HomeMy Public PortalAbout5024 ENCINITA AVE_Plumbing__ 76A667-CE#017 2-62 TEMPLE y CITY -
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE. COUNTY ENGINEER ADDRES
WILLIAM A JENSEN. SUP T OF BUILDING LOCALITY
I
FOR APPLICANT TO FILL IN NEAREST '
I CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25
MAIL
BATH TUB 1.25 ADDRESS
SHOWER '�_�_� 1.25 CITY �/ TEL. N .
LAVATORY 1:25 CONTRACTOR
a�
SINS 1.25 YADDRESS-
DISHWASHER 1.25 CITY
LAUNDRY TUB - 1, CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT O. GROUP ZONE ESSED BY
�a
WATER HEATER 1.50 �_
GAS SYSTEM OUTLETS 1.50 DUSTRIAL
0 WASTE APPROVAL `
10
UTLETS OVE 5 PER SYS .30 INSPECTION RECORD/j -
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X1 34 -5 AAd7
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE �l
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER'
PLUMBING ,
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES A
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 7 �f
CALIFORNIA OR THAT I AM THE LEGAL OWNE OF.,AND I ND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDE NTI PROPERTY UTILITY CO NOTIFIED / (/
SIGNATURE
OF PERMITT FINAL n 7
V LIDATION ROBERT A 'WOOD
CK M J CASH SUPERVISING MECHANICAL ENG R
L;'';Lo O S 1 6 FEB 1 1 5 D 3,50-
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DBS-17 12-54 APPLICATION(CATION FOR PLUMBING PERM ( ■
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles ,.
BUILDING �l Y, J►/ / �f/�/p//?�ry J'9iJ�
' WM. J. FOX, COUNTY ENGINEER ADDRESS vv �L /�`� 8�•,7 /I(/Q J'jV
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
�7 ��tIn
CROSS ST
OWNER D W fi j y�J c 4 DISTRICT NO. G UP ZONE 1 READY FOR INSPECTION
MAIL
ADDRESS ♦✓ I
--yq INDUSTRIAL
CIT-y- r1aTEL NO V WASTE APPROVAL -
PLUMBER -IM 12 ` ,1 t/m e INSPECTION-RECORD - _
ADDRESS �q r�
CITY / / / �� TEL. NO -
LICENSE NO u _ -
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET)
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK _
DISHWASHER `
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL.NO. @ O BO APPROVALS
DOTE INSPECTOR S SIGNATURE
GAS SYSTEM_A_OUTLETS @100
_ UNDER SLAB WORK
WATER HEATER @ 1 00 '
ROUGH PLUMBING `2 IQ jLO,4
PERMIT S ` t 00 GAS PIPING
TOTAL FEE 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 A "-
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES A
I �q�
PLUMBING GAS TEST -1 1-5 1}''1,7fr1.Q/1.�....–�..-,.�
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
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 j�,t/ FINAL
OF PERMITTE
WILLIAM J. FOX,COUNTY ENGINEER VALIDATION
-4 ,2-11S fM 1.0 -3 - 3.60
DEPUTY
PLUMBING -1
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY , PERMIT APPLICATION
COUNTY OF LOS ANGELES [ADDRESSUILDNG c
WILLIAM J. FOX, COUNTY EN13INEER
FOR APPLICANT TO FILL IN LOCALITY
BUILDING NEAREST
ADDRESS 5'001 '/ 43Nr- /V f} V,E, CROSS
DISTRICT N0. GROUP ZONE PERMIT N0.
LOCALITY TL�NJ VL / 7r f
NEAREST
CROSS ST. F RECEIVED BY Ready for Inspection DATE ISSUED
OWNER ho �,-,A PLO INDUSTRIAL
MAIL WASTE APPROVAL
ADDRESS
CITY TEL.NO. INSPECTION RECORD '
PLUMBER AIJZIZAN Y. PLAG, cS�RY/G E'
ADDRESS T,2,05- SpL�fL 1�Ofrp7' Al4
CITU _ TEL.-N0._(J ___
v STATE
LICENSE N0. l^��_/ 91S ❑COUNTY J
PERMIT FEES a
_z
NUMBER TYPE OF FIXTURE OR ITEM FEE [7
WATER CLOSET(TOILET) @1 0.80 $
_
BATHTUB @ 080
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0 80 .Q
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 @ 080 .
URINAL @ 080
GAS SYSTEM.----- ..--OUTLETS @ 1.00 b O
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS '
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT- $ 1 00 ROUGH PLUMBING
TOTAL FEE L1GAS PIPING -
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALI FOR
IA OR THAT 1 AM THE LEGAL OWN-
ER OF THE ABOV DES IBED R IDENTIAL PROPERTY. UTILITY CO.NOTIFIED
R Ll
SIGNATURE
OF PERMITTEE..-_. . ..-�-------..-..-------_.------------------- .._;....
FINAL
76A667 DBS 17 1/5 _ /'
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9608260015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL EES PAID BUILDING ADDR S :
TR: 13329 LT: 57 5024 ,FIESTA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803818
ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET:
8590-018-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.35
TENANT: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 ISSUED 0PROCESSED P EXPIRES ON:
TOTAL FEES 60.45 08/26/96 TC 08/26/.97 --
OWNER: TEL. NO: - FINAL DATEFINAL BY CODE:
HEINEN WILLIAM R;NORA M -
5024 FIESTA AV t
TEMP 917803818 D TION 0 W
NEW WATER HEATER AND GAS LINE
APPLICANT: TEL.-NO:
OWEN BROS. PLUMBING, INC. (818) 443-0078-
; �L E S SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: O� APPROVALS DATE INSPECTOR SIGNATURE
OWEN BROS. PLUMBING, INC. (818) 443-0078
4265 N. BALDWIN AVENUE LIC. NO �^ UNDER SL R - -
EL MONTE, CA 91731- 231741/C16 * 0`�� WATEIa SERVICE
/J PLASTIC Y/N METAL Y/N
ARCHITECT OR R: - � c�'� '
ROUGH PLUMBING
LIC. NO:
� GAS PIPING
�lF C WOO U��J WENT
HOT IJATER HEATER -
O. U PLUM4 G UR S
o to
LAWN SPRINKLERS
D 0
• 0� � .. �� ups TEST_
UTILITY COMPANY NOTME5
CWV
leu GAIT WATER SYSTEM
* ADDITIONAL DATA ON FILE i
REPORT ID: DPR263 ROUTE TO: BS0508