HomeMy Public PortalAbout6335 TRELAWNEY AVE_Plumbing__ 76AB6/•CE817-BSB
APPLICATION FOR PLUMB G PERMIT 1
COUNTY OF LOS ANGELES
DEPARIIID:NT OF COUNTY ENG II�
BUILDING rr � �AN�D�SAFElY DMSION L
C88BATT D ITT BOP4 d HW dim DDRESS t
1OCAT2IY
FOR APPLICANT TO FILL IN HERBERT
NUMBER FIXTURE OR ITEM
0
WATER CLOSET N6IL
BATH TUB ADDRESS
SHOWER CRY TEL. RO
LAVATORY comEA
!m ADDRESS 7.151
DISHWASHER CRY T'�. N G 3C7
e is sun 0
LAUNDRY TUB R80@YBAIIpR NO cODIRT ri
CLOTHES WJ{�H DISTRICT O P N
WATER HEATER O
GAS ST37EK DIDUSTRIAL
WASTE APPROVAL
DUUT=ON RECORD
APPROVALS
�jRm R Ad DATE INSPECTOR B SIGNATURE
UNDER SLAB WORK
PERMIT S 2 00 ROUGH PLUMBING
TOTAL FEE ,j GASPIPING
1 HEREBY ACXHOWLEDGE THAT I HAVE READ THIS APPLICATION GAS�T
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COYPU HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ARD/OR GAS
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWXER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL OPERTY .,
SIGNATURE FINAL
OFPRRMITTC J72 2
Or gALIDATION ROBERTA WOOD
U� SUPERVISING MECHANICAL ENO R
C[ ■ 0 CABx 4�
1 9 7 0 5 DEC 12 5 0 3.00
70AWY IT s•eo m APPLICATION ppFOR PERMIT
DEPARTMEND NT OF BUILDING AES SAFETY COUNTY ®I I� G
COUNTY OF LOS ANGEL
WILLIAM J FOX, CHIEF ENGINEER J
FOR APPLICA TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO.
T A, _ 9,28-gm
PLUMBER RECEIVED BY READY FOR DATE ISBU[D
_ /C L FIRST INSPECTION
ADDRESS /�- ,
BUILDING
CITYTEL NO ADDRESS
COUNTY LOCALITY
LENS[ NO ED
PERMIT FNEAREST
EES cROS[ST
MYMD" TYPE OF FlxwJIX OI11T[M FEE OWNER
MAIL
WATER CLOSET (TOILET) O SO s ADDRESS
BATH TUB Goo C �— T L NO
SHOWER 030 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN) O SO APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 050 STATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUR OR TRAY O SO ANGELES COUNTY LICENSE OR IAM H[ LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCR ABO.
GAB BYBTeM_OUTLETB O EO SIGNATURE OF
WATER HEATER 0 O EO PERMITTEE
SLOPSINK @ 050 INSPECTiON RECORD
FLOOR SINK O EO
FLOOR DRAIN 050
DISHWASHER O 00
DRINKING FOUNTAIN O RO
URINAL O ROI J
HOUSEBEWKR 030 Z
MISCELLANEOUS 13
O
APPROVALS
DATE INOPEGTOR[ NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 00 V CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1 DO SEWER
PERMIT 1 00 GAB TEST
TOTAL FEE S 1♦!O UTILITY CONOTIFIED
FINAL 3 ?ZI-S7
I
reasar#a E m APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY L w
G
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FIL IN DISTRICT NO GROUP ZONE PERMIT NO
4"" ,-z
PLUMB[ RECEIVEDB READY FOR DATE I615UED
FIRST INSPECTION /Y tTJ
ADDRESS
CITY ` TEL N ADDRESS /
COUNTY LOCALITY S
LICENSE NO EXPIRES
NEAREST
PMMW FEES CROSS ST L
MYMiER TYPE OP FIXT%I"OR ITEM FEE OWNER A
MAIL
WATER CLOSET TOILET O 50 0 ADDRESS
BATH TUB O DO CITY I TEL NO
�f SHOWER 080 I HEREB ACKNOWLEDGE THAT 1 HAVE READ THIS
i LAVATORY WASH SARIN O 80 APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK O a0 STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a O So ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY D RIS ROVE
a"BYBTd OUTLETS O a0 SIGNATURE OF
lylv
WATER HEATER 030 PERMITTE
SLOP BINK 44 0 so INSPECTION RECORD
FLOOR SINK a 050
FLOOR DRAIN O SO
DISHWASHER O 00
DRINKING FOUNTAIN O a0
URINAL O DO J
a
HOUS¢BEWER 050 Z
ISCZL Ne US V
R
O
APPROVALS
DATE IMEPEROR• NAYE
ROUGH PLUMBING
OAS PIPING
GAB VENT
CESSPOOL too CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) 1 00 SEWER
PERMIT 1 00 GAS TEST "flAlIg L �/ yI
O %
UTILITY CO OJA
NOTIFIED rB
TOTAL FEE •
FINAL -�
DEC
TION
WORKERS'that
Ihave COMPENSATION cafe of corse APPLICATION FOR PLUMBING PERMIT
I hereby aHvm that I have a certificate of consent to esti 7
n1ure, or O certificate of Workers'Compensation Insurance CE�REV I0/81)
or a certified cop thereof (Sec 3900, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY
P❑olrcy No Company
ifed copy is hereby furnished BU IDI NG
FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS 2L Q���E6
Certifi c is filed it o building mspec- aJJ
ti n n NUMBER FIXTURE OR ITEM ® HEE CAUrrTY
Date Appl WATER CLOSET NEAREST �� i
RTIFICATE OF EX ON RS BATH TUB CROSS ST
COMPENSATION RAN SHOWER OWNER
(This section need not be completed H the work Involved by,
the permit is for one hundred dollars ($100)or leu ) MAIL MAILADD
I certify that in the performance of the work for which this _
permit is issued I shall not employ any person in any manner SINK CITY TEL NO
so as to become subject to the Workers'Compensation Laws �s�Ir1��s� �
DISHWASHER CONTRACT �iJ0%eIs'/
Date Applicant CLOTHES WASHER n'
NOTICE TO APPLICANT If after making this Cenrficote of ADDRESS
Exemption, you should become subject to the Workers
SWIMMING POOL RECEPTOR CITU 44V,4,914 TEL NO O
Compensation provisions of the Labor Code you must forth LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit shall be qL
deemed revoked WATER NEATER STATE STATELICENSE NO G�/ CLASS A _J
IC
LICENSED CONTRACTORS DECLARATION DISTRICT BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS 6:
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER
Od
and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINALVA ATION d
License Number L¢ Cksss DATE , V
FI cc
Contractor Dote 1BY O
❑ 1 am exempt under Sec W
d
N
B 8P C for this reason Plan check fee ?
Sigrwture Dote
PLUMBING PERMITISSUING FEE$
TOTAL FEE 3
' Nan check applicant
SINGLE FAMILY '- �-„
HOME OWNER-BUILDER DECLARATION Name W_Wa5 /rQ W�r� dp0
I hereby affirm that 1 am exempt from the Controctoi s LicenseF 31 Z 7 A
Low for the following reason (Section 7031 5 Business and Address37Zs E A.XJA,(-T4/r.J V/49(,4J
Professions Code) City # e it e e e 5
❑ �� A JC/� Tel Na�36/ 9
1, as owner of the property will do the work and the
structure is not Intended or offered for sole (Section , ) s • 1 6 5 0
44
70Business and Professions Code)
CONSTRUCTION LENDING AGENCY e s s 16 5 Q 5
I hereby affirm that there n a construction lending agency for
the performance of the work for which this permit is issued I a 16—8 5
(Sec 3097, Civ C )
Lender's Name
Lender ngddress
I certify that I have read this application and state that the ►
information n correct I agree to comply with all County
0 and State lows regulating Plumbing and hereby
e
4"ntroLsfCfor nspechon purp sesSEE REVERSE f-0R EXPLANATORY LANGUAGE
e Da
� I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9610290013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285-0488 EXT
LEGAL ID: FEES PAID 9UILDINTMZ7nT--
TR 14263 LT 81 BL 001 6335 TRELAWNEY AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801312
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
5382-020-062 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE- 596 GRID J2 LOCALITY TEMPLE CITY
49 WATER TREATING EQUIP 1 00 SYS 16 35
TENANT TOTAL FEES 44 10 ISSUED ON PROCESSED BY PLAN BY EXPTRW�
10/29/96 TC 10/29/97
OWNER TEL NO FINAL DATE CODE
GANO ROBERT E CO TR GANO FAMILY TRU (818) 286-4025-
6335 TRELAWNEY AV ��
TEMP 917801312 6ES�17'6TTi up WORK
APPLICANT TEL NO ���� aaitias CHANGE OUT WATER SOFTENER
EVINGER PLUMBING (818) 964-5673-
YA°NUTOC JSPECIAL CONDITIONSI
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
EVINGER PLUMBING CO (818) 964-5673-
P 0 BOX 298 LIC NO
WALNUT, CA 91788 0298 277381 C36'
UATER SERVICE
ARCHITECT OR ENGINEER. TEL NO S N H OA^ 0I-1 9 n d PLASTIC Y/N METAL Y/N
LIC NO ' V ,
y � un
GAS VENT
I N
'(00"�� �c� .
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
CWV
GRAY WATER SYSTEM
I
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REPORT ID- WR263 ROUTE TO BSO508