HomeMy Public PortalAbout6408 LIVIA AVE_Plumbing__ 76A667-CE817-8-58
APPLICATION FOR PLUMBING PERMIT L�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS
CASSATT D. GRIFFIN, Supt of Building
LOCALITY //
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. J r'
NUMBER -FIXTURE OR ITEM A
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS r� _
SHOWER CITY y. TEL. N0.
CONTRACTOR
LAVATORY
SINS ADDRESS '
DISHWASHER CITY i. TEL NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. ! �C lam; COUN17 !
CLOTHES WASHER DISTRICT NO. GROUP ,j ZONE PROCESSED,BY
WATER HEATER / ''y
GAS SYSTEM sINDU
WASTE APPROVAL
- 'INSPECTION RECORD
APPROVALS .
@ $1.00 PER ITEM I i
OR FIXTURE $ DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE-THAT I HAVE READ THIS APPLICATION GAS VENT -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY-CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITYCO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE `•"'F rf rJr. °+
OFPERMITTEF ,%�� t `rte I-jJ �'n FINAL
®? r VALIDATION ROBERT A.WOOD.-
SUPERVISING MECHANICAL ENG'R
CK. M.0. CASH '
76A667-CE817-8-58
APPLICATION FORPLUMBING PERMIT 4',
COUNTY OF,LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County. Engineer
CASSATT D. GRIFFIN, Sup t of Building
LOCALITY -z-
FOR APPLICANT TO FILL IN NEAREST
aos TT .
NUMBER FIXTURE OR ITEM ' /
' .
WATER CLOSET OWNER MAIL
7 BATH TUB ADDRESS —:5 1-7 t=
SHOWER CITY - TEL. NO.
LAVATORY CONTRACTOR RT& L C1
SINK ADDRESS Y C•G t ,C G
DISHWASHER CITY TEL. NO.
LAUNDRY TUB CONTRACTOR'S //G/ - STATE
REGISTRATION NO. !J COUNTY
CLOTHES WASHER DISTRICT NO.� G UPI ZQN PROLE ED BY)
WATER HEATER
GAS SYSTEM INDUSTRIAL
c' WASTE APPROVAL f
INSPECTION RECORD
" 4
APPROVALS
.00 PER n-Em
OR FIXTURE $
DATE INSPECTOR'S SIGNATURE
4
UNDER SLAB WORK -
_ PERMIT $ 200 ROUGH PLUMBING
f 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 HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. - - PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED.AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL WN€R OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL P OPEwy / :'
SIGNATURE
OF PERM „{.,/fyr.G„c., FINAL
ITTE
ROBERT A:WOOD.
®R SUPERVISING MECHANICAL ENG'R
CALIDATION
M.0. CASH ' .
• - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0911030038
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID: FEES PAID I BUILDING ADDRESS I
ITR- 12504 LT- 22 I I 6408 LIVIA AV 1
IFEE DESCRIPTION QUANTITY UOM- AMOUNT I TEMP CA 917801329
(ASSESSOR INFORMATION NUMBER- I I NEAREST CROSS STREET 1
15382-018-009 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY, Cl
1 121 HOSE BIBB(S) 1 00 FIX 16 20 I
(TENANT I TOTAL FEES 43 95 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I
111/03/09 SR 11/03/10 I
(OWNER TEL NO (FtINAL DATE FIN BY CODE: I
I ALLEY WAYNE I 11 C-01 I
16408 LIVIA AV
ITEMP 917801329 1 IDE CRIPTI N OF WORK
INOSE BIB
(APPLICANT TEL NO
IPOWER SOURCE CONSTRUCTION (626) 233-2861- 1 I 1
18305 DUARTE ROAD ISPECIAL CONDITIONS. I
ISAN GABRIEL CA 91776 I I
ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IPOWER SOURCE CONSTRUCTION (626) 233-2861- 1 1 I
18305 DUARTE ROAD LIC NO I (UNDER SLAB WORK I I
ISAN GABRIEL, CA 91775 833729B I I I 1
IWATER SERVICE I I
1 1PLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER TEL NO I I I I 1
1 - I IROUGH PLUMBING I 1
LIC NO
IGAS PIPING
GAS VENT
I I I I
1 IHOT WATER HEATER I 1
IPLUM13ING FIXTURES I I1
1 I ILAWN SPRINKLERS I I 1
I I I I I I
1 I IGAS TEST I I I
I I 1 1-1 1
(UTILITY COMPANY NOTIFIED( I I
CWV
I I I I I I
1 1 IGRAY WATER SYSTEM 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 I
I I I I I I
I I I I I I
I IREPORT ID DPR263 ROUTE TO BS0508 1 1 1 1
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0305300015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 12504 LT: 22 6408 LIVIA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801329
ASSESSORNEAREST CROSS STREET: EMPEROR
5382-018-009 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
63 WATER PIPING BR/FIX 9.00 FIX 60.75
TOTAL FEES 88.50 ISSUED ON: PROCESSED .
05/30/03 JK 11/26/03
OWNER: TEL. N0: FINAL DATE FINAL BY: CODE:
ALLEY WAYNE P;LILLIAN M (626) 287-4379- //
6408 LIVIA AV 6- f) -b 3 y
-nON OF WORK
TEMP 917801329 DESCFTP
REPIPE HOUSE
APPLICANT: O:
JOHN BATIOFF (714) 381-7974-
BOX 1032 SPECIAL CONDITIONS:
LA MIRADA 90638
CONTRACTOR: T L. N OVALS DATE INSPECTOR SIGNATURE
U S A SERVICES (800) 634-2024-
331 N VERDUGO ROAD LIC. NO R
GLENDALE, CA 91206 775863 HIC
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT GI TEL. NO: ROUGH PLUMBING
LIC. NO:
-' S PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
SPRINKLERSLAWN
S TEST
UTILITY COMPANY NOTIFIED
CwV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
3 11-5 5 APPLICATION FOR PERMIT
S&E-68DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL
Department of County Engineer
County_ of Los Angeles - BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS V
® CASSATT D GRIFFIN,'SUP•T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS ST.
LEGAL •
DESCRIPTION - LOT NO OWNER
BLOCK TRACT MAIL
ADDRESS,,-18�.t•�� ��
NO. OF BLDGS 3
SIZE OF LOT NOW ON LOT CITY TEL NO
USE OF •
BUILDC{°, DISTRICT NO. GROUP BK MAP PG
INGS • I
CONTRACTOR J ,� /V gcr
ADDRESS CONNECTION DATA
CITY % �' - , TEL. NO-
STATION
/ STATION o DEPTH PP
/ LLL---- MANHOLE REFERENCE / n �+"` O'
STATE LOWER
t V J O
REGISTRATION NO �• COUNTY ;
NO DESCRIPTION OF WORK FEE
TYPE OF CONNECTION LENGTH FROM r
HOUSE SEWER CONNECTING TO �--D Y. CURB P L M L TO P.L -J
PUBLIC SEWER @ $3.50 > v
SEPTIC TANK,SEEPAGE PIT OR
PITS AND/OR DRAINFIELD Q $3 00 -
OVERFLOW SEEPAGE PIT, DRAINFIELD P. C. N0.
EXTN ,CESSPOOL,DRYWELL,MANHOLE Q $2 00 CO IMP. NO. Q , JOB NO
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM Q $1 00 TRUNK PERMIT NO ROAD PERMIT NO
CONNECT ADDITIONAL BLDG OR STATE ENCROACHMENT
WORK TO HOUSE SEWER Q $1 00 PERMIT NO.
ALTER,REPAIR OR ABANDON HOUSE INDUSTRIAL
SEWER OR DISPOSAL SYSTEM Q $1 00 WASTE APPROVAL
CHARGES
CONNECTION CHARGE FEE
,OWNER'S PERMIT
AUTHORIZATION TOTAL FEE $ 1 ,D REIMBURSEMENT FEE
1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- I APPROVALS _ DATE INSPECTOR SSIGNATURE
TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING _
TO THE PUBLIC SEW R NEW HOUSE SEWER ZI
SIGNED THI AY F 1951
CONNECT ADDITIONAL
'OWNER OR BUILDING OR WORK
OWNERS AGE N SEPTIC TANK,SEEP,PIT(S)
o- w
ADDRESS AND/OR DRAINFIELD
I HEREBY ACKNOWLEDGE THAT I H VE READ THIS APPLI ATION CESSPOOL❑ DRYWELL❑
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR
PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM,
I HEREBY CERTIFY THAT I AM PROPE LY R STERED AND/OR DISCONNECT PLUG AND
LICENSED.AS REQUIRED BY LOS ANGE CO TY AND STATE F ABANDON CT PLUGHOUSE AND
WER
CALIFORNIA OR THAT AM THE LE A 0 ER THE E
DESCRIBED RESIDENT PROPERTY BACKFILL SEPTIC TANKS❑
SIGNATURE SEEP PITS) ❑ CESSPOOLS —ZZ:T51
OF PERMITTE I -
JOHN A LAMBIE. COUVOKENGINEER LIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR
C . Y•0 CASH
LAC,0 7 3 7 2 u APR 1 9 4 4.5 0 �'