HomeMy Public PortalAbout5723 PRIMROSE AVE_Plumbing__ 9BA667-CESI7 8-59
APPLICATION FOR PLUMBING PE,RMI�T �-
COUNTY OF LOS ANGELES.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY•DIVISION BIIILDING 1
OHN A.LAMEIE, County g oer ADDRESS��aZ 3 //1i�/['vS er
C BATT D. GRUTIN, Sup R of$uiIU
LOCALITY mpL E G/ T y
FOR APPLICANT TO FILL IN NEAREST T. ,.t9 '
NUMBER FIXTURE OR ITEM
owNER. .Slvf1/eToU T
WATER CLOSET
TUB ADDRESS .5 .77— 3RATE !P/M rP oS E
SHOWER CITY . 411?4 S' <i r 'TEL.NO.
LAVATORY CONTRACTOR 4j = f€.?��. _ {`. Aj,�:=•,f,�;:"
$ ADDRESS [r .d. .� a 0 r. S..
DISHWASHER CITY ^d{` . •rh ,�fi' TEL•NO. r' +i
�..
CONTRACTOR'S j STATE.-
LAUNDRY.TUB REGISTRATION NOS � ' '=�1•.1 COUNTY ❑
CLOTHES WASHER DISTRICT O. GROU ZONE PROCESSED BY •
WATER HEATER �-f� �' r
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL '
INSPECTION RECORD
W PER r=
08 FixTITBE $ ,J
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEEV ROUGH PLUMBING
V GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 1S 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 PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND f STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL O IgIR OF T119 ABOVE
DESCRIBED RESIDER IAL PERYY. F UTILITY CO.NOTIFIED
SIGNATURE :.r_ ,+
OF PERTTEE ra
MI -
FINAL
®� VAIMATIQN'"'`�-ROBERT A.WOOD,
Cg, M.O: SUPERVISING MECHANICAL:ENG'R {.
WES 4 2 9 J'All71w
-
76A667 D89 17 11-50 'APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
F013 APPLICANT TO FILLDISTR OT O. GROUP I ZONE PERMIT Mu
IQIIN
PLUMBER 1 Id 4+ IV�IrbW1aL�A1 READY FOR (o /
RECEIVED BY DATE ISSUED
+ FIRST INSPECTION /
ADDRESST � �t� , BUILDINhh rf /��.�.
CITY TEL.No. ADDRESS N /a I1 11N11L.(�P.a QM!ii
COUNTY
LICENSE NO. EXPIRES LOCALITY o .p .ci
NEAREST 1
PERMIT FEES CROSS ST. _
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER A.P.f'iI.AILF/ .1I ZA
MAIL /�
WATER CLOSET(TOILET) @ 0.50 111 ADDRESS r� r�Q3 1� /1,W1 L6Lt+ O m
BATH TUB 0.50 CITY J4,1n k-rI. P.1. u TEL No.
SHOWER 0.50 I HEREBYI ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT i POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL 'WNER
GAS SYSTEM OUTLETS 0.50 OF THE RESIDEN 1 OPERTY�CRI ED ABO
SIGNATURE OF
WATER HEATER @ or5GQ PERMITTE
SLOP BINK @ 0.50 INSPECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL 0.50 J
Q
HOUSE SEWER 0.50 Z_
MISCELLANEOUS a
O
1
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CEBSPOOL @ 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT. I 1.00 OAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE o�
FINAL '�
' COUNTY OF•LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1105230035
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
1
PHONE:. (626) 285-0488 EXT:
LEGAL ID: I FEES PAID I BUILDING ADDRESS: I.
ITR: 6561 LT: 658 BL: .001 I 5723 PRIMROSE AV __ I
I JPEE DESCRIPTION: QUANTITY: UOM: AMOUNT; TEMP CA 917802508
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LIVE OAK I
8587-011-005 1101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 1.00 FIX 16.30 1
(TENANT: ,125 LAVATbRIES/SINKS 1.00 FIX 16.30 TISSUED ON: PROCESSED BY: PLAN BY: 1
1145 WATER CLOSET/URINAL 1.00 FIX 16.30 05/24/11' SR I
I TOTAL FEES 76.70 1 I
OWNER: TEL. NO: ,I IFINAL DATE FINAL BY: CODE:
DELACROIX, ALEX A (714) 496-8232-
5723 PRIMROSE AV
(TEMP 917802508 I DESCRIPTION OF WORK I
(PLUMBING FOR NEW BATHROOM
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS: I
(CONTRACTOR: TEL. NO: (APPROVALS / DATE INSPECTOR SIGNATURE I
ISAME AS OWNER -
I LIC. NO I (UNDER SLAB WORK vv
i'
I I IWATERISERVICE
I I [PLASTIC YIN METAL YIN I I• 1
1ARCHITECT OR ENGINEER: TEL. NO: 1 I I I I
I - 1 IROUGH PLUMBING I I
I LIC. NO: iI I I
IGAS PIPING
IGAS VENT
I I IHOT WATER HEATER
I. (PLUMBING FIXTURES I I 1
I I
I iI ILAWN SPRINKLERS I I
IGAS TEST I I I
I
BAR
I 'I UTILITY COMPANY NOTIFIED I• I I
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;�I 6 •// 1 GRAY WATER SYSTEM I I I
I I I I I �II
I I IluI
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it 1 I I
iIREPORT ID: DPR263 ROUTE TO: BS0508 I I I I I
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