HomeMy Public PortalAbout6003 IVAR AVE_Plumbing__ 76A667-CEI 817 6-65
APPLICATION FOR : PLUMBiNG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS RI
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST -19 R� 8�,�
CROSS ST.
° NUMBER FIXTURE OR ITEM EACH FEE
OWNER RA/
WATER CLOSET $1.25 _
MAIL
BATH TUB 1.25 ADDRESS G'
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACT ,
SINK 1.25 ADDRE ('.-I
DISHWASHER 1.25 CITY
STATE �/ LI C
LAUNDRY TUB 1.25 LICENSE NO.- Q Y CLASS
0
CLOTHES WASHER 1.25 DISTRICT N67 GROUP ZONE PROCESSED BYE
WATER HEATER 1.50It
C
1.50 INDUSTRIAL a
GAS SYSTEM OUTLETS
WASTE APPROVAL O
_OUTLE20 OVER 5 PER SYS EM .30 INSPECTION RECORD U
0
D u
w
D_
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
A ROUGH PLUMBING
TOTAL FEE [ GAS PIPING
I HEREBY ACKNOWLEDGE THAT I 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
PLUMBING.
o I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS. REQUIRED BY LOS ANGELES COUNTY AND STATEOF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTI ROPERTv. UTILITY CO. NOTIFIED
SIGN ATUREJ� ?%--XV -
OF PERMI
FINAL m
0VPiLIDPiTIO1V
CK. - CASH
L7"g b-4.- DEC, .7 5 A 3x50- .v ,
76A667 (CE-817)- 5/73
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION '
MAKE CHECKS PAYABLE TO: BUILDING:
ADDRESS C®
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY 2FM PLC-- e'lTy"
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS 10 0I� S�
SHOWER 1.75 CITYT al 7- TEL. N0.670 7-VzZ
LAVATORY 1,75 CONTR N
SINK 1.75 ',S ADDRESS Sh 0
®' DISHWASHER 1.175 ?�� CITY ��• � TEL. NO. _ 3
CLOTHES WASHER 1.75 ' STATE LIC
LICENSE NO. Z. CLASS C 3b
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZONE �EED
LAWN SPRINKLER SYSTEM 1.75 , ® k-
WATER HEATER 1.75 7 J� INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION REGORD U
OUTLETS OVER
5 PER SYSTEM '30 ,,.,,P' w t`'...'d,S" �`'0 eve �f.F'�< O
W
/L :.7 ^/ � �.Ai �.� �/�•�A��%7 .Y�.LCL( �`�ee}���� �
6.'As`; F. Vii.
Plan check fee See'Reverse 5
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE �
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING �!�y7� %'��7r�✓
Address GAS'PIPING
City Tel. NO. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I 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
PLUMBING. GAS TEST
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL -
SIGNATURE ,
OF PERMITTEE"
PERMIT VALIDATIONCK. M.O. CASH
PLAN CHECK VALIDATION CK. M.D. CASH
7 2 Z fdtlU 13 5 D 1 1.7 5 �w
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0901140023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (G26) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS: 1
ITR: 5904 LT: 117 UN: .002 I 1 6003 IVAR AV 1
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917801522 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15386-011-062 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
(TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
101/14/09 SR 07/13/09
I I I I
(OWNER: TEL. NO: IFINALT FIN BY: _ CODE: I
IMR. & MRS. GALDOS (760) 724-4053- I I I
16003 IVAR AVE. I I I
ITEMPLE CITY CA 91780 - 1 IDIESCRIJITIOIA OF WORK I
I I IGAS LINE FOR A/C - HEAT SYSTEM
I
(APPLICANT: TEL. NO: 1
ICARRA CONTRERAS OF CONNOR AIR (626) 286-3157-
14931 N. ENCINITA AVE 1 ISPECIAL CONDITIONS: I
ITEMPLE CITY CA 91780
I I I I
ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
CONNOR AIR CONDITIONING (626) 286-3157- 1
14931 ENCINITA AVE LIC. NO (UNDER SLAB WORK 1
ITEMPLE CITY, CA 91780 403735 C2O I 1 1 1
1 IWATER SERVICE
1 (PLASTIC Y/N METAL Y/N 1 1 I
(ARCHITECT OR ENGINEER: TEL. NO: I I I I I
- I IROUGH PLUMBING
LIC. NO:
IGAS PIPING I I
I I I
IGAS VENT
I I I
IHOT WATER HEATER
I I I
IPLUMBING FIXTURES I I
I I I
I 1 JLAWN SPRINKLERS I I I
I I I
1 1 IGAS TEST I 1 1
I I I
1 I (UTILITY COMPANY NOTIFIEDI I I
I ICWV I
I 1 IGRAY WATER SYSTEM 1 I I
I I I
1 I I I I I
I I I I I I
I I I I I I
I I I I I I
(REPORT ID: DPR263 ROUTE TO: BS0508 I I I I
I I I I I I