HomeMy Public PortalAbout5700 PRIMROSE AVE_Plumbing__ 75A667-CE#817 6-55
APPLICATION FOR PLUMBI G PERMI.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
UILDI ADDRESSD fJ
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FELL IN CSOSS TT.
NUMBER FIXTURE OR ITEM EACH FEE -
WATER CLOSET $1.25 OWNER MAIL r
BATH TUB 1.25 ADDRESS.
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTO
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO'.
LAUNDRY TUB 1.25 STATE LICENSE NO. LIC
Q C CLASS
CLOTHES WASHER 1.25 DISTRICT NO. G:r
Z P Off.SS Y
WATER HE ATE 1.50
GAS SYSTEMOUTLETS 1.50 IL
WASTE APPROVAL 0
0
OUTLETS OVER S PER SYSTEM AD INSPECTION RECORD U
O
H
V
W
a
H
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2100 UNDER 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.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE 'OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF•A
: ND INTEND TO
RESIDE IN,THE ABOVE DESCRIBE;RESIDENT OPE17 UTILITY CO'.NOTIFIED
SIGNATURE -�_/�_//( �3
OF PERMITTED' `'-
FINAL
IMATION
L CK. M.O., CASH
1 .LAC0.7 s. 7 3% APR 3 5 0 3.5-0 V
t
w 76"667 OBB 17 7-51 APPLICATION FOR PERMIT
a. DEPARTMENT OFNG AND SAFETY
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
FOR APPLICANT TO FILL IN DISTRICT I
I R ^NO. 0:0 NE PERMIT NUJ.
P O
3 � 93
PLUMBER RECEIV D BY READY FOR FIRST INSPECTION DATE ISSUED
S
ADDRESS -5 J-"
BUILDING ® A A n
CITY TEL.No. ADDRESS
COUNTY EXPIRES LOCALITY
L NBE NO.
NEAREST
PERMIT FEES
CROSS sr.
NUMBER TYPE OF FIXTURE OR ITEM FEE
MAIL
WATER CLOSET(TOILET) 0 0.50 S O ADDRESS � (/
BATH TUB @ O:SD CITY NO. "
SHOWER 0 0.50 1 HgREBY ARJ�NOWLED13E AT I HAVE READ THIS
LAVATORY (WASH SABIN) Q 13.50 APPLICATION *STATE TH THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK 0 C.BO AND STATE LAWS REGULATING PLUMBING.
0.50 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY
�_� ANGELES O
COUNTY LICENSE, OR 1 AM THE LEGAL WNER
13F THE RERIDENTI PROPERTY DESCRIBED ABOVE.
GAB SYSTEM OUTLETS 0 0.50
SIGNATURE DF
WATER HEATER Q 0.50 PERMITTYX P-52-644 dc� b4
SLOP SINK @ 0.50 INSPECTIO CORD
FLOOR SINK 0 0.80 Z
FLOOR DRAIN ® 0.50
DISHWASHER Q 0.$0 T6
DRINKING FOUNYAIN 0.50
URINAL 0.50 f ,a. J
HOUSE SEWER 0.50 _Z
MISCELLANEOUS m
13
APPROVALS
DATE INBPEOTOR•s NAME
ROUGH PLUMBING
BAD PIPING
GAB VENT
CESSPOOL x.00 CESSPOOL
SEPTIC TANKe SEPTIC TANK
DRAIN ( ) PIT ( ) 7.013 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE FINALS �•ro`
COUNTY OF LOS ANGELES TEMPLE CITY # 0508L-UNI NG P�MJ
DEPARTMENT OF PUBLIC WORKS ; 9701 LAS TUNAS IL-0508-W=30006
BUILDING'AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PH0NE:: (626) 285-0488 EXT:
'-
-AID-LEGAL ID: FEES P GADDRESS'
TR: 6561 LT: 656 BL: .001 W0 RTIrROSE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA-91M-2507
ASSESSOR OR 0 R: NEAREST CROSS STREET:
8587-016-026 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596. GRID: J3 LOCALITY: TEMPLE CITY
05 BACKFLOW DEVICES) 1.00 DEV 16.20'
TOTAL FEES 43.95 ISSUED ON: PROCESS Y: EXPIRES ON:
08/13/99 UT 02/09/00
OWNER: TEL. 0: FINAL DATE . FINAL B CO E:.:
PEREZ;JOSEPH J. (626) 285-2066-.. :f 8®
5700 PRIMROSE AV V''
TEMP 917802507 -
-RIPTION.OF WORK
SC
APPLICANT:
SAME AS 0WNER -
SPECIAL CONDITIONS: •
ELE
CONTRACTOR: TEL. 0: ®&J �v APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER :'
LIC. NO UNDEF
/ WATER SERVICE
A' PLASTIC Y/N METAL-Y/N
ARCHITECT OR GINEER:
ROUGH
LIC. NO /
L 1111111
GAS PIPING
S VENT
TU p L C W 0Ino-)K� HOT WATER HEATER
PLUMBING F T R S
0
LAWN SPRINKLERS
O ❑ J i � GAS TEST
i0 ❑ ®Ju®5 TI TY COMPANY NOTIFIED'
46�le
@91/ice'fOla'C�o�
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508