HomeMy Public PortalAbout5831-5833 PRIMROSE AVE_Plumbing__ 76A667-CE817 8-68~ f
APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS ANGELES
DEPARTIMMM OF COUNTY ENGINEER
BU�IILD�ING AND SAFETY EDrM�aSeION � $ Primrose,
CASSATT D.GRUTI oSup�5 7I+�+I 9
_z � LocALITx City of ,Temple City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. T�
s 2 UMBER FIXTURE OR ITEM OWNER Bard Meoli
WATER cLosET MAIL ' 5835 Primrose
RATS TOB ADDRESS
SHOWER car TempleCitpL.No.
s
2 LAVATORY coNTRAcToR Robbins & Wann Plumbg&Ht
SnM ADDRESS 8725 Norwalk lvd.,
DL3HWASHEB
c=Los Nietos TEL.No. OX 2. 286
LAUNDRY TIM CONTRACTORS 156272-C36 STATE p
1 REGISTRATION NO. COUNTY
2 CLOTHES WASHER D�I8-T•R[CT GROUP NEPw
BY
WATER HEATES V� � �
GAS SYSTEM NDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
�o TE/y�;rT W N6 Td Motf,F
_ /Al- A/r,=Ilvh Pl13 Go f/ /-vv UnYo uN/�
APPROVALS
@ $$1.00 PER ITEM '
15 08 Fn[TURE $ 15.00 DAT9 INSPECTOR'S SIGNATURE
UNDER BLAB WORK (b j x +/W i
PERMIT -2 OC ROUGH PLUMBING C7-7 w
TOTAL FEE GAS PIPING nom'
GAS VENT -
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION - -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'lk46T WATB;R'P9ATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 0/ew PLUMBING. PLUMBINCe-IXTURES 1 -1 001 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST ,' ��LICENSED ASREQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE GAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED'} - r� f 7`aDESCRIBED RESIDENTIAL PROP 9z
SIGNATURE OF PERMITI'E FINAL z. � !
®. ROBERT
ALIDATION SUPECH
SUPERVISING ENG'R ez,, .,
CH. Y.0. CASH
L/1'05 2 5 4 10 AUG 5 D 17.
o
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0501050006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 669 5835 PRIMROSE AV
ASSESSORINFORMA ON B R: FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: TEMP CA NEAREST 917802111
CROSS STREET-
8587-012-008 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C
E ANT: 51 LOW PRS GAS 5 OUTLET 2.00 SYS 32.40
5831/5833 PRIMROSE TOTAL FEES 60.75ON.----PROCESSED B PLAN BEXPIRES ON:
01/05/05J07/04/05
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
NORSHIP„ CHARLENE D (626) 442-6650-
5835 PRIMROSE AV F �'
TEMP 917802111 DESCRIPTION OF WORK
2 GAS LINES FOR HVAC SYSTEMS.
APPLICANT: TE 0:
J & W A/C (818) 985-4505-
11248 KESWICK ST SPECIAL CONDITIONS:
SUN VALLEY CA 91352
CONTRACTOR: TEL N0: APPROVALS DATE INSPECTOR SIGNATURE
J & W A/C (818) 982-4505-
11248 KESWICK STREET LIC. NO UNDER SLAB WORK
SUN VALLEY, CA 91352 712056C20
WATER SERVICE
ARCHITECT OR ENGINEER- TEL. N0: PLASTIC Y/N METAL Y/N
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
OT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED'
CW
GRAY WATER SYSTEM
I
REPORT ID: DPR263 ROUTE TO: BS0508