HomeMy Public PortalAbout6238 PRIMROSE AVE_Plumbing__ 76A667;CE#617' 4-64 � �'.4,�
APPLICATION FOR PLU ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BURDING AND SAFETY 'DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
0
FOR APPLICANT TO FILL IN NE�OS�S_.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 �� MAIL
BATH TUB 1.25 ADDRESS
_ •a
SHOWER 1.25 CITY TEL. NO
LAVATORY 1,25 QONTRACTOR l*p4 a '
SINS' 1:25 ADDRESS id ca S/V' 4Q2AA4 m4a,
DISHWASHER. 1:25. CI TEL, NO
i STA
LAUNDRY TUB 1.25 REGISSTTRACT NO. COUNTY
TE-
CLOTHES WASHER 1:25 DISTRICT'N .. GR2UA' ZONE PRO ESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS I'S TRIAL
WASTE APPROVAL �
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD O
- om
. U
W
O.
N
Z
-_APPROVALS ATEA 'INSPECTgR'SAIGNATUpy ,
PERMIT 2 00 -UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING .-�.�-
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIO
AND STATE THAT THE ABOVE 19CORRECT AND..AGREE TO COMPLN GAS VENT
Y -
WITH ALL COUNTY ORDINANCES AND STATE -LAWS REGULATING' HOT WATER HEATER —
PLUMBING. _
.1 HEREBY CERTIFY THAT I AM' PROPERLY REGISTERED AND'/OR PLUMBING.FIXTURES
LICENSEDAS REQUIRED •BY LOS ANGELES COUNTY AND STATE OF `•' a'"
CALIFORNIA OR THAT I AM THE LEGAL O ER OF,AND INTEND TO GAS TEST_
RESIDE IN,THE ABOVE DESCRIBED RESIDE TI PROPERTY. UTILITY C.O.NOTIFIED
SIGNATURE + e i
OF PERM
I EE I )��
FINAL
ALIDATION ROBERT A.WOOD r
CK.. - M.0. CASH SUPERVISING MECHANICAL ENG'R
LACo_g 5 7 1 tic 15 5 D 5.7 5N 4
76A667 " 8-80 10 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL INDISTRIC O. GROUP I ZONE PERMITNO.
407379/- W3
PLUMBER WI.NTERBOTTOM FigoS i RECEIVED BY READY FOR DATE:IS8UED
FIRST INSPECTION.
ADDRESS 1112 WESTMINSTER AVE. 1 . • • 7-" --z-/
CALIFORNIA BUILDING
ADDRESS 'q r Aug,
CITY TEL. NO. G� �r �
FKUMBERFTYPH
COUNTY Np. 8 B B5 EXPIRES H�a7
g" LOCALITY
NEAREST
PERMIT FEES CROSS ST. AATlE.p�,+�PI.E CITY n. '11F1
OF FIXTURE OR ITEM• FEE OWNER. tbrccun LAND CO O
MAIL
ET (TOILET) �' 0.50 S C ADDRESS �G G o LOVE. 0AICAVE.
® O.50 •5 CITYRilWeA C 1� Sv IlgeTEL. NO.
@ 0.50 r 1. HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
WASH BASIN) @ 0.50 ^ APPLICATION AND STATE THAT THE ABOVE.IS CORRECT AND
AGREE.TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @. 0.50 I STATE LAWS REGULATING PLUMBING..
v, 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES CO LI NSE, OR AMTHE EGA L OWNER
-OF T. IA ROPE ESCR ED BOV
Ii GAS SYSTEM—s--OUTLETS, 6 0.50 SI
WATER HEATER @ O.SOPER MI .
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK: @ 0.50
FLOOR DRAIN ® 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL @ 0.50
HOUSE SEWER @ '0.So Q
z
MISCELLANEOUS (�
0
I
APPROVALS
• I - DATE iNSPECTOWS NAME
-ROUGH PLUMBING TO-
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . 1.00 GAS TEST
UTILITY CO. NOTIFIED /
TOTAL FEE I 00 FINAL
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0809080017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS: 1
ITR: 17179 LT: 52 I ] 6238 PRIMROSE AV 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] TEMP CA 917801614
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15385-011-017 101 PERMIT ISSUANCE FEE 27.75 ] THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
1 147 WATER HEATER(S) 1.00 WTH 16.20 ] ]
ITENANT: I TOTAL FEES 43.95 ]ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
I 1 109/08/08 SR 03/07/09 T
TOWNER: TEL. NO: I 1FIN' DATE FINAL Y CODE:
THODGE, MARY -
16238 PRIMROSE AV 1 ] I
ITEMP 917801614 I IDESG PT ON OF WORK I
I IREMOVE/REPLACE GAS WATER HEATER T
[APPLICANT: TEL. NO: I ] I
IFAST WATER HEATER CO, (800) 454-8955- I I I
112601 132ND. AVE. NE I [SPECIAL CONDITIONS:
IKIRKLAND, WA 98034 1 I
ICONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE 1
IFAST WATER HEATER CO. (800) 454-8955- 1 1
112601 132 AVE. NE LIC. NO ] ]UNDER SLAB WORK T
]KIRKLAND WA 98034 877489 C36 1 I ] I I
] I IWATER SERVICE ] I I
I ] 1PLASTIC YIN METAL YIN ] I I
[ARCHITECT OR ENGINEER: TEL. NO: I I I [ [
I - ] IROUGH PLUMBING I I I
LIC. NO: I TI I I
,I ]GAS PIPING I [
I I IGAS VENT I 1
I I IHOT WATER HEATER IV.1641.
[
I IPLUMBING FIXTURES I ] [
I I ILAWN SPRINKLERS I ] [
IGAS TEST I I I
1 T [UTILITY COMPANY NOTIFIED] T [
I I I cwv, I I I
] I IGRAY WATER SYSTEM T I
I I I I I I
I I I I I I
I I
]REPORT ID: DPR263 ROUTE TO: SS0508 I I I
1 1 ] I I I