HomeMy Public PortalAbout6209 IVAR AVE_Plumbing__ 76A667—CE 817468
COtT ,T OF LOS ANGELES u
DEPARTMENT JF COUNTY ENGINEER
BUILD24G AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 6 North Ivar
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Tem le City
FOR APPLICANT TO FILL IN (PR NT OR TYPE) o NEAREST
CROSS ST.
NUMBER FIXTURE TU RE OR ITEM EACH FEE '
OWNER Bade
WATER CLOSET 1.50 3 MAIL
1 BATH TUB 1.50 ._� ADDRESS 20 BirChcroft
1 SHOWER - 1.50 L7 CITY Arcadia TEL. NO. 446-1658
3 LAVATORY _ 1.50 CONTRACTOR Owen Bros. Plumbing, Inco
1 SINK 1.50 s�C ADDRESS 4265 No. Baldwin Ave.
1 DISHWASHER - 1.50 CITY al TEL. NO. U
CLOTHES WASHER 1.50 �tJ STATE LIC
• LICENSE NO. 231 741 CLASS C 36
SWIMMING POOL RECEPTOR 1.50 8'..
DISTRICT NO GROUP_ ZONE P S D BY
LAWN'SPRINKLER SYSTEM 2.00 'O
1 WATER HEATER 1.50 157 C-) ° INDUSTRIAL
U
WASTE APPROVAL
1 GAS SYSTEM OUTLETS 1.50 INSPEC IOM ORD f 01 0
'OUTLETS OVER ' .30
5 PER SYSTEM
N
z
Plan check fee`25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE
APPROVALS DATE I ECTOR'S SIG ATURE
Plan check applicant UNDER SLAB WORK (,
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City. Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE:-THA�TI 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.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM'THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABO DE6 IBED RESIDENTIAL PROPERTY. FINAL L
SIGNATURE .TACK R. ALLEN, SUPERV ISIOHANICAL ENG'R.
OF PERMITTEEPERMIT VALIDATIONM.O. CASH
PLAN CHECK VA NIDATION CK. M.O. CASH
T
WORKERS'COMPENSATION DECLARATION �p pp���G=d�0�11V �O� h'L6�JIIVLI MMIG � ��'-
I hereby affirm that I haJ�'a certificate of consent to self, 76A667A, u v
insure, ora certificate of Workers Compensation Insurance, CE 817(REV.10/81)
or a certified copy thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY
Pal lcy No.—Co mpany
Certified copy is hereby furnished., J AVEFOR APPLICANT TO FILL IN(PRINT OR TYPE) Q� � V eG
Certified copy is filed withtthe county building inspec-
ADDRESS :TV
AR
department. NUMBER ,FIXTURE OR ITEM @ FEE r
LOCALITY
Date Applicant WATER CLOSET NEAREST
CERTIFICATE OF-EXEMPTION FROM WORKERS' BATH TUB CROSS ST.
COMPENSATION INSURANCE �+
SHOWER OWNER
(This section need not be completed if the work involved by MAIL
the'permit is'for one hundred dollars ($100)or less.) LAVATORY ADDRESS
I certify that in the performance of the work for which this
permit is issued,.1'shall not employ an person in an manner SINK CITY . TEL. NO.//7 Q//
P P Y Y P Y �JYI.401 C .f t. / BCT—(1163
so as To become subject to the Workers'Compensation Laws. DISHWASHER }�
CONTRACTOR ��.CN �(s C_LI ASf�
Date Applicant CLOTHES WASHER q�
NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS
Exemption, you.should -become subject to the Workers' SWIMMING POOL RECEPTOR
t . {
Compensation provCITY TEL. NO
isions LAWN SPRINKLER SYSTEM of the Labor Code, you must forth- c' �'�`"�-� �t2 �f jrslaC
with.comply with such provisions or this permit shall be STATEn /6 / LIC,
deemed revoked. WATER HEATER LICENSE NO. '[V4/5 CLAS5'5/— 4
- . LICENSED CONTRACTORS.DECLARATION DISTRICT NO PROCESSE15 BY
1 hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS"
(co,mmencing'with.Section 7000) of Division 3 of.the Business OUTLETS OVER ' ` �"' y,
and Professions Code,and my,l'icense is in full,force and effect. 5 PER SYSTEM FINAL �► VALIDATION
DATE
License Number_2,q �d�� Lic. Class5-`—q y 6 36-
FINAL
ContractorDate BY ."„� fP "°a4«. . 0
❑ I am exempt under Sec. �
B.&P.C. for this reason �'
Plan.check fee
Date:
PLUMBING PERMIT ISSUING FEE$
Signature '
TOTAL FEE
Plan check applicant
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Name 6 5 A
I hereby affirm that I am exerimptfrom the Contractor's.License Address
Law for the following reason (Section 7031,5, Business'and
tr` 5
Professions Code): City Tel. No. 0 0
❑ I; as owner of the property, will do the work and the i. 0,0.3 Q,,:�0
structure is not intended or offered.for sale (Section
7044, Business and Professions Code). .o 0 0 3 0.
CONSTRUCTION LENDING AGENCY 0 7, 1 4-8 3
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued
(Sec. 3097, Civ. C:).
Lender's Name
Lender's_Address
I certify that I have read this. application and state that the
above information is correct. I agree to comply with all County
ordinances and State laws regulating Plumbing, and hereby
authorize representatives of this County to enter u on the
above-m nt' ned property f inspection pure ses.
SEE REVERSE FOR EXPLANATORY LANGUAGE
�3
natrmittee Oate
GEPARI'MENT OF BUILDING APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES PLUMBING
NATURE OF INSTALLATION DISTRICT No. JOB No. PERMIT No.
POUMIRUGH3 FIXTURES COMPLETE Zs — ��_:�.50 5 F
HEATER CESSPOOL SEPTIC TANK READY FOR SCE`IVED BY DATEISSUED
FIRST INSPECTION - y
G A 9 MISCELLANEOUS 3 L4
A l'I'LI CA NT F1 LL IN HEAVILY OUTLINED PORTION ONLY
JOS n. �"L9 •�' - 1
ADDRESS
p
ADDRESS - LOCALITY
F
J CITY TEL. NO. CROS-4S T.
STATE - COUNTY NAME �yyi�//7
LICENSE NO. - REi. NO.
DESCRIPTION OF WORK Z ADDRESS ti sri/'
3 �' 1'
OI f r
BATH TUB FURNACE , CITY y,/ .}.!� - TSL. NO.
SHOWER _._,_ DISHWASHER 'CORRECTIONS
LAVATORY REFRIGERATOR _
KITCHEN SINK __ WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY _ URINAL
WATER CLOSET DRINKING FOUNTAIN
WATER HEATER DENTAL LAVATORY - -
GAS , 1 - _ J
OUTL._L_ METER __L, SODA FOUNTAIN _ C
SEPTIC TANK _ Z
CESSPOOi. �.—
C
0
TOTAL NUMBER OF FIXTURES
LOCATION OF SEPTIC TANK. OR CESSPOOL
NORTH - - -
_ E
W
3 �^
i APPROVED
ROUGH PLUMBING INe PECTOR•D NAM9 DATE_-
•
GAS PIFING
GAS VENT
CESSPOOL
SOUTH SEPTIC TANK
INSPECTION FEE SEWER p i
PERMIT FEE UTILITY Co.NOTIFIED• '
TOTAL FEE FINAL mit.i� ,_ a ;'
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS -PL 0508 1208160019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: -
ILEGAL ID: 1 - - FEES PAID I BUILDING ADDRESS:
ITR: 5904 LT: 23 - - - - - 6209 IVAR AV -
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801526
(ASSESSOR INFORMATION NUMBER: - 1 NEARESTCROSSSTREET:
15386-010-_019 101 PERMIT ISSUANCE FEE 27.80' ( THOMAS PAGE: 596 GRID: H2 -LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 - I.
(TENANT: 125.LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED-ON: " PROCESSED BY: PLAN BY: -
145 WATER CLOSET/URINAL 1.00 FIX 16.20 108./16/12. SR 1
1 TOTAL FEES 76.40 1
(OWNER: TEL. NO: ". I IFINAL.DATE FI5AL BY: CODE:
IKELLY CARMEN T (626) -286-0163--
16209
626)286-0163 16209 IVAR AV.
ITEMP 917801526 ID SCRIPTION OF WORK -
IREPLACE BATHTUB/SHOWER, LAVATORIE AND WATER CLOSET FOR I
IBATHROOM REMODEL I
(APPLICANT: TEL. NO:
IGLYCHER, ELINOR (877) 231-7389-
ISPECIAL CONDITIONS:
I I I •1
I I I i
CONTRACTOR: TEL. NO: { _ (APPROVALS DATE INSPECTOR SIGNATURE .
IMEGA GROUP BUILDERS (877) 231-7389- (
, 118375 VENTURA BLVD #770 LIC. NO I (UNDER SLAB WORK -
ITARZANA, CA 91356, 461004-B I I
I (WATER SERVICE
IPLASTIC Y/N 'METAL Y/N I
(ARCHITECT OR ENGINEER: TEL. NO: - - I• -
- IROUGH PLUMBING
1 LIC_ NO: 1 I
I GAS" PIPING I.
I -I GAS VENT
I I-
I I
I IHOT WATER HEATER
- I - _ - IPLUMBING FIXTURES I
" - I LAWN SPRINKLERS I -
I
IGAS TEST I '- I -
I
I - - .FUTILITY COMPANY.NOTIFIEDI
ICWV
I I I
I I IGRAY WATER SYSTEM
I I I I I I
I I I I I I
1 I* ADDITIONAL DATA ON FILE 1 I
I I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508
I i I I I I
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT -
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1208220030
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS: -
ITR: 5904 - LT:. 23 - 6209 IVAR AV
(FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( TEMP CA 917801526 1
(ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET:
15386-010-019 101 PERMIT ISSUANCE FEE - 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
I 164 WATER PIPNG <= 1 1/2 10.00 LIN 162.00. 1
(TENANT: I TOTAL FEES 189.80 (ISSUED ON: PROCESSED BY: PLAN BY: 1
1 108/22/12 SR
(OWNER: TEL. NO: I _IFINAL DATE FINAL CODE: 1
IKELLY CARMEN T' (626) 286-0163- I I _ _ 1
16209 IVAR AV I -
ITEMP 917801526 I IDESCCRIT TION OF-.WORK
I I IRE-PIPE HOUSE (TOTAL OF 10 POINTS) I
(APPLICANT: TEL. NO: I -
-IVERED NISSAN (877) 231-7389- 1 1 -
I - - I ISPECIAL CONDITIONS: _ 1
CONTRACTOR: - TEL. NO: - I - (APPROVALS D TE INSPECTOR SIGNATURE
IMEGA GROUP BUILDERS (877) 231-7389- _ 1 1
118375 VENTURA BLVD #770 LIC. NO (UNDER SLAB WORK
ITARZANA, CA 91356 461004-3
I I WATER SERVIC I 1
I - - I IPLASTIC Y/ M T Y/N
(ARCHITECT OR ENGINEER: .TEL. N0-
I IROUGH PLUMBING I I
1 LIC. NO:, I I
I IGAS PIPING
_ IGAS VENT
I I I I
I IHOT, WATER HEATER I I
1 I I I _
I I IPLUMBING FIXTURES I 1 1
I
I I ILAWN SPRINKLERS
IGAS TEST I I
(UTILITY COMPANY NOTIFIEDI I
1 ICWV I I I
I I I I i I
I 1GRAY 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 I I I
I I I I I I
I I* ADDITIONAL DATA ON FILE I I
I I I I I 1
I I I
I IREPORT ID: DPR263 ROUTE TO: BS0508 I I
I I I I