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HomeMy Public PortalAbout5823 PRIMROSE AVE_Plumbing__ D"ARTBIOU OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF 11,08 "GELES BUILDING 11 WILLIAM J. FOX, COUNTY ENGINEER „ADDRESS F �APPLICA FILL IN LOCALITY t BUILDING NEAREST �n ADDRESS NEAREST l�V' DISTRICT NO. GROUP ZONE PERMIT NO. LOCALITY I P—.) /f�`S� NEAREST T CROSS ST. dF ISO IE�CEIIV,EDABY Ready for Inspectlon DATE ISSUED OWNER MAIL INDUSTRIAL ADDRESS WASTE APPROVAL CIT ,TEL. INSPECTION RECORD PLUMB �� - ~' v . ADDRESNft 40f CITY TEL.N "Otf7'Jr 2 r, - � ft Ute^ I&f7.7 f O STATE C '�a4.L 1'�=�+ k3yo I LICENSE N COUNTY PERI1 H FEES ! z ' -AUMMER TYPE OF FIXTURE OR ITEM FEE --- _ WATER CLOSET(TOILET) @ .0.80• S 1�9 ii o BATH TUB @ 0.80 SHOWER @ 0.80 , f LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOPSINK a 0.80 FLOORSINK @ 0.80 FLOOR DRAIN a O:BO DISHWASHER 0 -0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM..............OUTLETS @ 1.00 WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE GAS PIPING 1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT 1 AM. PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFO NIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE D CR RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL. I .� 76A667 DBS 17 Pa L ,I n_it a D.B.S.17 25M SETS 12.44 .. .-.-APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND •SAFETY COUNTY'OF LOS ANGELES' PL Wm. J. FOX. CHIEF ENGINEER- " NAZ`URE OF INSTALLATION DISTRICT NO. GROUP �ZONE PERMIT NO... ROUGH FIXTURES' COMPLETE HEATER CESSPOOL I—I SEPTIC TANK'_ RECEIVED BY. READY FOR 'DATE 188 IND GAS MISCELLANEOUS //,,,, FIRMCTION �1 y t A�P FILL IN HEAVILY OUTLINED PORTION ONLY JO NAME A/Lt. if��2'✓� ADDRESS e ADDRESS�.Ge��p 6�,;r/■'ZifJ?s��s= LOCALITY NEAREST �' 1 y CITY%-j p:t��! L.}�o•If`d!r TEL.No: CROSS ST. 11�! ,✓C• i tJfJ-•' -i—d COUNTY E v NAME tJl�'1sdUks[�7I_ CERT.No: - EXPIRES E LOCATION OF SEPTIC TANK, OR.CESSPOOL Z MAIL NADDRESS NORTH CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS - ANGELES COUNTY CERTIFICATE OE„pUALIFICATION. PLUMBER I AM-THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. ' - - - OWNER CORRECTIONS SOUTH rl DESCRIPTION OF WORK � BATH TUB FURNACE• _ SHOWER DISHWASHER LAVATORY REFRIGERATOR KITCHEN BINK' - WATER SOFTENER FLOOR SINK SAND TRAP L=_CESi3POOI P SINK FLOORPRAIN H TRAY . - URINAL' APPROVALS. ER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME ER HEATER DENTAL LAVATORY ROUGH PLUMHIPIG I I ER GAG SODA FOUNTAIN GAS PIPING I I OUTL GAS'VENT I I CESSPOOL I I LNUMBER OF FIXTURES SEPTIC TANKSEPTICTANK SEWE8 UTILITY CO.NOT I TOTAL. FEE V[ 4 •. 0.106"ON eEM'"°' Z__ APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING WIN.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT No. GROUP ZO E PERMIT NO. ROUGH FIXTURES COMPLETE HEATER _ CESSPOOL. I I SEPTIC TANK R EIVED BY READY FOR DATE I86 ED w FIRST INSPECTION FTCERT. MISCELLANE U8 RON APPLICANTFILL: IN HEAVILY OUTLINED PORTION ONLY- JOB7Ai�Ef�F'Y�'F.'3 �' A /13 '15'�,.w"���.f "'-+, ADDRESS® F7ti`�f %! t;� : LOCALITYNEARESTf Ylb - r'�'ir x�pfEL No CROSS ST. . EXPIRES. 0:. NAME LOCATION OF-SEPTIC TANH, OR CESSPOOL z MAIL NORTH. O ADDRESS CITY TEL.No... I AM THE LEGAL POSSESSOR OF THE ABOVE. LOS ANGELES COUNTY CERTIFICATE OF -OF I AM THE LEGAL OWNEROF THE PROPERTY DESCRIBED ABOVE. A a - - 0 i owNae CORRECTIONS SOUTH J DESCRIPTION OF WORK _Z BATH TUB FURNACE ROWER DISHWASHER —LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK JFLCOR DRAIN WASH TRAY URINAL APPROVALS WATER'CLOSET RINKING FOUNTAIN DATE INSPKCTOR's.NAME WATER NEATER - -ENTAL LAVATORY ROUGH PLUMBING ETES+ GAS _____SODA SODA FOUNTAIN OUTL GAS PIPING I I GAS VENT I CESSPOOL I TOTAL NUMBER OF FIXTURESSEPTIC TANK I - ESSPOOe- SEPTIC TANK SEWER 8 UTILITY CO.NOTIFIED I TOTAL FEE NAV FINAL ... ` 76A667 17 25M SETS 7-48 - APPLICATION FOR 1f1G�EfMW DENT OF BUILDING AND SAFETY', iCYi JC�ilL�idb COUNTY OF LOS ANGELES WM.J.FOX.CHIEF ENGINEER PLUMING E OF INSTALLATION D !,- NO. . GROUP O P_ Mme•f�O. !ROUGH FIXTURES COMPLETE 5 r-- � 1/' /4679- 9- HEATER CESSPOOL I SEPTICTANK RECEIVED BY READY FOR DATE IBdUED FIRST INSPECTION MISCEL NEO S APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY B cl a i1Y ADDRESS 1 _ J m g ADDRESS a LOCALITY I J NEAREST 6 CITY:aMelo PA, TEL.No. CROSS ST. . c v h.,v Al d MOUNry- LICENSE NO. .. ~ EXPIRES e e NAME I e �i1� LOCAT[ON OF SEPTLIC TAM, OR CESSPOOMAILADDRESS NORTH CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS • ANGELES COUNTY CERTIFIC;AT2 OR qU L�IFI�CAT ON. PLUL9ER I AM THE LEGAL OWNER OF TIME PROPERTY.DESCRIBED ABOVE. N OWNER i CORRECTIONS SOUTH J DESCRIPTION OF WORK z ATH TUB FURNACE MOWER DISHWASHER Q -LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER -FLOOR SINK "AND TRAP LOP SINK FLOOR DRAIN rWA' H TRAY URINAL APPROVALS ATER CLOSET DRINKING FOUNTAIN DATE �INrsPEetoR's NAME ATER HEATER DENTAL LAVATORY ROUGH PLUMBING ETER GAS SODA FOUNTAINGA8 PIPINGOUTLGAS VENT CESSPOOLOTAL NUMBER OF FIXTURES � ' SEPTIC TANKEBSPOOU SEPTIC TANK SEWER TOTAL FEE I IB / UTILITY CO.NOTIFIED d FINAL 01533;17_25M SETS 12-45 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES. WM.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. -GROUP ZONE PERMIT NO. ROUGH . FIXTURES COMPLETE + I I _2 <leo -a`I HEATER CESSPOOL I-I SEPTIC TANK RE9EIVED BY READY FOR DATE ISSUED / Lti6 r FIRST INSPECTION GAS MISCELLANEOUS � � -Ale"' cam¢ J A PIVYCANT FILL IN HEAVILY OUTLINED PORTION ONLY ' JOB E NAME ' � f� ^"�"' 1 / ADDRESS v7-4,' -�'LJ "�_ 'L 't/II'� ✓ W ,•� ADDRESS ��\i � ti� LOCALITY ��ted" �' '♦ `' i� / � CITY � ,'�y r TEL.No. � (� !'�^.��' -CROSS ST. COUNTY CERT.No. . EXPIRES . W NAME K�T ISL .,, y:/#�'{ •r�'- +1� LOCATION OF SEPTIC.TANK, OR CESSPOOL:. z MAIL 'y ADDRESS NORTH O CITYi TEL.No. 1 AM THE LEGAL POgqmgbRtlF THE ABOVE LOS ANGELES COUNTY CERTIlTC �?UALIFICATION. 1 AM THE LEGAL OWNE '9RTY DESCRIYED pp ABOVE: i OWNER • CORRECTIONS SOUTH DESCRIPTION OF WORK / ATH TUB / FURNACE I.r ROWER DISHWASHER 13 O LAVATORY REFRIGERATOR -KITCHEN SINK WATER SOFTENER -FLOOR SINK SAND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALEIN r WATER CLOSET DRINKING FOUNTAIN ' DATEOR'O NAME WATER HEATER DENTALLAVATORY ROUGH PLUNBIN6_METEF GA8 SODA FOUNTAINGA8 PIPINGOUTL GAS VENTCESSPOOLTOTAL NUMBER OF FIXTURES ) BEPTIC TANK ESSPOO SEPTIC TANK SEWER I S TOTAL FEE UTILITY co.NOTIFIED FINAL D.B.S.-1T 85X SBTS 6-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND .SAFETY COUNTY OF LOS ANGELES PLUMBING 1 VIIM.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO: GROUP[ O E P MI O. ROUGH FIXTURES COMPLETE iry _ R RIVED BY READY FOR DAT SSUED HEATER "CESSPOOL SEPTIC TANK f l FIRST INSPECTION GAS MISCEL1112101131111 LANEOU `f ✓y`I - n A�-PPPLICAAN`1/T� FILL IN HEAVILY OUTLINED PO�RTIO�N,�ONLY �/I%IIA.��'_ !// r A/%1 , i , JOB ,P-r FY �4/ NAME i !./; -'.•)-j�,_J�' ,� ,�.' ADDRESS ADDRESS LOCALITY. J / NEAREST IL CITY ✓y r � � TEL.No. CROSS ST. fs• fl.M fl �. '�' 6- -+-rte° COUNTY' NAME CERT.No. EXPIRES WO!LOCATION OF SEPTIC TANS, OR CESSPOOL L9 MAIL _ NORTH 0 ADDRESS CITY TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOYE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER 1.AM T14E LEGAL OWNER OF THE PROPERTY DESCRIBED m ABOVE. 3 owNER CORRECTIONS SOUTH DESCRIPTION OF WORK a z_ BATH TUB FURNACE 0 [r MOWER DISHWASHER p LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP aLOP SINK -._FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET -DRINKING FOUNTAIN - DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I ETER GAS SODA FOUNTAIN OUTL GAS PIPING I I GAS.VENT I CESSPOOL i I SEPTIC TANK I I TOTAL NUMBER OF FIXTURES CESSPOOL SEPTIC TANK / k/ (0 SEWER v S UTILITY CO.NOTIFIED R' TOTAL FEES FINAL r 70A667 17 E-49® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING �� �' COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FC7R APPLICANT TO FILL IN DISTRI�MO. GROPP I 7-0 Vf PERMIT NO. PLUMBER ��'/�`= ✓ =,v;�. 1- _�� RECEIVEPj READY FOR ATE SUE � ✓� � FIRST INSPECTION ADDRESS \_•sir''� `/- �a /! BUILDING 7� CITY �i/i' k% A "� � TEL. N r p�✓ ®J ADDRESS COUNTY ,.9 LOCALITY. kr-+. L• �_."��... LICENSE NO EXPIRES NEAREST � '7 ,o.ti •+r .�".! PERMIT FEES CROSS ST. OWNER .G� y s~a!D j• !� NUMBER TYPE OF FIXTURE OR ITEM FEE MAIL '� •RR� WATER CLOSET (TOILET) 0.50 ADDRESS o7 /r''y/ � �_ — al �' =- - BATH TUB @ O.SO CITY 'TEL. NO. SHOWER A O.SO 1 HERE Y ACKN LEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) 0.50 APPLICA DN AND ST TE'THAT THE ABOVE IS CORRECT AND AGREE �O COMPLY H ALL COUNTY ORDINANCES AND KITCHEN SINK Q 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Cid 0.50 ANGELES COUNTY LIC NSE. OR 1 AM THE LEGAL OWNER? OF THE(RESID MNTIAL R ERTY DESCRIS ABOV GAS SYSTEM OUTLETS A O.50 SIGNATURE OF WATER HEATER 0.50 PERMITTE ��� +� SLOP SINK 0.50 INSPECTION RECORD FLOOR SINK A 0.50 FLOOR DRAIN @ 0.50 r DISHWASHER Q 0.50 DRINKING FOUNTAIN @ 0.50 URINAL ® 0.50 .1 HOUSE SEWER ® 0.50 a Z MISCELLANEOUS 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 l TOTAL FEE UTILITY CO. NOTIFIED $ I l� � FINAL I.•' WORKERS'COMPENSATION DECLARATION IAPPLICATION ION r®R PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 76A667 6 DPW 4/90 sure,or a certificate of Workers'Compensation Insurance,or a 76A66'4 certified copy thereof(Sec. 3800, Lab. C.) 6 Company �` �/�P COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. "O1 Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) CJ�f �I Certified copy is filed with the county building inspection ADDRESS odc department. // NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date 4- 94' Applicant 4w WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKER BATH TUB CROSS COMPENSATION INSURANCE OWNER `G SHOWER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars(;100)or less.) LAVATORY ADDRESSpc /ds� I certify that in the performance of the work for which this per- SINK CITY L.NO. �fQl mit is issued, I shall not employ any person in any manner so �� -�/Uf� as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR ��� hlji y Ar Date. Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY ���� TEL.NO � /�� sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS v� ly with such provisions or this permit shall be deemed revok- STATE // LIC. ed. WATER HEATER 11 LICENSE NO. 2/1 CLASS LICENSED CONTRACTORS DECLARATIONzoign� ��ii DISTRICT NO. c PROCESSED I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS - 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER v and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION fect. ��.',^,.r "�L, y j HOSE BIB DATE �f a License Number !� Lic. Class ^gyp / � �� FINAL �.'M * � (j Contracto r n - ate sfJ BY AC CT.1r A ❑ I am exempt under.Sec. A*AOV3303 43.4 B.&P.C. for this reason Plan check fee 1 ITEMS Date: PLUMBING PERMIT ISSUING FEE$ 1-:2113-0 TOTAL 43 d 4 Signature TOTAL FEE O CHECK SINGLE FAMILY 43.40 HOME OWNER-BUILDER DECLARATION Plan check applicant CHANGE .00 I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and 0000-0001 6/ 6/96Professions Code): Address ❑ I, as owner of the property, will do the work and the City Tel. No. 6779 1 AM10:05 structure is not intended or offered for sale(Section 7044, Business and Professions Code). W CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mjfntioned proper for ins ctIcA purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9609240010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 667 5823 PRIMROSE AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802111 ASSESSOR INFORMATION NUMBER: NEAREST`CROSS STREET: WORKMAN 8587-012-006 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 TENANT: TOTAL FEES 44.10 ISSUED ON: PROCESSED BY: PLAN EXPIRES ON: 09/24/96 TC 09/24/97 OWNER: TEL. NO: FINAL DAF-9* FINAL BY! CODE: CARTER SAM D (818) 286-3465- 5823 PRIMROSE AV TEMP 917802111 DESCRIPTION OF WORK EXTEND GAS LINE FOR NEW HEATI G SYSTEM ✓£ ADD A/C APPLICANT: TEL. O: AAA GRANGERS A/C CO. (818) 579-3680- 16336 ARROW HWY. �� � SPECIAL CONDITIONS: IRWINDALE, CAr�� L A�I CONTRACTOR: TEL. N0:962-6855- LJ APPROVALS APPROVALS DATE INSPECTOR SIGNATURE AAA GRANGER'S A/C CO (818) �+ 16336 ARROW HIGHWAY LIC. NO � � 6• Ic 4g UNDER SLAB WORK IRWINDALE, CA 91706 273596 WATER SERVICE •=-��,� �� �� ''�� •° ARCHITECT OR ENGINEER: TE PLASTIC Y/N METAL Y/N 0: - �� I �` r_, ROUGH PLUMBING LIC. NO tu_I } l ': GAS PIPING I GAS VENT HOT WATER HEATER iw1 +��+ i` i� '• i �� �� PLUMBING FIXTURES AWN SPRINKLERS GAS TEST ` y -`___- �.� a �. UTILITY 1 COMPANY NOTIFIED V c(' GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: SS0508