HomeMy Public PortalAbout6106 IVAR AVE_Plumbing__ 76A667A (�E 817B) -'4/77
BUILDING AND SAFETY DIVISIO�
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
WATER CLOSET
LOCALITYJ
NEAREST
BATH TUBCRO55 ST.
SHOWER OWNER
7 MAIL
LAVATORY C J ADDRESS O
SINK CITY TEL.NO. IL
DISHWASHER CONTRACTOR
eY
CLOTHES WASHER III
ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO. -
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER LICENSE NO. a , � CLASS
GAS SYSTEM OUTLETS DISTRICT NO. GROUP ZG+ OCESSE Y
(L/�!\ , Gam.
OUTLETS OVER V
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
U
W
N
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applicant
APPROVALS DATE y INSPE'CTOR'S SIGNATURE
Name o UNDER SLAB WORK.
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REOUIRED BY LOS ANGELES COUNTY AND STATE'OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGN TORE
of P E FINAL 00
PL AbQC;R � SN'CO2F�1( ENS tl IM PERMIT VALIDATION cK. ' M.O. CASH
POLICY HOLDER: _2
POLICY NUMBER:
.. I.
J4.1
7SA667-CE817 8-59
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONBUILDING
JOHN A. LAMBIE, County Engineer n ADDRESS
CASSATT D. GRIFFIN, Supt of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
�. WATER CLOSET MAIL
ADDRESS
BATH TUB
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTOR
SIN$ ADDRESS
DISHWASHER CITYAA
CONTRACTOR'SSTATE
u LAUNDRY TUB REGISTRATION NO. 1 6 COUNTY El
u
e <@;
CLOTHES WASHER DISTRICT NO. GROUP I ZONE PR SSE0 BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
4 WASTE APPROVAL
INSPECTION RECORD
9
3
's
@ $1.00 PER ITEM I r
OR FIXTURE
$ Ct APPROVALS DATE INSPECTOR'S SIGNATURE
g PERMIT $ '2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
c GAS PIPING i
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
_
I HEREBY CERTIFY THAT 1 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 THE ABOVE
DESCRIBED RESIDENT L PROPERTY.. = UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE G� FINAL
OF VALIDATION ROBERT A. WOOD,
M.o. CASK SUPERVISING MECHANICAL ENG'R
f:i 0 0 Q VIM 5 A 9.(1=v m
76 A 667—CE 817 8/68
I
APPLICATION . FOR -PLUMBING
I �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
mo
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE I
OWNER
WATER CLOSET 1.50
MAIL �
BATHTUB 1.50 ADDRESS
SHOWER 1.50 CITY TEL. NO.C`� - 064
LAVATORY 1.50 CONTRACTOR �C
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY 611 zeaTEL. NO W,_;I, Q 7d.
CLOTHES WASHER 1.50 STA ELIC
LICENSE NO. 479 IFCLASS
SWIMMING POOL RECEPTOR 1.50 °
DISTRICT NO. GRO °ZONE c P ES B1' }
LAWN SPRINKLER SYSTEM 2.00 �I V
WATER HEATER 1.50 INDUSTRIAL z
WASTE APPROVAL 2
U
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD w
o_
OUTLETS OVER .3G a7
5 PER SYSTEM Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
'TOTAL FEE `fit
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
r Naive ROUGH PLUMBING `t
Address
GAS PIPING s..
City Tel. No. GAS VENT I ` ��
HOT WATER HEATER \ n N'Kt V -
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION " y�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES I , 1� ';1 u�A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING o GAS TEST `� 1 k,u� }
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ Itt y \
\
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN.THE ABOVE DESCJ IBED RES DENTIAL PROPERTY. FINAL
'C
SIGNATURE JACK R. ALLEN, SUPERVISING CHANICAL EN G'R.
OF PERMITTEE -
r _ PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATH�DN CK. M.O. CASH
I All 3 1c'--' JA1112 5 b 3 .50N
76A667-CE#817 10-67 - �4
L
APPLICATION FOR PLUMBING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS /
COLEMAN W: JENKINS. SUPT. of BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET 1.50 _ I-� 4
MAIL
BATH TUB 1.50 ADDRESS -
SHOWER 1.50 CI _ TEL. NO
LAVATORY 1.50 CONTRACTO c F �-
SINK 1.50 ADDRESS/
DISHWASHER 1.50 CIT ' TEL. N0. &�rd
CLOTHES WASHER 1.50 STATE LIC -
LICENSE NO.' a CLASS
o ... ..
SWIMMING POOL RECEPTOR 1.50 AIV.1-jbDISTRICT NO. GROUP.. ZONE PR GE
LAWN SPRINKLER SYSTEM 2.00 1 C•
WATER HEATER 1.50 INDUSTRIAL - U
WASTE APPROVAL .
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD. V
OUTLETS OVER .30 GW..
5 PER SYSTEM
'tet
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 9 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
. GAS VENT •
CltY. Tel. NO. s 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. '
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF J, _ -- --
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE D RIBEDRESIDE T L PROPERTY. FINAL - �`_
jam
SIGNATURE JACK R. ALLEN, SUPERVISI HANICA G.'R.
OF PERMITTEE �k
PERMIT VALIDATION cK. M.o,.' -CASH
PLAN CHECK VALIDATION CK. M.O. CASH
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0208150011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 44 6106 IVAR AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801523
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI
5384-002-015 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
08/15/02 JK 02/11/03
OWNER: TEL. NO: FIJI L D E FI BY: CODE:
LY LAM THAI;VAN TRINH (626) 285-6444- 2
6106 IVAR AV
TEMP 917801523 D SCRIPTION OF WORK
NEW HVAC SYSTEM
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: /j "` % APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0:
ROUGH PLUMBING
LIC. NO/
r--'�-i -i-'� X11111115 p GAS PIPING
-- - - - -- - -- - -- --- - GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508