HomeMy Public PortalAbout5935 IVAR AVE_Plumbing__ 78A667 -CE#817 4-64
J
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUI REIN
JOHN A. LAMBIE. COUNTY ENGINEER ADD
SS t
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEARE ST.CROSS
/1l V—
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 0
- MAIL
/ BATH.TUB 1,25 a ADDRESS ® ' Alole !S
SHOWER 1.25 / CITY':f' ��/�® o TEL. NO.440
e LAVATORY 1:25 CONTRACTOR
SINK 1.25 , ADDRESS
DISHWASHER 1.25 CITY o TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S P STATE
REGISTRATION NO. _ COUNTY ❑
CLOTHES WASHER 1.25 y
DISTRICT NO. GROUP ZONE PR ESSED BY
WATER HEATER 1.50
}
a —GAS SYSTEM OUTLETS 1'50 INDUSTRIAL
WASTE APPROVAL 0 O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
W
a
APPROVALS PATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING ds,
TOTAL FEE /7. o GAS PIPING
r 1
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 HOT WATER HEATER lop
PLUMBING.
1 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 i AM THE LEGAL i F,AND INT ND TO �AI'M�4v
RESIDE IN,THE ABOVE DESCR ED RE ENT L PROPERTY. �UTILITY CO. NOTIFIED /
SIGNATURE
OF PERMITTEE
FINAL
V LIDATION ROBERT A. WOOD
CK. JJ M.0. CASH SUPERVISING MECHANICAL ENG'R
CQ
-Z.o_`1,1012 NOV 2 5 A 1 .7.5-5 0 N
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0704110002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: ,
ILEGAL ID: I. FEES PAID I BUILDING ADDRESS: I
ITR: 5904 LT: 115 UN: -002 I 1 5935 IVAR AV _ 1
I . IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801520 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
15386-011-058 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
1 121 HOSE BIBB(S) 1.00 FIX 16.20 I-
(TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
I - - 104/11/07 JK 10/08/07
(OWNER: TEL. NO: 1 IFINAL DATEFI Y: CODE: 1
ICHEUNG/LAW, RICHARD/WANCHI (626) 285-0680- 1 1 I
15935 IVAR AV 1 Is 7/ I
ITEMP 917801520 1 IDESCRIPTION OF WORK 1
1 1
ICAP EXISTING HOSE BIB I
(APPLICANT: TEL. NO: 1
ITA (909) 594-7547- I 1
1786 PINEFALLS AVE. ISPECIAL CONDITIONS: I
(WALNUT, CA 91789 1 I
I
I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IWEST COAST CUSTOM ROOMS (909) 594-7547- 1 1 I
1786 PINEFALLS AVE LIC. NO I (UNDER SLAB WORK 1 I
IWALNUT CA 91789 471619BHIC 1 I I I I
I I IWATER SERVICE I
I I 1PLASTIC YIN. METAL YIN I
(ARCHITECT OR ENGINEER: TEL. NO: I I
I - I IROUGH PLUMBING I I I
LIC. NO: 1 I I I I
IGAS PIPING
I IGAS VENT I I
I IHOT WATER HEATER I I
I IPLUMBING FIXTURES I I I
I ILAWN SPRINKLERS I I
I IGAS TEST I I I
1UTILITY COMPANY NOTIFIEDI I I
I I CwV I I I
IGRAY WATER SYSTEM I I
I I I I I I
I I I I I I
I I I I I I
I I I I I
I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I
I I I I I I