HomeMy Public PortalAbout4826 FIESTA AVE_Plumbing__ IDBS
_ APPLICJATION FOR PLUMBING NYO ING PERMIT 1
oB5 '7'DIVISION OF BUILDING AND SAFETY 1
Department of County Engmeer
County of Los Angeles BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS S°
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER DIST NO GRP ZONE I READY FOR INSPECTION
MAIL
ADDRESS 4
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS > Z Sc, '! z _
CITY TEL NO CS�/�) �]6C < L
LICENSE NO I
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $100 $ 6>0
BATH TUB @ $1 00
SHOWER @ $100
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $100
WATER HEATER @ $1 00
GAS SYSTEM @ $1 00
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING /LZ
GAS PIPING
TOTAL FEE &4 GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 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
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 OPERTY
SIGNATURE
OF PERMITTEE FINAL
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CK 0 O CASH
To8480�R JJL23 3 300 to
26M SETS 11-46 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1
COUNTY OF LOS ANGELES
WM J FOX CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP O E PERMIT
ROUGH FIXTURES H COMPLETE -7v
HEATER CESSPOOLSEPTIC TANK RECEIV Y READY FOR DATE ISSUED
FIRST INSPECTION / ,p
AS MISCELLANEOUS
APPL12AL4T FILL IN HEAVILY OUTLINED PORTION ONLY
NAME JOB P'7'
C ADDRESS J /
m
�
ADDRESS� LOCALITY
NEAREST
L CIT TEL Nd�l� ®��� CR088 SST
COUNTY /, e a
CERT NO `� EXPIRE �® m NAME 401 s
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL ®�
NORTH O ADDRESS =
CITY TEL No
I AM THE LEGAL PO BOR OF TVi ABOVE 08
ANGELES COUNTY CERTIFEF .CATION
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
D
OWNER
CORRECTIONS
z �
SOUTH
J
DESCRIPTION OF WORK a
z
BATH TUB c9 FURNACE _
Q
SHOWER DISHWASHER - 13
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK BAND TRAP i
SLOP SINK FLOOR DRAIN {
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN / D�AATEo'p )—pt-
S HAMM
_WATER HEATER DENTAL LAVATORY. 4ROUGH PLUMBING I ' IJ �T'7"I I T- c/Fr 5
ETER-13—GAS pODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
CESSPOOL
:::tTOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL- SEPTIC TANK HEWER
$
TOTAL FEE UTILITY CO NOTIFIED I —19P
FINAL
76A667C (CE St7113( 9/75
APPLICATION FOR PLUMBING PERMIT
ilk
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING //1 /c
NUMBER FIXTURE OR ITEM @ FEE ADDRESS (� /fid. f1,,f
WATER CLOSET LOCALITY hof-`
BATH TUB NEAREST CROSS
CROSS ST (/
SHOWER ONNER 8
LAVATORY MAIL ADDRESS
ADDRESS
SINK CITY TEL NO
DISHWASHER CONTRACTOR
CLOTHES WASHER -.�
ADDRESS///,.O 5p
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY TEL NO
STATEqq LIC
WATER HEATER LICENSE NO p�3 -3 CLASS
GAS SYSTEM OUTLETS
DISTRICT�O GROUP ON �O SSED BY V
OUTLETS OVER ,
O
5 PER SYSTEM INDUSTRIAL V
WASTE APPROVAL LLJ
a
INSPECTION RECORD h
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INSPECTOR 5 SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel No GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
L
COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
BY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
AS REQUIRED BYLOSANGELES COUNTY AND STATE OF GAS TEST
OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
THE ABOVE DESCR ED RE IDENTIAL PROP RTY UTILITY CO NOTIFIEDRE RMITTEE FINAL l
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH
713 -MAY j1 � � 7 5 O t�
76A667 CE817 6 60
APPLICATION FOR PLUMBI G PERMIT �
COUNTY OF
CUNENINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS �- I
WILLIAM A JENSEN SUPT OF BUILDING
LOCAL
FOR APPLICANT TO FILL IN NEAREST
CROSS 3T
NUMBER FIXTURE OR ITEM
OWNER C.(�
WATER CLOSET
BATH TUB ADDRESS --J.6 /
C
SHOWER TEL NO
LAVATORY CONTRACTO r v O
SINK ADDRESS U& L
StjqZ
DISHWASHER
C G(E r c TEL NO Jr3
CONTRACTOR S ST
LAUNDRY TUB REGISTRATION NO 'Z COUNTY
CLOTHES WASHER DIS NQ,/ ;YUP
7F =ESS BY
WATER HEATER DQ[
GAS SYSTEM INDUSTRULL
WASTE APPROVAL
p � INSPECTION RECORD
a
O
U
P4
O
F
U
W
a
$1 M PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE 53
ROUGH PLUMBING
GAS PIPING
I 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
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFCALIFORNIGAS TEST T
DESCRIBEDARESIDENTIAL PROPERTY THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
SIGNATURE /I /7'� AIII�➢
OF PERMITTE
FINAL F1 T V I V R11 IS IbUl1/
®� VALIDATION ROBERT A OD�� I
f' cam`1 111 0 CASH SUPERVISING MI CHANICAL ENG R
LAP095581 JUL 5 5 0 300
zw r
76AS67 17 H sO 4) APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
PLUMBE RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
BUILDING
CITY TEL NO ADDRESS
COUNTY / LOCALITY
LICENSE NO (O EXPIRES
NEAREST
PERMIT FEES CROSS srA AM
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ O 50 $ ADDRESS
BATH TUB @ O 50 CITY TEL NO
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
iLAVATORY (WASH BASIN) @ O 5o APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 STATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0 50 I ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
GAS SYSTEM OUTLETS @ O 50
ISIGNATURE OF
WATER HEATER @ O 50 PERMITTE
SLOP SINK @ o Sol INSPECTION RECORD
FLOOR SINK @ O 501
FLOOR DRAIN @ 0 Sol
DISHWASHER @ 0 50I
DRINKING FOUNTAIN @ O 501
URINAL @ O 501
HOUSE SEWER @ O 50 I I Q
Z
MISCELLANEOUS ()'
I
I�
I�
I I
APPROVALS
DATE INSPECTORS NAME
ROUGH PLUMBING
I� GAS PIPING
IGAS VENT
CESSPOOL @ 1 00
CESSPOOL
� ISEPTIC TANK I SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT I too GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE $
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1402120019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS 1
ITR 14647 LT 2 1 I 4826 FIESTA AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803814 I
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET LOWER AZUSA I
18590 917 008 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID A5 LOCALITY TEMPLE CITY I
1 107 BATHTUBS/SHOWERS 1 00 FIX 16 20
ITENANT 125 LAVATORIES/SINKS 1 00 FIX 16 20 (ISSUED ON PROCESSED BY PLAN BY 1
1 145 WATER CLOSET/URINAL 1 00 FIX 16 20 102/12/14 SR 1
I TOTAL FEES 76 40 1 1
10WNER TEL NO I IFINAL DATE FINAL Y CODE 1
INGUO JOHN H (626) 292 7763 I
19
14826 FIESTA AV 1 / �I l T
ITEMP 917803814 1 (DESCRIPTION OF WORK vI
I I IREPLACE SHOWER LAVATORIE AND WATER CLOSET FOR BATHROOM 1
I I IREMODEL I
1APPLICANT TEL NO I
ISAME AS OWNER I
I 1 (SPECIAL CONDITIONS I
I I 1 1
1CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER I I I
LIC NO (UNDER SLAB WORK
I
IWATER SERVICE I
ARCHITECT OR ENGINEER TEL NO i (PLASTIC YIN METAL Y/N I I
1 LIC NO I 1ROUGH PLUMBING ( 1
IGAS PIPING
IGAS VENT I I
I I I
IHOT WATER HEATER I I
I I I
I PLUMBING FIXTURES I I
I I I
I ILAWN SPRINKLERS I
1 IGAS TEST I 1 I
(UTILITY COMPANY NOTIFIED(11
I I
I ICWV
IGRAY WATER SYSTEM
I I I 1 x1 I
I I I I I I
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I I I I
(REPORT ID DPR263 ROUTE TO BS0508
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