HomeMy Public PortalAbout6112 ENCINITA AVE_Plumbing__ D.B.S.-17 S5M RETS E-9E - APPLICATION FOR PERMIT
DEPARTtAENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �� ���
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRIJC/DJO: GROUP ZO E PERMIT C]IBED
ROUGH —I FIXTURES COMPLETE
HEATER CESSPOOL I SEPTIC TANK RECEIVED BY READY FOR ^(�g ,aa/
s FIRST INSPECTION /7- M ISIJ
GA9 MIBCELLANEOUO �A
�/ APPLIC,ANT FILL IN HEAVILY OUTLINED PORTION ONLY,q� ,�/•n
C JOB
NAME sJn�I N/� a ADDRESSADDRESS �_ N' �,� � . l t�lr LOCALITY NEAREST
CITY '/ASA A' � 1-(',P >Y.+tTEL.Ne. CROSS ST. /� 'I �JCERT.No � EXPIRES I NAME �r�G1 /7 )-ICERT.No. KXLOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.NO.
IAM THE LEGAL POSSESSOR OF THE ABOVEANGELES COUNTY CERTIFI TE•OF OIFICATION.
� ilPLUMBER1 AM THE LEGAL'OWNER OF THE PROPERTY DESCR
q ABOVE.
W %-1 OW MEq
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK i
BATH TUB FURNACE ❑
SHOWER DISHWASHER ❑
LAVATORY REFRIGERATOR
Y-of' KITCHEN SINK _ WATER SOFTENER
FLOOR SINK SANDTRAP
SLOP BINK FLOOR DRAIN '
//� WASH TRAY _ URINAL APPROVALS
y- WATER CLOSET DRINKING FOUNTAIN - DATE �f II/NN�nP¢CnnMR's NAMe
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I/ '��/�/ I C/_�4l/)—'1
I ^
METE a GAS SODA FOUNTAIN I`
OUTL OAS PIPING
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURESSEPTIC TANK
v CEBBPOOI SEPTIC TANK SEWER I I A
TAF
'/ ✓ UTILITY CO.NOTIFIED /�, ✓
TOTAL FEE - �/ �7 v
✓ FINAL
I
D.B.E�19 24M EFTS „�B ' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMING
BOUNTY OX. LOS ANGELES
WM. J. FOX. CXI¢F BNGIN HHR
NATURE OF INSTALLATION D18TR1 O. GROUP ZONE
�P_RRIMITN yNO.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL SEPTIC TANK RECEIVED BY RHADV FOR DATHIH UED
A9 ♦' FIRST INSPECTION 3 li�
1
APP ICANT FILL IN HEAVILY OUTLINED PORTION ONLY �/ jj
aOB
- S NAME ADDR '
W
G ADDRESS
E LOCALITY
D- NEAREST
y CITY (/DR/�CJ� ild TEL.No. CROSS ST.
COUNTY
CERT.No. EXPIRES Y NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL OF
3 ADDRESS
NORTH O
CITY TEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANG ELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
1 AM THE LEGAL OWNER OFHE PROPERTY DESCRIBED
y ABOVE. .//'(�'
F(/w
OWMfiq
CORRECTIONS.
SOUTH
J
DESCRIPTION OF WORK i
OATH TUB FURNACE 'O
0
SHOWER -DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR OINK SANDTRAP _
GLOP BINK FLOOR DRAIN 1
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER GAS SODA FOUNTAIN OAS PIPING I I
OUTL
GAS VENT
C CESSPOOL
TOTAL NUMBER OF FIXTURES ` SEPTIC TANK
_._CESSPOO, SEPTICTANK / OW 1 SEWER I
9
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
7BA687^ICE BIT APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FORAPPLICANT TO FILLIN IPRINTORTYPEI BUILDING
Z C FYI
NUMBER FIXTURE OR ITEM ® FEE ADDRESS ^
-WATER CLOSET phae
O LOCALITY I ,41-
NEAREST
BATHTUB CROSS ST. V-
4 bci (OU
SHOWER '3 QtJ OWNER d ,
LAVATORY MAIL
ADDRESS 7 14 C I I )qU71`_ p
SINK CITY .NO. / O /
DISHWASHER CONTRACTORG
I G
CLOTHES WASHER O0 ADDRESS ��
SWIMMING POOL RECEPTOR
-
CITY ,W,Q(.l, TEL.NO.
LAWN SPRINKLER SYSTEM STATELIC.
WATER HEATER LICENSE NO.L3 / c CLASS d
GAS SYSTEM /( OUTLETS L `�7 . O DISCTRICT NO. GGTP ZONE P CESSE
OUTLETS OVER v
5 PER SYSTEMI I INDUSTRIAL S
WASTE APPROVAL V
INSPECTION RECORD W .
'/Zl IJi sD61'r�Lca�s2 t 14(y f VF', �G-4 0
W
d
N
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE$ 4 ^0
TOTAL FEE
Plon check applicant
APPROVALS DATE INSPECTORS SIGNATURE
Name UNDER SLAB WORK
Address � ROUGH PLUMBING +2-77
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE GAS VENT
THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES HOT WATER HEATER
AND STATE LAWS REGULATING PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSED AS PLUMBING FIXTURES 42
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE f GAS TEST iF
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
• PROPERTY. UTILITY CO.NOT FIAD
SIGNATURE
OFPERMI E FINAL
PLAN CHECK VALIDATION CK. o. CASH PERMIT VALIDATION CK. .o.
M. CASH
5 1 2 JUL 12 5 9 19.50 ,6-11
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0310230008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
?LlEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 6112 ENCINITA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801636
A
SSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
T TOTAL FEES 43.95 ISSUED 0 PROCESSED BY: PLAN PIR .
10/23/03 JK 04/20/04
OWNER: TEL. NO: FINA D E FIN BY: CODE:
KRAUTER JIM (626) 286-7366-
6112 ENCINITA AVE G�
TEMPLE CITY 91780 )OL5CRIP11ON OF WORK
INSTALL HVAC SYSTEM
APPLICANT: L. 0-
CONNOR A/C & HTG (626) 286-3157-
4931 ENCINITA AVE SPECIAL CONDITIONS:
TEMPLE CITY 91780
CONTRACTOR: TEL. O: APPROVALS DATE INSPECTOR SIGNATURE
CONNOR A C (626) 286-3157-
4931 N ENCINITA LIC. NO UNDER SLA WOR
TEMPLE CITY, CA 91780 403735 C38
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT R IN L. 0: i
ROUGH PLUMBING
LIC. NO:
G S !PI G
GAS VENT
HOT WATER HEATER
PLUMIIING-FIXTURES
LAWN SPRINKLERS 6 7
GAS TEST
UTILITY COMPANY NOT ED
CWT-
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: SS0508
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0310170001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: S PAD BUILDING--ADDRESS:
ON FILE 6112 ENCINITA AV
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: TEMP CA 917801636
ASSESSOR INFORMATION NEAREST CROSS STREET: GARIBALDI
5385-003-023 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED PROCESSED A EXPIRES ON:
25 LAVATORIES/SINKS 1.00 FIX 16.20 10/17/03 JK 04/14/04
45 WATER CLOSET/URINAL 1.00 FIX 16.20
OWNER:
--T-EL. NO: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINAL AT NAL BY: CODE:
KRAUTER JAMES J & ANN L (626) 286-7366- TOTAL FEES 108.75
6112 ENCINITA AVENUE
TEMPLE CITY 91780 UFSTEM ON OF WORK
PLUMBING FOR REMODEL OF BATHRM/LAUNDRY
APPLICANT: TEL. .
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: s GELES Co
SAME AS OWNER APPROVALS DATE INSPECTOR SIGNATURE
- G '�Ay
LIC. NO UNDER SLAB WOR
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR EER: TEL. NO;- ROUGH L MBING
LIC. ENO' /
PTVff
L1 t GAS PI
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
\
,17GAS TEST
,p r 1yUTILITY COMPANY 0 ED
Wv
Service Yhat AY WATER SYS
TEM
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0501130015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: BUILDING ADDRESS: M
ON FILE 6112 ENCINITA AV
FEE DESCRIPTION: - QUANTITY: LION: AMOUNT: TEMP CA 917801.636 _..
ASSESSOR INFORMATION NUMBER: - NEAREST CROSS STREET: GARIBALDI
5385-003-023 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C
47 WATER HEATER(S) 1.00 WTH16.20
TENANT: TOTAL FEES - - 43.95 ISSUED ON: PROCESSED A EXPIRES ON:
01/13/05 JK 07/12/05
OWNER: TEL. NO: FINALDATE� AL Y: CODE:
TAN, CHEE-SUM 287TEL.
6112 ENCINITA AVE -
TEMPLE CITY CA 91780 D 5
LRIPTION OF WORK
CHANGE OUT WATER HEATER
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL 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 R ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
OT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY OTI ED
CNV
GRAY ER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508