HomeMy Public PortalAbout5912 IVAR AVE_Plumbing__ 76A667—CE 817468
APPUCAT��N FOR' PLUMBNG PEXT
COUNTY OF LOS ANGELES �.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 7
JOHN A. LAMBIE, COUNTY ENGINEER ADDRES
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
/72
FOR APPLICANT TO FILL IN (PR NT OR TYPE) . NEAREST
CROSS ST.
NUMBER. FIXTURE OR.ITEM EACH FEE '
OWNE _
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRE S
SHOWER 1.50 CI'T'Y TEL. NO
LAVATORY 1.50 CONTRACzel
/L
SINK 1.5o ADDRES - �^
DISHWASHER 1.50 r TEL. NO 7
CLOTHES WASHER 1.50 STATE LI
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1.50 e
DISTRICT N GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 O
WATER HEATER 1.50 INDUST STRIAL
OVAL !V
GAS SYSTEM 'OUTLETS 1.50 INSPECTION RECORD Z.0
OUTLETS OVER .30 0
5 PER SYSTEM
L!d
0.
Vf
Z,
Plan check fee 25% of above. See reverse.
PLUMBING P RMIT [ SU NC FE 8 2-100
T L
APPROVALS DATE INSPECTOR'S SIGNATURE
Man check applicant UNDER SLAB WORK
Name - ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City. TEM. NO. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL- COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS. ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE D D R IDE NTIAL PROPERTY. FINAL _
SIGNATURE -11, JACK R. ALLEN, SUPERVISI CHANICAL EN-G'R.
OF PERMITTE
PERMIT VALIDATION C M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
f, 8 5 t?'o ,:V 2'7 5' D ,7 5p- =4
76A667-CE817-8-58 .
APPLICATION FOR .PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 71b
BUILDING AND SAFETY DIVISIONBUILDING
JOHN A. LAMBIE. County Engineer ADDRESS Sr
CASSATT D GRIFFIN,Supt of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER .1
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. No-41r--71'3b3 ,r
` SHOWER
LAVATORY CONTRACTOR 4
SINK ADDRESS16253 1E.
P n�
DISHWASHER CITY
LAUNDRY TUB CONTRACTOR'S p q STATE Vf
REGISTRATION NO. COUNTY t
.a
CLOTHES WASHER DISTRICT NO. GROUP ZONE T`P CESSED BY
WATER HEATER J� —
k
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD,
a
u
b
APPROVALS
OR FIXTURE $
i �� DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
' I PERMIT $ 2 00 ROUGH PLUMBING
A' TOTAL FEE 3 @ Q GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. 3 PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS?EST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOT]FI ED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE FINAL
OFPERMITTEE
ROBERT A.WOOD.
OF VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.0. CASH
I_A,Co 9 5 2 2 PPR 21 5 p-- .5 .0 0 ��
o COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMB'YNG-PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS. P.L 0508-000.7_T1'O008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUI.LD.I.NG-ADDRESS:
TR: 5904 LT: 130 5912 IVAR AV— )
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801&19
ASSESSOR INFORMATION NUMBER: NEAREST-CROSS STREET: HERMOSA
5384-018-020 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 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:
TOTAL FEES 60.15 07/11/00 UT 01/08/01,
OWNER: TEL. NO: FINAL DATEFINAL BY: ODE:
LEONG;ANDREW (626) 675-6688- Q O
5912 IVAR AVENUE Q J
ZEf
TEMP 91780 DESCRIPTION OF WORK
RELOCATE WATER HEATER TO OUTSIDE
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
ES Co
CONTRACTOR: TEL. NO: - ®� APPROVALS DATE INSPECTOR SIGNATURE
SAMELIC. NO UNDER SLAB WORK
WATER SERVICE
1 PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0:
ROUGH PLUMBING
LIC. N0
L 1111111 GAS PIPING
GAS VENT
GU
Q WC J�O "' HOT WATER HEATER
V� PLUMBING FIXTURES
Oa � 1i LAWN SPRINKLERS
Z9 Q -, ,�` GAS TEST
❑ =? �ry UTILITY COMPANY NOTIFIED
❑ CWV
erviCe���� GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508