HomeMy Public PortalAbout6229 HART AVE_Plumbing__ 0.13.17 10M SETS 11.41 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING
WM.J. FOX,CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERM
IT NO.
ROUGH FIXTURES COMPLETE /� `J L•
RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL - SEPTIC TANK FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
K NAME \ - ADDRESS
m ADDRESS LOCALITY
D NEAREST -
J CITY TEL. No. CROSS ST. !
IL
COUNTY
CERT. No. EXPIRES K NAME
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LOCATION OF SEPTIC TANK,OR CESSPOOL 3 AMAIL
DDRESS
NORTH O --
CITY TEL. No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATFr OF QWA4_IFICATIO►�I.
t �y
'PLUMBER
I
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
w i OWNER
CORRECTIONS
SOUTH J
Q
DESCRIPTION OF WORK
1�
BATH TUB FURNACE
_-.-SHOWER ---DISHWASHER
LAVATORY REFRIGERATOR
--KITCHEN SINK _ WATER SOFTENER
-----FLOOR SINK --------SAND TRAP
----SLOP SINK - ------FLOOR DRAIN
_WASH TRAY -- _—URINAL---URINAL APPROVALS
WATER CLOSET -------DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
_ ---WATER HEATER —DENTAL LAVATORY
ROUGH PLUMBING
_- -_METER GAS -.----.-SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
CESSPOOL
_TOTAL NUMBER OF FIXTURES SEPTIC TANK
_ _CESSPOOL —SEPTIC TANKF� SEWER -
1�il
UTILITY CO.NOTIFIED
TOTAL FEE e__
FINAL
76A667 D139 17 7-51 APPLICATIOAT FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY'
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT ROUP Z 4
PLUMB `a0 READY FOR
n d ECEIVED� BY DATE ISSUED
� - F / FIRST INSPECTION /'q _ 2--
ADDRESS '�
®DIED SS /.
CITY TEL. No. ADDRESS-
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COUNTY +• LOCALITY 7.
(CENSE NO. EXPIRES
• NEAREST 04
PERMIT' FEES
CROSS 6T.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER?- ,
MAIL / n Gf •Iq .l / ..�. /�. '
" WATER CLOSET(TOILET) 0 0.50 6 ADDRESS ��I� '7�t
BATH TUB @ 0.50 CITY TEL.(.. TEL No. 1! V
SHOWER 0:.50 1 HEREBY ACKNOVI4-EDGE'THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 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 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ O.SO
SIGNATURE OFM ���_, v 6.:✓
WATER HEATER @ 0.50 PERMITTEE a,r
SLOP SINK @ 0.50 AdCISPF+CTIOAT RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN 0:50
DISHWASHER ($ 0.50
DRINKING FOUNTAIN @ O.50
URINAL @ 0.50
Q
HOJ.JBE SEWER @ O.So Z
MISCELLANEOUS
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6-� eb-4--a-4 0 5v p
V
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1;00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE & /) S�1
/ FINAL //�✓cf �� (Y�Z�-,41.:,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0306090033
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL FEES P B ADDRESS:
TR: 5904. LT: 210 6229 HART AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801631
ASSESSOR 0 0 NUMBER: NEAREST CROSS STREET: LONGDEN
5384-007-022 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 3.00 FIX 48.60
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN B EXPIRES ON:
21 HOSE BIBB(S) 4.00 FIX 64.80 06/09/03 JK 12/06/03
25 LAVATORIES/SINKS 4.00 FIX 64.80
OWNER: TEL. NO: 45 WATER CLOSET/URINAL _ 3.00 FIX 48.60 FIN L DATE FINAL BY: CODE:
KEELIN;STEVEN & KATHERINE TRS (626) 287-0642- 47 WATER HEATER(S) 1.00 WTH 16.20
6229 HART AV 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TEMP 917801631 TOTAL FEES 303.15 DESCRIPTION OF WORK
PLUMBING FOR ADDITION/REMODEL
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 OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
�+
HO WAT R H EAT ER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILIT CO PAN NO FIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508