HomeMy Public PortalAbout5812 PRIMROSE AVE_Plumbing__ 76AS67, 013017 7.51 ' ' APPLICATION FOR PERMIT '
DEPARTMENT OFNG AND SAFETY 1
COUNTY OFF LOS LOS ANGELES "NOG '
WILLIAM J. FOX, CHIEF ENGINEER PLUM
FDISTRICT NO. GROUP I ZONE PERMIT N
•R PPLICANT TO FILL,IN
PLUMBER !�!//'Ai + CEIV D BY READY FOR DATE ISSUED
FIRST INSPECTION. /�V
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NEAREST
PERMIT FEES CROSS ST. iCyD. giii0,e-,-,
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NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER ,0,,e
WATER CLOSET(TOILET) a 0.50 N
BATH TUB a 0.50 CITY /17 TEL.--No.
SHOWER Q 0.50 1 H Y ACKNOWL.��E THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0 0.50 APPLIC ON AND BTA THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0 0.50 'AND STATE LAWS REGULATING PLUMBING.
F CERTIFY THAT 1 POSSESS THE ABOVE VALID'LOS
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LIQ NSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIA R ABPVE.
D CRISED AB VE.
GAB SYSTEM OUTLETS 0 0.50 SIGNATURE OF
WATER HEATER 0 0.50 PERMITTEIC
SLOP SINK 0 0.50 INSPECTION RECORD
FLOOR SINK 0 0.90
FLOOR DRAIN 0 0.50
DISHWASHER 0.80
DRINKING FOUWrAIN 0.50
URINAL (Q O.BO J
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HOUSE SEWER O.BC _Z
MISCELLANEOUS 5
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APPROVALS
DATE INSPECTOR-8 NAME
ROUGH PLUMBING
GAB PIPING
GAB VENT
CESSPOGL 7.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 7.00 SEWER
PERMIT 1.00 OAS TEST o
UTILITY Co.NOTIFIED n
TOTAL FEE 1 5'o
FINAL % /v
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
9
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER ' '
WATER CLOSET $1.25
MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITYelk;;;( TEL. NO. + d
LAVATORY 1.25 CONTRACTOR Y `
SINK 1.25 ADDRESS f
DISHWASHER 1.25 CITY u TEL.NOA4-jor�&j
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. �f COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP, ZONE P CESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
8
fm
8
U
W
A.
H
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
g ROUGH PLUMBING
TOTAL FEE d Iso GAS PIPING `
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT fI P
WITH ALL COUNTY ORDINANCES AND. STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
•' Yn
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES `.
I
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM'THE LEGAL OWNER OF AND INTEND TO 7.
RESIDE IN,THE ABOVE DE CRRIyIM�.0 RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED l' I-• �Z �•, �"
SIGNATURE
OF PERMITTEE
FINAL I V N
VALIDATION ROBERT At WOOD
CIC. M.O. GASH SUPERVISING MECHANICAL ENG'R
3 1 5 5 AM 10 5 r, D.5 0- v
COUNTY OF LOS ANGELES TEMPLE CITY # 0508
PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
PL 0508 0609120042
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 6561 IT: 648 5812 PRIMROSE AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802110
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WORKMAN
5587-015-027 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY. EXPIRES ON:
09/12/06 JR 03/11/07
OWNER: TEL. NO: FI I A FINAL BY: CODE:
PATTISON ROBERT L JR (626) 286-5490-
5812 PRIMROSE AV
TEMP 917802110 DSSCR TION OF WORK
WATER HEATER CHANGE OUT
APPLICANT: TEL. NO:
RICHARD LA PAGE (SILVER EAGLE SERV) (760) 219-0909-
SPECIAL CONDITIONS:
CONTRACTOR. TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
ALL PRO PLUMBING (888) 615-3330-
12023 ARROW RTE LIC. NO UNDER SLAB WORK
RANCHO CUCAMONGA, CA 91730 B/L 3131
WATER SERVICE
ARCHITECT OR BNGIN88R: TEL. N0: PLASTIC YIN METAL YIN
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508