HomeMy Public PortalAbout5761 PRIMROSE AVE_Plumbing__ 76•A 6L*7'- CE IbI7 7-69
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APPLICATION FOR- PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION fNE
ILDING �.
JOHN A. LAMBIE, COUNTY ENGINEER DRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING CAL
D .�
FOR APPLICANT TO FILL IN(PRINT OR TYPE) ARESTROSS STL/f/F A
NUMBER FIXTURE OR ITEM EACH FEE
owrlER �
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDAES Q _ t
SHOWER 1.50 CITY TEL. NO. -3 •-y
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESSS .�
DISHWASHER 1.50 CIT[�S , eo TEL. NO.
CLOTHES WASHER 1.50 STATELIC
LICENSE NO. Q CLASS
SWIMMING POOL RECEPTOR 1.50
DIS 0§' GROUP/ �OFt$ O SEED BY
LAWN SPRINKLER SYSTEM 2.00• �rJJ C��/ aveI
WATER HEATER 1.50 INDUSTRIAL 976
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER 30
5 PER SYSTEM
0
Z.
Plan check fee 25.% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE S 10
APPROVALS DATE 1 ECTOR'S AIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
1
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY rGAS
BING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING EST
PLUMBING.1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Y CO.NOTIFIEDLICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA ORTHAT 1 AM THE LEGAL O NNE ,AND INTEND TORESIDE IN,THE ABOVE SCRIBED REBID TI P PERT 1 -71
SIGNATURE CK R. ALLEN, SUPERVISING MECHANICAL EN'G'R.
OF PERMITT
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. ASH
p i 92.2 4>-- HARZ 8 5 0 :550n,
76 A 6.67—CE 817 8/68
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDIN .0 ,/`/
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUP'T. OF BUILDING LOCALITY7,�7,14PL25 Cl -/yQ
FOR APPLICANT TO FILL IN(PR NT OR TYPE) CROSS�ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Q.SS
WATER CLOSET 1.50
BATH TUB 1.50 MAIL
ADDRESS
SHOWER 1.50 CITY TEL.
LAVATORY 1.50 CONTRACTOR
SINK1.50 ADDRESS 113 S A4)*/r'Z/'7 AIf r
DISHWASHER 1.50 CITY I A TEL.NO-30e2"aa�
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. Q&—a ,6 CLASS 0,1/14-8A6
/ SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROU ZONE PR S D
LAWN SPRINKLER SYSTEM 2.00 �'—
O
WATER HEATER 1.50 INDUSTRIALt,
WASTE APPROVAL Ifz
GAS SYSTEM OUTLETS 1.50 J �Q INSPECTION RECORD 2
OUTLETS OVER
v
5 PER SYSTEM '30 Lu
N
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE O-d
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAKE 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:
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY C NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE: OF ✓
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTHND TO
RESIDE IFI,THE VE DESCRIBED RESIDENT/ PROP RTr. FINAL' (�
SIGNATUR JACK R. ALLEN, SUPE VISING ECHANICAL ENG'R.
OF PER 09
PERMIT VALIDATION& M.O. CASH
PLAN CHECK VALIDATION CK. M.o. carry 9 4.9 4:' AR 2 5 p 5.0 0"'
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1206270004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 6561 IT: 662 UN: .003 I I 5761 PRIMROSE AV 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802508 1
[ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: WORKMAN I
18587-011-029 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
I 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 [ [
TENANT: 113 DISHWASHER(S) 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: I
125 LAVATORIES/SINKS 3.00 FIX 48.60 06/27/12 SR 1
1 145 WATER CLOSET/URINAL 2.00 FIX 32.40 1 1
]OWNER: TEL. NO: 1 TOTAL FEES 141.20 IFIIN�A/L►yDA(((TE FINAL BY: CODE: 1
ICHI-JUNG HUANG, TZU-YEN HUANG (626) 512-8066- I 1`i(/ �{/�� 1
15761 PRIMROSE AV [ 1/�F v'
ITEMP 917802508 I IDE CRIPTION OF WORK V1
I I IREPLACE SHOWER, DISHWASHER, TWO LAVATORIES, SINK AND TWO I
1 (WATER CLOSETS
APPLICANT: TEL. N0:
ISAME AS OWNER - I I 1
I I ISPECIAL CONDITIONS: 1
I I I I
[CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - [ I I
ILIC. NO I (UNDER SLAB WORK I I I
I [ IWATER SERVICE I I I
I [ IPLASTIC YIN METAL YIN I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 I . I I I
] - I IROUGH PLUMBING
1 1 1
LIC. NO:
1 1 IGAS PIPING I I I
I IGAs VENT
I I I
I I IHOT WATER HEATER I I I
1 [ IPLUMBING FIXTURES I [ [
(LAWN SPRINKLERS I I
1 I IGAS TEST I I I
[ 1 ]UTILITY COMPANY NOTIFIEDI I
] I 1CWV I I I
I IGRAY WATER SYSTEM I 1 I
I I I I I ]
I I 1 I I I
1 I 1 1 1
I I I I I I
I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 I 1 1
I I I I I I