HomeMy Public PortalAbout5733 ENCINITA AVE_Plumbing__ 76 A 667—CE817 8/68 '✓o,"j
APPLICATION FOR PLUMBING ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS -KC
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50 I'7
HATH TUB 1.50 V65RESdl
SHOWER 1.50 CITY TEL. NO ,5
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL. NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. G�R�OUP N E66ED BY d
LAWN SPRINKLER SYSTEM 2.00 SO
U
WATER HEATER1.50 INDUSTRIAL Zo
WASTE APPROVAL
/ GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD w
OUTLETS OVER 7 c a
5 PER SYSTEM .30
70
7b
Plan check fee 2558 of aho,e. See reverse..
O
PL.ILl1RINC PE;fiAll"1' ISSIIINC FE:E: S 2 00
TOTAL FEE
A ROVALS DATE INSPECTOR'S SIGNATURE
Plan chock applicant UNDER SLA WORK
Name ROUGH PLUMB ,f
Address GAS PIPING 3(� � Opwo
GAS VENT `
Cit)' •l•Cl. No HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HE REST CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AG REQUIRED BY LOB ANGELES COUNTY AND STATE OF die
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.ANO INTEND TO
RESIDE IN.THE ABOVE OEGCR Cp REBIOENTIAL PROPERTY. FINAL 1 /
J
SIGNATURE
ATURE JACK R. ALLEN, su ER�ISING MECH ANICA ENG'R.
OF PERMITTEE I
PERMIT VALIDATION CK. M.o. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
I pIn 3 2 6 7LJ- 5 D 3.50-
76A667 17 ZSM SETS 7-48 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DIS RIC O. GR.O UP E H
PLUMBER LO( A & (iw AJ s E EIV ED Y READY FOR DATE ISSUED
/ 1FIRST INSPECTION '''I\
ADDRESS ✓Li { W,� S� ♦,J
CITY lAdTEL. No. JOB •/��
ADDRESS /
COUNTY
LICENSE ND. I EXPIRES
LOCALITY
I S
CERTIFY THAT I POSSESS THE ABOVE VALID LOS NEARET
ANGELES COUNTY LICENSE. CROSS BT. C� e4 ett,19
/i Qy \iwN 'OWNER
MAIL F / L
PLUMBER ADDRESS
PERMIT FEE 15 $1.00 FOR THE FIRST FIXTURE OR CITY Y / TEL. NO.
ITEM LISTED BELOW, PLUS SOC FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE.
$1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH
GAS SYSTEM IS A SEPARATE ITEM.
OWNER
NUMBER TYPE OF FIXTURE OR ITEM
WATER CLOSET (TOILET) CORRECTIONS
BATH TUB
SHOWER
LAVATORY (WASH BASIN) "
KITCHEN SINK
LAUNDRY TUB OR TRAY
GAS SYSTEM-OUTLETS
WATER HEATER
SLOP SINK ' - J
Q
FLOOR SINK Z
FLOOR DRAIN (D
DISHWASHER
O
DRINKING FOUNTAIN
URINAL
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
J O !1 GAS VENT I -I
CESSPOOL
EPTIC TANK - DRAIN ( ) PIT ( ) $- SEPTIC TANK
CESSPOOL O 0 SEWER
HOUSE SEWER $ GAS TEST
TOTAL FEE $ 1 UTILITY CD.NOTIFIED
FINAL
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76A667 17 25M SETS 7-40 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRIO. UR P ZON P .
FOR APPLICANT TO FILL IN (S
PLUMBER LREADY FORE'
A L s� RECEIVED BY FIRST INSPECTION0 %%T% 10 4
ISSUED
ADDRE59N W
CITY xL rIf EXPIR Ar� T •� D-3Q ^-c� A'DRE95 /COUNTY
LICENSE N0.6.T ✓/'� O u
LOCALITY
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEAREST
ANGELES COUNTY LICENSE. CROSS STT..
pry`yI -� OWNERo{. •FBF/� j,E/%IDj[i
MAIL
PLLIMBEq ADDRESS 1
PERMIT FEE IS 411.00 FOR THE FIRST FIXTURE OR CITYIb
TEL. No.
ITEM LISTED BELOW, PLUS 50. FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE.
$1.00. MINIMUM FEE FOR .ANY PERMIT $1.00. EACH
GAS SYSTEM IS A SEPARATE ITEM.
� DOWNER
NIIMOER TYPE OF FIXTURE OR ITEM
t WATER CLOSET (TOILET) ! _U G CORRECTIONS
BATH TUB
SHOWER
, LAVATORY (WASH BASIN)
KITCHEN SINK
LAUNDRY TUB OR TRAY
GAS SYSTEM�I OUTLETS
WATER HEATER
SLOP SINK -1
I FLOOR SINK Z
FLOOR DRAIN 0
DISHWASHER
_ O
DRINKING FOUNTAIN
URINAL
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING I
GAS VENT /
CESSPOOL /
SEPTIC TANK - DRAIN ( ) PIT ( ) $_ SEPTIC TANK /
CESSPOOL 0 'SEWER
HOUSE SEWER T IS I D GAS TEST n IIr/�y ill
{ /L
TOTpEA M�/ l �� UTILITY CO. NOTIFIEDI�I�V
AL FEE
FINAL
COUNTY OF LOS ANGELES APPLICATION FOR-PERMIT
Department of County Engineer
7•t DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT T❑ FILL IN DISTRI N G ❑ P Z❑NE PERMI
RECEIVED BY READY FOR DATE ISSUED
> FIRST INSPECTION
ADDRESS _J C-P W5
'T BUILDING , y
CITY C_ TEL Nu. ADORERS J / 3 L�+!"G��✓�%
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST,
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL I
WATER CLOSET(TOILET) ® 0.50 S ADDRESS _
BATH TUB Q 0.50 CITY TEL No.
SHOWER ® O.SO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) LB 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK O.SO AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE AB-VIE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, I
OAS SYSTEM OUTLETS ® 0.50 M T OWNER
OF THE RESIDENTIAL PRO OVE.
SIGNATURE OF may._
WATER HEATER Q 0.50 PERMITTEE
SLOP SINK Q 0.50 INS CTION RECORD
FLOOR SINK ® 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN �D 0.50
URINAL (it 0.50 J
Q
HOUSE SEWER ® 0.50 Z
MISCELLANEOUS 9
APPROVALS
DATE INSPECTOR'S NAME
ROUSH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL ® 7.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE S 47)
FINAL
76A667 DBS#17 10/52
COUNTY OF IAS ANGELES TEMPLE CITY k 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1209190013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: TFEES PAID BUILDING ADDRESS:
5733 ENCINITA AV
ON FILE IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: I TEMP CA 917802418
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET:
15387-018-012 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
111 CLOTHESWASHER(S) , 1.00 FIX 16.20 —
ITENANT: 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 (ISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 60.20 109/19/12 SR 1
OWNER: TEL. N0: IFI'AL DATE FINAL, Y: CODE:
LOWDER, KIMBERLY (626) 286-5932-
5733 ENCINITA AV
ITEMP 917802418 IDE CRI TIO! OF WORK
CLOTHESWASHER AND WATER LI
APPLICANT: TEL
( . NO:
ANDERSON, RON A (909) 596-3871-
4234 MEADOW ST. is ECIAL CONDITIONS/:',,
LA VERNE, CA 91750 U�V�ei(i�j SO��,�yi�� `I� l py�"�' ��yn�. �fi•
5-f��
CONTRACTOR: TEL. N0: APP£ DATE INSPECTOR SIGNATURE
AMERICAL BUILDERS (909) 596-3871-
4234 MEADOW STREET LIC. NO (UNDER SLAB WORK
LA VERNE, CA 91750 646517-B
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
IROUGH PLUMBING
LIC. NO: 1 I
JOBS PIPING
IGAS VENT
I
IHOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
I
(GAS TEST
UTILITY COMPANY NOTIFIEDI
ICwv
GRAY WATER SYSTEM
I I I
III1 1 I I I I
1 I I I I I
' REPORT ID: DPR263 ROUTE T0: 850508
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