HomeMy Public PortalAbout5636 GRACEWOOD AVE_Plumbing__ 76A667-CE817 3-59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engin�e� ADDRESS 5/ IV
CASSATT D. GRIFFIN, STP f of Buildmcj LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. ,.
NUMBER FIXTURIc OR ITEM OWNER
/ - a
WATER CLOSET V
MAIL
BATH TUB ADDRESS 1-
CITY TEL NO. —.7-
SHOWER
LAVATORY CONTRACTOR
SINS ADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER 1F DIST�T NO. GP.04W WATER HEATER J'C
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECOR
s
PER ITEM
OR I --
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE
TROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I 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
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I 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 PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE _ _ ,-��
OF PERMIT
TE '� �� FINAL
®F VALIDATION ROBERT A. WOOD,
cK. Y.0. CASH SUPERVISING MECHANICAL ENG'R
L"AC0 2 9 2 1 n SEP 21 5 A 6.0 0in
D.B.S.„ 25M BETS '-48 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING '
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. G OUB a0. ffPERMIT O.
ROUGH FIXTURES COMPLETE _
RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION �.
GAS MISCELLANEOUS -
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME JOB
p� ADDRE£f8
W
B
ADDRESS
g L ITY
a EAR
'j CITY TEL.No. CROS€3
GL
COUNTY
CERT.No. EXPIRES � NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 0.3
NORTH ®I _ ADDRESS
CITY nTL.NO .
IAM THE LEGAL POSSEiSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
fN C
s
3 Vi OWNER
i
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK Q
z_
BATH TUB FURNACE
SHOWER DISHWASHER
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
-
/WATER CLOSET DRINKING FOUNTAIN DATE iN9PKC R•• E
WATER HEATER DENTAL LAVATORY
ROUGH PLUMBING
METER GA9 SODA FOUNTAIN
OUTL 6A8 PIPING
GAS VENT I I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
S_CESSPOOL SEPTIC TANK SEWER
$
TOTAL FEE UTILITY CO.NOTIFIED
FINAL 7
76A667 17 25M SETS 7-48 APPLICATION
DPT TG's A TION FOR PERMIT
1
DEPARTMENT OF BUILDING AND SAFETY 11S PLUMBING
d iS�lJt9�Yl��H ' i/�1bLOl Y
COUNTY OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT 14O. GI20UP ZONE, PERMIT o.
ROUGH FIXTURES _I COMPLETE r-e
RECEIVED BY READY FOR DATE 18SUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION
AS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
ADDRESS z o
W NAME
ADDRESS '~ LOCALITY777
J NEAREST
6. CITY TEL.NO. CROSS ST.
COUNTY
LICENSE NO. EXPIRES IL NAME
W
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
y ADDRESS r
NORTH O
CITY TEL.No. � �
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
W D
V) OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN
OUTL CTAS PIPING I "/
c
GAS VENT
4I CESSPOOL
-
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOl SEPTIC TANK SEWER
$ UTILITY CO.NOTIFIED I
TOTAL FEE
FINAL
7SA667 n 5-49® APPLICATION FOR PERMIT
+� DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER - RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
BUILDING
CITY TEL. NO.
ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY TEL. NO.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF '
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50 -
FLOOR DRAIN Q 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 ..1
HOUSE SEWER @ 0.50 a
_Z
MISCELLANEOUS (9
0.'
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
f I GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.o0 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE $
FINAL ���
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Dof County Engineer PLUMBING
DIVISIONSION OFF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT .
PLUMBER � ��✓\ READY FOR
L L�/`'lIT/N� RECEI ED BY DATE ISSUED
r— FIRST INSPECTION -
ADDRESS lj� jr(Q/s.�/fll1
BUILDING
CITY ` A�l/ TEL Na. ,L; ��' ADD REBS
COUNTY _ LOCALITY ��+' /f.{ 0/A
LICENSE NO. � EXPIRES "- O'—:� —
NEAREST
PERMIT FEES cRoss ST.
FBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOBET(TOILET) 0.50 s ADDRESS
BATH TUB Q 0.50 v CITY TEL. Na.
SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 _11-16 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 `• AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT ,IPOSSESS THE ABOVE VALID LOS
le LAUNDRY TUB TTOR TRAY 0.50 r v ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM0.50 L OF THE RESIDENTIAL T'
P OPERY SC ABOV
SIGNATURE OF
WATER HEATER 40 0.50 PERMITTEE - ��
SLOP SINK 0.50 _ INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN ID 0.50
DISHWASHER IIIc 0.50
DRINKING FOUNTAIN 0 0.50
URINAL 0.50 Q
HOUSE SEWER 0 0.50. - _Z
MISCELLANEOUS LD
O
APPROVALS
DATE INSPECTOR'S,NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 40 1.00 CESSPOOL
SEPTIC TANK, SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.Do GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE �Q
FINAL
76A667 DBS#t 17 6-52
COUNTY OF, LOS ANGELES TEMPLE CITY 0508 PLUMBING PERMIT
rf� DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0107120019
L .,BUILDING AND SAFETY /-LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 283-0488 EXT:
ON FILE 5636 GRACE69M AV
FEF DESCRIPTION: QUANTITY: UOM: AMOUNT: ARCD CA 910078411
ASSESSM INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK
8586-014-D11 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: E13 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
21 HOSE BIBB(S) 1.00 FIX 16.20 ISSUED ON: PLAN BY: EXPIRES
25 LAVATORIES/SINKS 1.00 FIX 16.20 07/12/01 UT 01/08/02 .
45 WATER CLOSET/URINAL 1.00 FIX 16.20
(AMER: TET W TOTAL FEES 108.75 FINAL DATE FI
WU MEI-TER (626) 4446-6026- �„
56#6 GRACEWOOD AVE
ARCADIA CA 91007 DMUIPTION OF WORK
PLUMBING FOR ADDITION
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDHILMS:
CONTRACTOR: TEL. NO: �
Ph►,GELES COO\
DATE INSP
SAME AS OWNER LIC.-No 0 y
WORK
WATER SERVICE I L.^,
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
SHANG HWANG AND ASSOCIATES (626) 282-
801 S. GARFIELD AVE. LIC. 111111 1,
ALHAIRRA, CA 91801 C26640GAS PIPING
GAS VENT
L.) CD /F\, FC—J)R//- HOT WATER HEATER
LAWN SPRINKLERS
GAS TEST
�\\bEl
O
/�c 'Service That�-
REPORT ID: DPR263 ROUTE TO: RS0508