HomeMy Public PortalAbout6042 IVAR AVE_Plumbing__ 76A667 5CE0817 4-64
APPLICATION FOR PLUMB,ING PERMITo
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY'DIVISION BUILDING 60121 Ivar Ave
JOHN A. LAMBIE: COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temp ;e --City,
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Ralph Adams
2 WATER CLOSET $1.25 MAIL
1 BATH TUB 1.25 1 25 ADDRESS 115 Shasta �'a
1 SHOWER 1.251.25 CITY West Covina TEL. NO. ED 2-3420
20
2 LAVATORY 1,25 2,50 CONTRACTOR Belvedere Plumbing Coo
1 SINS 1.25 1 25 ADDRESS 13350 Ector St.
DISHWASHER 1.25 CITY Uity, of industry TEL. No.44849836
CONTRACTOR'SSTATE EX
LAUNDRY TUB 1.25 REGISTRATION NO. 119568 COUNTY
1 CLOTHES WASHER 1.25 1 2 DISTRICT NO. GROUP CESSED BY
1 WATER HEATER 1.50 1 50 77 �f J)
1 GAS SYSTEM OUTLETS— 1'� 1 60 INDUSTRAL
WASE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD // U
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APPROVALS "� T 0NSPE 'S SIGNATURE
UNDER SLAB WORK
PERMIT S 2 00"
ROUGH PLUMBING 7
TOTAL FEE 15 00 GAS PIPING
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS'APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I 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 OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCR BED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED /®
SIGNATURE �� ���. `��R, J N`
OF PERM ITTE �s
FINAL
G
ALIDATION ROBERT A. WOOD
M.0. CASH SUPERVISING.MECHANICAL ENG'R
6 9 1.-, I
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2 juIl�' _ 5 5 A 1 5.0 0�� ed
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COUNTY.OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0811180007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
PHONE: (626) 285-0468 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 5904 LT: 0 BL: .001 UN: .002 1 6042 IVAR AV
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917801521 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15384-018-003 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
I 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I 1
(TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
TOTAL FEES 60.15 111/18/08 SR 05/17/09 1
I I I I
(OWNER: TEL. NO: 1 (FINAL DATE FIN /�/y CODE: 1
IJHUNJHUNWALA NANDLAL (626) 285-1068- {'
16042 IVAR AV i 'I
ITEMP 917801521 I ID SCRIPTION CP WORK I
I1 SHOWER FAUCET, 1 LAVATORI FOR BATHROOM REMODEL
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(APPLICANT: TEL. NO:
IVERED NISSAN (818) 220-9452- I 1
118504 ERWIN ST. #6 1 ISPECIAL CONDITIONS: 1
IRESEDA, CA 91335
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ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
IBEN T CONSTRUCTION (818) 284-0973- 1
15627 SEPULVEDA BLVD #220 LIC. NO 1 (UNDER SLAB WORK I I 1
IVAN NUYS/CA/91411 892195 I - 1 -
I I IWATER SERVICE
1 —1 IPLASTIC Y/N METAL Y/N 1 1
(ARCHITECT OR ENGINEER: TEL. NO: I I I
TROUGH PLUMBING I I
I LIC. No:
IGAS PIPING 1
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I IGAS VENT I . I
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I IHOT WATER HEATER 1 1 1
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IPLUMBING FIXTURES
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1 ILAWN SPRINKLERS 1
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I I I GAS. TEST I I
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1 (UTILITY COMPANY NOTIFIEDI I 1
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1 1 1GRAY WATER SYSTEM I I
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1 IREPORT ID: DPR263 ROUTE TO: BS0508 1 1
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