick
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 2J90 Dnal Corp
MAIL
1 BATH TUB 1,25 1.25 ADDRESS
1 SHOWER 1.25 1.25 CRY TEL. NO.
2 LAVATORY 1.25 7 50
CONTRACTOR
Owpn Bros- Plumbing, 1pc-
I SINK 1.25 1,25 ADDRESS 4265 No. Baldwin Ave.
1 DISHWASHER 1.25 1,25 CITY El Monte TEL. NO. 443-0078
LAUNDRY TUB 1,25 _ CONTRACTOR'S STATE
9
REGISTRATION NO. 31741 COUNTY ❑
1 CLOTHES WASHER 1.25 11 25
DISTRICT NO. GROUPZONE PROCESSED BY
1 WATER HEATER 50 1 50 , -5 4 Sj /
1GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
�a
WASTE APPROVAL PliCO-�. O
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD U
00 ,-(4-I= ao.) c�� o
m?) 0S'1= IP GAL, PI�ro_ -7 ) W
�AOra 5 LI09 Iu: (kG'I.�vv,.1�,� P
3 -1( -(o C A,, ` tSr F
V
n ✓E rL-
APPjLOV�,1 DATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER 266"WORK -27 A p
ROUGH PLUMBING
TOTAL FEE 16 99 d
GAS PIPING —
I.HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING, r
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDjOR PLUMBING FIXTURES Z p
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF I
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN.THE ABOVE OESCRIBEOYRESIOENTIAL PROPERTY. UTILITY CO. NOTIFIED .3
SIGNATURE '
OF PERMITTEE FINAL
0VALIDATION ROBERT A. WOOD U
CK M.o. CASH SUPERVISING MECHANICAL ENG'R
9 3 4 9:3 .{,AR 8 5 D 1 6.2.5
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0309040025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING
TR: 29569 LT: 22 5230 DEGAS AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803321
ASSESSOR N 0 MATION NUMBER: NEAREST CROSS STREET: GREEN
8585-003-052 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 25 LAVATORIES/SINKS 3-00 FIX 48.60 ISSUED 0PROCESSED-FT.-Fl-AN BY: EXPIRES ON:
27 PRESS REG DEVICE(S) 4.00 DEV 64.80 09/04/03 JK 03/02/04
45 WATER CLOSET/URINAL 2.00 FIX 32.40
OWNER: TEL. NO: 47 WATER HEATER(S) 1.00 WTH 16.20 FINAL ATE FINAL BY: CODE:
LEE SAMUEL - 63 WATER PIPING BR/FIX TOTAL FEES FIX 276.05 /�//� ((L
5230 DEGAS AV 2 7 J
TEMP 917803321 V 5CRI�TI0NOF-WO K
REPLACE ALL FIXTURES; COPPER REPIPE HOUSE
APPLICANT: TEL. NO:
DAVID SIFONTES (213) 380-5065-
322 N ROBINSON ST SPECIAL CONDITIONS:
LOS ANGELES 90026
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SIFONTES CONSTRUCTION (213) 380-5065-
322 N ROBINSON ST LIC. NO UNDER SLAB WORK
LOS ANGELES, CA 90026 758759 B
WATER SERVICE
ARCHITECT OR ENGINEER: TEL. NO: PLASTIC Y/N METAL Y/N
LIC. N0:
ROUGH PLUMBING
GAS PIPING
GAS VENT
HOT WATER HEATER
WS iy/
PLUM ING FIXTURES S �-
LAW PRINKLERS
i
GAS TEST
UTILITY COMPANY NOTIFIED
Cu
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0309220019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL S PAID BUILDING ADDRESS: -
TR: 29569 LT: 22 5230 DEGAS AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803321
ASSESSOR INFORMATION N E : NEAREST CROSS,STREET: GREEN
8585-003-052 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
60 DWV REPAIR OR ALTER 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED B L EXPIRES ON:
09/22/03 JK 03/20/04
OWNER: TEL. NO: FI �A DATE' FINAL BY: CODE:
LEE SAMUEL (626) 202-5208- � , //n�
5230 DEGAS AV Y (/
TEMP 917803321 DLbUKfP1LU WORK
REPLACE DRAINLINES OF HOUSE (NOT REPLACING SEWER LINE)
APPLICANT: TEL. NO:
DAVID SIFONTES (213) 380-5065-
322 N ROBINSON ST SPECIAL CONDITIONS:
LOS ANGELES 90026 ` -- -
CONTRACTOR: TEL. N0: i. p`j� APPROVALS DATE INSPECTOR SIGNATURE
SIFONTES CONSTRUCTION (213) 380-5065- _
322 N ROBINSON ST LIC. NO
LOS ANGELES, CA 90026 758759 B �� �!' �� UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINE EL. N0:
ROUGH PLUMBING �1
LIC. NO:
GAS PIPING
GAS VENT
-
HOT WATER HEATER
-- - PLUMBING FIXTURES
LAWN SPRINKLERS
GAS T
UTILITY COMPANY NOTIFIED
CWV
+\—�-'e;vice ' hJ=
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0307210003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL AID BUILDING ADDRESS:
TR: 29569 LT: 22 5230 DEGAS AV
FEE DESCRIPTION: QUANTITY: WM: AMOUNT: TEMP CA 917803321
ASSESSOR 0 MA N NEAREST CROSS STREET: GREEN
8585-003-052 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 64 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 25 LAVATORIES/SINKS 3.00 FIX 48.60 LAN EXPIRES N:
27 PRESS REG DEVICE(S) 4.00 DEV 64.80 07/21/03 JK 01/17/04
45 WATER CLOSET/URINAL 2.00 FIX 32.40
OWNER: TEL. NO: 47 WATER HEATER(S) 1.00 WTH16.20 FI,(IAL DATE , FINAL BY: CODE:
FIX
LEE SAMUEL - 63 WATER PIPING BR/FIX 8.00 FIX 54.00 �(nNl.
5230 DEGAS AV TOTAL FEES 276.15
TEMP 917803321 DESCRIPTION OF WORK
REPLACE ALL FIXTURES; COPPER REPIPE HOUSE
APPLICANT: TEL. 0:
ROBERT AILANA� (818) 266-0926-
7319 E TERESA AVE SPECIAL CONDITIONS:
ROSEMEAD 91770
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
ROBERT ARANA (818) 266-0926-
7319 E TERESA AVENUE LIC. NO UNDER SLAB WORK
ROSEMEAD, CA 91770 696743 B
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. 0:
ROUGH PLUMBING
LIC. NO:
S PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS T
UTILITY COMPANY NOTIMO
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
642 -E4
76AAPPLICATION FOR PERMIT
]68083
COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
)OHN A. LAMBIE, County Engineer ADDRESS
WILLIAM A. JENSEN, Sup't of Building �.
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN `ROBS ST.
EGAL [1 �]
DESCRIPTION LOT NO. VL ' OWNER
_ MAIL F
BLOCK TRACT f ADDRESS
NO. OF BLDG5, {
S12E OF LOT NOW ON LOT CITY TEL. NO.
USE OF
BUILDINGS DISTRICT NO. GROUP MAP P ESSED BV
�j BK PG
CONTRACTOR Q'✓L' �f/
ADDRESS ,T CONNECTION DATA
CITY TEL. NO. ^� STATION v DEPTH
f� ATEUPPEF
REGISTRATION NO. �/� ❑ COUNTY MANHOLE REFERENCE C
NO. DESCRIPTION O WORK FEE TYPE OF CONNECTION LENGTH FROM
MOUSE SEWER CONNECTING TO Y. CURB .L. M.L.TO P.L.
UBLIC BEWER $5.00 NO
SEPTIC TANK.SEEPAGE PIT OR JOB NO, "/ a
PITS ANO/OR GRAINFIELD ® SIO.00 CO.IMP.NO. L V O
HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. U
PRIVATE DISPOSAL SYSTEM @ 83.00
CONNECT ADDITIONAL BLDG.OR AFFIDAVIT elv z[R[ RECORD.INSTR.NO. DATE
WORK TO HOUSE B EWE R Q $3.00 O
OVERFLOW SEEPAGE PIT.GRAINFIELD V
E%TN.,CESSPOOL.ORYWELL.MANHOLES S5.00 1y
ALTER.REPAIR OR ABANDON HOUSE HWY.OR ST.WIDENING y
SEWER OR DISPOSAL SYSTEM ® $3.00 STATE ENCROACHMENT
PERMIT NO. Z
INOUSTRIAL
WASTE APPROVAL
CHARGES
OWNERS PERMIT $
2 00
AUTHORIZATION TOTAL FEE CONNECTION CHARGE FEE
'1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE
TRACTOR TO CONNEC TXE ABOVE DESCRIBED EXISTING DWELLING
TO THE PUBLIC SEW / p APPROVALS DATE INSPECTOR'5 SIGNATURE
SIGNED THIS DAY OF 1942,/ ^ /�'••�� (! -�
OWNER OR Of, NEW HOUSE SEWER
OW NERS AGENT1 CONNECT ADDITIO NAL u
BUILDING OR WORK
ADDRESS
I HEREBY ACKNOWLEDGE THAT I HAVE.PEAD THIS PLICATION SEPTICTANK,SEEPIT/5)
qNO/Ofl DRAINFIELD
AND STATE THAT TXE ABOVE 'S
CORRECT AND SE COMPLY
WITH ALL COUNTY ABOVE LAW
S AND STATE LAWS REGULATING
PLUMBING AND SEWERS. CESSPOOL ❑ ORYW ELL ❑
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR
LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND
RES JOE
IN, THE ABOVE OESCRIBED RES DENTIAL PROPERTY. ABANDON HOUSE SEWER
SIGNATURE BACKFILL SEPTIC TANKS ❑
OF PERMITTEE SEEP,PIT ISI El CESSPOOLS ❑
/VALIDATION ROBERT A. WOOD
CKM. CASH SUPERVISING MECHANICAL ENGINEER
. O.
LiTo1 7 0 9 inr17 1 0 0 ],QQ�