HomeMy Public PortalAbout5641 LOMA AVE_Plumbing__ k'76A667'DB9 17 11-50 APPLICATION FOR PERMIT
DEPARTMENf'OF UILDING AND SAFETY ts
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT O. I_O P ZONE PERMIT No.
FOR.APPLICANT TO FILL IN
t=7 UMULtVAKU FL
PLUMBER RECEIVED BY READY FOR DATE ISSUED
00 .7 f'1 FIRST INSPECTION
ADDRESSRE)SE •
i GM BUILDING
CITY TEL Nn. ADDRESSCOUNTY 0-.DV-
LICENSE NO. EXPIRES LOCALITY1--
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER - ��
MAIL
-WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
{
BATH TUB @ 0.50 CITY TEL. No.
!. SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL'COUNTY ORDINANCES
1 KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
r, i CERTIFY THAT I POBBESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE-LEGAL OWNER
OF THE RESIDENTIAL PROPERTY. DESCRIBED,ABO
GAS SYSTEM � OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTE
SLOP SINK @ 0.50 INSPECTION RECORD .
FLOOR SINK @ O.SO
FLOOR DRAIN @ 0.50 2/2lo/sZ
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 ®3 PY .lg`i -"X? ' ;!sills) J
Q
HOUSE SEWER @ 0.50
MISCELLANEOUS r�elLraad►�✓ m
lY
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
'GAS PIPING
GAS VENT
CESSPOOL @. 1:00 _CESSPOOL
SEPTIC TANK: - SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT .
1.00 GAs TEST /4 b
UTILITY CO.NOTIFIED -�., lw ~I f
TOTAL FEE 6
FINAL
tG'78A887 CE#817 12-84PPLICA"I'"IOi�I FOIA PLUNIEI PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDI ADDRESS �( / Off E CI T
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDIW; - - LOCALITY
FOR APPLICANT TO FILL IN NEAREST 7
CROSS ST. '
NUMBER. FIXTURE OR ITEM EACH FEE
OWNER C P01I�UtJ
WATER CLOSET $1.25. MAIL
BATH TUB 1.25 ADDRESS
CITY TEL. NO,
SHOWER 1.25
LAVATO 1.25 CONTRACTOR
SINK 1-1.1 25 ADDRESS S U 7
DISHW HER 1.25 CITY �� TEL. NO. ,
LAUNDRY 'IUB 1.25 CONTRACTOR'S a STATE
REGISTRATION`NO. �� ( 3� COUNTY ❑
CLOTHES WASHER 1.25 - _ DISTR�T NO. GROU - ONE P -CE Q BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL d
OUTLETS OVER 5 PER SYSTEM .30 1 INSPECTION RECORD V
`� �•"
W
n.N
Z
YY Al b
APP,ROvAL1,5 DATE INSPECTOR'S SIGNJA,IUIE
PERMIT $ 2 OO. UN DER SLAB•WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER.
PLUMBING. S
I .HEREBY, CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURE? I ilz- lt& �1y. �g `�•./�
LICENSED AS REQUIRED BY LOS' ANGELES COUNTY AND STATE. OF GAS TEST AVY14 ``/%'�FC _
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE D IBED R IDE NTIAL PRO E rv. UTILITY CO. NOTIFIED
SIGNATURE L/� B
OF PERMITTEE FINAL
ALIDATION ROBERT A. WOOD
-,CK. M.o. CASH SUPERVISING MECHANICAL ENG'R
ltc 4 1 7 6 5 4.7 5
:-
� f I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0004250006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 16134 LT: 4 5641 LOMA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA. 917802451
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
5387-022-016 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 04/27/00 UT 10 24/00
47 WATER HEATER(S) 1.00 WTH 16.20
OWNER: TEL. NO: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINAL DATE FINAL BY: CODE:
HUYNH;NGOC (626) 451-6595- TOTAL FEES 108.75 .
5641 LOMA AV
TEMP 917802451 DESCRIPTION OF WORK
PLUMBING FOR GUEST HOUSE
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
GIEUI�E co
CONTRACTOR: TEL. NO: ®� ��I A APPROVALS DATE INSPECTOR SIG URE
SAME AS OWNER
LIC. NO UNDER SLAB WORK
WATER SERVICE
ARCHITECT OR ENGINEER: TEL. NO: PLASTIC Y/N METAL Y/N
CREATIVE DESIGN (714) 288-0308 ROUGH PLUMBING _
P 0 BOX 4535 LIC. N0:
ORANGE CA 92867 NONE 1111;11 GAS PIPING
{� �/� GAS VENT
I��11 it � UC WO�- ��\ S HOT WATER HEATER
L1 ��J L� ��J lJ L1 u v PLUMBING FIXTURES
io 0 Ei LAWN SPRINKLERS
O 0. `!� GAS TES �c5 �
? -V
0 - �g UTILIT e� COMPANYi OTIFIED
�
�evaCWV�' Gh�'�'� d
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508iPbUM6ING PERM'I'T
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL'40508^0005,180033
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING-ADDRESS:
TR: 16134 LT: 4 5`6k1r.OMAnV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: °�'�sTEMP"CA=997802451
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
5387-022-016 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
03 BACKWATER VALVE(S) 1.00 VAL 46.95
TENANT: TOTAL FEES 74.70 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
05/18/00 UT 11/14/00
OWNER: TEL. NO: FINAL DATE FINAL BY CODE:
5641HUYNHLOMACAV (626) 451-6595-
TEMP 917802451 DESCRIprT I.ON OF ;WQRK
` BAN!a:kTLER,.QLV,.E,�"'Fj R EWER LINEi,( UES?T HOUSE)
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0:
`� � �`��\\`�.� APPROVALS DATE INSPECTOR SIGNATU
SAME AS OWNER
LIC. NO / \\ UNDER SLAB WORK 6
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO: p
CREATIVE DESIGN (714) 288 0308/ _ ` `1 ROUGH PLUMBING f
P 0 BOX 4535 LIC.
NO
ORANGE CA 92867 NONE GAS PIPING
L_..
r— -- - - -- -- --- —;� GAS VENT
HOT WATER HEATER
_ PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
cWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508