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