HomeMy Public PortalAbout5007 ENCINITA AVE_Plumbing__ 76A667-CE817 6-60 -�
APPLICATION F R PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ,
BUILDING AND SAFETY DIVISION ADDRDING
ESS S"G1D%
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM -
OWNER Mia. fAAA)C'. /5
WATER CLOSET
BATH TUB _
ADDRESS 2?D7 /N � rA
CITY CI� TEL. NO.
SHOWER
LAVATORY CONTRACTOR �r,TQ fJ ( < l�
SINS ADDRESS o T yv
DISHWASHER
CITY A) r,'A J f 1 TEL. NO.A r-,;
/ 7
CO CTOR'ST� STATE 10
LAUNDRY TUB REGISTRATION NO. C 0, COUNTY
CLOTHES WASHER DISTRICT NO. GROUP I ZONE =OCESSED BY
WATER HEATER t! / fLl I
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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03
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$1.00 PER
Q OR FIXTURE $
� APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ I 2 100 UNDER SLAB WORK
TOTAL FEEROUGH PLUMBING fr
`I�> GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 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.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL
PROPEERR'Tf/Y. UTILITY CO. NOTIFIED
SIGNATURE e=eZ%�
OF PERMITTEE (� FINAL
VALIDATION ROBERT A. WOOD,
0 �yR SUPERVISING MECHANICAL ENG'R
n.
7fiM657=CE917 9-59 _
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APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING 5007 N.Enc illita s
JOHN A LAMBIE, County En County ADDRESS
CASSATT D. GRIFFIN, Supt of Building LOCALITY
Temple Cit
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
CONTRACTOR Potrero Plbg*Coo
LAVATORY
Sam ADDRESS 548 N.Darlington
DISHWASHER
CITY • an Gabriel TEL NO. 1
01224
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRICT NO GROUP ZONE PROCESSED BY
WATER HEATER
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
r
ii ; 2L G
g
ORI PER
I TEM $
1•O APPROVALS DATE INSPECTOR S SIGNATURE
�IPERMIT $ I 2100 UNDER SLAB WORK
TOTAL FEE 7J Q TROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION +
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER 1
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED`AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COU Y AND�STATE OFA GASITEST I�
CALIFORNIA OR THAT 1 AM THE LEGAL OWNE OF THE ABOVE
DESCRIBED RESIDEN PROPER Y UTILITY CO NOTIFIED `
SIGNATURE
OF PERMITTE
FINAL
VALIDATION ROBERT A WOOD,
CKS" M.O, t CASHSUPERVISING MECHANICAL,ENG'R
t� 33S JAM25 5 A 344
Ff/,;
7-,
DBS110 53
APPLICATION FOR PLUMBING PERMIT .1
DBS 17
'DIVISION OF BUILDING AND SAFETY
Department of County Engmeer
County of Los Angeles BUILDING
JOHN A LAMBIE. COUNTY ENGINEER ADDRESS MoD 7t
CASSATT D GRIFFIN,SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER ��� DISTRICT NO GROUP ZONE 1 READY FOR INSPECTION
AMAIL
DDRESS v
INDUSTRIAL
CITYk::n)vId44df TEL NO WASTE APPROVAL
PLUMBER
INSPECTION RECORD
ADDRESS ` ' + �`"" C
CITY TEL NO
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1 00 110-
BATH TUB @ $100 (rZt
SHOWER @ v 00
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $100
WATER HEATER @ $100
GAS SYSTEM @ $1 00
APPROVALS
DATE INS ECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT• $ 1 00 ROUGH PLUMBING Z 5(0
j�
GAS PIPING
TOTAL FEE 1> GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY r�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES Iv�51 CfYIro��A �.,_
<!
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY ]
SIGNATURE
OF PERMITTEE y� V.1 FINAL
JOHN A LAMBIE, COUNTY ENGINEER VALIDATIO ROBERT A WOOD, CHIEF PLBG INSPECTOR
CK LCASH
tCO 5 APR 16 3 5.0 0 tf)
17 f0 55 9
DBS APPLICATION FOR PLUMBING PERMIT
DBS 17
DMSION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING 570 a �l9
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS v �Y
CASSATT D GRIFFIN, SUP T OF BUILDING !
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
_ Q CROSS ST V_
OWNER ��`� / //y� yA, �`/�gII,,,a' /I DISTRI T NO GROUP I ZONE I READY FOR INSPECTION
MAILCJ �qa® a / b. oo 1.��(/A/i' 6-
ADDRESS ,'(]/tA,••
RIAL
CITY / (.,s TEL NO T 956 WASTE APPROVAL
PLUMBER Mo / d 4 - INSPECTION RECORD
ADDRESS , tA
- 1
CITY IMM r/ TEL NO OF4 KV I. I G
/>GS3 s6
LICENSE NO ,A ryrytt�,
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1 00 $
BATH TUB @ $1 00
SHOWER @ $100
LAVATORY (WASH BASIN) @ $100
KITCHEN SINK @ $1 00
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $100
WATER HEATER @ $100
GAS SYSTEM @ $1 00
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE
�� GAS PIPING
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF TAE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL--PROPERTY
ROPERTY
SIGNATURE
OF PERMIT FINAL
I
JOHN A LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR
CK B O CASH
!_-To 7 9 6 ; ° JUL 10 � 200
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0405170013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE- (626) 285-0488 EXT.
LI-GAL ID: FEES PAID BUILDING
ON FILE 5007 ENCINITA AV
FEE DESCRIPTION: QUANTITY: UOM AMOUNT TEMP CA 917803708
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET LA ROSA
5388-009-005 01 PERMIT ISSUANCE FEE ' 27 75 THOMAS PAGE: 596 GRID: J5 LOCALITY. TEMPLE CITY, C
47 WATER HEATER(S) 1 00 WTH 16 20
TENANT TOTAL FEES 43 95 ISSUED ON: ROC Y: PLAN B .
05/17/04 VG 11/13/04
OWNER: TEL. NO: FINAL DATE FINAL BY. CODE•
POYNTER ROBERT L;MARGARET R (626) 286-6390-
5007 ENCINITA AV �-
TEMP 917803708 DESCRIPTION OF WORK
WATER HEATER CHANGE OUT
APPLICANT TEL NO: -
SAME AS OWNER -
ISPECIAL CONDITIONS-
CONTRACTOR TEL NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER. -
LIC NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT ENGINEE TEL 0:
ROUGH PLUMBING
LIC. N0.
IGAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING TURES
LAWN SPRINKLERS
GAS 1 ST
UTILITY COMPANY NOTIFIn
cWv
GRA` WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: SS0508