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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