HomeMy Public PortalAbout5525 HILTON AVE_Plumbing__ D.U.S.19 25M SETR 10-49 APPLICATION FOR PERMIT
OF BUILDING AND SAFY PLUMBING COUNTY OFF LOS LOS ANGELES
ET1
WM.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. a OU o f P RMIT NO.
ROUGH FIXTURES COMPLETE �/' 4 ✓ G� '�
READY POR
NEATER
CESSPOOL I—IBEPTIC TANK � ,.Y, FIRST INSPECTION DATE ISSUED
A8MISCELLANEOUS
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APPLICANT FILL IN HEAVILY�OUTLINED PORTION ONLY
G• NAME JcJ"il /'7 ,Z/IYII���i LC// /y�LGJ ADDRESS
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COUNTY 'T�
CERT.NO. 'l1Oo/'✓ EXPIRE'Va -;'-//51,
LOCATION OF SEPTId TANK, OR CESSPOOL 2 MAIL
ADDRESS
NORTH p C y J b
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CERTIFICATE OF QUALIF CATION.
PLUMBER
1 AM THE LEGAL OWNER OFT E PROPERTY DESCRIBED
ABOVE.
s
OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE
I�
SHOWER —DISHWASHER D
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK BANDTRAP
SLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER_ GAB SODA FOUNTAIN
OUTL GAS PIPING I I
GAB VENT I I
CES"POOL I/' J3-%8 �'whJ
TOTAL NUMBER OF FIXTURES SEPTIC TANK
L I I
CESSPOOSEPTICTANK SEWER I I
S
TOTAL FEE UTILITY CO.NOTIFIED I I
FINAL
R S " 25M SETS 2-4
7
f APPLICATION FOR PERMIT `
S EPARTMENT OF BUILDING AND SAFETY
_ . COUNTY OF LOS ANGELES PLUMBING 1
Vim. J. FOX. CHIEF ENGINEER
rA
TURE OF INSTALLATION DISTRICTNO. GROUP ZO E P RMIT NO.
FIXTURES I� COMPLETE �r y - I,\- ' /] �' �_
READY FOR
CEBHPOOL BEPTICTANK RECEIVED BY DATE ISSUED
- FIRBT_INBPECTION �Z /
MISCELLANEOU '�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB o
E ,Ps .r9 Lam) IM� a�.4f0 ADORE88 2✓ 99 /I.y l�
D IA.f✓( LOCALITY Q / L C �NEAREST
TEL.Nor/ �d Q CROSS ST.. EXPIRES mNAME OF SEPTIC.TANH, OR CESSPOOL 3 MAIL
ADDRESS v"
NORTH O
CITY TEL.No.
1 AM THE EGAL 8E8SOR OF THE ABOVE LOS
ANGEL EB COU TY CERT T OF UALI�ATION.��
/.� wRIE
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
R
yOWNER
CORRECTIONS
- 9
SOUTH G'aS �//o Gc/ rr -G.FSS Q
DESCRIPTION OF WORK �j� r y y. yj Z
rT—FLOOR
ATH TUB FURNACEHOWER DISHWASHER Q
AVATORY REFRIGERATOR
ITCHEN BINK WATERSOFTENER
BINK BANDTRAP
SLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE ,�{{ INSPECTOR'.NAME
WATER HEATER DENTALLAVATORY ROUGH PLUMBING '13 - Y ✓I er/bJ
METES i GAB SODA FOUNTAIN GAB PIPING I I
OUTL
GAS VENT I I
r CESSPOOL
TOTAL NUMBER OF FIXTURES
^T' SEPTIC TANK I I
I I
CEB8P00+ SEPTIC TANK _-"— SEWER G
UTILITY CO.NOTIFIED I���'- I/D I r L <n S
TOTAL FEE
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FINAL
76A667��ES}4,-B-6B
k ` APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
�;DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION -. BUILDING
UI DR IN ;,7t5- �� iQ-t!"��
IOHN A. LAbffiIE, C01 Engineer
C SATT D. GRIFFIN,S.p t of Building LOCALrrY
FOR APPLICANT TO FILL IN NEAREST
CROSS Sr
B4Ille
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER crrY7;?AP1-E G TEL. NO. 7197o
LAVATORY CONTRACTOR thLts 1 mnv
BINR ADDRESS 1s-- C,6 Cj4-0 U
DISHWASHER CITY V_L O TEL. NO. AtIA.?j-7 ��
CONTRACTOR'S STATE
LAUNDRY TUB I REGISTRATION NO. o75 COUNTY 'p
CLOCHES WASHER DISTRIC.p1D. GROUP I ZONE PROCE BY
WATER HEATER c,J! -7-- A— y(fJ
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
•5 INSPECTION RECORD
APPROVALS
ITEM
OA FPDCCUAE5 G7�
/ DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2 00 ROUGH PLUMBING
TOTAL FEE L GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAERTY.
SIGNATURE
/J,'3,
OF
PERMISIGNATURE
TE FINAL 7
ROBERTA.WOOD.
®P VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.O. CASH
6 O� ssF 1 5 A 3.0 0
76A667-CESI7-8-57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER f
DING A
BUILDING AND SAFETY DIVISION RESS ��5 rJ/(/OH/ '4(
JOHN A. LAMB(E. COUNTY ENGINEER ��' I
CASBATT D. GRIFFIN, suP'r of BmLOING ALITY �' 1
FOR APPLICANT TO FILL IN REST
SS ST. if CA W4L1NUMBER FIXTURE OR ITEM � 55 I+t= R
ERWATER CLOSET L . -
BATH TUB RESS SSoZ�JlT+/�L/ O6t,)
SHOWER CITY '�kN �L=C.// TEL.NO. ("/r Q
LAVATORY CONTRACTOR Pwivl?k ,
SINK ADDRESS
DISHWASHER CITY
LAUNDRY TUB CONTRACTOR'S STATE ❑
_ REGISTRATION NO. COUNTY ❑
CLOTHES WASHER
DISTRICT O. GROUP ZONE PEn OY FJR Ia EPECTlO,v
WATER HEATER
GAS SYSTEM ' INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
@ SI.00 PER ITEM / DATE INSPECTOR'5 SIGNATURE
OR FIXTURE S ( UNDER SLAB WORK
PERMIT S 1 00
ROUGH PLUMBING
7 �
GAS PIPING t
TOTAL FEE GAS VENT _
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING,
I HEREBY CERTIFY THAT 1 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 PROPERTY.
SIGNATURE
OF PERMITTEE FINAL
ROBERT A. WC50D,
VALIDA�TPiii�j�{�q�
j' ASUPERVISING MECHANICAL ENG'R
CN. 10, /`/[ASH
L,;&2 4 9 8 4-1 M. 2 5 A 2.00 �
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0012140013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL I FEES PATD- BUILDING ADDRESS:
TR: 12410 LT: 17 5525 HILTON AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802406
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BROADWAY
8588-002-017 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
60 DWV REPAIR OR ALTER 1.00 SYS 16.20 12/14/00 UT 06/13/01
63 WATER PIPING BR/FIX 1.00 FIX 6.75
OWNER: TEL. N0: TOTAL FEES 83.10 FINAL DATE FINAL BY: CODE:
KATSAFADOS HELEN (626) 285-8243- �7��Z lf;/J
5525 HILTON AV / 5: �
TEMP 917802406 DESCRIPTION OF WORK
C/O WATER HEATER, REPLACE GAS, WASTE AND WATER SUPPLY LINES
IN LAUNDRY ROOM
APPLICANT: TEL. NO:
R.ABLE II GENERAL CONTRUCTION (626) 357-9766-
132 W. POMONA SPECIAL CONDITIONS:
MONROVIA, CA
CONTRACTOR: 7E .. NO: Y� ; APPROVALS DATE INSPECTOR SIGNATURE
R ABLE II GENERAL CONTRACTORS (626) 357-9766-
132 W POMONA LIC. NO / - UNDER SLAB WORK
MONROVIA CA 91016 469975 B -
�I WATER SERVICE
/ f ' I �. '� PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0: / --
i� j I ROUGH PLUMBING
e1
LIC. N0: GAS P PING
-- - -- GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
' GAS TEST
UTILITY COMPANY NOTIFIED
1,
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508