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HomeMy Public PortalAbout10525 DAINES DR_Plumbing__ 76A667-CE617 6-60 APPLICATION FOR P7MBING PERMIT, ENOFOTGE DEPARTMENT CUNYENGINEER BUILDING AND SAFETY DIVISION 7CROSSST. JOHN A LAMBIE. COUNTY ENGINEER 0525 Daines Dr. WILLIAM A JENSEN. SUPT OF BUILDING emple City FOR APPLICANT TO FILL. IN NUMBER FIXTURE OR ITEM OWNER �j WATER CLOSET MAIL BATH TUB ADDRESS 10211 Lower Azusa Rd. SHOWERWEH CITY Temple Gity TEL No. _ Ti LAVATORY CONTRACTOR Cavanaugh Plumbincl Sm CITY P.O. Box 205 11, DISHWASHER CrrY CrumbTEL NO. CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY CLOTHES WASHER DI TRICT NO GROUP ZONE P CESSED BY WATER HEATER / L� A/ GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD Y� - a O L1 aq O W a Nz p o $1.00 PER ITEM I // OR FI7CYURE $ APPROVALS D Essq INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK FA 4-1 SYl�d TOTAL FEE ROUGH PLUMBING / ►/�� ?11 ^, _. GAS PIPING I�F i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER Q(Dtlit PLUMBING. - +�9�.G•t' 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURESLICENSED CALIFORNIASORETHATDIBY LO HENLEGALS COUNTY AND OWNER OF THEA TE OF ABOVE GAS TEST �9� rlI DESCRIBED RESIDENTIA 0 RTY. UTILITY CO NOTIFIED 77 SIGNATURE l OF PERMITT FINAL ®r 0VALIDATION ROBERT A'WOOD. M.0, CASH SUPERVISING MECHANICAL ENG-ft L4.1`C j 2 9 5 9 G SEP 5 D 12.0 76A667 (CE-817)-4/72 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPEI CNEAREST ROSS ST Q NUMBER FIXTURE OR ITEM @ FEE ! WATER CLOSET 1,75 OWNER rA 2 b C-- MAIL BATH TUB 1.75 ADDRESS I SHOWER 1 75 CITY TEL NO LAVATORY 1.75 CONTRACTOR SINK 1 75 ADDRESS i DISHWASHER 1 75 CITY TEL NO CLOTHES WASHER 1.75 STATE LIC LICENSE NO CLASS SWIMMING POOL RECEPTOR 1 75 DISTRICT NO GROUP NE F CESSED BY LAWN SPRINKLER SYSTEM 1 75 r WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL ate. GAS SYSTEM OUTLETS 1 75C:) I NSPEC TI ON REC ORD V OUTLETS OVER 5 PER SYSTEM .30 CD W O.. N Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR 9 SIGNATURE Plan check applicant UNDER SLAB WORK NameLo- ©dam - ROUGH PLUMBING Address Q� A � rAe GAS PIPING City Tel NO GAS VENT HOT WATER HEATER I HEREBY ACKN WLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LA REGULATING PLUMBING GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED 17 je LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDE N IA PROPERTY FINAL SIGNATURE / OF P E R M I TT PERMIT VALIDATI N cK M o CASH tvPLAN CHECK VALIDA ION cK Mo CASH � � 9 2CZDEC 11 5 D 4.7 5 1„o COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0509200023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 11695 LT 12 BL 001 10525 DAINES DR FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802813 ' ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 8586-011-028 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY, C 21 HOSE BIBB(S) 2 00 FIX 32 40 TENANT 47 WATER HEATER(S) 1 00 WTH 16 20 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 63 WATER PIPING BR/FIR 9 00 FIX 60 75 09/20/05 JK 03/19/06 TOTAL FEES 137 10 OWNER TEL NO FIN TE FIN CODE EDWARDS JUDITH A (626) 442-4215- 10525 DAINES DR TEMP 917802813 RIPTI N OF WORK C PER R PIPE HOUSE 9 FIXTURES AND WATER HEATER APPLICANT TEL NO PACIFIC COAST COPPER REPIPRE (714) 758-7725- _ 1556 S ANAHEIM BLVD SPECIAL CONDITIONS ANAHEIM, CA 92805 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE PACIFIC COAST COPPER REPIPE (714) 758-7725- 1556 S ANAHEIM BLVD LIC NO UNDER SLAB WORK ANAHEIM, CA 92805 661428036 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER TEL NO +t Y ROUGH PLUMBING LIC NO I GAS PIPING GAS VENT HOTIWATER HEATER PLUPBING FIXTURES LAW14 SPRINKLERS GAS'TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID DPR263 ROUTE TO BS0508