HomeMy Public PortalAbout5027 SANTA ANITA AVE_Plumbing__ r
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF•PUBLIC WORKS 9071 LAS TUNAS PL 0508 9801050036
BUILDING AN6 SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
EGAL ID: FES A D B DING DRESS:
TR: 13363 LT: 16 5027 SANTA ANITA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803618
ASSESSOR rNORMA 0 UM NEAREST CROSS STREET:
8574-009-017 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.35
TENANT.- 21 HOSE BIBB(S) 1.00 FIX 16.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES 0 :
25 LAVATORIES/SINKS 3.00 FIX 49.05 01/14/98 UT 01/14/99
45 WATER CLOSET/URINAL 1.00 FIX 16.35
OWNER: TEL. NO: TOTAL FEES 125.85 FINAL DATE FINAL BY: CODE:
MARTINEZ RAYMOND A;RAFAELA (818) 442-6645-
5027 SANTA ANITA AV
TEMP 917803618 DESCRIPTION OF WORK
PLUMBING FOR NEW ADDITION
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - .=
LIC. NO UDR SLAB WORK
r WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATERER
= PLUMBING FIXTURES
LAWN SPRINKLERS
S TEST
' UTILITY COMPANY NOTIFIEff
C V
GRAY WATERSYSTEM
r
REPORT ID: DPR263 ROUTE TO: BS0508
76A667 - ON17 5/70 P ,/�
I
. . APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES.
DEPARTMENT OF COUNTY ENGINEER ,
BUILDING AND SAFETY DIVISION RUILD'"G
JOIN A.LAMBIE, COUNTY ENGINEER ADDRESS d
COLEMAN W,J91YKINS. SUPT. OF BUILDING LOCALITY
FOR APP'LICAN'T'TO FILL IN PR NT''OR'TYPE) INIMSITT,
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 DRESS'
SHOWER 1.50 CITY SEL'NO.
LAVATORY 1..50.
CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY a TEL. NO. �
CLOTHES WASHER 1.50 ATE L
LICENSE O.,;(_ CLASS
IC
SWIMMING POOL RECEPTOR 1.50 DISTRICT GROgA ZINE P S 8Y
I:AWN SPRINKLER SYSTEM 2.00 0
WATER HEATER 1.50 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 INSPECTION RECORD
OUTLETS OVER 30
8 PER SYSTEM
LIf
Plan check fee 2.5%of above. See reverse.
PLUMBING PERMIT ISSUING FEE.S t10.
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. DJ HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION PLUMBING FIXTURES
AND STATE THAT THE ABOVE 18 CORRECT AND ASREE'TO COMPLY
WITH ALL, COUNTY ORDINANCES AND. STATE LAWS REGULATING GAS TEST
1
PLUMBING.
I
HEREBY CERTIFY T"T I AM Y REGISTERED ANDIOR UTILITY CO.NOTIFIED'
LICENSED AS REQUIRED BY LO GELESOUNTY AND STATE OF
CALIFORNIA OR THAT I AM T. LEGAL OW OF,APVNTF14D TO
RESIDE IN,THE ES PRO FINAL 11
SIGN R EE JACK R. ALLEN, SUPERVISING MECHANIC L EN:G'R.
PERMIT VALIDATION CK. M.O. CASH
PL CK VALIDATION CK. M.O- CASH
Li-v;o 8 9 . JAN 10 ..9 0 4.7 5-N
76..A 667—CE B 17 B/61B _
APPLICATION FOR PLUMBING PERMIT
41
COUNTY-OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND-SAFETY DIVISION BUILDING'
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS ,
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO F1LL IN(PR NT Olt TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER �. L
WATER CLOSET 1.50 SD MAIL
BATH TUB 1.50 ADDRESS � r
SHOWER 1.50 ,yam CITY TEL. NO.
LAVATORY 1.50 CONTRACTOR
SINK 1 1.50 SV ADDRESS
DISHWASHER1.50 CffY TEL. NO.
CLOTHES WASHER 1.50 570 STATE LIC
LICENSE NO. t CLASS' �•�
SWIMMING POOL.RECEPTOR 1.50
DISTRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 6 $ r �j ���e/� v
WATER HEATER 1.50 INDUSTRIAL o
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD v
OUTLETS OVER
5 PER'SYSTEM .30 �t( J Z
1i4I'. �V { l! ! r•/,s�i/.✓i!"L1X%*`: %
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE v_ APPROVALS DATE INSPEtTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK 4
Name ROUGH PLUMBING r V
Address GAS PIPING �.�� 1 sg
"' GAS VENT ••
City Tel. No. -' HOT WATER HEATER
1 HEREBY NOWLEDGE
,?OAT 1 HAVEREAD THIS APPLICATION
AND STATE AT THE ABO IS CORRECT AND AGREE TO .COMPLY PLUMBING FIXTURES 17
WITH ALL OUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST /� �� S` .
PLUMBING. _ _
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DEBCRIBED'gE51 N PROI�PE .y� FINAL
SIGNATURE JACK R. ALLEN, SUPERVISIN CH ANICAL ENG'R,
OF PERMITTEE
PERMIT VALIDATION CK M.O. CASH:
PLAN CHECK VALIDATION CK. M.O. CASH y� �/y}
R^ �� 03 3 .3 &A 5 5 D 9.5Q~ Q
76A667..-kt CES17 12/59 TEMPLE CHT Cd
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENPOP
EER
BUILDING i1VD EFtFETY IVIJAUILDING � i
JOHN A. MBF . OUNTY. DDRESSWILLIAM A.JENSEN. SUPT OF BUIL
OCALITY
FOR APPLICANT TO FILL IN ST
ROSS ST. aAjnjo
NUMBER FIXTURE OR ITEM
WNSB
WATER CLOSET �L
DDRESS
BATS TUB ITY TEL. O. L f
SHOWER
LAVATORY CONTRACTOR uI
Sm ADDRESS
DISHWASHER CITY TEL NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLO�gS WASHER DISTRICT NO. GROUP ,ZONE PROCESSED BY
WATER HEATER O
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION
/JRECORD
o / .>�a—ey ! O
D U
O
- F
9
P.
ORO PER ITEK
FI CTURE $
APPROVALS DATE INSPECTOR'S SIGNATURE
')HPERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE dv ROUGH'PLUMBING fo/ C o
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE T0. COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE e
OF PERMITTER FINAL ,��
I'Je /�LIDATION ROBERT A ..
SUPERVISINGG MECHANICAL.
ANICAL ENG'R
� `*0 2 3 1 3 FSB 5 D
3.00 M
1
76A667 (CE-B17)-8-71
APPLICATION FOR PLUMBING PERMIT'-
-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
LOCALITY i
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
WATER CLOSET 1.75 OWNER
MAIL
BATH TUB 1.75 ADDRESS 159
SHOWER 1.75 CITY TEL. N0.
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. 9Z:czCLASS
SWIMMING POOL RECEPTOR 1.75
DISTRI�N¢i ROUP ZO P E Y
LAWN SPRINKLER SYSTEM 1.75
vG-� OY
WATER HEATER 1.75
INDUSTRIAL PROVAL
GAS SYSTEM OUTLETS 1.75 7 0
INSPECTION RECORD
OUTLETS OVER Z
5 U4 SYSTE .30
IY
O.
(A
z
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE' LAWS REGULATING
PLUMBING. GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO .T.
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
�, FINAL
SIGNATURE I�GJ �p
OF PERMITTEE. �
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH n
LA
Co 4 6 6 0" FEB 2 9 D 8.2 5 N